A Dual Special Needs Plan (also known as D-SNP) combines the benefits and services of your Medicaid and Medicare coverage into one plan, making your care easier to manage.

Benefit highlights

Some of the benefits to support your health:

  • $0 monthly premium
  • Low-cost prescription coverage
  • Hearing services: $0 copay for select hearing aids (annually for each ear)
  • Dental: $0 copay for preventive and comprehensive care
  • Vision: routine eye exams with $200 allowance for eyewear
  • $75 monthly allowance to buy health-related (OTC) items
  • $30 monthly allowance to buy healthy food* for eligible members
  • Fitness benefit with Silver&Fit®

Extra support

Caring services to help with basic needs

Eligibility

You may be eligible for our D-SNP plan with the following criteria:

  • You qualify for Medicare Parts A and B
  • You are eligible for full Medicaid benefits
  • You live in our service area (counties include Broome, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Otsego, Seneca, Wayne, and Yates)

Have questions or ready to enroll?
 

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Call us

Call: 1-800-659-1986
TTY: 711

Monday - Friday: 8 a.m. to 8 p.m.
Saturday - Sunday: 8 a.m. to 8 p.m. October 1 - March 31

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Visit us

Visit one of our Resource Centers for personalized assistance
in a friendly, welcoming atmosphere.

Visit a Resource Center

Coverage and benefits

Benefit highlights
Evidence of Coverage
Annual Notice of Change
Summary of Benefits
Prescription Drug List (Formulary)
Member handbook - Blue Choice Option (Livingston, Monroe, Ontario, Seneca, Wayne, and Yates Counties)
Member handbook - HMO Blue (Broome, Herkimer, Oneida, Onondaga, Otsego Counties)
Member handbook - Blue Option Plus (Broome, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Otsego, Seneca, Wayne and Yates Counties)
Healthplex Dental Manuals

*The Healthy Food benefit is part of a special supplemental program for the chronically ill. Not all members qualify. Chronic condition(s) may include but are not limited to: Hypertension, Anxiety/Depression, Diabetes, COPD and Osteoarthritis. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us at 1-800-659-1986 (TTY 711).

The Silver&Fit® Program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). ASH is an independent company.

Excellus BlueCross BlueShield is an HMO/PPO/HMO D-SNP plan with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. H7524_11218_M.

This page last updated 10-01-2025.

 

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