Centers Plan for Dual Coverage Care (HMO D-SNP)
Centers Plan for Dual Coverage Care (HMO D-SNP) was designed to offer those who are eligible, the convenience of combining the benefits of both Medicare and Medicaid into one comprehensive health plan. The plan includes prescription drug coverage.
This section will provide you with all the information you need to get the most out of your Centers Plan for Dual Coverage Care benefits
D-SNP Frequently Asked Questions
D-SNP Eligibility Requirements / Plan Highlights 2021
D-SNP Eligibility Requirements/Plan Highlights
Eligibility Requirements:
- You must be enrolled in Medicare Part A and B
- You must be Medicaid eligible
- You must live in our contracted service area (Bronx, Kings, New York, Queens, and Richmond Counties)
Plan Highlights:
- $0 per month for Part C; and $42.30 per month for Part D Premium (If not paid for you by Medicaid or Extra Help).
- $144 over-the-counter monthly benefit card (cannot be carried over from month to month)
- Preventive and comprehensive dental coverage
- Vision and Hearing services
- Transportation
- Prescription drug coverage
- Personal Care Manager
D-SNP Materials 2021
Prescription Drug Information
- Part D Overview 2021
- OTC List
- Benefit Highlights
- Medication Pricing
- 2021 Formulary Look Up
- Medicare Prescription Drug Coverage Determination Information
- Request for Redetermination of Medicare Prescription Drug Denial form
- Prescription Drug Transition Policy
- How to Submit a Prescription Drug Reimbursement Claim Form
D-SNP Find a Provider
D-SNP Service Areas
- Centers Plan for Dual Coverage Care serves the following 5 counties in New York State:
- Bronx
- Kings (Brooklyn)
- New York (Manhattan)
- Queens
- Richmond (Staten Island)
H6988_ MKT4006_M_2021
