If you’re eligible for both Medicare and Medicaid, there’s a new choice for coverage with extra benefits without an additional cost.
Medicaid and Medicare work together to cover your healthcare costs. If you’re already enrolled in Original Medicare through the federal government and Medicaid through New York then you’re ready to explore switching to a Medicare Advantage plan through a private insurer like Bright Health.
All Bright Health Medicare Advantage plans are designed to provide value and benefits to our members. With our DSNP coverage, those benefits are tailored for the special needs of those covered by both Medicare and Medicaid. Along with comprehensive and preventive dental, vision, and hearing aid benefits, DSNP members receive extras like an OTC card and transportation benefits.
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Annual Medical Deductible
Annual Prescription Drug Deductible
$0 or $89 depending on level of Extra Help
Primary Care Visit
Annual Max Out-Of-Pocket
Over-The-Counter (OTC) Debit Card
$150 OTC credit every month - (Up to $1,800 annual benefit)
Bright Health Medicare Advantage plans come with extra benefits. Extra value. And an extra special Care Partner model designed for your coordinated care.
*If you qualify for Extra Help, you may be eligible for discounted monthly premiums. Learn more about Bright Health plans with Extra Help
† Savings with a Bright Health Medicare Advantage plan compared to Original Medicare or a Medicare Supplement plan.
Last Updated: Tues Oct 1 2019
Bright Health’s New York D-SNP plan is an HMO with a Medicare contract and a Coordination of Benefits Agreement with New York State Department of Health. Our plans are issued through Bright Health Insurance Company or one of its affiliates. Enrollment in our plans depends on contract renewal.
This information is not a complete description of benefits. Call 844-667-5503 | TTY:711 for more information.
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
You must continue to pay your Medicare Part B premium.
Every year, Medicare evaluates plans based on a 5-star rating system.
Medicare beneficiaries may also enroll in Bright Health Medicare Advantage plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov
Bright Health Medicare Advantage plans are plans with a network of doctors, hospitals, pharmacies, and other providers. Out-of-network/noncontracted providers are under no obligation to treat Bright Health members, except in emergency situations.
Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. You must generally use network pharmacies to fill your prescriptions for covered Part D drugs.
Other providers are available in our network. Most network providers participate through our Care Partner.
Bright Advantage Special Care (HMO SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) through 2021 based on a review of Bright Advantage Special Care (HMO SNP) Model of Care.
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