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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 2025, 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 2025.
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 $72.30. 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 $590.00 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 $9350.00 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) plan has a $590 deductible for prescription drugs. If you qualify for the low-income subsidy, you'll pay $72.30 per month for Part D. After the deductible, you'll pay the costs for drugs in each tier until your total drug costs reach $2000. Once you reach that amount, you enter the next coverage phase. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The VNS Health EasyCare Plus (HMO D-SNP) plan offers a variety of benefits, including coverage for inpatient and outpatient services with varying coinsurance amounts. You'll find coverage for primary care, preventive services, hearing, vision, and dental, with specific limits and cost-sharing for each. The plan also includes coverage for ambulance, emergency services, and transportation services, with additional benefits like home health services and medical equipment.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. Additional Days for Inpatient Hospital-Acute are covered with no coinsurance, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient services include coverage for outpatient hospital services and observation services with a 20% coinsurance, as well as ambulatory surgical center services and outpatient substance abuse services with a coinsurance between 20% and 20%. Outpatient blood services are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the VNS Health EasyCare Plus (HMO D-SNP) plan, but requires prior authorization. You will pay a 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the VNS Health EasyCare Plus (HMO D-SNP) plan. Ground and air ambulance services have a 20% coinsurance, and transportation services to plan-approved health-related locations are covered for a maximum of $100 per round trip for up to 7 trips per year.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage have a 20% coinsurance, with no copay. Worldwide Emergency Transportation is not covered.
Primary Care See details
The VNS Health EasyCare Plus (HMO D-SNP) plan covers Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. Primary Care Physician Services, Physician Specialist Services, and Physical Therapy and Speech-Language Pathology Services have a 20% coinsurance. Chiropractic Services, Individual and Group Sessions for Mental Health and Psychiatric Services, and Routine Foot Care have a 20% coinsurance. Additional Telehealth Benefits have between 0% and 20% coinsurance.
Preventive Services See details
Preventive Services are covered, including Medicare-covered preventive services with no copay, and additional preventive services. Annual physical exams, health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, telemonitoring services, and home and bathroom safety devices and modifications are not covered.
Hearing Services See details
Hearing services include routine hearing exams, fitting/evaluation for hearing aids, prescription hearing aids, and OTC hearing aids. Routine hearing exams are covered for one visit per year, and fitting/evaluation for hearing aids are covered for two visits every three years. Prescription hearing aids are covered up to a maximum of $700 per ear every three years, while OTC hearing aids have unlimited coverage.
Vision Services See details
Vision Services are covered, including routine eye exams with one visit per year, and other eye exam services with one visit every two years. Eyewear is covered up to a combined maximum of $300 per year for contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames. Upgrades are not covered.
Dental Services See details
The VNS Health EasyCare Plus (HMO D-SNP) plan covers a range of dental services, including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), and fluoride treatment, with a maximum benefit of $2750 per year. Restorative services, prosthodontics, removable, implant services, prosthodontics, fixed, and oral and maxillofacial surgery are covered, but require prior authorization; adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the VNS Health EasyCare Plus (HMO D-SNP) plan, with prior authorization required. The plan covers Medicare Part B Insulin Drugs, but does not cover Medicare Part B Chemotherapy/Radiation Drugs.
Dialysis Services See details
Dialysis Services are covered by the VNS Health EasyCare Plus (HMO D-SNP) plan, with a coinsurance of 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance and Prosthetics/Medical Supplies with 20% coinsurance. Diabetic Equipment is also covered and includes Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts, both with 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the VNS Health EasyCare Plus (HMO D-SNP) plan. Diagnostic procedures, tests, and lab services have no copay, but have a coinsurance of at most 20%, while diagnostic, therapeutic, and outpatient x-ray services have no copay, but have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the VNS Health EasyCare Plus (HMO D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the VNS Health EasyCare Plus (HMO D-SNP) plan. This includes Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. The plan requires prior authorization, and the coinsurance information is available elsewhere in the plan details.
Other Services See details
Other Services include acupuncture, over-the-counter items, and a meal benefit. Acupuncture is covered for up to 30 treatments per year, and over-the-counter items are covered up to $235.00 per month. The meal benefit is for chronic illness, and the following services are not covered: Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services.
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