Nascentia Skilled Nursing Facility (HMO I-SNP)

H9066 - 002 - 0
Plan Not Rated

Nascentia Skilled Nursing Facility (HMO I-SNP) is a Medicare Advantage Special Needs Plan by Nascentia Health Plus.

This page features plan details for 2025 Nascentia Skilled Nursing Facility (HMO I-SNP) H9066 – 002 – 0 available in select counties in New York.

IMPORTANT: This page has been updated with plan and premium data for 2025. Data may be incomplete or inaccurate until Annual Enrollment begins on October 15th.

Locations

Nascentia Skilled Nursing Facility (HMO I-SNP) is offered in the following locations.

Plan Overview

Nascentia Skilled Nursing Facility (HMO I-SNP) offers the following coverage and cost-sharing.

Special Needs Plan Type:Institutional
Conditions Covered:Not Applicable
Insurer:Nascentia Health Plus
Health Plan Deductible:
MOOP:$6,000.00
Drugs Covered:Yes

Ready to sign up for Nascentia Skilled Nursing Facility (HMO I-SNP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

Nascentia Skilled Nursing Facility (HMO I-SNP) has a monthly premium of $72.30. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $0.00 $72.30 $0.00 $257.30
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

Nascentia Skilled Nursing Facility (HMO I-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $590.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Defined Standard

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$72.30$0.00

Initial Coverage Phase

After you pay your $590.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs.

Ready to sign up for Nascentia Skilled Nursing Facility (HMO I-SNP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

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