What kind of insurance is Virginia Premier?
Medicaid HMO
Our History. Founded in 1995 as a Medicaid HMO, Virginia Premier is a nonprofit managed care organization in the Commonwealth, now serving more than 280,000 members statewide. We offer Medicare and Medicaid insurance plans.
How do I contact the Virginia Premier?
Call 1-800-727-7536, TTY: 711. We are open Monday through Friday, excluding certain holidays, from 8:00 am to 8:00 pm.
Is Kaiser a premier of Virginia?
Starting October 1, 2018, Kaiser Permanente Medicaid patients in Virginia will be able to continue to access their Kaiser Permanente physicians and providers through a new collaboration with Virginia Premier, a Medicaid Managed Care plan in Virginia.
Does Virginia premier cover dentures for adults?
Virginia Premier offers preventive services at $0 copay for exams, cleanings, and X-rays twice a year. Plus, we offer a $3,000 comprehensive benefit that cover fillings, extractions, crowns, dentures and more.
Is Virginia premier free?
Health and Wellness Programs: Premier Wellness is a free program for members covering nutrition, exercise, wellness, and being smoke-free. Healthy Footsteps℠: Virginia Premier’s program supporting the healthy development of children.
Is Virginia Premier an HMO?
Virginia Premier is the first and only non-profit managed care organization in Virginia. We have been inspiring healthy living in the communities we serve since 1995. Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions.
What is the timely filing limit for Virginia Premier?
180 days
Timely Filing: Participating providers are required to submit their claims to us within the timeframe established in their provider contract (180 days is the standard timeframe for most providers). Claims not submitted in accordance with the timely filing guidelines will be denied.
What is Virginia Premier payer ID?
Effective February 1, 2019, Virginia Premier will operate utilizing one Virginia Premier Payer ID: VAPRM or the Exchange Program ID: 251VA. Exchange Program electronic claim submission should be submitted utilizing Payer ID 251VA.
Is Kaiser Permanente good in Virginia?
Healthier & happier members Kaiser Permanente of the Mid-Atlantic States’ Medicaid plan in Virginia, Maryland and the District of Columbia received the highest possible rating (5 out of 5) from the National Committee for Quality Assurance.
Does Virginia have a HealthCare marketplace?
As of 2021, Virginia has a state-based marketplace, but still uses HealthCare. gov’s call center and enrollment platform. By 2023, however, Virginia plans to be operating its own exchange platform, and no longer using HealthCare.gov.
Is Virginia Premier Medicaid or Medicare?
For over 20 years, Virginia Premier has provided Medicaid coverage to individuals and families throughout Virginia. Our benefits cover doctor visits, pregnancy care, hospital stays, emergency care services, medications prescribed by your doctor, transportation, vision and dental care and more.
What is the best MCO in Virginia?
NCQA Health Insurance Plan Ratings 2019-2020 – Summary Report (Medicaid)
| Rating | Plan Name | Prevention |
|---|---|---|
| 3.5 | HealthKeepers, Inc. (Medicaid) | 2.5 |
| 3.5 | Optima Health Plan | 2.5 |
| 3.5 | Virginia Premier Health Plan, Inc. | 2.5 |
| 3.0 | Coventry Health Care of Virginia, Inc., dba Aetna Better Health of Virginia | 2.0 |
What is Medicare Premier plan?
Aetna Medicare Premier Plan is a 2019 Medicare Advantage plan from Aetna Medicare that’s available in Montgomery County , Indiana. It is a Preferred Provider Organization (PPO) health plan. It includes a prescription drug plan (Part D). It has the same health insurance benefits as Original Medicare. It offers extras that Medicare does not cover.
What is Medicare Premier PPO?
Aetna Medicare Premier Plus Plan (PPO) is a Local PPO. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of “preferred” providers for you to choose from at reduced rates.
Is Health Partners Medicaid?
Health Partners Medicare is an HMO plan with Medicare and Pennsylvania State Medicaid program contracts. Enrollment in Health Partners Medicare depends on contract renewal.
What is managed care Medicaid?
Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services. By contracting with various types of MCOs to deliver Medicaid program health care services to their beneficiaries, states can reduce Medicaid program costs and better manage utilization of health services.