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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

For 2026, our D-SNPs can help you buy items like vitamins and grab bars, and cover Medicare Part A and Part B, dental, vision, prescription and more.

For 2026, our D-SNPs can help you buy items like vitamins and grab bars, and cover Medicare Part A and Part B, dental, vision, prescription and more.

Joining Highmark Health Options Duals (HMO SNP)

We’ll offer two D-SNPs in 2026, Highmark Health Options Duals and Highmark Health Options Duals Select. Learn how they can help remove worries over medical and every day costs.

  • father and daughter brushing teeth in bathroom

    Dental


    D-SNPs includes Medicare dental benefits and extra coverage for filings, crowns, dentures and more.

  • woman trying on or adjusting her eye glasses

    Vision


    Your D-SNP will have coverage for eyeglass frames or contact lenses added to Medicare vision benefits.

  • woman paying at pharmacy counter

    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. 

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. 

D-SNP extra benefits
Here are some ways our D-SNPs add to Medicare coverage. 

Remember, these are only highlights. Your plan may approve other extra benefits that aren’t shown.

 

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24/7 Toll-free
Nurseline

Drawing of blue pharmacy building with mortar and pestle sign sun and clouds in background.

 

One eye exam/
year, $0 copay

Drawing of blue pharmacy building with mortar and pestle sign sun and clouds in background.

 

One hearing exam/
year, $0 copay

Drawing of blue pharmacy building with mortar and pestle sign sun and clouds in background.

 

Two hearing aids/3
years (one per ear)

Review by plan

2026 Duals
My Healthy Flex Card over-the-counter medicines
Up to $235/month
Preventive and comprehensive dental, includes dentures
$2,500/year
Eyeglass frames or contact lenses
$200/year
Upgrades included

If you have questions, please check your benefits documents or contact us

senior woman in wheelchair with nurse pushing her through hospital hallway

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. 

Highmark Health Options Duals is offered by Highmark Blue Cross Blue Shield. Highmark BCBSD Inc. d/b/a Highmark Blue
Cross Blue Shield offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.

Medicare Ombudsman Website
Best Available Evidence
H6224_25_1886_M

Last updated on October 1, 2025