D-SNP can help you buy items like vitamins and grab bars, and cover Medicare Part A and Part B, dental, vision, prescriptions and more.
West Virginia Medicare D-SNP
Dual Eligible Special Needs Plans
West Virginia Medicare D-SNP
Dual Eligible Special Needs Plans
Coverage that helps you spend less
Coverage that helps you spend less
D-SNP can help you buy items like vitamins and grab bars, and cover Medicare Part A and Part B, dental, vision, prescriptions and more.
Joining Highmark Health Options Duals (HMO SNP)
Our D-SNP plan is Highmark Health Options Duals, Learn how it can help remove worries over medical and every day costs.
Dental
Our D-SNP includes Medicare dental benefits and extra coverage for filings, crowns, dentures and more.
Vision
Your D-SNP will have coverage for eyeglass frames or contact lenses added to Medicare vision benefits.
My Healthy Flex Card
You can use your My Healthy Flex Card like a credit card to buy items online, by phone or in participating stores.
See if you qualify for the Special Supplemental Benefits for Chronically Ill* (SSBCI) benefits
See if you qualify for the Special Supplemental Benefits for Chronically Ill* (SSBCI) benefits
There are specific requirements you must meet to qualify for SSBCI. If we cannot verify your eligibility through existing claims information, your provider may need to complete the SSBCI Attestation Form. Print the form and bring it to your next appointment if requested.
There are specific requirements you must meet to qualify for SSBCI. If we cannot verify your eligibility through existing claims information, your provider may need to complete the SSBCI Attestation Form. Print the form and bring it to your next appointment if requested.
D-SNP extra benefits
Here are some ways our D-SNP adds to Medicare coverage.
Remember, these are only highlights. Your plan may approve other extra benefits that aren’t shown.
24/7 Toll-free
Nurseline
One eye exam/
year, $0 copay
One hearing exam/
year, $0 copay
Two hearing aids/3
years (one per ear)
Need D-SNP information?
Need D-SNP information?
Review helpful answers to commonly asked D-SNP questions.
Review helpful answers to commonly asked D-SNP questions.
Low-cost medical services
Low-cost medical services
The easiest way to use your D-SNP benefits when you need care is to find your doctor or provider in your Provider Directory.
The easiest way to use your D-SNP benefits when you need care is to find your doctor or provider in your Provider Directory.
How D-SNPs work
You’ll have a large selection of approved (also called in-network) doctors, specialists, hospitals and other providers to use across the state.
Primary Care Provider (PCP)
Your PCP is your main doctor and will coordinate your covered care. He or she can also refer you to other providers or specialists,
Making an appointment
After finding your PCP, you can call the office to ask if it accepts your D-SNP and to schedule the appointment you need.
Getting covered prescriptions
In most cases, you'll need to have your prescriptions filled at a Highmark Health Options Duals approved pharmacy to use your D-SNP benefits.
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View plans online
Your D-SNP can help you save money while staying healthy.
Wholecare Call Center 1 (800) 392-1147 -
Interested in Medicaid?
Highmark Health Options’ Medicaid coverage goes beyond the basics so you can live a healthy life.
1-855-401-8251 1-855-401-8251
* Special supplemental benefits are for people who are chronically ill with long-term conditions like diabetes, asthma, obesity, immunodeficiency, functional challenges, and behavioral health. You also need to be at risk of going to the hospital and need extra help from care management. There are other conditions that may qualify you for benefits. Highmark will help determine if you qualify for these benefits and may ask you for more information. Not all members will qualify.
Highmark Health Options West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association. Highmark Health Options Duals is offered by Highmark Blue Cross Blue Shield. Highmark Health Options Duals offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.
Medicare Ombudsman Website
Best Available Evidence
H6224_26_5502_M_2027
Last updated on October 1, 2026
