Title Outofpocketcash
Out-of-Pocket Costs are the portion of the payment for health services that you are required to pay. These amounts are the same as those required under Original Medicare for hospital and medical services and include:
  • Your Medicare Part B premium
  • Your DaVita VillageHealth premium
  • Co-payments, coinsurance, and deductibles.
There are also Out-of-Pocket Costs associated with Medicare Part D coverage.

Please refer to Section [5], Your Costs for This Plan, of the Evidence of Coverage for details on Out-of-Pocket Amounts.

View or download a copy of the Evidence of Coverage booklet.

Or contact us at:

1-866-838-1962
TTY users dial 711
8:00 a.m. to 8:00 p.m., 7 days a week

Or send us an email
[customerservice@villagehealth.com]

You may qualify for extra help with your Medicare medical and prescription plan costs. This help may reduce your out-of-pocket costs or eliminate them entirely, depending on your income level. When you join DaVita VillageHealth, Medicare will tell us how much extra help you are getting. Then we will let you know the amount you will pay.

If you are not getting this extra help, you can see if you qualify by calling 1-800-MEDICARE (1-800-633-4227), TTY users should call 1-877-486-2048. You can call this number 24 hours a day, 7 days a week.

View or download the Low Income Subsidy Chart

Disclaimer

If you are eligible for Medicaid, the state may be required to cover Medicare cost-sharing that you would otherwise be required to pay. These amounts may differ based on what kind of Medicaid coverage you have. Benefits, co-payments, coinsurance and premiums may change on January 1, 2009. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
DaVita VillageHealth
Three Hawthorn Parkway
Suite 410
Vernon Hills, IL 60061
VillageHealth Customer Service
1-866-838-1962
8am – 8pm, 7 days a week
(TTY users: Dial 711)