2020 Nascentia Dual Advantage (D-SNP)

Summary of Benefits

$0 Annual Premium*
$0 Deductible
Part D Prescription Drug Coverage
$0 Preventative Care and Screenings

Over-The-Counter Benefits

  • $100 per month over-the counter drug benefit
  • 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 cleanings per year
  • 1 x-ray per year

Vision Coverage

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

Transportation

  • 8 one-way medically necessary trips per year

Hearing Aids

  • $1,000 every two years (both ears)

*Member must continue to pay their Medicare Part B premium

Comprehensive Care, All in One Plan

Download 2020 Summary of Benefits Documents

Nascentia Dual Advantage Summary of Benefits (pdf)

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.

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