Orleans County, New York Medicare Companies and Plans (2022)

Eligible residents can buy Orleans County Medicare plans from multiple insurance companies. Medicare plans available in Orleans County include Medicare Advantage (Part C), Part D prescription drug coverage, and Medicare Supplement (Medigap) plans. The best way to choose the right Medicare coverage in Orleans County, NY is to compare coverage and rates from multiple companies.

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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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UPDATED: Jun 17, 2022

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The Highlights

  • Medicare supplement plans in Orleans County are designed to cover out-of-pocket costs not paid for by original Medicare
  • Orleans County residents can buy Medicare Advantage or choose original Medicare
  • Standalone Medicare Part D plans in Orleans County can help cover the cost of prescriptions

Orleans County, New York Medicare plans are widely available, and Medicare-eligible residents can compare options that include Medicare Advantage, standalone Medicare Part D, and Medicare Supplement plans to fill the gaps in original Medicare.

Whether you are just looking for Medigap coverage in Orleans County to avoid out-of-pocket costs not covered by your Medicare Part A and B or want to sign up for Medicare Advantage instead, comparing your options is the best way to find affordable Orleans County, NY Medicare coverage that suits your needs.

Ready to find cheap Medicare rates in Orleans County, NY? Enter your ZIP code to compare Orleans County, New York Medicare plans today.

Medicare Advantage Companies in Orleans County, New York

A Medicare Advantage plan in Orleans County, NY can provide additional coverage above and beyond original Medicare and allows you to choose your plan, coverage, and network. Take a look at the companies that offer Medicare Advantage plans in Orleans County, New York.

Medicare Advantage Companies in Orleans County, New York

Plan Name Monthly Prem. (Parts C & D) Deductible Additional Gap Coverage Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
AARP Medicare Advantage (HMO) – H3379-040-0 $0.00 $250 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Aetna Medicare Assure Plan (HMO D-SNP) – H3312-070-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% n/a
Aetna Medicare Credit Plan (PPO) – H5521-313-0 $0.00 $250 . Tier 1 and 2 exempt Yes, some additional gap coverage. 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 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
Aetna Medicare Elite Plan (PPO) – H5521-118-0 $0.00 $250 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
Aetna Medicare Premier Plan (PPO) – H5521-076-0 $70.00 $250 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
Aetna Medicare Value Plan (PPO) – H5521-318-0 $21.00 $300 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $7,550
BlueCross BlueShield BlueSaver (HMO) – H3384-062-0 $0.00 $290 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 27% $7,550
BlueCross BlueShield Forever Blue 751 (PPO) – H5526-004-0 $204.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 33% $6,700
BlueCross BlueShield Forever Blue Value (PPO) – H5526-016-0 $145.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 33% $6,700
BlueCross BlueShield Freedom Nation (PPO) – H5526-020-0 $25.00 $300 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $4.00, 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 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $6,700
BlueCross BlueShield Senior Blue 651 (HMO) – H3384-019-0 $120.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 33% $6,700
BlueCross BlueShield Senior Blue Select (HMO) – H3384-058-0 $58.00 $190 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 29% $6,700
Fidelis Dual Advantage (HMO D-SNP) – H5599-006-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 47%, Specialty Tier: 25% n/a
Fidelis Dual Advantage Flex (HMO D-SNP) – H5599-001-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: 24%, Non-Preferred Drug: 39%, Specialty Tier: 25% n/a
Fidelis Medicare $0 Premium (HMO) – H5599-004-0 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 33% $7,550
Fidelis Medicare Advantage Flex (HMO-POS) – H5599-002-0 $7.40 $445 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: 24%, Non-Preferred Drug: 41%, Specialty Tier: 25% $7,550
Fidelis Medicare Advantage without Rx (HMO-POS) – H5599-005-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
Independent Health’s Encompass 65 (HMO) – H3362-016-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
Independent Health’s Encompass 65 Basic (HMO) – H3362-017-0 $125.00 $150 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: 43%, Specialty Tier: 30% $7,550
Independent Health’s Encompass 65 Core (HMO) – H3362-033-0 $65.00 $225 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: 46%, Specialty Tier: 29% $7,550
Independent Health’s Encompass 65 Element (HMO) – H3362-038-0 $0.00 $375 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $4.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 41%, Specialty Tier: 26% $7,550
Independent Health’s Medicare Family Choice (HMO I-SNP) – H3362-020-0 $42.30 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 33% n/a
Independent Health’s Medicare Passport Advantage (PPO) – H3344-005-0 $99.00 $100 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 40%, Specialty Tier: 31% $7,550
Independent Health’s Medicare Passport Prime (PPO) – H3344-010-0 $215.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 33% $7,550
MVP Medicare Preferred Gold with Part D (HMO-POS) – H3305-015-0 $211.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: 27%, Specialty Tier: 33% $7,550
MVP Medicare Preferred Gold without Part D (HMO-POS) – H3305-007-0 $115.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
MVP Medicare Secure with Part D (HMO-POS) – H3305-030-0 $25.00 $350 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 25% $7,550
MVP Medicare WellSelect with Part D (PPO) – H9615-012-0 $80.00 $300 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 25% $7,550
UnitedHealthcare Dual Complete (HMO D-SNP) – H3387-010-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
UnitedHealthcare Dual Complete One (HMO D-SNP) – H3387-013-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) – R5342-001-0 $16.00 $300 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $6,700
UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) – R5342-005-0 $46.00 $275 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) – R5342-006-0 $84.00 $150 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $6,700
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) – R5342-002-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $6,700
Univera SeniorChoice Advanced (HMO-POS) – H3351-019-0 $33.00 $150 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 30% $7,200
Univera SeniorChoice Basic (HMO) – H3351-017-0 $0.00 $360 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 26% $7,550
Univera SeniorChoice Secure (HMO-POS) – H3351-002-0 $121.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $4,500
Univera SeniorChoice Select (HMO-POS) – H3351-001-0 $45.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $4,500
Univera SeniorChoice Value (HMO) – H3351-010-0 $69.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $6,700
Univera SeniorChoice Value Plus (HMO-POS) – H3351-012-0 $106.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $5,000

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Medicare Supplement Companies in Orleans County, New York

If you choose original Medicare in Orleans County, NY, you can get coverage for out-of-pocket costs like deductibles, co-pays, and coinsurance with a Orleans County Medicare Supplement plan. Take a look at which companies offer Medicare Supplement plans in Orleans County, NY and which plans are available.

Medicare Supplement Companies in Orleans County, New York

Company Plans
AARP – UnitedHealthcare Insurance Company of New York (Standard) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
BlueShield of Northeastern New York Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
EmblemHealth Services Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F
Empire BlueCross New York Medigap Plan A,
Medigap Plan B,
Medigap Plan F,
Medigap Plan G,
Medigap Plan N
Globe Life Insurance Company of New York Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan D,
Medigap Plan F,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan L,
Medigap Plan N
Humana (Humana Insurance Company of New York) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan L,
Medigap Plan N
Mutual of Omaha Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan D,
Medigap Plan F,
Medigap Plan G
State Farm Mutual Automobile Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F

Orleans County, New York Medicare Supplement Coverage by Plan

Not sure which Orleans County Medicare supplement plan is right for you? Take a look at the details of each of the standard New York Medicare supplement plans to find out what’s covered.

Orleans County, New York Medicare Supplement Coverage by Plan

Plan Name Monthly Cost Copays Coinsurance Deductibles Plan Benefits
Medigap Plan A Premiums range from $169-$350 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $1,484 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: No
Part A deductible: No
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan B Premiums range from $226-$510 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: No
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan C Premiums range from $301-$511 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$0 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: Yes
Part B excess charges: No
Foreign travel emergency: Yes
Medigap Plan D Premiums range from $391-$502 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: Yes
Medigap Plan F Premiums range from $305-$514 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$0 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: Yes
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan F-high deductible Premiums range from $69-$91 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services after you pay $2,370 deductible $2,370 total plan deductible.
After, you pay: $0 Hospital (Part A) deductible,
$0 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: Yes
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan G Premiums range from $268-$476 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan G-high deductible Premiums range from $69-$91 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services after you pay $2,370 deductible $2,370 total plan deductible.
After, you pay: $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan K Premiums range from $86-$207 depending on your age, sex, health status, and when you buy. 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. $742 (50% of Part A deductible) Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan L Premiums range from $181-$297 depending on your age, sex, health status, and when you buy. 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. $371 (25% of Part A deductible) Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan M Premiums range from $524-$524 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $742 (50% of Part A deductible) Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: Yes
Medigap Plan N Premiums range from $190-$282 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services with some $20 and $50 copays $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: Yes

Standalone Medicare Part D Plans in Orleans County, New York

If you’re looking to buy a standalone Orleans County, NY Medicare Part D plan for prescription drug coverage, you have several options. Review the companies that offer Part D as a standalone policy and what sort of Medicare prescription coverage is available in Orleans County, New York.

Standalone Medicare Part D plans in Orleans County, 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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