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Our Plans

Integra Synergy MAP (HMO SNP)

Integra Synergy MAP (HMO SNP)

With Integra Synergy MAP (HMO SNP) you can get your Medicare and Medicaid services in one health plan. An Integra Synergy MAP (HMO SNP) care coordinator will help manage your health care needs.

Our Plans

Integra Synergy MAP (HMO SNP)

Eligibility

You may enroll in Integra Synergy MAP (HMO SNP), if you meet the following criteria:

  • Have both Medicare Parts A and B

  • Have full Medicaid benefits (QMB+ and SLMB+)

  • Live in our service area of Bronx, Kings, New York, Queens or Nassau counties in New York

  • Need Medicaid home care and long-term care services

  • Be capable, at the time of enrollment of returning to or remaining in your home and community without jeopardy to health and safety, based upon criteria provided by New York State Department of Health

  • Be eligible for nursing home level of care (as of the time of enrollment, using the NYS eligibility tool)

  • Require care management and be expected to need at least one of the following Community Based Long Term Care services for more than 120 days from the effective date of enrollment

  • Be 18 years of age or older

Plan Information

With Integra Synergy MAP (HMO SNP), you get all the benefits you would get under Original Medicare, plus more. In addition, you get your long term care and Medicaid benefits (some are excluded from our plan but are available by using your Medicaid card). With Integra Synergy MAP (HMO SNP), you pay $0 for all your Medicare, Medicaid, long term care and prescription drug benefits. 

 

Examples of the benefits covered by Integra synergy MAP (HMO SNP) include:

  • Doctor’s visits

  • Inpatient and outpatient hospital services

  • Vision

  • Hearing Aid allowance

  • Allowance for over the counter items

  • Inpatient hospital beyond what Medicare covers

  • Home health care not covered by Medicare

  • Durable Medical Equipment not covered by Medicare

  • Routine transportation to medical appointments

  • Preventive and comprehensive dental services

  • Routine physical exams

  • Nutrition

  • Personal Emergency Response system (PERS)

  • Nursing care

  • Personal care

 

Medicare Information

For more information about Medicare, you can read the Medicare & You Handbook. It has a summary of Medicare benefits, rights, and protections and answers to the most frequently asked questions about Medicare. You can get it at the Medicare website (https://www.medicare.gov) or by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048. For more information about Medicaid, call New York State Department of Health (Social Services) Medicaid Helpline 1–800–541–2831 Medicaid Helpline. TTY users should call 711.

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