CenterLight Healthcare Direct
CenterLight Healthcare Direct is an Institutional Specal Needs Plan (ISNP) with a Medicare contract designed to meet your medical and prescription drug needs. If you are a resident in a nursing home that is contracted with CenterLight Direct you may enroll in the Direct plan.
CenterLight Healthcare Direct offers:
LOW PREMIUMS AND $0 CO-PAYS
- Low monthly premiums
- No premium if you have Medicaid Prescription Drug Coverage Benefits. (If you receive Low Income Subsidy (LIS), you are eligible to receive assistance with your Part D Prescription Drugs.
- If you have full Medicaid, your co-payments and co-insurance rates will be covered by the Medicaid program.
- $0 co-pay for primary care physician visits
AN ADDITIONAL LEVEL OF QUALITY CARE
- Quality medical care from an extensive network of physicians, specialists and hospitals
- Vision care
- Acupuncture services
- Emergency room coverage worldwide
- Free health screenings for a wide range of conditions
PRESCRIPTION DRUG COVERAGE
- No deductible for prescription drugs
- Covers both Medicare Part B prescription drugs and Medicare Part D prescription drugs from pharmacies in our network.
CenterLight Healthcare Direct also provides a Nurse Practioner who works with the Primary Care Physician (PCP) who role is to:
Provide care management services to enhance continuity and coordination of care
Decrease unnecessary hospitalizations by identifying early changes in condition initiating rapid interventions and assuring appropriate and timely use of services
Improve member health outcomes by facilitating preventative health screenings
Serve as liaison to you and the Health Plan
You may qualify for CenterLight Healthcare Direct if you:
Are entitled to Part A of Medicare and are also enrolled in Part B of Medicare and continue to pay your Medicare Part B premium
Are entitled to Medicaid and Part A of Medicare and are also enrolled in Part B of Medicare and continue to maintain your Medicaid benefits and pay your Medicare Part B premium
Live in one of our contracted nursing homes in our service area: Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Richmond (Staten Island), Nassau, Suffolk and Westchester counties
How to Enroll
To enroll in CenterLight Healthcare Direct Complete, please call us at 1-877-226-8500 (TTY: 711) seven days a week from 8:00 a.m. – 8:00 p.m. We can have one of our representatives visit you. We’ll explain in detail how CenterLight Healthcare Direct works and what services we provide, and will begin enrollment if eligible. We will also discuss any special needs and concerns and answer any questions you may have.