Medicare Advantage Plans for New York
3,160,153 Total Medicare Advantage Enrollees
OTC Supplemental Benefits | Prescription Hearing Aid Coverage | ||||||||||||
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Company | Plan name | Plan type | OTC Supplement | OTC Rolls Over? | Annual OTC Supplement | Coverage? | Covered Amount | Covers OTC Aids? | Coinsurance? | Copay? | Prior Authorization? | Need Referral? | New York Enrollees |
Healthfirst Medicare Plan |
Healthfirst Life Improvement Plan (HMO D-SNP) H3359-021-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | Yes | No | 148,319 | |
UnitedHealthcare |
UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) H3387-014-2 |
HMOPOS | $193 per Month | No | $0 | Yes | $2,000 | Yes | No | Yes | Yes | No | 121,761 |
UnitedHealthcare |
UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) R5342-001-0 |
Regional PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 79,665 | ||
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 54,430 | |||||||
Wellcare by Fidelis Care |
Wellcare Fidelis Dual Access (HMO D-SNP) H5599-001-0 |
HMO | $123 per Month | Yes | $0 | Yes | $700 | No | No | Yes | Yes | No | 44,808 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 35,396 | |||||||
Wellcare |
Wellcare Dual Access (HMO D-SNP) H4868-014-0 |
HMO | $200 per Month | Yes | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 34,809 |
Aetna Medicare |
Aetna Medicare Elite Plan (PPO) H5521-120-0 |
Local PPO | No | $0 | Yes | $2,500 | No | No | Yes | No | No | 34,659 | |
Wellcare |
Wellcare No Premium Open (PPO) H2775-106-0 |
Local PPO | $84 per Quarter | No | $336 | Yes | $1,500 | No | No | Yes | Yes | No | 34,433 |
Wellcare |
Wellcare Giveback Open (PPO) H2775-111-0 |
Local PPO | No | $0 | Yes | $700 | No | No | Yes | Yes | No | 34,319 | |
Excellus Health Plan, Inc |
Medicare Blue Choice Select (HMO) H3351-016-0 |
HMO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 29,800 | |
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 29,151 | |||||||
Healthfirst Medicare Plan |
Healthfirst Increased Benefits Plan (HMO) H3359-019-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | Yes | No | 26,955 | |
Humana |
HumanaChoice H5970-024 (PPO) H5970-024-2 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 26,596 | ||
Healthfirst Medicare Plan |
Healthfirst 65 Plus Plan (HMO) H3359-001-0 |
HMO | No | $0 | Yes | No | No | Yes | Yes | No | 26,175 | ||
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Highmark Blue Cross Blue Shield BlueSaver (HMO) H3384-062-0 |
HMO | $25 per Quarter | Yes | $100 | Yes | No | No | Yes | No | No | 24,239 | |
Excellus Health Plan, Inc |
Medicare BlueEssential (PPO) H3335-053-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 22,842 | |
Healthfirst Medicare Plan |
Healthfirst CompleteCare (HMO D-SNP) H3359-034-0 |
HMO | $0 per Month | No | $0 | No | 22,749 | ||||||
UnitedHealthcare |
AARP Medicare Advantage Mosaic Choice (PPO) H3418-001-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 21,296 | |
EmblemHealth |
EmblemHealth VIP Dual (HMO D-SNP) H3330-042-3 |
HMO | $110 per Month | No | $1,320 | Yes | $1,500 | No | No | No | No | No | 20,743 |
Healthfirst Medicare Plan |
Healthfirst Signature (HMO) H5989-011-0 |
HMO | $70 per Quarter | No | $280 | Yes | No | No | Yes | Yes | No | 19,722 | |
Excellus Health Plan, Inc |
Medicare BlueClassic (PPO) H3335-038-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 17,537 | |
Humana |
HumanaChoice H5970-015 (PPO) H5970-015-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 17,379 | |
UnitedHealthcare |
AARP Medicare Advantage Plan 1 (HMO-POS) H3307-002-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 17,201 | ||
Independent Health |
Independent Health's Encompass 65 Core (HMO) H3362-033-0 |
HMO | $25 per Quarter | Yes | $100 | Yes | No | No | Yes | No | No | 17,167 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 16,146 | |||||||
Independent Health |
Independent Health's Encompass 65 Basic (HMO) H3362-017-0 |
HMO | $25 per Quarter | Yes | $100 | Yes | No | No | Yes | No | No | 15,572 | |
EmblemHealth |
EmblemHealth VIP Rx Carveout (HMO) H3330-815-0 |
HMO | No | $0 | No | 15,346 | |||||||
ANTHEM BLUE CROSS AND BLUE SHIELD |
Empire MediBlue HealthPlus Dual Connect (HMO D-SNP) H1732-003-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 15,257 |
EmblemHealth |
EmblemHealth VIP Premier (HMO) H3330-814-0 |
HMO | No | $0 | No | 15,140 | |||||||
Excellus Health Plan, Inc |
Medicare Blue Choice - Group (HMO-POS) H3351-802-0 |
HMOPOS | No | $0 | No | 14,075 | |||||||
Wellcare |
Wellcare Dual Access Open (PPO D-SNP) H2775-112-0 |
Local PPO | $84 per Month | Yes | $0 | Yes | $2,000 | No | No | Yes | Yes | No | 13,776 |
Aetna Medicare |
Aetna Medicare Premier Plan (PPO) H5521-077-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 13,772 |
Aetna Medicare |
Aetna Medicare Value Plan (HMO) H3312-048-0 |
HMO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 13,530 |
UnitedHealthcare |
AARP Medicare Advantage Prime (HMO-POS) H3307-015-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 13,088 | ||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-870-0 |
Local PPO | No | $0 | No | 12,254 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 12,153 | |||||||
Wellcare |
Wellcare No Premium (HMO) H4868-019-0 |
HMO | No | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 12,063 | |
Wellcare |
Wellcare Assist Open (PPO) H2775-113-0 |
Local PPO | $45 per Month | Yes | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 11,402 |
Anthem BlueCross BlueShield |
Empire MediBlue Plus (HMO) H8432-008-7 |
HMO | No | $0 | No | 11,382 | |||||||
Humana |
Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP) H3533-034-2 |
HMO | $1,860 per Month | No | $0 | Yes | $1,000 | Yes | No | Yes | No | No | 11,277 |
Humana |
Humana Medicare Employer (PPO) H5970-801-0 |
Local PPO | No | $0 | No | 11,009 | |||||||
CDPHP Medicare Advantage |
CDPHP Group Medicare Rx (HMO) H3388-803-0 |
HMO | No | $0 | No | 10,897 | |||||||
Humana |
HumanaChoice H5970-018 (PPO) H5970-018-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 10,784 | |
Excellus Health Plan, Inc |
Univera SeniorChoice Basic (HMO) H3351-017-0 |
HMO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 10,683 | |
UnitedHealthcare |
AARP Medicare Advantage (HMO-POS) H3379-040-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 10,618 | |
Independent Health |
Independent Health's Encompass 65 Element (HMO) H3362-038-0 |
HMO | $25 per Quarter | Yes | $100 | Yes | No | No | Yes | No | No | 10,316 | |
Humana |
HumanaChoice SNP-DE H5970-020 (PPO D-SNP) H5970-020-0 |
Local PPO | $2,400 per Month | No | $0 | Yes | No | No | Yes | No | No | 9,898 | |
Excellus Health Plan, Inc |
Medicare BlueEnhanced (PPO) H3335-015-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 9,895 | |
Excellus Health Plan, Inc |
Medicare Blue PPO Group (PPO) H3335-811-0 |
Local PPO | No | $0 | No | 9,880 |