New York Medicare Advantage Companies for 2021 (Full List of Plans)

There are a lot of Medicare Advantage companies in New York to choose from, and each has a different selection of plans available. New York Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in New York without paying anything more than your original Medicare Part B cost.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Oct 13, 2021

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The Highlights

  • There are 33 Medicare Advantage companies in New York
  • There are 130 plans with no additional premium required in NY
  • You can choose from New York PPO and HMO Medicare Advantage plans

If you’re shopping for a Medicare Advantage plan in New York, there are a lot of options to choose from. 33 companies offer Medicare Advantage (Part C) coverage in New York. Plans vary by county and include HMO, PPO, and POS options.

Finding the best Medicare company can be a challenge. To choose the right NY Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.

Ready to compare Medicare plans from top companies in New York? Enter your ZIP code for fast, free New York Medicare quotes today.

Table of Contents

The Complete List of Medicare Advantage Companies in New York

You have a lot of companies to choose from for Part C Medicare Advantage in NY. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in New York, which counties the plans are offered in, and how many plans each company offers.

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Medicare Advantage Companies in New York

Company Number of Plans Counties
Aetna 1 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings
Aetna Medicare 9 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Franklin, Jefferson, Hamilton, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Cayuga, Greene, Wyoming, Sullivan, Westchester, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex, Kings, Wayne, Ontario, Livingston, Queens, Yates, New York, Monroe, Seneca, Orleans
AgeWell New York 4 Nassau, Queens, Suffolk, New York, Bronx, Westchester, Kings
ArchCare 1 Onondaga, Orange, Richmond, Queens, Putnam, New York, Dutchess, Bronx, Westchester, Kings
BlueCross BlueShield of WNY and BlueShield of NEN 14 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans, Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery
Bright Health 8 Queens, New York, Kings
CDPHP Medicare Advantage 8 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex
Centers Plan 4 Nassau, Richmond, Queens, New York, Bronx, Rockland, Kings, Suffolk, Erie, Niagara, Westchester
Centers Plan for Healthy Living 1 Nassau, Richmond, Queens, New York, Erie, Bronx, Niagara, Rockland, Kings
Elderplan 5 Nassau, Queens, New York, Bronx, Westchester, Kings, Orange, Richmond, Putnam, Dutchess, Rockland, Suffolk, Monroe
EmblemHealth 6 Nassau, Orange, Rensselaer, Richmond, Queens, Broome, Suffolk, Putnam, New York, Columbia, Saratoga, Warren, Schenectady, Dutchess, Bronx, Rockland, Greene, Sullivan, Westchester, Washington, Delaware, Ulster, Albany, Kings
EmblemHealth Medicare HMO 10 Nassau, Orange, Suffolk, Putnam, Dutchess, Rockland, Sullivan, Westchester, Ulster, Richmond, Queens, New York, Bronx, Kings, Rensselaer, Broome, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Delaware, Albany
Empire BlueCross BlueShield 13 Nassau, Rensselaer, Clinton, Fulton, Queens, Suffolk, Columbia, Saratoga, Warren, Schoharie, Schenectady, Bronx, Rockland, Greene, Westchester, Washington, Delaware, Albany, Montgomery, Essex, Kings, Orange, Richmond, New York, Putnam, Dutchess, Sullivan, Ulster
Excellus Health Plan, Inc 19 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans, Onondaga, Tompkins, Lewis, Steuben, Jefferson, Oswego, Broome, Chenango, Schuyler, Oneida, Madison, Cayuga, Chemung, Herkimer, Cortland, St. Lawrence, Tioga, Clinton, Franklin, Fulton, Hamilton, Otsego, Delaware, Montgomery, Essex, Wayne, Ontario, Livingston, Yates, Monroe, Seneca
Fidelis Care 6 Nassau, Onondaga, Orange, Rensselaer, Lewis, Steuben, Richmond, Clinton, Allegany, Franklin, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings
Hamaspik 2 Nassau, Orange, Richmond, Queens, Putnam, New York, Dutchess, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings, Rensselaer, Columbia, Schenectady, Greene, Albany, Montgomery
Healthfirst 2 Nassau, Orange, Richmond, Queens, New York, Bronx, Rockland, Sullivan, Westchester, Kings
Healthfirst Medicare Plan 4 Nassau, Richmond, Queens, New York, Bronx, Kings, Westchester, Orange, Rockland, Sullivan
Humana 16 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Kings, Onondaga, Rensselaer, Lewis, Steuben, Chautauqua, Allegany, Jefferson, Fulton, Hamilton, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Madison, Schenectady, Rockland, Cayuga, Greene, Sullivan, Chemung, Washington, Delaware, Herkimer, Cortland, Albany, Tioga, Montgomery
Independent Health 8 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans
Integra Managed Care 3 Nassau, Queens, New York, Bronx, Kings
Longevity Health Plan 1 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Westchester, Kings
MVP HEALTH CARE 8 Genesee, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex
MetroPlus 2 Richmond, Queens, New York, Bronx, Kings
MetroPlus Health Plan 1 Richmond, Queens, New York, Bronx, Kings
Nascentia 3 Onondaga, Broome, Columbia, Erie, Niagara, Greene, Delaware, Albany
Oscar 3 Orange, Rockland, Westchester, Bronx
RiverSpring Health Plans 2 Nassau, Richmond, Queens, New York, Bronx, Westchester, Kings
Senior Whole Health 1 Nassau, Queens, New York, Bronx, Westchester, Kings
UnitedHealthcare 17 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings
VNSNY CHOICE 1 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Westchester, Kings
VillageCareMAX 2 Queens, New York, Bronx, Kings
WellCare 20 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex, Kings

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Medicare Advantage Plans by Company in New York

To compare Medicare Advantage plans by company in New York, we’ve gathered a list of all the plans available from each NY Medicare company.

Take a look at the NY Medicare plans by company here, and bear in mind that plan availability and details vary by county.

BlueCross BlueShield of WNY and BlueShield of NEN Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
BlueCross BlueShield Senior Blue 651 (HMO) H3384-019 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $120.00
BlueCross BlueShield BlueSaver (HMO) H3384-062 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $0.00
BlueCross BlueShield Senior Blue 601 (HMO) H3384-022 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO * $0.00
BlueCross BlueShield Forever Blue 751 (PPO) H5526-004 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local PPO $204.00
BlueCross BlueShield Freedom Nation (PPO) H5526-020 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local PPO $25.00
BlueCross BlueShield Senior Blue Select (HMO) H3384-058 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $58.00
BlueCross BlueShield Forever Blue Value (PPO) H5526-016 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local PPO $145.00
BlueShield Freedom Value (HMO) H3384-063 Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local HMO $0.00
BlueShield Forever Blue 770 (PPO) H5526-018 Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local PPO $200.00
BlueShield Senior Blue 652 (HMO) H3384-013 Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local HMO $135.00
BlueShield Freedom Premier (HMO) H3384-064 Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local HMO $111.00
BlueShield Freedom Plus (HMO) H3384-059 Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local HMO $56.00
BlueShield Freedom No Rx (HMO) H3384-066 Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local HMO * $0.00
BlueShield Freedom Nation (PPO) H5526-021 Rensselaer, Fulton, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local PPO $0.00

Independent Health Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Independent Health’s Medicare Passport Advantage (PPO) H3344-005 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local PPO $99.00
Independent Health’s Encompass 65 Core (HMO) H3362-033 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $65.00
Independent Health’s Medicare Family Choice (HMO I-SNP) H3362-020 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $42.30
Independent Health’s Encompass 65 Basic (HMO) H3362-017 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $125.00
Independent Health’s Encompass 65 (HMO) H3362-016 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO * $0.00
Independent Health’s Medicare Passport Prime (PPO) H3344-010 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local PPO $215.00
Independent Health’s Encompass 65 Element (HMO) H3362-038 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $0.00
Independent Health’s Assure Advantage (HMO C-SNP) H3362-035 Erie Local HMO $60.00

WellCare Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
WellCare Absolute (PPO) H2775-111 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex, Kings Local PPO $0.00
WellCare Imperial (PPO D-SNP) H2775-112 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex, Kings Local PPO $0.00 for people who qualify for both Medicare and Medicaid.
WellCare Today’s Options Premier 300 (PFFS) H2816-038 Genesee, Onondaga, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Niagara, Monroe, Cayuga, Greene, Wyoming, Sullivan, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, St. Lawrence, Albany, Tioga, Montgomery, Essex PFFS * $0.00
WellCare Today’s Options Advantage Plus 150A (PPO) H2775-105 Genesee, Nassau, Onondaga, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Niagara, Monroe, Cayuga, Greene, Wyoming, Sullivan, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, St. Lawrence, Albany, Tioga, Montgomery, Essex Local PPO $121.00
WellCare Today’s Options Premier Plus 650B (PFFS) H2816-019 Genesee, Onondaga, Rensselaer, Allegany, Ontario, Fulton, Oswego, Broome, Chenango, Schuyler, Oneida, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Cayuga, Chemung, Washington, Herkimer, Cortland, Albany, Tioga, Montgomery PFFS $55.00
WellCare Today’s Options Advantage Plus 550B (PPO) H2775-106 Genesee, Nassau, Onondaga, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Bronx, Niagara, Monroe, Cayuga, Greene, Wyoming, Sullivan, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, St. Lawrence, Albany, Tioga, Montgomery, Essex, Kings Local PPO $0.00
WellCare Summit (PPO) H2775-113 Genesee, Nassau, Onondaga, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Bronx, Niagara, Monroe, Cayuga, Greene, Wyoming, Sullivan, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, St. Lawrence, Albany, Tioga, Montgomery, Essex, Kings Local PPO $5.10
WellCare Today’s Options Premier 200 (PFFS) H2816-037 Genesee, Onondaga, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Niagara, Monroe, Cayuga, Greene, Wyoming, Sullivan, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, St. Lawrence, Albany, Tioga, Montgomery, Essex PFFS * $0.00
WellCare Today’s Options Premier Plus 250A (PFFS) H2816-013 Genesee, Onondaga, Rensselaer, Allegany, Ontario, Fulton, Oswego, Broome, Chenango, Schuyler, Oneida, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Cayuga, Chemung, Washington, Herkimer, Cortland, Albany, Tioga, Montgomery PFFS $156.00
WellCare Choice (HMO) H4868-020 Nassau, Richmond, Queens, New York, Bronx, Kings Local HMO $0.00
WellCare Access (HMO D-SNP) H4868-014 Nassau, Onondaga, Orange, Wayne, Richmond, Queens, Broome, Suffolk, Oneida, New York, Saratoga, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
WellCare Value (HMO) H4868-018 Onondaga, Orange, Rensselaer, Wayne, Jefferson, Broome, Chenango, Oneida, Saratoga, Schenectady, Erie, Dutchess, Niagara, Rockland, Monroe, Cayuga, Cortland, Ulster, Albany Local HMO $48.00
WellCare Patriot (HMO) H4868-003 Onondaga, Orange, Wayne, Broome, Oneida, Saratoga, Schenectady, Erie, Dutchess, Niagara, Rockland, Monroe, Westchester, Ulster, Albany Local HMO * $0.00
WellCare Liberty (HMO D-SNP) H4868-002 Orange, Rensselaer, Broome, Oneida, Saratoga, Schenectady, Erie, Niagara, Rockland, Monroe, Ulster, Albany Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
WellCare Today’s Options Advantage Plus 750B (PPO) H2775-100 Orange, Putnam, Dutchess, Rockland, Westchester, Ulster Local PPO $83.00
WellCare Today’s Options Advantage 300 (PPO) H2775-108 Tompkins, Wayne, Lewis, Steuben, Chautauqua, Clinton, Franklin, Jefferson, Hamilton, Otsego, Cattaraugus, Yates, Columbia, Niagara, Monroe, Greene, Wyoming, Sullivan, Seneca, Delaware, St. Lawrence, Essex Local PPO * $0.00
WellCare Preferred (HMO) H4868-010 Richmond, Queens, New York, Bronx, Westchester, Kings Local HMO $81.00
WellCare Compass (HMO) H4868-016 Richmond, Queens, New York, Bronx, Kings Local HMO $12.30
WellCare Element (HMO) H4868-022 Queens, New York, Bronx, Kings Local HMO $0.00
WellCare Premier (PPO) H0088-001 New York Local PPO $19.00

Excellus Health Plan, Inc Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Univera SeniorChoice Secure (HMO-POS) H3351-002 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $121.00
Univera SeniorChoice Value (HMO) H3351-010 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $69.00
Univera SeniorChoice Basic (HMO) H3351-017 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $0.00
Univera SeniorChoice Value Plus (HMO-POS) H3351-012 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $106.00
Univera SeniorChoice Select (HMO-POS) H3351-001 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO * $0.00
Univera SeniorChoice Advanced (HMO-POS) H3351-019 Genesee, Chautauqua, Allegany, Cattaraugus, Erie, Niagara, Wyoming, Orleans Local HMO $33.00
Medicare BlueEnhanced (PPO) H3335-015 Onondaga, Tompkins, Lewis, Steuben, Jefferson, Oswego, Broome, Chenango, Schuyler, Oneida, Madison, Cayuga, Chemung, Herkimer, Cortland, St. Lawrence, Tioga Local PPO $138.00
Medicare BlueEssential (PPO) H3335-053 Onondaga, Tompkins, Lewis, Steuben, Jefferson, Oswego, Broome, Chenango, Schuyler, Oneida, Madison, Cayuga, Chemung, Herkimer, Cortland, St. Lawrence, Tioga Local PPO $0.00
Medicare BlueSecure (PPO) H3335-014 Onondaga, Tompkins, Lewis, Steuben, Jefferson, Oswego, Broome, Chenango, Schuyler, Oneida, Madison, Cayuga, Chemung, Herkimer, Cortland, St. Lawrence, Tioga Local PPO $101.00
Medicare BlueBasic (PPO) H3335-043 Onondaga, Tompkins, Lewis, Steuben, Clinton, Franklin, Jefferson, Fulton, Hamilton, Otsego, Oswego, Broome, Chenango, Schuyler, Oneida, Madison, Cayuga, Chemung, Delaware, Herkimer, Cortland, St. Lawrence, Tioga, Montgomery, Essex Local PPO * $0.00
Medicare BlueClassic (PPO) H3335-038 Onondaga, Tompkins, Lewis, Steuben, Jefferson, Oswego, Broome, Chenango, Schuyler, Oneida, Madison, Cayuga, Chemung, Herkimer, Cortland, St. Lawrence, Tioga Local PPO $38.00
Medicare Blue Choice Optimum (HMO-POS) H3351-006 Wayne, Ontario, Livingston, Yates, Monroe, Seneca Local HMO $256.00
Medicare Blue Choice Advanced (HMO-POS) H3351-018 Wayne, Ontario, Livingston, Yates, Monroe, Seneca Local HMO $39.00
Medicare Blue Choice Value Plus (HMO-POS) H3351-013 Wayne, Ontario, Livingston, Yates, Monroe, Seneca Local HMO $158.00
Medicare Blue Choice Select (HMO) H3351-016 Wayne, Ontario, Livingston, Yates, Monroe, Seneca Local HMO $0.00
Medicare Blue Choice Platinum (HMO-POS) H3351-007 Wayne, Ontario, Livingston, Yates, Monroe, Seneca Local HMO * $0.00
Medicare Blue Choice Value (HMO) H3351-011 Wayne, Ontario, Livingston, Yates, Monroe, Seneca Local HMO $80.00
Medicare BluePlus (PPO) H3335-018 Clinton, Franklin, Fulton, Hamilton, Otsego, Delaware, Montgomery, Essex Local PPO $130.00
Medicare Bassett (HMO-POS) H3351-015 Otsego, Delaware, Herkimer Local HMO $110.00

UnitedHealthcare Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) R5342-006 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Regional PPO $84.00
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) R5342-002 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Regional PPO * $0.00
UnitedHealthcare Dual Complete One (HMO D-SNP) H3387-013 Genesee, Erie, Niagara, Monroe, Wyoming, Orleans Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) R5342-005 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Regional PPO $46.00
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) H2292-001 Genesee, Nassau, Onondaga, Orange, Rensselaer, Wayne, Steuben, Richmond, Allegany, Ontario, Jefferson, Fulton, Livingston, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Oneida, New York, Columbia, Saratoga, Warren, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Wyoming, Westchester, Chemung, Washington, Herkimer, Cortland, Ulster, Albany, Montgomery, Kings Local PPO $34.10
UnitedHealthcare Dual Complete (HMO D-SNP) H3387-010 Genesee, Nassau, Onondaga, Orange, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Jefferson, Livingston, Hamilton, Queens, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, Albany, Tioga, Orleans, Montgomery, Essex, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) R5342-001 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Regional PPO $16.00
AARP Medicare Advantage (HMO) H3379-040 Genesee, Onondaga, Wayne, Broome, Putnam, Oneida, Madison, Erie, Dutchess, Niagara, Monroe, Cayuga, Wyoming, Sullivan, Ulster, Orleans Local HMO $0.00
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) H3379-022 Genesee, Onondaga, Rensselaer, Steuben, Chautauqua, Broome, Oneida, Saratoga, Madison, Schenectady, Erie, Niagara, Monroe, Cayuga, Wyoming, Chemung, Ulster, Albany Local HMO $36.00
UnitedHealthcare Assisted Living Plan (PPO I-SNP) H2292-003 Nassau, Queens, Suffolk, Westchester, Kings Local PPO $42.30
UnitedHealthcare Nursing Home Plan 2 (HMO I-SNP) H3379-002 Nassau, Orange, Richmond, Jefferson, Queens, New York, Dutchess, Bronx, Rockland, Westchester, Kings Local HMO $35.90
AARP Medicare Advantage Plan 1 (HMO) H3307-012 Orange, Richmond, Queens, New York, Bronx, Rockland, Westchester, Kings Local HMO $0.00
AARP Medicare Advantage Plan 2 (HMO) H3307-023 Orange, Richmond, Queens, New York, Bronx, Rockland, Westchester, Kings Local HMO $75.00
AARP Medicare Advantage Patriot (HMO) H3307-018 Orange, Richmond, Queens, New York, Bronx, Rockland, Westchester, Kings Local HMO * $0.00
UnitedHealthcare Medicare Advantage Choice (PPO) H1537-005 Hamilton Local PPO $24.00
AARP Medicare Advantage Prime (HMO) H3307-015 Queens, New York, Kings Local HMO $0.00
AARP Medicare Advantage Mosaic Choice (PPO) H3418-001 Queens, New York, Kings Local PPO $0.00

Aetna Medicare Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Value Plan (HMO) H3312-065 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Franklin, Jefferson, Hamilton, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Cayuga, Greene, Wyoming, Sullivan, Westchester, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex, Kings Local HMO $0.00
Aetna Medicare Premier Plan (PPO) H5521-215 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Local PPO $23.00
Aetna Medicare Credit Plan (PPO) H5521-313 Genesee, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Livingston, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Niagara, Monroe, Cayuga, Greene, Wyoming, Sullivan, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex Local PPO $0.00
Aetna Medicare Elite Plan (PPO) H5521-212 Genesee, Nassau, Orange, Rensselaer, Wayne, Richmond, Chautauqua, Ontario, Livingston, Queens, Suffolk, Cattaraugus, Putnam, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Greene, Wyoming, Sullivan, Westchester, Seneca, Washington, Delaware, Ulster, Albany, Orleans, Montgomery, Essex, Kings Local PPO $16.00
Aetna Medicare Eagle Plan (PPO) H5521-323 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Local PPO * $0.00
Aetna Medicare Value Plan (PPO) H5521-318 Wayne, Ontario, Livingston, Queens, Yates, New York, Monroe, Seneca, Orleans, Kings Local PPO $21.00
Aetna Medicare Elite Plan 3 (PPO) H5521-310 Richmond, Queens, New York, Kings Local PPO $39.00
Aetna Medicare Elite Plan (HMO) H3312-068 Queens, New York Local HMO $39.00
Aetna Medicare Elite Plan 2 (PPO) H5521-309 Bronx, Rockland, Westchester Local PPO $39.00

MVP HEALTH CARE Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
MVP Medicare Preferred Gold with Part D (HMO-POS) H3305-015 Genesee, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex Local HMO $211.00
MVP Medicare Preferred Gold without Part D (HMO-POS) H3305-007 Genesee, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex Local HMO * $0.00
MVP Medicare WellSelect with Part D (PPO) H9615-012 Genesee, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex Local PPO $80.00
MVP Medicare Secure with Part D (HMO-POS) H3305-030 Genesee, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Fulton, Livingston, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex Local HMO $25.00
MVP SmartFund (MSA) H5613-002 Onondaga, Orange, Tompkins, Rensselaer, Lewis, Clinton, Franklin, Jefferson, Fulton, Hamilton, Otsego, Oswego, Broome, Chenango, Putnam, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Dutchess, Rockland, Cayuga, Greene, Sullivan, Westchester, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex MSA * MSAs do not have a monthly premium.
MVP Medicare Secure Plus with Part D (HMO-POS) H3305-022 Onondaga, Orange, Tompkins, Rensselaer, Lewis, Steuben, Chautauqua, Clinton, Allegany, Franklin, Jefferson, Fulton, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Dutchess, Rockland, Cayuga, Greene, Sullivan, Westchester, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex Local HMO $90.00
MVP Medicare WellSelect Plus with Part D (PPO) H9615-007 Onondaga, Orange, Tompkins, Rensselaer, Lewis, Steuben, Chautauqua, Clinton, Allegany, Franklin, Jefferson, Fulton, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Dutchess, Rockland, Cayuga, Greene, Sullivan, Westchester, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Montgomery, Essex Local PPO $116.00
MVP Medicare Patriot Plan with Part D (PPO) H9615-014 Onondaga, Rensselaer, Wayne, Steuben, Chautauqua, Ontario, Jefferson, Oswego, Cattaraugus, Oneida, Saratoga, Schenectady, Erie, Dutchess, Niagara, Monroe, Ulster, St. Lawrence, Albany Local PPO $36.00

Aetna Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Assure Plan (HMO D-SNP) H3312-070 Genesee, Nassau, Onondaga, Orange, Tompkins, Rensselaer, Wayne, Lewis, Steuben, Richmond, Chautauqua, Clinton, Allegany, Ontario, Franklin, Jefferson, Livingston, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Monroe, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Integra Managed Care Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Integra Balanced Medicaid Advantage (HMO D-SNP) H1205-008 Nassau, Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Integra Harmony (HMO D-SNP) H1205-005 Nassau, Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Integra Synergy Medicaid Advantage Plus (MAP) (HMO D-SNP) H1205-006 Nassau, Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Centers Plan Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Centers Plan for Medicaid Advantage Plus (HMO D-SNP) H6988-004 Nassau, Richmond, Queens, New York, Bronx, Rockland, Kings Local HMO $58.70 for people who qualify for both Medicare and Medicaid.
Centers Plan for Nursing Home Care (HMO I-SNP) H6988-003 Nassau, Richmond, Queens, Suffolk, New York, Erie, Bronx, Niagara, Rockland, Westchester, Kings Local HMO $42.30
Centers Plan for Dual Coverage Care (HMO D-SNP) H6988-002 Richmond, Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Centers Plan for Medicaid Advantage (HMO D-SNP) H6988-005 Richmond, Queens, New York, Bronx, Kings Local HMO $58.70 for people who qualify for both Medicare and Medicaid.

Humana Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Humana Gold Plus H3533-027 (HMO) H3533-027 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Kings Local HMO $0.00
HumanaChoice H5970-024 (PPO) H5970-024 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Kings Local PPO $0.00
Humana Gold Plus H3533-010 (HMO) H3533-010 Nassau, Suffolk Local HMO $36.00
Humana Gold Plus SNP-DE H3533-031 (HMO D-SNP) H3533-031 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Humana Honor (PPO) H5970-016 Nassau, Onondaga, Rensselaer, Lewis, Steuben, Richmond, Chautauqua, Allegany, Jefferson, Fulton, Hamilton, Queens, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Madison, Schenectady, Bronx, Rockland, Cayuga, Greene, Sullivan, Chemung, Washington, Delaware, Herkimer, Cortland, Albany, Tioga, Montgomery, Kings Local PPO * $0.00
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) H3533-002 Onondaga, Rensselaer, Lewis, Steuben, Allegany, Jefferson, Fulton, Hamilton, Oswego, Broome, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Schenectady, Rockland, Cayuga, Greene, Sullivan, Chemung, Washington, Delaware, Herkimer, Cortland, Albany, Tioga, Montgomery Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Humana Gold Plus H3533-001 (HMO) H3533-001 Onondaga, Lewis, Steuben, Allegany, Jefferson, Oswego, Broome, Chenango, Schuyler, Oneida, Yates, Cayuga, Sullivan, Chemung, Delaware, Herkimer, Cortland, Tioga Local HMO $0.00
HumanaChoice H5970-015 (PPO) H5970-015 Onondaga, Rensselaer, Lewis, Steuben, Chautauqua, Allegany, Jefferson, Fulton, Hamilton, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Madison, Schenectady, Rockland, Cayuga, Greene, Sullivan, Chemung, Washington, Delaware, Herkimer, Cortland, Albany, Tioga, Montgomery Local PPO $0.00
Humana Gold Plus H3533-013 (HMO) H3533-013 Onondaga, Rensselaer, Lewis, Jefferson, Fulton, Hamilton, Oswego, Putnam, Oneida, Columbia, Saratoga, Warren, Schenectady, Cayuga, Greene, Washington, Herkimer, Albany, Montgomery Local HMO $25.00
HumanaChoice H5970-019 (PPO) H5970-019 Onondaga, Rensselaer, Lewis, Jefferson, Fulton, Hamilton, Oswego, Putnam, Oneida, Columbia, Saratoga, Warren, Madison, Schenectady, Cayuga, Greene, Washington, Herkimer, Albany, Montgomery Local PPO $23.00
HumanaChoice H5970-018 (PPO) H5970-018 Onondaga, Rensselaer, Lewis, Steuben, Chautauqua, Allegany, Jefferson, Fulton, Hamilton, Oswego, Broome, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, Columbia, Saratoga, Warren, Madison, Schenectady, Rockland, Cayuga, Greene, Sullivan, Chemung, Washington, Delaware, Herkimer, Cortland, Albany, Tioga, Montgomery Local PPO $0.00
Humana Gold Plus H3533-006 (HMO) H3533-006 Rensselaer, Fulton, Hamilton, Putnam, Columbia, Saratoga, Warren, Schenectady, Greene, Washington, Albany, Montgomery Local HMO $0.00
HumanaChoice H5970-001 (PPO) H5970-001 Steuben, Chautauqua, Allegany, Broome, Cattaraugus, Chenango, Schuyler, Yates, Rockland, Sullivan, Chemung, Delaware, Cortland, Tioga Local PPO $16.00
Humana Gold Plus H3533-032 (HMO) H3533-032 Richmond, Queens, New York, Bronx, Kings Local HMO $24.00
HumanaChoice SNP-DE H5970-020 (PPO D-SNP) H5970-020 Chautauqua, Cattaraugus, Madison Local PPO $0.00 for people who qualify for both Medicare and Medicaid.
Humana Gold Plus H3533-033 (HMO) H3533-033 Queens, Kings Local HMO $0.00

EmblemHealth Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
EmblemHealth VIP Solutions (HMO D-SNP) H5991-002 Nassau, Orange, Rensselaer, Richmond, Queens, Broome, Suffolk, Putnam, New York, Columbia, Saratoga, Warren, Schenectady, Dutchess, Bronx, Rockland, Greene, Sullivan, Westchester, Washington, Delaware, Ulster, Albany, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
EmblemHealth VIP Dual (HMO D-SNP) H3330-042 Nassau, Orange, Rensselaer, Richmond, Queens, Broome, Suffolk, Putnam, New York, Columbia, Saratoga, Warren, Schenectady, Dutchess, Bronx, Rockland, Greene, Sullivan, Westchester, Washington, Delaware, Ulster, Albany, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
EmblemHealth VIP Dual Select (HMO D-SNP) H5991-001 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
EmblemHealth VIP Connect (HMO D-SNP) H5991-007 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
EmblemHealth VIP Assist (HMO D-SNP) H5991-008 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
EmblemHealth VIP Dual Reserve (HMO D-SNP) H5991-010 Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

EmblemHealth Medicare HMO Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
EmblemHealth VIP Passport (HMO) H5991-003 Nassau, Orange, Suffolk, Putnam, Dutchess, Rockland, Sullivan, Westchester, Ulster Local HMO $42.30
EmblemHealth VIP Gold (HMO) H3330-021 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings Local HMO $123.50
EmblemHealth VIP Value (HMO) H3330-036 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Rockland, Sullivan, Westchester, Ulster Local HMO $0.00
EmblemHealth VIP Essential (HMO) H3330-032 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings Local HMO $55.00
EmblemHealth VIP Part B Saver (HMO) H3330-040 Nassau, Orange, Rensselaer, Richmond, Queens, Broome, Suffolk, Putnam, New York, Columbia, Saratoga, Warren, Schenectady, Dutchess, Bronx, Rockland, Greene, Sullivan, Westchester, Washington, Delaware, Ulster, Albany, Kings Local HMO $0.00
EmblemHealth VIP Go (HMO-POS) H3330-041 Nassau, Orange, Rensselaer, Richmond, Queens, Broome, Suffolk, Putnam, New York, Columbia, Saratoga, Warren, Schenectady, Dutchess, Bronx, Rockland, Greene, Sullivan, Westchester, Washington, Delaware, Ulster, Albany, Kings Local HMO $72.00
EmblemHealth VIP Gold Plus (HMO) H3330-038 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings Local HMO $302.00
EmblemHealth VIP Rx Saver (HMO) H3330-039 Orange, Rensselaer, Broome, Putnam, Columbia, Saratoga, Warren, Schenectady, Dutchess, Bronx, Rockland, Greene, Sullivan, Westchester, Washington, Delaware, Ulster, Albany Local HMO $49.00
EmblemHealth VIP Passport NYC (HMO) H5991-006 Richmond, Queens, New York, Bronx, Kings Local HMO $42.30
EmblemHealth VIP Reserve (HMO) H5991-009 Queens, New York, Bronx, Kings Local HMO $0.00

RiverSpring Health Plans Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
RiverSpring MAP (HMO D-SNP) H6776-002 Nassau, Richmond, Queens, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
RiverSpring Star (HMO I-SNP) H6776-001 Nassau, Richmond, Queens, New York, Bronx, Westchester, Kings Local HMO $42.30

Fidelis Care Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Fidelis Dual Advantage Flex (HMO D-SNP) H5599-001 Nassau, Onondaga, Orange, Rensselaer, Lewis, Steuben, Richmond, Clinton, Allegany, Franklin, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Fidelis Medicaid Advantage Plus (HMO D-SNP) H5599-003 Nassau, Rensselaer, Richmond, Queens, Suffolk, New York, Schenectady, Bronx, Westchester, Albany, Montgomery, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Fidelis Dual Advantage (HMO D-SNP) H5599-006 Nassau, Onondaga, Orange, Rensselaer, Lewis, Steuben, Richmond, Clinton, Allegany, Franklin, Fulton, Hamilton, Queens, Otsego, Oswego, Broome, Suffolk, Cattaraugus, Chenango, Putnam, Schuyler, Oneida, Yates, New York, Columbia, Saratoga, Warren, Schoharie, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Cayuga, Greene, Wyoming, Sullivan, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Fidelis Medicare Advantage Flex (HMO-POS) H5599-002 Onondaga, Rensselaer, Lewis, Steuben, Richmond, Clinton, Allegany, Fulton, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Schuyler, Oneida, Yates, New York, Saratoga, Warren, Schoharie, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Cayuga, Wyoming, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex Local HMO $7.40
Fidelis Medicare Advantage without Rx (HMO-POS) H5599-005 Onondaga, Lewis, Steuben, Allegany, Otsego, Oswego, Broome, Cattaraugus, Chenango, Schuyler, Oneida, Yates, Erie, Niagara, Cayuga, Wyoming, Seneca, Chemung, Delaware, Herkimer, Cortland, St. Lawrence, Tioga, Orleans Local HMO * $0.00
Fidelis Medicare $0 Premium (HMO) H5599-004 Onondaga, Rensselaer, Lewis, Steuben, Richmond, Clinton, Allegany, Fulton, Hamilton, Otsego, Oswego, Broome, Cattaraugus, Chenango, Schuyler, Oneida, Yates, New York, Saratoga, Warren, Schoharie, Schenectady, Erie, Dutchess, Bronx, Niagara, Rockland, Cayuga, Wyoming, Westchester, Seneca, Chemung, Washington, Delaware, Herkimer, Cortland, Ulster, St. Lawrence, Albany, Tioga, Orleans, Montgomery, Essex Local HMO $0.00

Elderplan Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Elderplan For Medicaid Beneficiaries (HMO D-SNP) H3347-002 Nassau, Queens, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Elderplan Plus Long Term Care (HMO D-SNP) H3347-007 Nassau, Orange, Richmond, Queens, Putnam, New York, Dutchess, Bronx, Rockland, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Elderplan Advantage For Nursing Home Residents (HMO I-SNP) H3347-003 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Bronx, Rockland, Monroe, Westchester, Kings Local HMO $35.50
Elderplan Assist (HMO I-SNP) H3347-015 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Bronx, Rockland, Monroe, Westchester, Kings Local HMO $42.30
Elderplan Extra Help (HMO) H3347-009 Queens, New York, Bronx, Westchester, Kings Local HMO $25.30

Hamaspik Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Hamaspik Medicare Choice (HMO D-SNP) H0034-002 Nassau, Orange, Richmond, Queens, Putnam, New York, Dutchess, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Hamaspik Medicare Select (HMO D-SNP) H0034-001 Nassau, Orange, Rensselaer, Richmond, Queens, Putnam, New York, Columbia, Schenectady, Dutchess, Bronx, Rockland, Greene, Sullivan, Westchester, Ulster, Albany, Montgomery, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Empire BlueCross BlueShield Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Empire MediBlue Plus (HMO) H8432-010 Nassau, Rensselaer, Clinton, Fulton, Queens, Suffolk, Columbia, Saratoga, Warren, Schoharie, Schenectady, Bronx, Rockland, Greene, Westchester, Washington, Delaware, Albany, Montgomery, Essex, Kings Local HMO $51.00
Empire MediBlue HealthPlus Dual Advantage (HMO D-SNP) H1732-002 Nassau, Orange, Richmond, Queens, Suffolk, New York, Bronx, Rockland, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Empire MediBlue HealthPlus Dual Plus (HMO D-SNP) H1732-001 Nassau, Orange, Richmond, Queens, Suffolk, New York, Bronx, Rockland, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Empire MediBlue Select (HMO) H8432-032 Nassau, Orange, Richmond, Queens, Suffolk, Putnam, New York, Dutchess, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings Local HMO $51.00
Empire MediBlue HealthPlus (HMO) H1732-006 Nassau, Orange, Richmond, Queens, Suffolk, New York, Bronx, Rockland, Westchester, Kings Local HMO $25.00
Empire MediBlue Dual Advantage (HMO D-SNP) H8432-007 Nassau, Orange, Rensselaer, Richmond, Clinton, Fulton, Queens, Putnam, New York, Columbia, Saratoga, Warren, Schoharie, Schenectady, Dutchess, Bronx, Greene, Westchester, Washington, Delaware, Albany, Montgomery, Essex, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Empire MediBlue HealthPlus Dual Connect (HMO D-SNP) H1732-003 Nassau, Orange, Richmond, Queens, Suffolk, New York, Bronx, Rockland, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Empire MediBlue Dual Advantage Select (HMO D-SNP) H8432-028 Nassau, Orange, Richmond, Queens, Suffolk, New York, Bronx, Rockland, Sullivan, Westchester, Ulster, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Empire MediBlue Core Select (HMO) H8432-036 Orange, Richmond, Queens, Putnam, New York, Dutchess, Bronx, Rockland, Kings Local HMO * $0.00
Empire MediBlue Access (PPO) H3342-023 Rensselaer, Clinton, Fulton, Columbia, Saratoga, Warren, Schoharie, Schenectady, Greene, Washington, Delaware, Albany, Montgomery, Essex Local PPO $90.00
Empire MediBlue Core (HMO) H8432-037 Richmond, Queens, Saratoga, Bronx, Westchester, Kings Local HMO * $0.00
Empire MediBlue Extra Select (HMO) H8432-035 Richmond, Queens, New York, Bronx, Kings Local HMO $42.30
Empire MediBlue Choice (HMO-POS) H8432-015 Kings Local HMO $105.00

Healthfirst Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Healthfirst CompleteCare (HMO D-SNP) H3359-034 Nassau, Orange, Richmond, Queens, New York, Bronx, Rockland, Sullivan, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Healthfirst Life Improvement Plan (HMO D-SNP) H3359-021 Nassau, Orange, Richmond, Queens, New York, Bronx, Rockland, Sullivan, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Healthfirst Medicare Plan Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Healthfirst 65 Plus Plan (HMO) H3359-001 Nassau, Richmond, Queens, New York, Bronx, Kings Local HMO $0.00
Healthfirst Signature (HMO) H5989-011 Nassau, Queens, New York, Bronx, Westchester, Kings Local HMO $0.00
Healthfirst Increased Benefits Plan (HMO) H3359-019 Nassau, Orange, Richmond, Queens, New York, Bronx, Rockland, Sullivan, Westchester, Kings Local HMO $42.30
Healthfirst Coordinated Benefits Plan (HMO) H3359-027 Nassau, Richmond, Queens, New York, Bronx, Kings Local HMO * $0.00

VNSNY CHOICE Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
VNSNY CHOICE Total (HMO D-SNP) H5549-003 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

AgeWell New York Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AgeWell New York CareWell (HMO I-SNP) H4922-004 Nassau, Queens, Suffolk, New York, Bronx, Westchester, Kings Local HMO $42.30
AgeWell New York FeelWell (HMO D-SNP) H4922-003 Nassau, Queens, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AgeWell New York Advantage Plus (HMO D-SNP) H4922-010 Nassau, Queens, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AgeWell New York LiveWell (HMO) H4922-011 Nassau, Queens, New York, Bronx, Westchester, Kings Local HMO $42.30

Centers Plan for Healthy Living Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Centers Plan for Medicare Advantage Care (HMO) H6988-001 Nassau, Richmond, Queens, New York, Erie, Bronx, Niagara, Rockland, Kings Local HMO $0.00

Longevity Health Plan Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Longevity Health Plan (HMO I-SNP) H8457-001 Nassau, Richmond, Queens, Suffolk, New York, Bronx, Westchester, Kings Local HMO $42.30

Senior Whole Health Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Senior Whole Health of New York NHC (HMO D-SNP) H5992-007 Nassau, Queens, New York, Bronx, Westchester, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Nascentia Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Nascentia Skilled Nursing Facility (HMO I-SNP) H9066-002 Onondaga, Broome, Columbia, Erie, Niagara, Greene, Delaware, Albany Local HMO $42.30
Nascentia Dual Advantage (HMO D-SNP) H9066-003 Onondaga, Broome, Columbia, Erie, Niagara, Greene, Delaware, Albany Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Nascentia Medicaid Advantage Plus (HMO D-SNP) H9066-001 Onondaga, Broome, Columbia, Erie, Niagara, Greene, Delaware, Albany Local HMO $51.60 for people who qualify for both Medicare and Medicaid.

ArchCare Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
ArchCare Advantage (HMO I-SNP) H1777-007 Onondaga, Orange, Richmond, Queens, Putnam, New York, Dutchess, Bronx, Westchester, Kings Local HMO $42.30

Oscar Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Oscar Easy Care (HMO) H7322-002 Orange, Rockland, Westchester Local HMO $0.00
Montefiore + Oscar Easy Care (HMO) H7322-001 Bronx Local HMO $0.00
Montefiore + Oscar Extra Benefits (HMO) H7322-003 Bronx Local HMO $42.30

CDPHP Medicare Advantage Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
CDPHP $0 Medicare Rx (HMO) H3388-014 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local HMO $0.00
CDPHP Choice Rx (HMO) H3388-002 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local HMO $130.00
CDPHP Choice (HMO) H3388-001 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local HMO * $0.00
CDPHP Value Rx (HMO) H3388-004 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local HMO $60.80
CDPHP Vital Rx (PPO) H5042-009 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local PPO $0.00
CDPHP Flex Rx (PPO) H5042-011 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local PPO $41.80
CDPHP Flex (PPO) H5042-012 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local PPO * $0.00
CDPHP Basic RX (HMO) H3388-013 Rensselaer, Clinton, Franklin, Fulton, Hamilton, Otsego, Broome, Chenango, Oneida, Columbia, Saratoga, Warren, Schoharie, Madison, Schenectady, Greene, Washington, Delaware, Herkimer, Albany, Tioga, Montgomery, Essex Local HMO $31.00

MetroPlus Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
MetroPlus Advantage Plan (HMO D-SNP) H0423-001 Richmond, Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
MetroPlus UltraCare (HMO D-SNP) H0423-007 Richmond, Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

MetroPlus Health Plan Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
MetroPlus Platinum Plan (HMO) H0423-004 Richmond, Queens, New York, Bronx, Kings Local HMO $148.50

VillageCareMAX Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
VillageCareMAX Medicare Health Advantage (HMO D-SNP) H2168-001 Queens, New York, Bronx, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
VillageCareMAX Medicare Total Advantage (HMO D-SNP) H2168-002 Queens, New York, Bronx, Kings Local HMO $73.70 for people who qualify for both Medicare and Medicaid.

Bright Health Medicare Plans in New York

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Bright Advantage Special Care (HMO D-SNP) H2288-003 Queens, New York, Kings Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Bright Advantage Senior Savings (HMO C-SNP) H2288-009 Queens, New York, Kings Local HMO $0.00
Bright Advantage Choice (PPO) H9516-001 Queens, New York, Kings Local PPO $0.00
Bright Advantage Plus (HMO) H2288-002 Queens, New York, Kings Local HMO $59.00
Bright Advantage Choice Plus (PPO) H9516-002 Queens, New York, Kings Local PPO $95.00
Bright Advantage Senior Savings Assist (HMO C-SNP) H2288-010 Queens, New York, Kings Local HMO $33.90
Bright Advantage (HMO) H2288-001 Queens, New York, Kings Local HMO $0.00
Bright Advantage Assist (HMO) H2288-005 Queens, New York, Kings Local HMO $42.30

New York Medicare Advantage Plans With No Additional Cost

If you choose to buy Medicare Advantage in New York, you will still have to pay your original Medicare Part B premium. Several NY Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.

New York Medicare Advantage Plans With No Additional Cost

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
MVP SmartFund (MSA) – H5613-002-0 Monroe, Wayne This Plan does NOT include Prescription Drug coverage. n/a
Aetna Medicare Credit Plan (PPO) – H5521-313-0 Sullivan, Putnam, Dutchess, Ulster Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
Aetna Medicare Eagle Plan (PPO) – H5521-323-0 Westchester, Orange, Rockland This Plan does NOT include Prescription Drug coverage. $7,550
BlueShield Freedom Nation (PPO) – H5526-021-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 26% $7,550
BlueShield Freedom No Rx (HMO) – H3384-066-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus This Plan does NOT include Prescription Drug coverage. $6,700
BlueShield Freedom Value (HMO) – H3384-063-0 Queens, Kings, New York Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 27% $7,550
CDPHP $0 Medicare Rx (HMO) – H3388-014-0 Queens, Kings, New York Preferred Generic: $3.00, Generic: $17.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $7,500
CDPHP Flex (PPO) – H5042-012-0 Queens, Kings, New York This Plan does NOT include Prescription Drug coverage. $5,500
CDPHP Vital Rx (PPO) – H5042-009-0 Allegany, Broome, Schuyler, Sullivan, Delaware, Lewis, Chenango, Tioga, Chemung, Steuben, Oneida, Jefferson, Onondaga, Cayuga, Herkimer, Oswego, Yates, Cortland Preferred Generic: $3.00, Generic: $17.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,500
EmblemHealth VIP Part B Saver (HMO) – H3330-040-0 Westchester Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% $7,550
EmblemHealth VIP Rx Saver (HMO) – H3330-039-2 Sullivan, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% $7,550
Humana Gold Plus H3533-006 (HMO) – H3533-006-0 Saratoga Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $7,200
Humana Honor (PPO) – H5970-016-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus This Plan does NOT include Prescription Drug coverage. $4,500
HumanaChoice H5970-015 (PPO) – H5970-015-0 Queens, Richmond, Bronx, Kings, Westchester Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,500
HumanaChoice H5970-018 (PPO) – H5970-018-0 Orleans, Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $7,550
MVP Medicare WellSelect with Part D (PPO) – H9615-008-0 Queens, Richmond, Bronx, Kings, New York Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 27% $7,550
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) – R5342-002-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston This Plan does NOT include Prescription Drug coverage. $6,700
WellCare Absolute (PPO) – H2775-111-0 Columbia, Nassau, Madison, Allegany, Queens, Otsego, Broome, Erie, Richmond, Greene, St. Lawrence, Schuyler, Montgomery, Chautauqua, Sullivan, Delaware, Rensselaer, Lewis, Ontario, Schoharie, Fulton, Chenango, Tioga, Bronx, Chemung, Putnam, Steuben, Oneida, Monroe, Essex, Tompkins, Jefferson, Dutchess, Kings, Suffolk, Niagara, Onondaga, Cayuga, Westchester, Genesee, Ulster, Saratoga, Seneca, Warren, Orange, Wyoming, Herkimer, Oswego, Schenectady, Yates, Cattaraugus, Washington, Cortland, Clinton, Wayne, Albany, Hamilton, Rockland, Franklin Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $7,550
WellCare Today’s Options Advantage 300 (PPO) – H2775-108-0 Orleans, Erie, Ontario, Monroe, Niagara, Genesee, Seneca, Wyoming, Yates, Wayne, Livingston This Plan does NOT include Prescription Drug coverage. $6,700
WellCare Today’s Options Advantage Plus 550B (PPO) – H2775-106-0 Bronx Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% $6,700
WellCare Today’s Options Premier 300 (PFFS) – H2816-038-0 Nassau, Queens, Richmond, Bronx, Kings, Suffolk, Westchester, New York This Plan does NOT include Prescription Drug coverage. n/a
WellCare Imperial (PPO D-SNP) – H2775-112-0 Westchester, Orange, Rockland Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: 49%, Specialty Tier: 25% n/a
Fidelis Dual Advantage Flex (HMO D-SNP) – H5599-001-0 New York Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: 24%, Non-Preferred Drug: 39%, Specialty Tier: 25% n/a
Fidelis Dual Advantage (HMO D-SNP) – H5599-006-0 Hamilton Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 47%, Specialty Tier: 25% n/a
Aetna Medicare Assure Plan (HMO D-SNP) – H3312-070-0 Suffolk Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% n/a
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) – H3533-002-0 Bronx Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
Empire MediBlue Dual Advantage (HMO D-SNP) – H8432-039-1 Montgomery, Rensselaer, Schoharie, Fulton, Essex, Saratoga, Warren, Schenectady, Washington, Clinton, Albany Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
EmblemHealth VIP Dual (HMO D-SNP) – H3330-042-3 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
EmblemHealth VIP Solutions (HMO D-SNP) – H5991-002-0 Otsego, Montgomery, Delaware, Fulton, Essex, Clinton, Hamilton, Franklin Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% n/a
Hamaspik Medicare Select (HMO D-SNP) – H0034-001-0 Sullivan, Bronx, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Tier 1: 15% n/a
Nascentia Dual Advantage (HMO D-SNP) – H9066-003-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: 15% n/a
UnitedHealthcare Dual Complete (HMO D-SNP) – H3387-010-0 Suffolk Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Aetna Medicare Eagle Plan (PPO) – H5521-320-0 Monroe, Wayne This Plan does NOT include Prescription Drug coverage. $7,550
Aetna Medicare Elite Plan (PPO) – H5521-120-0 Sullivan, Putnam, Dutchess, Ulster Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
Centers Plan for Medicare Advantage Care (HMO) – H6988-001-0 Westchester, Orange, Rockland Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% $7,550
EmblemHealth VIP Value (HMO) – H3330-036-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $7,550
Healthfirst 65 Plus Plan (HMO) – H3359-001-0 Queens, Kings, New York Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
Healthfirst Coordinated Benefits Plan (HMO) – H3359-027-0 Queens, Kings, New York This Plan does NOT include Prescription Drug coverage. $7,550
Healthfirst Signature (HMO) – H5989-011-0 Queens, Kings, New York Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
Humana Gold Plus H3533-027 (HMO) – H3533-027-0 Allegany, Broome, Schuyler, Sullivan, Delaware, Lewis, Chenango, Tioga, Chemung, Steuben, Oneida, Jefferson, Onondaga, Cayuga, Herkimer, Oswego, Yates, Cortland Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $7,550
HumanaChoice H5970-024 (PPO) – H5970-024-2 Sullivan, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,200
PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan) – H9869-001-0 Saratoga Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
WellCare Choice (HMO) – H4868-020-0 Orleans, Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $6,700
Fidelis Medicaid Advantage Plus (HMO D-SNP) – H5599-003-0 Nassau, Queens, Richmond, Bronx, Kings, Suffolk, Westchester, New York Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $40.00, Non-Preferred Drug: 50%, Specialty Tier: 25% n/a
Aetna Medicare Assure Plan (HMO D-SNP) – H3312-069-0 Sullivan, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% n/a
WellCare Access (HMO D-SNP) – H4868-014-0 Broome, Erie, Rensselaer, Chenango, Oneida, Jefferson, Niagara, Onondaga, Cayuga, Ulster, Saratoga, Schenectady, Cortland, Albany, Rockland Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $40.00, Non-Preferred Drug: 45%, Specialty Tier: 25% n/a
Elderplan Plus Long Term Care (HMO D-SNP) – H3347-007-0 New York Tier 1: 15% n/a
Elderplan For Medicaid Beneficiaries (HMO D-SNP) – H3347-002-0 Monroe, Dutchess, Onondaga, Orange, Wayne Tier 1: 15% n/a
Humana Gold Plus SNP-DE H3533-031 (HMO D-SNP) – H3533-031-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $2.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
AgeWell New York Advantage Plus (HMO D-SNP) – H4922-010-0 New York Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
AgeWell New York FeelWell (HMO D-SNP) – H4922-003-0 Montgomery, Rensselaer, Schoharie, Fulton, Essex, Saratoga, Warren, Schenectady, Washington, Clinton, Albany Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
EmblemHealth VIP Assist (HMO D-SNP) – H5991-008-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
EmblemHealth VIP Connect (HMO D-SNP) – H5991-007-0 Otsego, Montgomery, Delaware, Fulton, Essex, Clinton, Hamilton, Franklin Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
EmblemHealth VIP Dual Select (HMO D-SNP) – H5991-001-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Empire MediBlue Dual Advantage (HMO D-SNP) – H8432-007-0 Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Empire MediBlue Dual Advantage Select (HMO D-SNP) – H8432-028-0 Bronx, Westchester, Rockland Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Empire MediBlue HealthPlus Dual Advantage (HMO D-SNP) – H1732-002-0 Suffolk Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Empire MediBlue HealthPlus Dual Connect (HMO D-SNP) – H1732-003-0 Nassau, Queens, Richmond, Bronx, Kings, Suffolk, Westchester, New York, Orange, Rockland Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Empire MediBlue HealthPlus Dual Plus (HMO D-SNP) – H1732-001-0 Suffolk Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Hamaspik Medicare Choice (HMO D-SNP) – H0034-002-0 Suffolk Tier 1: 15% n/a
Healthfirst CompleteCare (HMO D-SNP) – H3359-034-0 Sullivan, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Tier 1: $0.00 n/a
Healthfirst Life Improvement Plan (HMO D-SNP) – H3359-021-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: $0.00 n/a
Integra Balanced Medicaid Advantage (HMO D-SNP) – H1205-008-0 Nassau Tier 1: $0.00 n/a
Integra Harmony (HMO D-SNP) – H1205-005-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: 15% n/a
Integra Synergy Medicaid Advantage Plus (MAP) (HMO D-SNP) – H1205-006-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: $0.00 n/a
RiverSpring MAP (HMO D-SNP) – H6776-002-0 Queens, Kings, New York Tier 1: 15% n/a
Senior Whole Health of New York NHC (HMO D-SNP) – H5992-007-0 Queens, Richmond, Bronx, Kings, New York Tier 1: 15% n/a
VNSNY CHOICE Total (HMO D-SNP) – H5549-003-0 Nassau, Queens, Richmond, Bronx, Kings, Suffolk, Westchester, New York Preferred Generic: $7.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Brand: 39%, Specialty Tier: 25% n/a
AARP Medicare Advantage (HMO) – H3379-039-0 Sullivan, Putnam, Dutchess, Ulster Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700
Aetna Medicare Premier Plan (PPO) – H5521-077-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $7,550
Aetna Medicare Value Plan (HMO) – H3312-048-0 Queens, Kings, New York Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Medicare BlueEssential (PPO) – H3335-053-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 30% $7,550
HumanaChoice SNP-DE H5970-020 (PPO D-SNP) – H5970-020-0 Sullivan, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
BlueCross BlueShield BlueSaver (HMO) – H3384-062-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 27% $7,550
BlueCross BlueShield Senior Blue 601 (HMO) – H3384-022-0 Queens, Kings, New York This Plan does NOT include Prescription Drug coverage. $6,700
Fidelis Medicare $0 Premium (HMO) – H5599-004-0 Queens, Kings, New York Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 33% $7,550
Fidelis Medicare Advantage without Rx (HMO-POS) – H5599-005-0 Queens, Kings, New York This Plan does NOT include Prescription Drug coverage. $7,550
Humana Gold Plus H3533-001 (HMO) – H3533-001-0 Allegany, Broome, Schuyler, Sullivan, Delaware, Lewis, Chenango, Tioga, Chemung, Steuben, Oneida, Jefferson, Onondaga, Cayuga, Herkimer, Oswego, Yates, Cortland Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,200
Independent Health’s Encompass 65 (HMO) – H3362-016-0 Allegany, Orleans, Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus This Plan does NOT include Prescription Drug coverage. $7,550
Independent Health’s Encompass 65 Element (HMO) – H3362-038-0 Queens, Richmond, Bronx, Kings, Westchester Preferred Generic: $4.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 41%, Specialty Tier: 26% $7,550
Univera SeniorChoice Basic (HMO) – H3351-017-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 26% $7,550
AARP Medicare Advantage Mosaic Choice (PPO) – H3418-001-0 Monroe, Wayne Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
AARP Medicare Advantage Patriot (HMO) – H3307-018-0 Sullivan, Putnam, Dutchess, Ulster This Plan does NOT include Prescription Drug coverage. $6,700
AARP Medicare Advantage Prime (HMO) – H3307-015-0 Westchester, Orange, Rockland Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $6,700
Bright Advantage (HMO) – H2288-001-0 Queens, Kings, New York Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $6,200
Bright Advantage Choice (PPO) – H9516-001-0 Queens, Kings, New York Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $6,500
Bright Advantage Senior Savings (HMO C-SNP) – H2288-009-0 Queens, Kings, New York Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
EmblemHealth VIP Essential (HMO) – H3330-032-1 Westchester Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $7,550
EmblemHealth VIP Reserve (HMO) – H5991-009-0 Saratoga Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $7,550
Empire MediBlue Core (HMO) – H8432-037-1 Queens, Richmond, Bronx, Kings, Westchester This Plan does NOT include Prescription Drug coverage. $7,550
Empire MediBlue Core Select (HMO) – H8432-036-0 Orleans, Ontario, Monroe, Seneca, Yates, Wayne, Livingston This Plan does NOT include Prescription Drug coverage. $6,700
Empire MediBlue HealthPlus (HMO) – H1732-004-0 Queens, Richmond, Bronx, Kings, New York Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 26%, Select Care Drugs: $0.00 $6,900
Empire MediBlue Select (HMO) – H8432-027-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 26%, Select Care Drugs: $0.00 $7,550
Humana Gold Plus H3533-033 (HMO) – H3533-033-0 Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
HumanaChoice H5970-024 (PPO) – H5970-024-1 Sullivan, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,200
WellCare Element (HMO) – H4868-022-0 Queens, Bronx, Kings, New York Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $6,700
Bright Advantage Special Care (HMO D-SNP) – H2288-003-0 Queens, Kings, New York Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00, Tier 6: $0.00 n/a
Centers Plan for Dual Coverage Care (HMO D-SNP) – H6988-002-0 Queens, Richmond, Bronx, Kings, New York Tier 1: 15% n/a
EmblemHealth VIP Dual (HMO D-SNP) – H3330-042-1 Queens, Bronx, Kings, New York Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
EmblemHealth VIP Dual Reserve (HMO D-SNP) – H5991-010-0 Westchester, Rockland Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Integra Balanced Medicaid Advantage (HMO D-SNP) – H1205-007-0 Queens, Bronx, Kings, New York Tier 1: $0.00 n/a
Integra Harmony (HMO D-SNP) – H1205-001-0 Queens, Bronx, Kings, New York Tier 1: 15% n/a
Integra Synergy Medicaid Advantage Plus (MAP) (HMO D-SNP) – H1205-002-0 Queens, Bronx, Kings, New York Tier 1: $0.00 n/a
MetroPlus Advantage Plan (HMO D-SNP) – H0423-001-0 Queens, Richmond, Bronx, Kings, New York Tier 1: 15% n/a
MetroPlus UltraCare (HMO D-SNP) – H0423-007-0 Queens, Richmond, Bronx, Kings, New York Tier 1: $0.00 n/a
VillageCareMAX Medicare Health Advantage (HMO D-SNP) – H2168-001-0 Queens, Bronx, Kings, New York Tier 1: 15% n/a
WellCare Patriot (HMO) – H4868-003-0 Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus This Plan does NOT include Prescription Drug coverage. $6,700
WellCare Value (HMO) – H4868-019-0 Broome, Erie, Rensselaer, Chenango, Oneida, Jefferson, Niagara, Onondaga, Cayuga, Ulster, Saratoga, Schenectady, Cortland, Albany, Rockland Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $6,700
WellCare Liberty (HMO D-SNP) – H4868-002-0 Suffolk Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: 50%, Specialty Tier: 25% n/a
WellCare Access (HMO D-SNP) – H4868-004-0 Broome, Erie, Oneida, Dutchess, Suffolk, Niagara, Onondaga, Westchester, Saratoga, Orange, Schenectady, Wayne, Rockland Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 25% n/a
AARP Medicare Advantage (HMO) – H3379-040-0 Monroe, Wayne Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Aetna Medicare Elite Plan (PPO) – H5521-118-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
UnitedHealthcare Dual Complete One (HMO D-SNP) – H3387-013-0 Erie, Chautauqua, Niagara, Genesee, Wyoming, Cattaraugus Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Aetna Medicare Value Plan (HMO) – H3312-065-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
Aetna Medicare Value Plan (HMO) – H3312-002-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
Fidelis Medicare $0 Premium (HMO) – H5599-009-0 Saratoga Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 33% $7,550
Fidelis Medicaid Advantage Plus (HMO D-SNP) – H5599-008-0 Monroe, Dutchess, Onondaga, Orange, Wayne Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $40.00, Non-Preferred Drug: 50%, Specialty Tier: 25% n/a
Empire MediBlue Dual Advantage (HMO D-SNP) – H8432-039-2 Montgomery, Rensselaer, Schoharie, Fulton, Essex, Saratoga, Warren, Schenectady, Washington, Clinton, Albany Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
AARP Medicare Advantage (HMO) – H3307-025-0 Sullivan, Putnam, Dutchess, Ulster Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $6,700
MVP Medicare WellSelect with Part D (PPO) – H9615-010-0 Sullivan, Putnam, Dutchess, Westchester, Ulster, Orange, Rockland Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 27% $7,550
Medicare Blue Choice Select (HMO) – H3351-016-0 Ontario, Monroe, Seneca, Yates, Wayne, Livingston Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 26% $7,550
Montefiore + Oscar Easy Care (HMO) – H7322-001-0 Bronx Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $6,700
AARP Medicare Advantage (HMO) – H3379-041-0 Monroe, Wayne Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $6,700
EmblemHealth VIP Dual (HMO D-SNP) – H3330-042-2 Suffolk Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Empire MediBlue Dual Advantage Select (HMO D-SNP) – H8432-034-0 Suffolk Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
AARP Medicare Advantage Plan 1 (HMO) – H3307-012-0 Westchester, Orange, Rockland Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $6,700
Healthfirst Signature (HMO) – H1722-002-0 Westchester Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
Oscar Easy Care (HMO) – H7322-002-0 Saratoga Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $6,700
Empire MediBlue Core (HMO) – H8432-037-2 Saratoga This Plan does NOT include Prescription Drug coverage. $6,950
WellCare Absolute (PPO) – H0088-002-0 New York Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $7,550

Standalone Medicare Part D Plans in New York

If you need to purchase Part D Medicare coverage in New York as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your NY Medicare Advantage plan doesn’t already include Part D prescription drug coverage.

Standalone Medicare Part D Plans in New York

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 178 – 0
by Aetna Medicare
Monthly Premium: $7.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $19.00
Tier 3: $46.00
Tier 4: 49%
Tier 5: 25%
Elixir RxPlus (PDP)
S7694 – 121 – 0
by Elixir Insurance
Monthly Premium: $15.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 172 – 0
by WellCare
Monthly Premium: $15.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5552 – 006 – 0
by Humana
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: 16%
Tier 4: 35%
Tier 5: 25%
WellCare Value Script (PDP)
S4802 – 138 – 0
by WellCare
Monthly Premium: $17.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
Express Scripts Medicare – Saver (PDP)
S5983 – 007 – 0
by Express Scripts Medicare
Monthly Premium: $23.60
Annual Deductable: $285
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $35.00
Tier 4: 50%
Tier 5: 28%
Cigna Secure-Essential Rx (PDP)
S5617 – 282 – 0
by Cigna
Monthly Premium: $24.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 40%
Tier 5: 25%
Blue Rx Enhanced (PDP)
S3375 – 003 – 0
by BlueCross BlueShield: Empire, Excellus, WNY & NEN
Monthly Premium: $30.70
Annual Deductable: $325
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $3.00
Tier 3: 20%
Tier 4: 39%
Tier 5: 27%
Express Scripts Medicare – Value (PDP)
S5983 – 004 – 0
by Express Scripts Medicare
Monthly Premium: $33.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $20.00
Tier 4: 46%
Tier 5: 25%
WellCare Classic (PDP)
S4802 – 077 – 0
by WellCare
Monthly Premium: $34.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $4.00
Tier 3: $30.00
Tier 4: 33%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 006 – 0
by Aetna Medicare
Monthly Premium: $35.00
Annual Deductable: $290
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 40%
Tier 5: 27%
Elixir RxSecure (PDP)
S7694 – 003 – 0
by Elixir Insurance
Monthly Premium: $35.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: 15%
Tier 4: 34%
Tier 5: 25%
WellCare Medicare Rx Saver (PDP)
S5810 – 037 – 0
by WellCare
Monthly Premium: $36.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $42.00
Tier 4: 35%
Tier 5: 25%
Humana Basic Rx Plan (PDP)
S5552 – 004 – 0
by Humana
Monthly Premium: $37.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
Cigna Secure Rx (PDP)
S5617 – 013 – 0
by Cigna
Monthly Premium: $38.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $25.00
Tier 4: 50%
Tier 5: 25%
WellCare Medicare Rx Select (PDP)
S5810 – 277 – 0
by WellCare
Monthly Premium: $40.20
Annual Deductable: $300
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $47.00
Tier 4: 42%
Tier 5: 27%
AARP MedicareRx Walgreens (PDP)
S5921 – 382 – 0
by UnitedHealthcare
Monthly Premium: $40.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Blue Rx Standard (PDP)
S3375 – 001 – 0
by BlueCross BlueShield: Empire, Excellus, WNY & NEN
Monthly Premium: $49.10
Annual Deductable: $440
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $34.00
Tier 4: 32%
Tier 5: 25%
EmblemHealth VIP Rx (PDP)
S5966 – 003 – 0
by EmblemHealth Medicare PDP
Monthly Premium: $49.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $12.00
Tier 3: $40.00
Tier 4: 33%
Tier 5: 25%
Cigna Secure-Extra Rx (PDP)
S5617 – 248 – 0
by Cigna
Monthly Premium: $50.00
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $4.00
Tier 2: $10.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
AARP MedicareRx Saver Plus (PDP)
S5921 – 379 – 0
by UnitedHealthcare
Monthly Premium: $70.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $8.00
Tier 3: $31.00
Tier 4: 40%
Tier 5: 25%
Humana Premier Rx Plan (PDP)
S5552 – 005 – 0
by Humana
Monthly Premium: $72.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $45.00
Tier 4: 39%
Tier 5: 25%
EmblemHealth VIP Rx Plus (PDP)
S5966 – 004 – 0
by EmblemHealth Medicare PDP
Monthly Premium: $72.50
Annual Deductable: $285
Zero Premium If Full LIS Benefits: No
ICL: $3,970
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $0.00
Tier 3: $35.00
Tier 4: $95.00
Tier 5: 28%
Blue Rx Plus (PDP)
S3375 – 002 – 0
by BlueCross BlueShield: Empire, Excellus, WNY & NEN
Monthly Premium: $72.70
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 33%
SilverScript Plus (PDP)
S5601 – 007 – 0
by Aetna Medicare
Monthly Premium: $76.60
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $47.00
Tier 4: 48%
Tier 5: 33%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 200 – 0
by WellCare
Monthly Premium: $82.00
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $47.00
Tier 4: 43%
Tier 5: 33%
Express Scripts Medicare – Choice (PDP)
S5983 – 006 – 0
by Express Scripts Medicare
Monthly Premium: $87.60
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
AARP MedicareRx Preferred (PDP)
S5805 – 001 – 0
by UnitedHealthcare
Monthly Premium: $94.80
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $5.00
Tier 2: $10.00
Tier 3: $45.00
Tier 4: 40%
Tier 5: 33%

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Medicare Advantage in New York
Medicare Advantage in New York