Frequently Asked Questions

About Benefits and Services
 

 
To protect your privacy, we need your permission before we allow anyone else access to your private information. There are three ways that you can authorize a family member or friend to serve as your representative with access to information about your care and services with VNSNY CHOICE.
 
1. Write a letter indicating that you, as the member, authorize for your representative to speak on your behalf. Include the full name of your representative, a brief description of your relationship, and the sort of information to which you are granting access. Send this letter to CHOICE Medicare Member Services for processing:
 
VNSNY CHOICE
Attention: Member Services 
1250 Broadway, 11th floor
New York, NY 10001
 
2. To give your representative access without limitations, you can ask Member Services to mail a Health Information Release form to your home. You can do so in writing at the above address, or by calling CHOICE Medicare Member Services at 1-866-783-1444. (TTY for the hearing impaired: 711).
 
Then, fill out the form and send it back to Member Services for processing.
 
3. Call Medicare Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711) with your authorized representative and give verbal authorization. Your authorization will be valid for 14 days from the date of the call.     
 
Contact Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711). If you have already chosen a new doctor, give our representative the doctor's name. Once the representative confirms that the doctor participates with CHOICE Medicare, a new VNSNY CHOICE ID Card will be mailed to you.
 
If you have not chosen a new doctor, you can find one using our Provider Search Tool or call Member Services to help you locate an In-Network Primary Care Physician.
 
Contact Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711). A representative will have a new ID Card mailed to you, and it should arrive in 7-10 business days.
 
To get a new or replacement gym membership card, call the SilverSneakers® Program at 1-888-423-4632.
 
If your home address changes, contact Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711). If your new address is within our service area for your plan, your coverage will not be affected. If you move outside of the service area of your plan, you may no longer be eligible for that plan, in which case you would be disenrolled from CHOICE Medicare. To check whether an address is within your plan's service area, call Member Services or follow these links for the service areas of CHOICE Medicare plans (Maximum, Preferred, and Classic) as well as CHOICE Total.
 
If you have any questions or concerns about getting authorizations for medical services, please contact Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711), and a representative will be able to assist you.
 

Other Common Questions

To protect your privacy, Member Services will always ask you to provide three pieces of information to identify yourself. Any three of the following may be used for ID purposes:
  • Your CHOICE Member ID Number
  • First and Last Name
  • Date of Birth
  • Full Address
  • Medicare ID Number
  • New York Medicaid ID Number
  • Social Security Number
 
Your VNSNY CHOICE Medicare ID Card either gold and white or silver and white, and looks like this: 
 

Your Member ID Number is found on this card, and looks like: V7XXXXXXX.
 
This is the card you must use — not your red, white, and blue Medicare card — whenever you get covered medical services as a plan member (with the exception of routine clinical research studies and hospice services). This is important because if you use your red, white, and blue card for covered services, you may have to pay the full cost yourself. Keep your red, white, and blue card in a safe place though, in case you need it later.
 
To find out whether you are enrolled or eligible for Medicare or Medicaid, contact CHOICE Medicare Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711).  One of our representatives will be able to assist you.
 
If your home address or phone number has changed, please contact Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711) and notify a representative of the change, so that we can update our records and ensure that your services continue properly.
 
Contact Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711). Please have the bill with you when you call, as the representative will ask you for specific information found on the bill. Our representative will work with you and your doctor to clarify the bill and determine whether you may be responsible for any charges.
 
Contact CHOICE Medicare Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711) and a representative will connect you with your care manager. The representative will ask you about the purpose of your call, as they may be able to assist you immediately.
 
Visiting family or friends outside the U.S.? As a CHOICE Medicare member, you'll have more peace of mind knowing that you have up to $50,000 in worldwide coverage for emergency services and urgent care when you travel outside of the U.S.

What if I can’t get to a network provider because of a State of Emergency or a natural disaster?
If the Governor of New York, the U.S. Secretary of Health and Human Services, or the President of the United States declares a state of disaster or emergency in your geographic area, you are still entitled to care from your plan. Generally, during a disaster, you can obtain care from out-of-network providers at in-network cost-sharing. If you cannot use a network pharmacy during a disaster, you may be able to fill your prescription drugs at an out-of-network pharmacy. Please call Member Services for more information. 

 
This is a Medicare-related page; some of the links will take you to non-Medicare information or to a different website.
 
This information is not a complete description of benefits. Contact the plan for more information.
 
Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Some plans are available to anyone who has both Medical Assistance from the State and Medicare. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. 
 
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
 
Last updated 10/1/2016
 

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