Centers Plan for Nursing Home Care (HMO I-SNP)
Centers Plan for Nursing Home Care was designed for those who are eligible for Medicare AND reside in a Centers Plan contracted nursing facility.
This section will provide you with all the information you need to get the most out of your Centers Plan for Nursing Home Care benefits.
Welcome to Centers Plan for Healthy Living (CPHL). As a member, you can expect the quality service you deserve and a program that focuses on your personal healthcare needs, supported by a team of caring healthcare professionals. We know that for some members the process of enrolling and managing a healthcare plan can be intimidating. Having the right guidance and information can ease the burden and help you; your family and your healthcare provider make the right decisions. This member’s section is designed to provide you with easy to use, searchable information that other members have found helpful, as they plan for years of healthy living. As a member of the CPHL family, we want to make your healthcare experience as beneficial as possible. We are available to help, so if you should have any questions or feedback on ways to enhance your membership, please call or send us any comments you may have, so that we can continue to improve our plan and make CPHL the program of choice for you.
I-SNP Frequently Asked Questions
I-SNP Eligibility Requirements / Plan Highlights 2025
I-SNP Eligibility Requirements/Plan Highlights 2025
Eligibility Requirements:
- You must be enrolled in Medicare Part A and B
- Live for at least 90 days in a nursing home contracted with Centers Plan for Nursing Home Care that is located within our New York State service area: Bronx, Erie, Kings, Nassau, New York, Niagara, Queens, Richmond, Rockland, Suffolk, and Westchester Counties.
- You are a United States citizen or are lawfully present in the Unites States
Plan Highlights:
- $0 Part A & B monthly premium.
- $0 month for Part C; and $72.30 per month for Part D Premium (If not paid for you by Medicaid or Extra Help). Our plan will reduce your monthly Part B premium by $15.30 in 2025. Please see the EOC at www.centersplan.com/ isnp for more information
- Personal Care Manager
- Prescription drug coverage
- Preventive Dental
I-SNP Materials 2025
I-SNP Important Member Forms
Important Member Forms
Member Reimbursement Form (last updated 10/2023)
How to Appoint a Representative - Last updated 03/07/19
In the event that you need to appoint a representative regarding a grievance, request a coverage determination or an appeal, or to make complaints, the following form is also available on the Medicare and Medicaid Services (CMS) website below:
CMS1696: Appointment of Representative | CMS
CMS Appointment of Representative Form – Last updated 11/2024
CMS Appointment of Representative Form_Spanish - Last updated 11/2024
CMS Appointment of Representative Form_Large Print - Last updated 11/2024
CMS Appointment of Representative Form Large Print Spanish - Last updated 11/2024
CMS Electronic Complaint Form – Last updated 11/19/2014
Best Available Evidence (BAE) – Last updated 11/19/2014
I-SNP Find Provider
Medication Therapy Management (MTM)
If you have complex health needs, you may be able to participate in a Medication Therapy Management (MTM) program. MTM is a service offered by Centers Plan for Healthy Living at no additional cost to you! This program helps you and your doctor make sure that your medications are working well. It also helps us identify and reduce possible medication problems. To find out more please click here.
Personalized Medication List - English
Personalized Medication List – Spanish
For any pharmacy-related and medication-related benefit questions or to request a prior authorization or a coverage determination, call toll-free 1-888-807-5717 (TTY users call 711) 24 hours a day, 7 days a week or email: customerservice@medimpact.com
Prescription Drugs Benefits Overview
Prescription Drugs Benefits Overview
Prescription Drugs Member Portal – Real Time Benefits Tool
Part D Coverage Determination Form
Request for Redetermination of Medicare Prescription Drug Denial form
Prescription Drug Transition Policy
Prescription Drug Reimbursement Claim Form
For any pharmacy-related and medication-related benefit questions or to request a prior authorization or a coverage determination, call toll-free 1-888-807-5717 (TTY users call 711) 24 hours a day, 7 days a week or email: customerservice@medimpact.com
Medicare Prescription Payment Plan
Medicare Prescription Payment Plan (MPPP)
The Medicare Prescription Payment Plan is a voluntary payment option that works with your current drug coverage to help you manage your out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January-December). This payment option might help you manage your expenses, but it doesn’t save you money or lower your drug costs.
This payment option might not be the best choice for you if you get help paying for your prescription drug costs through programs like Extra Help from Medicare or EPIC (New York’s State Pharmaceutical Assistance Program/SPAP for short). Call us at 1-888-807-5717 (TTY 711), 24 hours a day, 7 days a week for more information.
For more information see the Medicare Prescription Payment Plan Fact Sheet
Think this program might be a good fit for you?
There are three ways to enroll:
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Enroll by Phone: |
Call us at 1-888-807-5717 (TTY 711), 24 hours a day, 7 days a week
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Enroll Online: |
Visit mp.medimpact.com (our prescription drug member portal) Instructions for Filling Out Online Medicare Prescription Payment Plan Request to Opt-in |
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Enroll by Mail:
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Medicare Prescription Payment Plan Participation Request Form |
I-SNP Service Areas
Centers Plan for Nursing Home Care serves the following counties in New York State:
- Bronx
- Erie
- Kings (Brooklyn)
- New York (Manhattan)
- Nassau
- Niagara
- Queens
- Richmond (Staten Island)
- Rockland
- Suffolk
- Westchester
Rights and Responsibilities Upon Disenrollment
For information on your and Centers Plans’ rights and responsibilities upon your disenrollment from our plan, please see Chapter 10 of the Evidence of Coverage (EOC).
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