VNS Health EasyCare Plus: Inpatient Stay: Covered Services Received in a Hospital or SNF during a Non-Covered Inpatient Stay

If inpatient benefits are exhausted or the inpatient stay is not reasonable and necessary, the stay will not be covered - but certain services may.

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Cost
0% - 20% coinsurance
Prior Authorization Required
Yes
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

  1. Obtain a physician order for inpatient admission to a network hospital or SNF: Click on the Hospitals tab or on the Skilled Nursing Facilities (SNF) tab on the page.

  2. Contact the VNS Health EasyCare Plus Team at (866) 783-1444 (TTY 711) to determine if inpatient benefits have been exhausted or if inpatient stay is not reasonable and necessary.

    • The admitting provider or the facility may also help with this determination when calling for prior authorization.

  3. Work with the inpatient care team on treatment during stay and discharge planning.

  4. Continue to work with the Care Team on covered services following facility discharge.

Availability
Ongoing

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If inpatient benefits have been exhausted or if the inpatient stay is not reasonable and necessary, the inpatient stay will not be covered. However, in some cases, the plan will cover certain services received while in the hospital or the skilled nursing facility (SNF). Covered services include, but are not limited to:

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