There are 60 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
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Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible | (Donut Hole) Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$7,000 |
No Rx Coverage | H5521 -323 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$7,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 CDPHP Flex (PPO)
| $0.00 |
$6,100 |
No Rx Coverage | H5042 -012 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 CDPHP Flex (PPO)
| $0.00 |
$6,100 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | H5970 -016 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Medicare BlueSalute (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | H3335 -044 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Medicare BlueSalute (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 MVP Medicare Preferred Gold without Part D (HMO-POS)
| $0.00 |
$6,700 |
No Rx Coverage | H3305 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 MVP Medicare Preferred Gold without Part D (HMO-POS)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | R5342 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 UHC Medicare Advantage Patriot No Rx NY-MA02 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Advantage No Premium (PFFS)
| $0.00 |
n/a |
No Rx Coverage | H2816 -038 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
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2024 Wellcare Advantage No Premium (PFFS)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H3379 -050 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC NY-0024 (HMO-POS)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H3418 -010 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC NY-0026 (PPO)
| $0.00 |
$7,550 |
$195 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Credit Plan (PPO)
| $0.00 |
$7,550 |
$350 | Yes, some additional gap coverage. | H5521 -313 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Credit Plan (PPO)
| $0.00 |
$8,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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2023 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$7,550 |
$195 | Yes, some additional gap coverage. | H5521 -077 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$7,550 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Aetna Medicare Value Plan (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | H3312 -048 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (HMO)
| $0.00 |
$7,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 CDPHP $0 Medicare Rx (HMO)
| $0.00 |
$7,000 |
$250 | No additional gap coverage, only the Donut Hole Discount | H3388 -014 -0 | $3.00 | $17.00 | $47.00 | $47.00 | 3,419
2023 Formulary |
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2024 CDPHP $0 Medicare Rx (HMO)
| $0.00 |
$7,000 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,457 2024 Formulary |
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2023 CDPHP Vital Rx (PPO)
| $0.00 |
$7,500 |
$300 | No additional gap coverage, only the Donut Hole Discount | H5042 -009 -0 | $3.00 | $17.00 | $47.00 | $47.00 | 3,419
2023 Formulary |
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2024 CDPHP Vital Rx (PPO)
| $0.00 |
$7,500 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,457 2024 Formulary |
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2023 Humana Gold Plus H3533-006 (HMO)
| $0.00 |
$6,500 |
$300 | Yes, some additional gap coverage. | H3533 -006 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H3533-006 (HMO)
| $0.00 |
$7,550 |
$350 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5970-015 (PPO)
| $0.00 |
$4,900 |
$250 | Yes, some additional gap coverage. | H5970 -015 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5970-015 (PPO)
| $0.00 |
$5,300 |
$250 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5970-018 (PPO)
| $0.00 |
$4,800 |
$310 | Yes, some additional gap coverage. | H5970 -018 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5970-018 (PPO)
| $0.00 |
$5,350 |
$310 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 MVP Medicare WellSelect with Part D (PPO)
| $0.00 |
$7,550 |
$300 | No additional gap coverage, only the Donut Hole Discount | H9615 -008 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,598
2023 Formulary |
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2024 MVP Medicare WellSelect with Part D (PPO)
| $0.00 |
$7,550 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,651 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Fidelis No Premium (HMO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount | H5599 -004 -0 | $0.00 | $15.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
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2024 Wellcare Fidelis No Premium (HMO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
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2023 Wellcare Giveback Open (PPO)
| $0.00 |
$7,550 |
$325 | Yes, some additional gap coverage. | H2775 -111 -0 | $0.00 | $7.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback Open (PPO)
| $0.00 |
$8,300 |
$500 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
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2023 Wellcare No Premium Open (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | H2775 -106 -0 | $0.00 | $7.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$6,700 |
$450 | Yes, some additional gap coverage. | $0.00 | $7.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Assist Open (PPO)
| $8.70 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount | H2775 -113 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist Open (PPO)
| $20.60 |
$6,700 |
$510 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
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2023 UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H2292 -001 -0 | | | | | 3,682
2023 Formulary |
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-- |
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2024 UHC Nursing Home Plan NY-F001 (PPO I-SNP)
| $23.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
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2023 Humana Gold Plus H3533-013 (HMO)
| $25.00 |
$6,000 |
$275 | Yes, some additional gap coverage. | H3533 -013 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H3533-013 (HMO)
| $25.00 |
$6,000 |
$275 | Yes, some additional gap coverage. | $4.00 | $12.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5970-001 (PPO)
| $15.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | H5970 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5970-001 (PPO)
| $27.00 |
$4,950 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 Wellcare Fidelis Assist (HMO-POS)
| $17.30 |
$7,550 |
$505 | No additional gap coverage, only the Donut Hole Discount | H5599 -002 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Fidelis Assist (HMO-POS)
| $27.50 |
$7,550 |
$430 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
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2023 Aetna Medicare Discover Value Plan (PPO)
| $23.00 |
$7,550 |
$250 | Yes, some additional gap coverage. | H5521 -340 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Discover Value Plan (PPO)
| $28.00 |
$8,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | 20% | 20% | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
| $16.00 |
$7,200 |
$200 | Yes, some additional gap coverage. | R5342 -001 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 UHC Medicare Advantage NY-0020 (Regional PPO)
| $29.00 |
$7,900 |
$295 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 CDPHP Basic RX (HMO)
| $31.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | H3388 -013 -0 | $3.00 | $15.00 | $45.00 | $45.00 | 3,419
2023 Formulary |
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2024 CDPHP Basic RX (HMO)
| $31.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 3,457 2024 Formulary |
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2023 CDPHP Flex Rx (PPO)
| $39.40 |
$6,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | H5042 -011 -0 | $2.00 | $14.00 | $44.00 | $44.00 | 3,419
2023 Formulary |
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2024 CDPHP Flex Rx (PPO)
| $34.80 |
$6,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $44.00 | $44.00 | 3,457 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H5521 -461 -0 | | | | | |
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2024 Aetna Medicare Longevity Plan (PPO I-SNP)
| $38.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
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2023 Aetna Medicare Assure Plan (HMO D-SNP)
| $17.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H3312 -070 -0 | | | | | 3,597
2023 Formulary |
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2024 Aetna Medicare Assure Plan (HMO D-SNP)
| $38.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 MVP Medicare Secure with Part D (HMO-POS)
| $40.00 |
$7,550 |
$150 | No additional gap coverage, only the Donut Hole Discount | H3305 -032 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,598
2023 Formulary |
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2024 MVP Medicare Secure with Part D (HMO-POS)
| $39.50 |
$7,550 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,651 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 CDPHP Choice (HMO)
| $39.90 |
$6,100 |
No Rx Coverage | H3388 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 CDPHP Choice (HMO)
| $39.90 |
$6,100 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Wellcare Advantage Premium Enhanced (PFFS)
| $60.00 |
n/a |
No Rx Coverage | H2816 -037 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
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2024 Wellcare Advantage Premium Enhanced (PFFS)
| $40.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)
| $32.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H3533 -002 -0 | | | | | 3,404
2023 Formulary |
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2024 Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)
| $40.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice SNP-DE H5970-020 (PPO D-SNP)
| $32.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5970 -020 -0 | | | | | 3,404
2023 Formulary |
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2024 HumanaChoice SNP-DE H5970-020 (PPO D-SNP)
| $41.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 MVP Medicare Patriot Plan with Part D (PPO)
| $45.00 |
$7,550 |
$250 | No additional gap coverage, only the Donut Hole Discount | H9615 -018 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,598
2023 Formulary |
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|
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2024 MVP Medicare Patriot Plan with Part D (PPO)
| $42.40 |
$7,550 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $45.00 | $45.00 | 3,651 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP)
| $34.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H3387 -015 -1 | | | | | 3,682
2023 Formulary |
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2024 UHC Dual Complete NY-Q001 (HMO-POS D-SNP)
| $42.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Medicare Blue Dual (HMO D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H7524 -003 -0 | $0.00 | $20.00 | $47.00 | $47.00 | n/a |
new |
new |
new |
|
2024 Medicare Blue Dual (HMO D-SNP)
| $42.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | tbd |
|
2023 Wellcare Fidelis Dual Access (HMO D-SNP)
| $24.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5599 -001 -0 | | | | | 3,394
2023 Formulary |
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|
|
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2024 Wellcare Fidelis Dual Access (HMO D-SNP)
| $44.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Medicare Blue Dual Secure (HMO D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H7524 -004 -0 | $0.00 | $20.00 | $47.00 | $47.00 | n/a |
new |
new |
new |
|
2024 Medicare Blue Dual Secure (HMO D-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | tbd |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Nascentia Dual Advantage (HMO D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H9066 -003 -0 | | | | | 3,346
2023 Formulary |
|
-- |
-- |
|
2024 Nascentia Dual Advantage (HMO D-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2024 Formulary |
|
2023 Nascentia Medicaid Advantage Plus (HMO D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H9066 -001 -0 | | | | | 3,346
2023 Formulary |
|
-- |
-- |
|
2024 Nascentia Medicaid Advantage Plus (HMO D-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2024 Formulary |
|
2023 Nascentia Skilled Nursing Facility (HMO I-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H9066 -002 -0 | | | | | 3,346
2023 Formulary |
|
-- |
-- |
|
2024 Nascentia Skilled Nursing Facility (HMO I-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H0271 -060 -1 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete NY-S001 (PPO D-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H3387 -014 -1 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete NY-S002 (HMO-POS D-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H2775 -112 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Fidelis Dual Plus (HMO D-SNP)
| $26.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5599 -008 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Fidelis Dual Plus (HMO D-SNP)
| $48.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 CDPHP Value Rx (HMO)
| $58.30 |
$6,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | H3388 -004 -0 | $2.00 | $13.00 | $42.00 | $42.00 | 3,419
2023 Formulary |
|
|
|
|
2024 CDPHP Value Rx (HMO)
| $53.80 |
$6,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,457 2024 Formulary |
|
2023 UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
| $44.00 |
$6,900 |
$100 | Yes, some additional gap coverage. | R5342 -005 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage NY-0021 (Regional PPO)
| $56.00 |
$7,500 |
$195 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
| $82.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | R5342 -006 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage NY-0022 (Regional PPO)
| $88.00 |
$7,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 MVP Medicare Secure Plus with Part D (HMO-POS)
| $90.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | H3305 -022 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,598
2023 Formulary |
|
|
|
|
2024 MVP Medicare Secure Plus with Part D (HMO-POS)
| $97.50 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $45.00 | $45.00 | 3,651 2024 Formulary |
|
2023 Medicare BluePlus (PPO)
| $114.00 |
$6,100 |
$505 | No additional gap coverage, only the Donut Hole Discount | H3335 -018 -0 | $6.00 | $15.00 | $42.00 | $42.00 | 4,208
2023 Formulary |
|
|
|
|
2024 Medicare BluePlus (PPO)
| $109.40 |
$6,100 |
$545 | No additional gap coverage, only the Donut Hole Discount | $14.00 | $15.00 | $42.00 | $42.00 | 4,226 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Premium Ultra Open (PPO)
| $115.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | H2775 -105 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Premium Ultra Open (PPO)
| $110.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 MVP Medicare WellSelect Plus with Part D (PPO)
| $125.00 |
$6,500 |
$0 | Yes, some additional gap coverage. | H9615 -007 -0 | $0.00 | $10.00 | $35.00 | $35.00 | 3,598
2023 Formulary |
|
|
|
|
2024 MVP Medicare WellSelect Plus with Part D (PPO)
| $122.40 |
$6,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $35.00 | $35.00 | 3,651 2024 Formulary |
|
2023 CDPHP Choice Rx (HMO)
| $128.50 |
$6,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | H3388 -002 -0 | $0.00 | $11.00 | $40.00 | $40.00 | 3,419
2023 Formulary |
|
|
|
|
2024 CDPHP Choice Rx (HMO)
| $124.00 |
$6,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,457 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 MVP Medicare Preferred Gold with Part D (HMO-POS)
| $140.00 |
$5,800 |
$0 | Yes, some additional gap coverage. | H3305 -021 -0 | $0.00 | $10.00 | $35.00 | $35.00 | 3,598
2023 Formulary |
|
|
|
|
2024 MVP Medicare Preferred Gold with Part D (HMO-POS)
| $147.40 |
$5,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $35.00 | $35.00 | 3,651 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -459 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Platinum Plan (PPO)
| $150.00 |
$4,300 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 Medicare Bassett (HMO-POS)
| $109.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | H3351 -015 -0 | $0.00 | $8.00 | $40.00 | $40.00 | 4,208
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|