2021 Nascentia Dual Advantage (D-SNP) Plan

We’re happy to talk to you about our Medicare Advantage Plans and answer any questions about coverage and benefits.

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County of Residence:AlbanyAlleganyBroomeCattaraugusCayugaChautauquaChemungChenangoClintonColumbiaCortlandDelawareErieEssexFranklinFultonGeneseeGreeneHamiltonHerkimerJeffersonLewisLivingstonMadisonMonroeMontgomeryNiagaraOneidaOnondagaOntarioOrleansOswegoOtsegoRensselaerSaratogaSchenectadySchoharieSchuylerSenecaSt. LawrenceSteubenTiogaTompkinsWarrenWashingtonWayneWyomingYates

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Over-the-Counter (OTC) benefits

• $130 per month over-the counter drug benefit. Covers health-related drugs and supplies including cough, cold and allergy medications, first aid supplies and much more at no cost

Dental Services

• Up to $1,000 in preventive and comprehensive dental benefits annually
• 2 oral exams and cleanings per year
• 1 x-ray per year

Telemedicine

• Quality virtual healthcare from any device, anywhere$0 co-insurance. No referral required

Vision Services

• 1 routine annual eye exam
• $355 annual upgrade for frames, lenses or contact lenses

Hearing Aids

• $1,200 (both ears) yearly

*Member must continue to pay their Medicare Part B premium

Download 2021 D-SNP Benefits Brochure (pdf)

Download 2021 D-SNP Summary of Benefits (pdf)

Eligibility:

This plan is a dual eligible special needs plan (D-SNP)

• Must be enrolled in Medicare Part A and Part B
• Must be enrolled for full Medicaid benefits and/or assistance with Medicare premiums or cost sharing
• Must continue to pay your Medicare Part B premium if it’s not paid for by Medicaid or another third party
• Must live in the Nascentia Health Plus service area.

Nascentia Health Plus Service Area:

Albany, Broome, Columbia, Delaware, Erie, Greene, Niagara & Onondaga

If you want to know more about the coverage and costs of original Medicare, view it online at https://www.medicare.gov, or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

Last Updated on October 29, 2021