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Hours of Operation: 8am-8pm, Mon-Fri (April-Sept), 8am-8pm, 7 days a week (Oct-March)

1-888-477-4663 (TTY: 711)

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  • MEMBERS

    Select your plan to review your existing coverage, forms and documents, and to find participating providers and pharmacies.

    • 2020 Nascentia Dual Advantage (D-SNP)
    • 2020 Nascentia Skilled Nursing Facility (I-SNP)
    • 2019 Nascentia Health Dual (D-SNP)
    • 2019 Nascentia Health Institutional (I-SNP)
  • PROVIDERS

    If you’re a provider, we’re here to help.

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  • PLAN INFO

    Interested in learning more or signing up?

    CONTACT US
    Start Enrollment Process
    2020 Plans

    2020 Nascentia Dual Advantage (D-SNP)
    2020 Nascentia Skilled Nursing Facility (I-SNP)

    2019 Plans

    2019 Nascentia Health Dual (D-SNP)
    2019 Nascentia Health Institutional (I-SNP)

    About Medicare
    What is Medicare Advantage?

About Nascentia Health Plus

  • Provider Directory
  • Pharmacy Directory
  • Drug Formulary
  • What is Medicare Advantage?
  • Location & Service Area
  • FAQs
  • Start the Enrollment Process
  • Am I Eligible?
  • How Do I Enroll?
  • When to Enroll?

Benefit Information

  • Nascentia Dual Advantage
  • Nascentia Skilled Nursing Facility

Eligibility for Nascentia Health Plus

nurse discussing nascentia health plus eligibility with patientTo 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

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

  • 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 live in the Nascentia Health Plus service area
  • Must not have End-Stage Renal Disease (ESRD), with limited exceptions

Service Area

Qualifying residents of the following counties may Join Nascentia Health Plus

nascentia health service area map including Albany, Broome, Columbia, Delaware, Erie, Green, Niagara and Onondaga counties in New York State
Nascentia Health Plus Plan’s service area includes Albany, Broome, Columbia, Delaware, Erie, Greene, Niagara & Onondaga Counties in New York State.

Last updated: January 11th, 2019

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Nascentia Health Plus is an HMO SNP plan with a Medicare contract and a Coordination of Benefits Agreement with New York State Department of Health. Enrollment in Nascentia Health Plus depends on contract renewal. This information is not a complete description of benefits. For more information, call 1-888-477-4663 (TTY: 711), 8am-8pm, Mon-Fri (April-Sept), 8am-8pm, 7 days a week (Oct-March). Assistance services for other languages are available, free of charge at the number above.

Non-English translation is available by phone.

Nascentia Health, Inc. complies with Federal civil rights laws. Nascentia Health, Inc. does not exclude people or treat them differently because of race, color, national origin, disability, age or sex.

© 2019 Nascentia Health, Inc. | 1050 West Genesee Street, Syracuse, NY 13204 1-888-477-4663 (TTY: 711)

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  • Members
    • 2020 Nascentia Dual Advantage (D-SNP)
    • 2020 Nascentia Skilled Nursing Facility (I-SNP)
    • 2019 Nascentia Health Dual (D-SNP)
    • 2019 Nascentia Health Institutional (I-SNP)
    • Contact
  • Providers
    • Provider Contact
    • Provider Manual
    • Claims Processing
    • Prior Authorizations
  • Plan Info
    • Start the Enrollment Process
    • 2020 Plans
      • 2020 Nascentia Dual Advantage (D-SNP)
      • 2020 Nascentia Skilled Nursing Facility (I-SNP)
    • 2019 Plans
      • 2019 Nascentia Health Dual (D-SNP)
      • 2019 Nascentia Health Institutional (I-SNP)
    • About Medicare
    • What is Medicare Advantage?
    • Contact Us