New York Highlights: Northeast Downstate Benefit Highlights • $0 Premium Plan • Part B Giveback Plan • Full Product Continuum • DSNP in NYC • ED Rx Covered on High Option Plan • Plans with premium covered by LIS and SPAP (EPIC) • Plans include Dental / Vision / Hearing / OTC (up to $100 CARD on DSNP), Acupuncture and Transportation Network Highlights • Northwell • Jamaica Hospital • Advantage Care • Brooklyn Hospital • Mt. Sinai • Wyckoff Hospital • One Medical • Kingsbrook Jewish Hospital • Lutheran • Lenox Hill • NYU • Staten Island North Hospital • Flushing Hospital • Staten Island South Hospital Competitive Advantages • Strong National Brand Recognition In Market • Local Market office and Support Team • Year Round Selling opportunities: Dual Eligible Plans and EPIC Opportunity creating a SEP 1
New York Highlights: Northeast Downstate HMO HMO HMO HMO H3533-021 H3533-023 H3533-027 H3533-010 Premium : $27.40 Premium : $ 69 Premium : $0 with $50 Part B Premium : $28.80 MOOP : $6,500 MOOP : $3,400 Giveback MOOP : $6,700 PCP /SPEC : $0 / $15 PCP /SPEC : $0 / $15 MOOP : $6,700 PCP / SPEC : $0 / $35 Inpatient : $225 1-5 Inpatient : $190 1-5 PCP / SPEC : $10 / $50 Inpatient : $295 1-6 Rx Included or No Rx : Included Rx Included or No Rx : Included Inpatient : $1,000 Plan Ded Rx Included or No Rx : Included Contract/PBP : H3533-021 Contract/PBP : H3533-023 excluding office visits Contract/PBP : H3533-010 Group ID : To be provided between Group ID : To be provided between Rx Included or No Rx : Included Group ID : To be provided between late Sept. & 10/1 late Sept. & 10/1 Contract/PBP : H3533-027 late Sept. & 10/1 BSN : To be provided between late BSN : To be provided between late Group ID : To be provided between BSN : To be provided between late Sept. & 10/1 Sept. & 10/1 late Sept. & 10/1 Sept. & 10/1 Serving Counties : Serving Counties : BSN : To be provided between late Serving Counties : Bronx Bronx Sept. & 10/1 Nassau Kings Kings Serving Counties : Suffolk (Partial) New York New York Bronx Queens Queens Kings Richmond Richmond New York Nassau Queens Suffolk (Partial) Richmond Nassau Suffolk (Partial) This material is confidential and for contracted, licensed, and appointed agent use only. This material, including any subpart(s), is not to be used as marketing and is not to be provided to a prospect, an applicant, member, group, or the general public. Benefits are subject to CMS approval and may change. For proposed benchmark and ensured accuracy of plan benefit data please refer to the 2018 Summary of Benefits. 2
New York Highlights: Northeast Downstate HMO Dual SNP NYC Premium : $0 MOOP : $0 PCP /SPEC : $0 / $0 Inpatient : $0 Rx Included or No Rx : Included Contract/PBP : H3533-004 OTC : $100 CARD Group ID : To be provided between late Sept. & 10/1 BSN : To be provided between late Sept. & 10/1 Serving Counties : Bronx Kings New York Queens Richmond This material is confidential and for contracted, licensed, and appointed agent use only. This material, including any subpart(s), is not to be used as marketing and is not to be provided to a prospect, an applicant, member, group, or the general public. Benefits are subject to CMS approval and may change. For proposed benchmark and ensured accuracy of plan benefit data please refer to the 2018 Summary of Benefits. 3
New York Highlights: Northeast Upstate Benefit Highlights • $0 Premium Plan in total footprint • Part B Giveback Plan • Full Product Continuum • DSNP – full year sales opportunity • Plans with premium covered by LIS and SPAP (EPIC) • Plans include Dental / Vision / Hearing / OTC (up to $100 CARD on DSNP), and Transportation Network Highlights • Lourdes • Guthrie • UHS • Robert Packer • St James • JAMA • Mercy • WCA • Arnot • UMPC • Saratoga Hospital • St. Peter’s Hospital • Endwell Family Group • Ellis Hospital • Community Care Competitive Advantages • Strong National and local Brand Recognition In Market • Local Market offices and Support Team • Year Round Selling opportunities: Dual Eligible Plans and EPIC Opportunity creating a SEP 4
New York Highlights: Northeast Upstate HMO HMO HMO HMO H3533-020 H3533-002 H3533-006 H3533-013 Premium : $0 Dual SNP Premium : $0 Premium : $26.40 MOOP : $6,700 Central NY Expanding to Southern MOOP : $6,700 MOOP : $5,900 PCP /SPEC : $5 / $45 Tier PCP /SPEC : $5 / $40 PCP /SPEC : $0 / $25 Inpatient : $350 1-5 Premium : $0 Inpatient : $345 1-5 Inpatient : $260 1-7 Rx Included or No Rx : Included MOOP : $0 Rx Included or No Rx : Included Rx Included or No Rx : Included Contract/PBP : H3533-020 PCP /SPEC : $0 Contract/PBP : H3533-006 Contract/PBP : H3533-013 Group ID : To be provided between Inpatient : $0 Group ID : To be provided between Group ID : To be provided between late Sept. & 10/1 Rx Included or No Rx : Included late Sept. & 10/1 late Sept. & 10/1 BSN : To be provided between late Contract/PBP : H3533-002 BSN : To be provided between late BSN : To be provided between late Sept. & 10/1 OTC : $100 CARD Sept. & 10/1 Sept. & 10/1 Serving Counties : Group ID : To be provided between Serving Counties : Albany, Serving Counties : Albany, Oneida, Broome late Sept. & 10/1 Rensselaer, Saratoga, Onondaga, Oswego, Rensselaer, Chemung BSN : To be provided between late Schenectady, Warren, Washington Saratoga, Schenectady, Warren, Steuben Sept. & 10/1 Washington Tioga Serving Counties : Albany, Oneida, Onondaga, Oswego, Rensselaer, Saratoga, Schenectady, Warren, Broome, Chemung, Steuben, Tioga, Washington This material is confidential and for contracted, licensed, and appointed agent use only. This material, including any subpart(s), is not to be used as marketing and is not to be provided to a prospect, an applicant, member, group, or the general public. Benefits are subject to CMS approval and may change. For proposed benchmark and ensured accuracy of plan benefit data please refer to the 2018 Summary of Benefits. 5
New York Highlights: Northeast Upstate LPPO LPPO LPPO LPPO H5970 – 017 (757) H5970-016 H5970-001 H5970 – 018 (763) Premium : $0 MA Only (VA Plan) Premium : $39 Premium : $0 with $40 Part B Premium : $0 with $40 Part B MOOP : $6,700 / $10,000 MOOP : $6,700 / $10,000 Giveback Giveback PCP / SPEC: $10/$50 $40 / $70 PCP /SPEC : $5/$30 $40/$60 MOOP : $6,700 $10,000 MOOP : $4,500 / $10,000 Inpatient : $395 1-4 / $700 1-14 Inpatient : $295 1-6 / $395 1-7 PCP / SPEC: $15 / $50 50% / 50% Rx Included or No Rx : Included PCP /SPEC : $0 / $40 30% OON Rx Included or No Rx : Included Inpatient : $1000 IN and OON Contract/PBP : H5970 – 017 (757) Inpatient : $350 1-5 / 30% OON Contract/PBP : H5970-001 $650 /stay IN, 50% OON Rx Included or No Rx : NOT Group ID : To be provided between Group ID : To be provided between Rx Included or No Rx : Included Included late Sept. & 10/1 late Sept. & 10/1 Contract/PBP : H5970 – 018 (763) Contract/PBP : H5970-016 BSN : To be provided between late BSN : To be provided between late Group ID : To be provided between Sept. & 10/1 Group ID : To be provided between Sept. & 10/1 late Sept. & 10/1 Serving Counties : Allegany late Sept. & 10/1 Serving Counties : Allegany, BSN : To be provided between late BSN : To be provided between late Cattaraugus, Chautauqua Cattaraugus, Chautauqua, Sept. & 10/1 Sept. & 10/1 Chenango, Cortland, Schuyler, Chenango, Cortland, Schuyler, Serving Counties : Allegany, Serving Counties : Allegany, Yates, Broome, Chemung Yates, Broome, Chemung, Steuben, Broome, Cattaraugus, Chautauqua, Broome, Cattaraugus, Chautauqua, Steuben, Tioga Tioga Chemung, Chenango, Cortland Chemung, Chenango, Cortland Schuyler, Steuben, Tioga, Yates, Schuyler, Steuben, Tioga, Yates, Cayuga, Herkimer, Jefferson Cayuga, Herkimer, Jefferson, Lewis, Lewis, Madison, Oneida, Madison, Oneida, Onondaga, Onondaga, Oswego, Albany Oswego, Albany, Greene, Greene, Montgomery, Rensselaer, Montgomery, Rensselaer Saratoga, Schenectady Saratoga, Schenectady This material is confidential and for contracted, licensed, and appointed agent use only. This material, including any subpart(s), is not to be used as marketing and is not to be provided to a prospect, an applicant, member, group, or the general public. Benefits are subject to CMS approval and may change. For proposed benchmark and ensured accuracy of plan benefit data please refer to the 2018 Summary of Benefits. 6
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