VillageHealth is an HMO-POS Medicare Advantage Special Needs Plan.

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    Open-network point-of-service plans allow members to use providers that are in and out of the plan network.
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    No contract is required; providers will be paid Medicare rates.
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    No referral is required.
Medical Group

  • A Medicare Advantage Prescription Drug plan for people with end-stage renal disease or who have had a kidney transplant
  • Provides members with Medicare Part A & B (medical and hospital) coverage and prescription drug coverage (Part D)

Open Access:

  • Members can see any Medicare-participating provider. As a provider, you do not need to be contracted with VillageHealth to provide covered medical services or care.
  • No requirements for a referral or prior authorization for most services.

VillageHealth Care Team:

  • Partners with patients to reach goals like transplants and catheter removal.
  • Provides extra support for and coordinates care with members, physicians and clinical team.
  • Arranges and coordinates appointments and follow-ups.

Provider Reimbursement:

  • No contract required.
  • VillageHealth pays according to Medicare fee schedule.

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April 1 – Sept. 30: 8 a.m. to 8 p.m., Monday - Friday
Oct. 1 – March 31: 8 a.m. to 8 p.m., seven days a week

Messages received on holidays and outside of our business hours will be returned within one business day.

Call 1-800-399-7226

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