INFLATION REDUCTION ACT ALERT – NEW COST-SHARING PROTECTIONS FOR INSULIN FURNISHED UNDER THE PART B BENEFIT THROUGH A QUALIFIED ITEM OF DURABLE MEDICAL EQUIPMENT AND CERTAIN PART B DRUGS. LEARN MORE

Value-Based Insurance Design (VBID) Model

The VBID Model Explained

The Centers for Medicare & Medicaid Services (CMS) has introduced various new ideas for Medicare Advantage (MA) health plans in the Value-Based Insurance Design (VBID) model for the year 2020. This model is being tested by the CMS Center for Medicare and Medicaid Innovation (Innovation Center), and the goal of the model is to save money in the Medicare program, enhance the quality of healthcare Medicare beneficiaries (including those with dual eligibility), and optimize the coordination and efficiency of healthcare service industry.

Leon Health and the VBID Model

Our commitment to prioritizing the health of our members is precisely one of the driving factors behind our participation in the Value-Based Insurance Design (VBID) model. We recognize that this model aligns with our dedication to enhancing the quality of care and expanding healthcare choices for our beneficiaries.

For our Medicare-Medicaid members – we offer the VBID Model benefits through our Leon MediDual (D-SNP) plan.

LeonPLUS Card

Our pre-paid LeonPLUS Card now offers more choices for our members, providing the flexibility to use your monthly allowance for expenses such as food and produce, gas, rent, meals, pet supplies, utilities, and many other options.

View the List of Approved LeonPLUS retailers

Part D Prescription Drug

We understand the importance of offering our members the very best when it comes to prescribed medications. That is why with Leon MediDual, you will not have to pay anything for your covered prescription drugs at your preferred or standard retail pharmacies.

Wellness and Health Care Planning

Leon Health also offers its members improved and timely access to Wellness and Health Care Planning (WHP), including Advance Care Planning, at no additional cost.

Members can access this service through the following means:

  1. By completing the Health Risk Assessment sent to members by mail.
  2. By scheduling an appointment with your Primary Care Provider for your Annual Wellness Visit.
  3. Alternatively, members can access this service through Case Management.

To learn more about this program, benefits and details, see the plan’s Evidence of Coverage, or contact our Member Services Department at 1-844-969-5366 (TTY: 711). Our dedicated team is available Monday through Sunday from 8:00 a.m. to 8:00 p.m. during the period from October to March, and Monday through Friday from 8:00 a.m. to 8:00 p.m. from April to September.

At Leon Health, we are committed to providing exceptional care and support for our members.

Ready to Enroll with LEON Health?

As you prepare for Medicare, you’ll be faced with many important decisions. LEON Health wants to help you select the best options for your needs.

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