MedicarePartD.guide

A non-government resource built from CMS public data

Medicare Blue Choice Prime (HMO)

Available to residents of Livingston County, NY for 2026. Contract H3351, plan 023, segment 0.

Plan details

Monthly premium$55.00
Drug deductible$615.00Tier 1 exempt
Plan typeMedicare Advantage
Contract / planH3351-023-0
Offered byExcellus Health Plan, Inc
Parent organizationLifetime Healthcare, Inc.
Formulary drugs4,068

CMS star ratings

Overall
4 out of 5 stars for Overall
Health plan (Part C)
4 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
4 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$4.00
Tier 2$15.00
Tier 321%
Tier 425%
Tier 525%

Also available in 5 other NY counties