Dual Medicare and Medicaid eligibility in New York.

If you’re eligible for both Medicare and Medicaid, there’s a new choice for coverage with extra benefits without an additional cost.

Getting started with a dual eligible Medicare Advantage plan.

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.

Enrolling in Bright Advantage Special Care (HMO-SNP)

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.

Bright Advantage Special Care (HMO SNP)

Monthly Premium

$0*

Essentials

Annual Medical Deductible

$0

Annual Prescription Drug Deductible

$85

Primary Care Visit

$0 copay

Specialist Visit

$0 copay

Preventative Care

$0 copay

Annual Max Out-Of-Pocket

$0

Bright Extra Benefits

Preventive and Enhanced Dental
Hearing Services
Preventive and Enhanced Vision Coverage

Fitness

Acupuncture

Transportation

Over-the-counter (OTC) drugs and supplies

Not ready to enroll in a DSNP plan? Learn more about Bright Health.

Bright Health Medicare Advantage plans come with extra benefits. Extra value. And an extra special Care Partner model designed for your coordinated care.

Learn About Care Partners

If you qualify for Extra Help, you may be eligible for discounted monthly premiums. Learn more about Bright Health plans with Extra Help

Still have questions?
We'd love to hear from you!

Last Updated: Fri Nov 23 2018

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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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