Can I Change My Health Care Doctor For Virginia Premier?

As a Virginia Premier member, you can use the forms on this page to request a new ID card or change your Primary Care Provider (PCP) .

Is Virginia Premier Medicaid Kaiser?

Virginia Premier/Kaiser Permanente Members​

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 .

Is Virginia Premier a Medicaid plan?

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.

Does Va premier cover dentures?

You have dental benefits that cover an exam, cleaning, fluoride treatment, and X-rays every 12 months at no cost to you. You also have a $4,000 allowance to use for fillings, extractions, crowns, dentures, and more . You must use a DentaQuest in-network provider for these services.

Is Virginia Premier the same as Kaiser?

Virginia Premier/Kaiser Permanente members are no different from other Kaiser Permanente members in terms of the outstanding care and service that they expect and deserve. They should be treated like any other member.

What is Virginia Premier Elite?

Virginia Premier Elite Plus is our Commonwealth Coordinated Care Plus (CCC Plus) plan . It is for people who are age 65 and older, in a waiver program, live in a nursing facility, get long-term services and supports, or have a disability.

How do I change my Medicaid plan in VA?

To change your health plan online, select “Enroll” and then “Get Started.” If you want to change health plans by phone, call the Managed Care Helpline, Monday through Friday from 8:30 a.m. to 6 p.m. at 1-800-643-2273 (TDD 1-800-817-6608).

How do I change my Medicaid plan in Virginia?

1. Log in to your Marketplace account.
2. Choose your active application under “Your Existing Applications.”
3. Select “Report a Life Change” from the left-hand menu.
4. Read through the list of changes, and click “Report a Life Change” to get started.
5. Select the kind of change you want to report.

How do I cancel my Virginia Premier Insurance?

If you have purchased your policy through the Federally Facilitated Marketplace, please contact 1-800-318-2596 to cancel your coverage.

Does Kaiser accept Medicaid?

Kaiser Permanente's participation in Medicaid is core to our mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. This critical program provides health coverage to over 1 in 5 Americans, including 1 out of every 3 children.

Does Kaiser accept chip?

CHC programs provide access to health coverage and care within Kaiser Permanente. They are only available to low-income uninsured persons who are ineligible for employer-subsidized coverage and who do not qualify for public programs such as Medicaid, Medi-Cal, or CHIP (Healthy Families).

Is Kaiser an option for Medi-Cal?

Kaiser Permanente participates in Medi-Cal in many counties . This means that, if you are a current Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with Kaiser Permanente if you qualify for Medi-Cal.

What is Virginia Premier Elite HMO SNP?

Virginia Premier Advantage Elite (HMO D-SNP) This Dual Eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan for individuals who are eligible for both Medicare and Medicaid . Our Advantage Elite plan benefits can be combined with any Virginia Medicaid CCC Plus plan at no cost.

What Medicaid covers VA?

Cost and Coverage of Medicaid in Virginia – Medicaid services that may be provided include care for babies, dental, durable medical equipment and supplies, early and periodic screening, diagnosis and treatment, family planning and birth control, long-term care, prescription drugs, clinic services, community-based ...

How do I check my Medicaid status in Virginia?

Cover Virginia also operates a statewide customer service call center for Medicaid and the FAMIS Programs at 1-855-242-8282 . The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues.

What is Va CCC plus?

Commonwealth Coordinated Care Plus (CCC Plus) is a Medicaid managed long-term services and support program that serves over 260,000 individuals throughout the Commonwealth of Virginia . CCC Plus uses an integrated delivery model, across a comprehensive range of health services, to assist members with complex care needs.

Is my Medicaid active?

Verify your enrollment online

Log in to your HealthCare.gov account. Click on your name in the top right and select “My applications & coverage” from the dropdown. Select your completed application under “Your existing applications.” Here you'll see a summary of your coverage.

What is the timely filing limit for Virginia Premier?

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).

What is the best Medicaid plan?

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. attained the highest overall rating among Medicaid plans for HPR 2021. The plan demonstrated high-quality preventive care, with five stars for nearly every prevention measure for which it provided data.

Which is better Optima or anthem?

What is the best managed care organization?

Can I change my health insurance plan after enrollment?

Changing health insurance after open enrollment: Can I switch anytime? In most cases, you can only sign up for or update your health insurance during the annual Open Enrollment Period . However, if you experience certain qualifying life events, you may also become eligible for a Special Enrollment Period.

Can I change my health insurance plan mid year?

In general, health insurance policies are 12-month contracts. If you switch insurer or plan and later want to switch back, you may do so at your next renewal date . In some cases, insurers allow policyholders to switch plans during the 12-month term.

Can I change my health insurance company?

Can I transfer my health insurance policy to another company? Ans: Yes. You can transfer your existing health insurance policy to another company using the health insurance portability feature . However, portability is possible only at the time of existing policy renewal.