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 $3.70
All other drugs copay: $0 or $4.00 or $9.20 - $0 copay Primary Care visits in-person visit or telehealth services
- $0 copay Specialist visits (no referrals) in-person visit or telehealth services
- $0 copay Screenings & Immunizations
- $100 per month/$1,200 every year Over-the-Counter Card (OTC)
- $0 Annual Eye Exam-Eyeglasses every two years
- $0 for Annual hearing exam- $1,500 every two years for hearing aids
- $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.
*Must maintain eligibility requirements for $0 cost share
This plan uses a formulary. Limitations may apply.