2015- Advantage Health NY
Chronic Illness - Special Needs Plan

Advantage Health NY is a Special Needs Plan (SNP) available to those diagnosed with certain chronic ailments such as Cardiovascular disorders, Chronic heart failure or Diabetes Mellitus. Advantage Health NY includes Health/Fitness club membership, Dental, Vision and Hearing benefits as well as a quarterly Over-The-Counter Drug and Supply allowance. Part D Drug benefits are also included in the plan. This plan is available in Suffolk and Nassau counties.



Plan Summary
County: Nassau and Suffolk
Premium: $0 plus Medicare Part B premium
OOP Max $3,400
Hospital: Days 1-7: $200 per Day
Days 8-90: $0 per Day
PCP Visit: $0
Specialist Visit: $17
Emergency Room: $65
Outpatient Surgery: Ambulatory Surgical Center: $150
Outpatient Hospital: $200 - $300
DME: 0% - 20%
Preventive Services: 0%
Prescription Drugs:
Retail:
Tier 1: $0 -- Tier 2: $10 -- Tier 3: $30
Tier 4: $55 -- Tier 5: 33%
Mail Order Available!
OTC Medications: $25 per Quarter
Vision: Annual Exam: $30
Eyewear: $75 allowance per year
Hearing: $1,000 Hearing Aid Allowance every 2 years
$0 Annual Test
$15 Fitting/Evaluation
Dental: $0 Oral Exam 1/year
$0 Cleaning 2/year
$0 Dental X-Rays
Additional Benefits: $0 Health Education
Fitness Program
Transportation