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.

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