2021 Nascentia Skilled Nursing Facility (I-SNP) Plan

Over-the-Counter (OTC) benefits

• $105 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

• 20% co-insurance of Medicare-covered services

Vision Services

• 20% co-insurance of Medicare-covered services
• $0 co-insurance for routine exam. 1 per year. Routine eye wear – lenses & frames.
• $355 upgrade available for frames, lenses, or contact lenses per year

Hearing Aids

• 1 Routine hearing exam; fitting/evaluation for hearing aid
• $1,200 hearing aid coverage (both ears) maximum yearly benefit
• 20% co-insurance of Medicare-covered services

Telemedicine

• Receive quality, virtual care from any device, anywhere

*Member must continue to pay their Medicare Part B premium

Download 2021 I-SNP Benefits Brochure (pdf)

Download 2021 I-SNP Summary of Benefits (pdf)

Eligibility:

This plan is an institutional special needs plan (I-SNP)

• Must be enrolled in Medicare Part A and Part B
• Must for 90 days or longer, require or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF).
• Must continue to pay your Medicare Part B premium if it’s not paid for by Medicaid or another third party
• Must be a resident of one of our participating nursing home partners.

Nascentia Skilled Nursing Facility is an Institutional Special Needs Plan for beneficiaries whose condition makes it likely that either the length of stay or the need for an institutional level of care would be at least 90 days. Your ability to enroll will be based on verification that you, for 90 days or longer, have had or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF).

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