Qualifying Members:  Eligibility for the Additional Benefits under the VBID Model is not assured and will be determined by The Health Plan after enrollment based on relevant criteria (e.g.., eligibility citeria based on Low Income Subsidy status and/or Area Deprivation Index national percentiles).  All applicable eligibility requirements must be met before the benefit is provided.

Medicare approved The Health Plan of West Virginia to provide these benefits as part of the Value-Based Insurance Design (VBID) program. This program lets Medicare try new ways to improve Medicare Advantage plans. Eligibility for the  Additional Benefits under the VBID Model is not assured and will be determined by The Health Plan after enrollment, based on relevant criteria (e.g., eligibility criteria based on Low Income Subsidy status and/or Area Deprivation Index national percentiles). All applicable eligibility requirements must be met before the benefit is provided. For details, or for assistance determining eligibility, please contact our Member Services at 1-877-847-7907 (TTY users should call 711). 

Value-Based Insurance Design benefit available to qualifying members based on Low Income Subsidy status.