Nascentia Dual Advantage (D-SNP) is a Medicare Advantage Special Needs Plan that gives extra benefits to people on both Medicare and Medicaid, while also providing Medicare parts A, B, and D.
We know the challenges our members face and we’re here to help.
Plan Information
2025 Nascentia Dual Advantage (D-SNP)
2024 Nascentia Dual Advantage (D-SNP)
2025 Nascentia Skilled Nursing Facility (I-SNP)
2024 Nascentia Skilled Nursing Facility (I-SNP)
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Prescription Drug Information
Drug Formulary
Member Documents
Our Plans and Enrollment Process
About Medicare and Medicare Advantage
Grocery prices are going up, and we want to help. Use our generous food and OTC benefits to help you stay healthy. With money every month for utility bills such as heat, electric, and internet, you can continue paying for the services you count on. Plus, we give you rewards just for going to your annual doctor visit, eye exam, and dental exam, and getting a flu shot.
Key Plan Benefits:
42 health-related meals following surgery or hospitalization, $0 Annual Premium* and Deductible, Part D Prescription Drug Coverage, and $0 Preventative Care and Screenings
*Member must continue to pay their Medicare Part B premium
Food & Over-The-Counter - $225 per month
Buy healthy groceries like produce, dairy, bread, and meat; and OTC items such as cough and allergy medications, first aid supplies, and more at your favorite stores. View included food and OTC items here
Utility Bills - $100 per month
Use our monthly benefit for utilities such as heat, electric, and internet to help pay for these essential services.
Hearing Aids - $4,000 each year
Get new hearing aids for both ears annually to make sure you can hear clearly.
Dental Care - covered with prior authorization
Receive comprehensive and preventive care, two oral exams with cleanings, and annual x-rays.
Vision Upgrade - $700 each year
Visit your eye doctor annually and use your upgrade toward frames, lenses, and contact lenses.
Fitness Pass - Unlimited use
The One Pass fitness program includes hundreds of gyms and online health and wellness classes. Learn more about One Pass here
View all benefits (pdf), updated 10/01/2024
Eligibility:
- Enrolled in Medicare Parts A and B
- Eligible for Medicaid Benefits
- Continue to pay your Medicare Part B premium, if it’s not paid by Medicaid or another payer
- Must live in our 15-county service area:
- Albany, Broome, Columbia, Delaware, Erie, Greene, Madison, Monroe, Niagara, Oneida, Onondaga, Otsego, Rensselaer, Saratoga, and Schenectady
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 1, 2024
