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 2023
I-SNP Eligibility Requirements/Plan Highlights
Eligibility Requirements:
- You must be enrolled in Medicare Part A and B
- You must reside in a contracted nursing facility (for at least 90 days)
- You must live in our contracted service area (Bronx, Erie, Kings (Brooklyn), Nassau, New York (Manhattan), Niagara, Queens, Richmond (Staten Island), 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 $38.90 per month for Part D Premium (If not paid for you by Medicaid or Extra Help).
- Personal Care Manager
- Prescription drug coverage
- Preventive Dental
I-SNP Materials 2023
I-SNP Important Member Forms
Important Member Forms
Member Reimbursement Form (last updated 12/15/21)
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 09/01/2021
CMS Electronic Complaint Form – Last updated 11/19/2014
Best Available Evidence (BAE) – Last updated 11/19/2014
I-SNP Find Provider
Part D Prescription Drug Program
- Part D Overview
- Medication Therapy Management MTM 2023
- Benefit Highlights, Drug Pricing & Pharmacy Search
- 2023 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
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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