AgeWell New York Advantage Plus Benefits

  • $0 monthly plan premium
  • $0 Part D yearly deductible
  • Medicare Prescription Drug Coverage (Part D)
    Generic copay: $0 or $1.30 or $3.60
    All other drugs copay: $0 or $3.90 or $8.95
  • $0 copay Primary Care visits
  • $0 copay Specialist visits
  • $0 copay Screenings & Immunizations
  • $141 per quarter Over-the-Counter Card (OTC)
  • $0 Annual Eye Exam-Eyeglasses every two years
  • $0 for Annual hearing exam-  hearing aids covered
  • $0 Dental Preventive & Comprehensive Services
  • $0 copay Diabetic Supplies
  • $0 Emergency Care/Urgent Care Services

The above describes benefits that you are entitled to based on your Medicare & full Medicaid eligibility.  Please Refer to the AgeWell New York Advantage Plus (HMO D-SNP) Member materials for additional information in regards to benefits available under the Medicaid Advantage Plus Plan.
2020 MAP Summary of Benefits

*Must maintain eligibility requirements for $0 cost share

This plan uses a formulary. Limitations may apply.