Eligibility

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

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• 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

• Be 18 years of age or older

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Plan Information

With Integra Balanced MA (HMO SNP), you get all the benefits you would get under Original Medicare, plus more. In addition, Integra Balanced MA (HMO SNP) also your Medicaid benefits (some are excluded from our plan but are available by using your Medicaid card). With our plan, you pay $0 for all your covered Medicare and Medicaid benefits. Since you also qualify for “Extra Help,” you also get low cost prescription drug coverage. 

Examples of the benefits covered by Integra Balanced MA (HMO SNP) include:

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• Doctor’s visits

• Inpatient and outpatient hospital services

• Vision

• Hearing Aid allowance

• 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

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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.