Medicare Advantage Plans for New York County, New York

  • 109 Total Plans
  • 289,365 Seniors Eligible for Medicare
  • 128,964 Seniors on Medicare Advantage (45%)
  • 7 plans with 3,064 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 55 plans with 88,411 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 32% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
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 30,222
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 12,346
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-014-0 		HMO $200 per Month Yes $0 Yes $1,500 No No Yes Yes No 5,479
Healthfirst Medicare Plan Healthfirst CompleteCare (HMO D-SNP)
H3359-034-0 		HMO $0 per Month No $0 No 5,433
Healthfirst Medicare Plan Healthfirst Increased Benefits Plan (HMO)
H3359-019-0 		HMO $0 per Month No $0 Yes No No Yes Yes No 4,991
UnitedHealthcare AARP Medicare Advantage Mosaic Choice (PPO)
H3418-001-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 4,745
Healthfirst Medicare Plan Healthfirst 65 Plus Plan (HMO)
H3359-001-0 		HMO No $0 Yes No No Yes Yes No 4,415
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3307-002-0 		HMOPOS No $0 Yes Yes No Yes Yes No 3,996
UnitedHealthcare AARP Medicare Advantage Prime (HMO-POS)
H3307-015-0 		HMOPOS No $0 Yes Yes No Yes Yes No 3,421
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 3,161
Healthfirst Medicare Plan Healthfirst Signature (HMO)
H5989-011-0 		HMO $70 per Quarter No $280 Yes No No Yes Yes No 2,666
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 2,646
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-120-0 		Local PPO No $0 Yes $2,500 No No Yes No No 2,638
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 2,443
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 1,866
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,652
MetroPlus Health Plan MetroPlus Advantage Plan (HMO D-SNP)
H0423-001-0 		HMO $0 per Month No $0 Yes $500 No No No Yes No 1,626
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3379-001-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,597
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 1,571
Humana HumanaChoice H5970-024 (PPO)
H5970-024-2 		Local PPO No $0 Yes No No Yes No No 1,564
EmblemHealth EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0 		HMO No $0 No 1,549
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,511
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus (HMO)
H1732-004-0 		HMO $35 per Quarter Yes $140 Yes $1,500 No No Yes Yes No 1,442
EmblemHealth EmblemHealth VIP Premier (HMO)
H3330-814-0 		HMO No $0 No 1,422
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 1,254
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-312-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 1,159
Wellcare Wellcare Giveback Open (PPO)
H0088-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 1,146
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus Select (HMO)
H1732-007-0 		HMO $35 per Quarter Yes $140 Yes $1,500 No No Yes Yes No 1,067
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 1,024
Anthem BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-027-0 		HMO $27 per Quarter Yes $108 No 932
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3312-069-0 		HMO $215 per Month No $0 Yes $2,500 No No Yes No No 902
EmblemHealth EmblemHealth VIP Reserve Classic (HMO)
H3330-046-0 		HMO $25 per Month No $300 Yes $750 No No No No No 784
VNS Health Medicare VNS Health Total (HMO D-SNP)
H5549-003-0 		HMO $266 per Month No $0 Yes $1,500 Yes No No No No 718
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-040-0 		Local PPO No $0 Yes $2,500 No No Yes No No 705
Wellcare Wellcare No Premium Open (PPO)
H0088-003-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 703
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 664
Humana Humana Gold Plus H3533-032 (HMO)
H3533-032-2 		HMO $25 per Quarter No $100 Yes No No Yes No No 643
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 613
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage Select (HMO D-SNP)
H8432-028-0 		HMO $210 per Quarter Yes $840 Yes $1,500 Yes No Yes Yes No 542
Elderplan Elderplan For Medicaid Beneficiaries (HMO D-SNP)
H3347-002-0 		HMO $210 per Month No $0 Yes $1,300 No No Yes Yes No 503
Anthem BlueCross BlueShield Empire MediBlue Extra Select (HMO)
H8432-035-0 		HMO $90 per Quarter Yes $360 Yes $2,000 No No Yes Yes No 487
EmblemHealth EmblemHealth VIP Gold (HMO)
H3330-021-3 		HMO No $0 Yes $2,400 No No No No No 470
Elderplan Elderplan Plus Long Term Care (HMO D-SNP)
H3347-007-0 		HMO $270 per Month No $0 Yes $1,300 No No Yes Yes No 412
Partners Health Plan PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)
H9869-001-0 		Medicare-Medicaid Plan HMO $0 per Month No $0 Yes Yes No No Yes No 405
Wellcare Wellcare Assist (HMO)
H4868-016-0 		HMO $47 per Quarter No $188 Yes $2,000 No No Yes Yes No 390
VillageCareMAX VillageCareMAX Medicare Total Advantage (HMO D-SNP)
H2168-002-0 		HMO $0 per Month Yes $0 Yes No No No No No 383
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-007-0 		HMO $155 per Quarter Yes $620 No 377
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2292-002-0 		Local PPO $190 per Quarter Yes $760 Yes $2,000 Yes No Yes Yes No 356
UnitedHealthcare UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP)
H3387-015-2 		HMOPOS $57 per Month No $0 Yes $2,000 Yes No Yes Yes No 351
VNS Health Medicare VNS Health EasyCare Plus (HMO D-SNP)
H5549-011-0 		HMO $225 per Month No $0 Yes $1,400 Yes No No No No 343
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-082-0 		Local PPO $130 per Quarter No $520 Yes No No Yes No No 329
Elderplan Elderplan Extra Help (HMO)
H3347-009-0 		HMO $140 per Quarter No $560 Yes $1,000 No No Yes Yes No 316
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 316
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-060-2 		Local PPO $163 per Month No $0 Yes $2,000 Yes No Yes Yes No 300
ArchCare Advantage ArchCare Advantage (HMO I-SNP)
H1777-007-0 		HMO $120 per Month No $1,440 Yes $1,500 No Yes No Yes No 268
Humana Humana Gold Plus H3533-027 (HMO)
H3533-027-0 		HMO No $0 Yes No No Yes No No 255
EmblemHealth EmblemHealth VIP Dual Reserve (HMO D-SNP)
H5991-010-0 		HMO $20 per Month No $0 No 242
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 233
Wellcare by Fidelis Care Wellcare Fidelis Assist (HMO-POS)
H5599-002-0 		HMOPOS $28 per Month Yes $0 Yes $700 Yes No Yes Yes No 224
CenterLight Healthcare PACE CenterLight Healthcare PACE Dual Eligible (PACE)
H3329-001-0 		National PACE No $0 No 200
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 197
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 194
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 188
ArchCare Senior Life ArchCare Senior Life - Dual (PACE)
H4393-001-0 		National PACE No $0 No 186
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-072-0 		HMO No $0 Yes $1,500 No No Yes No No 182
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 178
Elderplan Elderplan Advantage For Nursing Home Residents (HMO I-SNP)
H3347-003-0 		HMO $150 per Month No $0 Yes $2,000 No No Yes Yes No 129
Aetna Medicare Aetna Medicare Elite Plan 3 (PPO)
H5521-310-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 127
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 123
Elderplan Elderplan Flex (HMO)
H3347-016-0 		HMO $140 per Quarter No $560 Yes $1,000 No No Yes Yes No 122
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 112
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 109
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H3307-018-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 105
VNS Health Medicare VNS Health EasyCare (HMO)
H5549-012-0 		HMO $87 per Quarter No $348 Yes $1,000 Yes No No No No 100
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H8457-001-0 		HMO $155 per Quarter No $620 Yes $1,300 Yes No No Yes No 91
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 88
VillageCareMAX VillageCareMAX Medicare Health Advantage (HMO D-SNP)
H2168-001-0 		HMO $0 per Month Yes $0 Yes $1,500 No No No Yes No 86
Centers Plan for Healthy Living Centers Plan for Medicaid Advantage Plus (HMO D-SNP)
H6988-004-0 		HMO $290 per Month No $0 Yes $2,000 No No No No No 70
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 69
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-320-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 68
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 65
Wellcare by Fidelis Care Wellcare Fidelis Dual Plus (HMO D-SNP)
H5599-003-0 		HMO $184 per Month Yes $0 Yes $2,000 No No Yes Yes No 63
EmblemHealth EmblemHealth VIP Gold Plus (HMO)
H3330-038-0 		HMO No $0 Yes $3,000 No No No No No 61
Centers Plan for Healthy Living Centers Plan for Dual Coverage Care (HMO D-SNP)
H6988-002-0 		HMO $190 per Month No $0 Yes $2,000 No No No No No 59
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-822-0 		Local PPO No $0 No 50
MetroPlus Health Plan MetroPlus Platinum Plan (HMO)
H0423-004-0 		HMO No $0 Yes $500 No No No Yes Yes 42
Centers Plan for Healthy Living Centers Plan for Medicare Advantage Care (HMO)
H6988-001-0 		HMO $100 per Quarter No $400 Yes $2,000 No No No No No 35
RiverSpring Health Plans RiverSpring MAP (HMO D-SNP)
H6776-002-0 		HMO $155 per Month No $0 No 33
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H3307-802-0 		HMO No $0 No 33
Hamaspik, Inc. Hamaspik Medicare Choice (HMO D-SNP)
H0034-002-0 		HMO $180 per Month No $0 No 32
Healthfirst Medicare Plan Healthfirst Signature (PPO)
H9678-001-0 		Local PPO No $0 Yes No No Yes Yes No 28
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 26
Humana HumanaChoice SNP-DE H5970-026 (PPO D-SNP)
H5970-026-0 		Local PPO $2,400 per Month No $0 Yes $1,000 Yes No Yes No No 24
Senior Whole Health of New York Senior Whole Health of New York NHC (HMO D-SNP)
H5992-007-0 		HMO $300 per Quarter No $1,200 No 24
Hamaspik, Inc. Hamaspik Medicare Select (HMO D-SNP)
H0034-001-0 		HMO $170 per Month No $0 No 22
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus Dual Plus (HMO D-SNP)
H1732-001-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 21
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (HMO I-SNP)
H3379-002-0 		HMO No $0 No 21
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-002-0 		HMO No $0 Yes $1,500 No No Yes No No 18
Elderplan Elderplan Assist (HMO I-SNP)
H3347-015-0 		HMO $120 per Month No $0 Yes $2,000 No No Yes Yes No 18
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 16
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 16
RiverSpring Health Plans RiverSpring Star (HMO I-SNP)
H6776-001-0 		HMO $185 per Month No $0 No 15
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 14
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 14
ArchCare Senior Life ArchCare Senior Life - Medicare only (PACE)
H4393-002-0 		National PACE No $0 No 13
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 12
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 11
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