Sunrise Advantage Plan (HMO I-SNP)
Are you eligible?
You are eligible to join Sunrise Advantage Plan (HMO I-SNP) if you have Medicare Part A (Hospital Insurance), Medicare Part B (Medical Insurance), and meet Sunrise Advantage Plan’s eligibility requirements.
The Sunrise Advantage Plan Institutional Special Needs Plan (I-SNP) is best suited for people who, for 90 days or longer, have had or are expected to need institutionalized care, as determined by the state in one of our assisted living communities.
Ready to enroll?
If you are ready to enroll in the Sunrise Advantage Plan (HMO I-SNP), or if you would like to speak to a representative, please call us at 1-844-896-0628 (TTY 711) (NY, VA, PA), 1-844-502-4149 (TTY 711) (IL)
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Your Plan's Benefits
Sunrise Advantage Plan covers all the benefits of your original Medicare, plus provides a devoted Personal Health Team, Part D prescription drug coverage, and other additional healthcare benefits. Below is a description of some of the benefits offered by the plan:
- In-Network Maximum Out-of-Pocket Amount (per year) $5,700.00
- In-Network Deductible $0
- Part D Prescription Drugs Deductible $0
- Premium $0
- Primary Care Physician visit $0 Copay – You Pay Nothing
- Routine Podiatry $0 Copay – You Pay Nothing for 6 routine foot care visits per year
- Hearing $0 Copay – You Pay Nothing for routine hearing exam, hearing aid fitting, and evaluation per year. Plan pays up to $350 for hearing aids every three years
- Occupational and physical therapy, and speech-language pathology – Copay applies for occupational and physical therapy, as well as speech-language pathology
- Vision $0 Copay – You Pay Nothing for routine eye exam. Plan pays up to $180 for eyewear every two years
- Continence Supplies Plan pays $50 per month towards incontinence supplies
- Dental – Preventive cleaning and x-ray every year. Plan covers up to $200 for other dental services
- Diabetic supplies $0 Copay for diabetic supplies
- Skilled Nursing $0 Copay for days 1-20 days in a Skilled Nursing Facility (SNF) stay + No prior hospitalization required for a skilled nursing stay
- Enhanced Part D $0 Deductible. Tier 1: $5, Tier 2: $15, Tier 3: $45, Tier 4: $100, Tier 5: 33% coinsurance, Tier 1: Preferred generic, Tier 2: Generic, Tier 3: Preferred brand, Tier 4: Nonpreferred brand, Tier 5: Specialty
Click the button below if you would like to see a complete description of the benefits for the Sunrise Advantage Plan (HMO I-SNP).
Sunrise Advantage Plan covers all the benefits of your original Medicare, plus provides a devoted Personal Health Team, Part D prescription drug coverage, and other additional healthcare benefits. Below is a description of some of the benefits offered by the plan:
- In-Network Maximum Out-of-Pocket Amount (per year) $5,700.00
- In-Network Deductible $0
- Part D Prescription Drugs Deductible $0
- Premium $0
- Primary Care Physician visit $0 Copay – You Pay Nothing
- Routine Podiatry $0 Copay – You Pay Nothing for 6 routine foot care visits per year
- Hearing $0 Copay – You Pay Nothing for routine hearing exam, hearing aid fitting, and evaluation per year. Plan pays up to $350 for hearing aids every three years
- Occupational and physical therapy, and speech-language pathology Copay applies for occupational and physical therapy, as well as speech-language pathology
- Vision $0 Copay – You Pay Nothing for routine eye exam. Plan pays up to $180 for eyewear every two years
- Continence Supplies Plan pays $50 per month towards incontinence supplies
- Dental – Preventive cleaning and x-ray every year. Plan covers up to $200 for other dental services every year
- Diabetic supplies $0 Copay for diabetic supplies
- Skilled Nursing $0 Copay for days 1-20 days in a Skilled Nursing Facility (SNF) stay + No prior hospitalization required for a skilled nursing stay
- Enhanced Part D $0 Deductible. Tier 1: $5, Tier 2: $15, Tier 3: $45, Tier 4: $100, Tier 5: 33% coinsurance, Tier 1: Preferred generic, Tier 2: Generic, Tier 3: Preferred brand, Tier 4: Nonpreferred brand, Tier 5: Specialty
Click the button below if you would like to see a complete description of the benefits for the Sunrise Advantage Plan (HMO I-SNP).
Sunrise Advantage Plan covers all the benefits of your original Medicare, plus provides a devoted Personal Health Team, Part D prescription drug coverage, and other additional healthcare benefits. Below is a description of some of the benefits offered by the plan:
- In-Network Maximum Out-of-Pocket Amount (per year) $5,700.00
- In-Network Deductible $0
- Part D Prescription Drugs Deductible $0
- Premium $0
- Primary Care Physician visit $0 Copay – You Pay Nothing
- Routine Podiatry $0 Copay – You Pay Nothing for 6 routine foot care visits per year
- Hearing $0 Copay – You Pay Nothing for routine hearing exam, hearing aid fitting, and evaluation per year. Plan pays up to $350 for hearing aids every three years
- Occupational and physical therapy, and speech-language pathology – Copay applies for occupational and physical therapy, as well as speech-language pathology
- Vision $0 Copay – You Pay Nothing for routine eye exam. Plan pays up to $180 for eyewear every two years
- Continence Supplies Plan pays $50 per month towards continence supplies
- Dental – Preventive cleaning and x-ray every year. Plan covers up to $200 for other dental services every year
- Diabetic supplies $0 Copay for diabetic supplies
- Skilled Nursing $0 Copay for days 1-20 days in a Skilled Nursing Facility (SNF) stay + No prior hospitalization required for a skilled nursing stay
- Enhanced Part D $0 Deductible. Tier 1: $5, Tier 2: $15, Tier 3: $45, Tier 4: $100, Tier 5: 33% coinsurance, Tier 1: Preferred generic, Tier 2: Generic, Tier 3: Preferred brand, Tier 4: Nonpreferred brand, Tier 5: Specialty
Click the button below if you would like to see a complete description of the benefits for the Sunrise Advantage Plan (HMO I-SNP).
Sunrise Advantage Plan covers all the benefits of your original Medicare, plus provides a devoted Personal Health Team, Part D prescription drug coverage, and other additional healthcare benefits. Below is a description of some of the benefits offered by the plan:
- In-Network Maximum Out-of-Pocket Amount (per year) $5,700.00
- In-Network Deductible $0
- Part D Prescription Drugs Deductible $0
- Premium $0
- Primary Care Physician visit $0 Copay – You Pay Nothing
- Routine Podiatry $0 Copay – You Pay Nothing for 6 routine foot care visits per year
- Hearing $0 Copay – You Pay Nothing for routine hearing exam, hearing aid fitting, and evaluation per year. Plan pays up to $350 for hearing aids every three years
- Occupational and physical therapy, and speech-language pathology – Copay applies for occupational and physical therapy, as well as speech-language pathology
- Vision $0 Copay – You Pay Nothing for routine eye exam. Plan pays up to $180 for eyewear every two years
- Continence Supplies Plan pays $50 per month towards continence supplies
- Dental – Preventive cleaning and x-ray every year. Plan covers up to $200 for other dental services every year
- Diabetic supplies $0 Copay for diabetic supplies
- Skilled Nursing $0 Copay for days 1-20 days in a Skilled Nursing Facility (SNF) stay + No prior hospitalization required for a skilled nursing stay
- Enhanced Part D $0 Deductible. Tier 1: $5, Tier 2: $15, Tier 3: $45, Tier 4: $100, Tier 5: 33% coinsurance, Tier 1: Preferred generic, Tier 2: Generic, Tier 3: Preferred brand, Tier 4: Nonpreferred brand, Tier 5: Specialty
Click the button below if you would like to see a complete description of the benefits for the Sunrise Advantage Plan (HMO I-SNP).
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Important Documents
Part D- Drugs
- Prescription Drug Determination Request:
PDF Form | Online Form - Prescription Drug Redetermination Request:
PDF Form | Online Form
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