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VNS Health EasyCare Plus (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for VNS Health EasyCare Plus (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on VNS Health EasyCare Plus (HMO D-SNP) in 2026, please refer to our full plan details page.
VNS Health EasyCare Plus (HMO D-SNP) is a HMO D-SNP plan offered by Visiting Nurse Service of New York available for enrollment in 2025 to people living in NYC, Albany, Buffalo and Rochester Metro Areas. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that VNS Health EasyCare Plus (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
VNS Health EasyCare Plus (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about VNS Health EasyCare Plus (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For VNS Health EasyCare Plus (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $51.60. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The VNS Health EasyCare Plus (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, you will pay a 25% coinsurance at standard pharmacies for generic, preferred brand, and non-preferred brand drugs, as well as for one-month supplies of specialty drugs. This 25% coinsurance also applies to three-month supplies of Tier 1, Tier 2, and Tier 3 drugs when using standard mail order. For Tier 5 select care drugs, the plan offers excellent savings with no copay for one, two, or three-month supplies at standard pharmacies. You can also receive a three-month supply of these select care drugs with no copay through standard mail order.
Additional Benefits
The VNS Health EasyCare Plus (HMO D-SNP) offers comprehensive medical coverage with no copays across all services, though a 20% coinsurance applies to outpatient care, doctor visits, emergency services, and medical equipment. High-cost care like inpatient hospital stays, home health, and skilled nursing facility services are covered with no copay and no coinsurance, though prior authorization is typically required. This plan also features robust supplemental benefits, including no copays or coinsurance for routine dental care up to $2,750 annually, vision exams with a $300 eyewear allowance, and hearing services. Members also benefit from a $235 monthly allowance for over-the-counter items, acupuncture treatments, and up to seven round trips per year for plan-approved transportation.
Inpatient Hospital See details
VNS Health EasyCare Plus (HMO D-SNP) covers inpatient acute and psychiatric hospital services with no copay and no coinsurance, though prior authorization is required. The benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, while unlimited additional days are available for acute care.
Outpatient Services See details
Outpatient services are covered by VNS Health EasyCare Plus (HMO D-SNP) with no copay, though a 20% coinsurance applies to outpatient hospital, ambulatory surgical center, substance abuse, and blood services. Prior authorization is required for ambulatory surgical center and outpatient hospital services.
Partial Hospitalization See details
VNS Health EasyCare Plus (HMO D-SNP) covers partial hospitalization with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
VNS Health EasyCare Plus (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered, offering up to 7 round trips per year to plan-approved locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
VNS Health EasyCare Plus (HMO D-SNP) covers emergency and urgently needed services with a 20% coinsurance and no copay, subject to maximum per-visit cost shares of $115 and $40 respectively. Worldwide emergency and urgent services are partially covered with a 20% coinsurance and no copay up to a $50,000 maximum benefit, though worldwide emergency transportation is not covered.
Primary Care See details
Primary care and specialist services under the VNS Health EasyCare Plus (HMO D-SNP) plan are covered with no copay and a 20% coinsurance, while opioid treatment services require no copay and no coinsurance. Chiropractic services are not covered, and other services such as therapies, psychiatric care, and podiatry require prior authorization.
Preventive Services See details
Preventive services are partially covered by VNS Health EasyCare Plus (HMO D-SNP) with no copay and no coinsurance for covered benefits such as kidney disease education, memory fitness, and diabetes self-management. However, several services are not covered under this plan, including annual physical exams, health education, in-home safety assessments, and personal emergency response systems.
Hearing Services See details
Hearing services are covered by VNS Health EasyCare Plus (HMO D-SNP) with no copay and no coinsurance for annual routine exams, fitting evaluations, and OTC hearing aids. Prescription hearing aids are partially covered with no copay and no coinsurance up to $700 per ear every three years, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
VNS Health EasyCare Plus (HMO D-SNP) covers vision services with no copay and no coinsurance, including one routine eye exam per year, an additional eye exam every two years, and up to $300 annually for contacts or eyeglasses. This benefit is partially covered, as eyewear upgrades are not covered under the plan.
Dental Services See details
VNS Health EasyCare Plus (HMO D-SNP) dental services are partially covered with no copay and no coinsurance for exams, cleanings, implants, and restorative care, up to a $2,750 annual limit. Some services are not covered, including other preventive dental services, endodontics, periodontics, and orthodontics.
Home Infusion bundled Services See details
VNS Health EasyCare Plus (HMO D-SNP) partially covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. While Medicare Part B insulin is covered with no copay or coinsurance, Medicare Part B chemotherapy, radiation, and other Part B drugs are not covered under this benefit.
Dialysis Services See details
Dialysis Services are covered by VNS Health EasyCare Plus (HMO D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
VNS Health EasyCare Plus (HMO D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic equipment, with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
VNS Health EasyCare Plus (HMO D-SNP) covers diagnostic and radiological services with no copay, subject to a 20% coinsurance and prior authorization. This coverage includes Medicare-covered lab services, diagnostic procedures, therapeutic and diagnostic radiological services, and outpatient X-rays.
Home Health Services See details
Home Health Services are covered under VNS Health EasyCare Plus (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
VNS Health EasyCare Plus (HMO D-SNP) covers some Cardiac Rehabilitation Services with no copay and prior authorization, though standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and carry a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
VNS Health EasyCare Plus (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, although prior authorization is required. This benefit allows for admission without a prior three-day inpatient hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
VNS Health EasyCare Plus (HMO D-SNP) covers acupuncture limited to 30 treatments per year, chronic illness meal benefits, and over-the-counter items up to $235 monthly with no copay and no coinsurance. Other services under this benefit are only partially covered, as nicotine replacement therapy and certain additional services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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