Nascentia Health Plus Dual Eligible Plan (D-SNP)

Individuals enrolled in Nascentia Health Dual Eligible Plan receive tailored care management designed to improve care coordination, provider interventions, and partnerships with community-based organizations. Through this approach, Medicare and Medicaid benefits are better integrated and aligned to meeting the specialized needs of dual eligible beneficiaries.

To join our Nascentia Health Dual Plan (HMO SNP) you:

  • 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.
  • Must not have End-Stage Renal Disease (ESRD), with limited exceptions

Summary of Benefits

$0 Annual Premium*
$0 Deductible
Part D Prescription Drug Coverage
$0 Preventative Care and Screenings
Over-The-Counter Benefits

  • Up to $696 annual over-the-counter benefits
  • Covers health-related drugs and supplies including cough, cold and allergy medications, first aid supplies and much more at no cost

Dental Coverage

  • Up to $750 in preventive and comprehensive dental benefits annually
  • 2 oral exams and x-rays per year
  • 2 cleanings each year

Vision Coverage

  • 1 routine annual eye exam
  • $100 annual allowance for frames, lenses or contact lenses

*Member must continue to pay their Medicare Part B premium

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