We provide Special Needs Plans or SNPs for a wide range of low-income people who require extra care, such as diabetics, those with kidney disease, cancer patients, the mentally ill and many others with chronic illnesses. Our plans are designed to meet state and local requirements, as well as the needs of our members and prospective members. The plans are offered through contracts with the Centers for Medicare and Medicaid Services (CMS), the federal government agency that runs Medicare.
We designed this plan to make health care as simple as possible for our members. In this plan, AMERIGROUP provides full Medicare coverage, plus additional benefits not covered by Medicare. It includes full Medicare Part D prescription drug benefits, so members do not need for a separate prescription drug plan.
Members get health services and prescriptions with a single member ID card. We also provide a Care Coordinator to help each person obtain the right care.
We currently provide a dual-eligible plan in parts of Florida, Maryland, New Jersey, New Mexico, New York, Tennessee and Texas.
Classic + Rx Plans
We offer the AMERIVANTAGE Classic + Rx Plan to individuals eligible for Medicare. A person is eligible if he or she is eligible for Medicare Part A and enrolled in Part B, lives in the service area and does not have end stage renal disease. People in this Medicare Advantage plan get all of their regular Medicare benefits and Part D Prescription Drug coverage with no additional monthly premium. They pay $0 for premiums and $0 in deductibles and have affordable copays for many services. Again, they do not need a separate drug plan!
We currently provide this Medicare Advantage plan in parts of Florida, Maryland, New Jersey, New Mexico, New York, Tennessee and Texas.
Balance + Rx Plans
We offer the AMERIVANTAGE Balance + Rx Plan to individuals eligible for Medicare. A person is eligible if he or she is eligible for Medicare Part A and enrolled in Part B, lives in the service area and does not have end stage renal disease. People in this Medicare Advantage plan get all of their regular Medicare benefits and Part D Prescription Drug coverage with no additional monthly premium. They pay $0 for premiums and have a set amount of between $1,100 and $1,900 per year plan deductible (depending on the location) and $500 in Initial Coverage per year. They do not need a separate drug plan!
We currently provide this Medicare Advantage plan in parts of Florida, Maryland, New Jersey, New York, Tennessee and Texas.