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The 2017 Medicare Part D Plans in Richmond County New York.
2014 Medicare Part-D Plans in Richmond county New York
(Click the Plan Name for More Details)
Medicare Advantage Plans in Richmond county New York
| Plan Name | Type | Premium C+D | Part D Deductible |
Drug Benefit Type | Gap | Max Out of Pocket | Overall Rating |
| AARP MedicareComplete Essential (HMO) (H3307-018) |
Local HMO * | $0 | $5,900 | ||||
| AARP MedicareComplete Mosaic (HMO) (H3307-015) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,900 | |
| AARP MedicareComplete Plan 1 (HMO) (H3307-002) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $5,900 | |
| AARP MedicareComplete Plan 2 (HMO) (H3379-001) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $4,200 | |
| ActiveSaver MSA (MSA) (H9788-004) |
MSA * | NA | |||||
| Advantage Platinum Plus NY (HMO) (H2773-015) |
Local HMO | $63.00 | $0 | Enhanced | Some Generics | $3,400 | NA |
| Advantage Silver - NY (HMO) (H2773-019) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | NA |
| Aetna Medicare Select Plan (HMO) (H3312-002) |
Local HMO | $0 | $0 | Enhanced | Few Generics | $3,400 | |
| Aetna Medicare Standard Plan (PPO) (H5521-040) |
Local PPO | $87.00 | $0 | Enhanced | Few Generics | $6,700 | |
| Aetna Medicare Value Plan (HMO) (H3312-061) |
Local HMO | $41.00 | $0 | Enhanced | Few Generics | $3,200 | |
| Amerivantage Balance + Rx (HMO) (H6181-009) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Amida Care True Life Plus (HMO) (H6745-001) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | Too New |
| CPHL Advantage Care (HMO) (H6988-001) |
Local HMO | $0 | $310.00 | Basic | No Gap Coverage | $6,700 | Too New |
| Easy Choice Rewards (HMO) (H9285-001) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | NA |
| Easy Choice Value (HMO) (H9285-002) |
Local HMO | $0 | $0 | Enhanced | Many Generics | $3,400 | NA |
| Elderplan Classic: Zero Premium (HMO) (H3347-005) |
Local HMO | $0 | $310.00 | Basic | No Gap Coverage | $6,700 | |
| Elderplan Extra Help (HMO) (H3347-009) |
Local HMO | $37.20 | $310.00 | Basic | No Gap Coverage | $6,700 | |
| EmblemHealth Essential (HMO) (H3330-032) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| EmblemHealth PPO I (PPO) (H5528-001) |
Local PPO * | $25.00 | $3,400 | ||||
| EmblemHealth PPO II (PPO) (H5528-002) |
Local PPO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| EmblemHealth PPO III (PPO) (H5528-003) |
Local PPO | $89.00 | $0 | Enhanced | All Generics | $3,400 | |
| EmblemHealth VIP (HMO) (H3330-021) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| EmblemHealth VIP High Option (HMO) (H3330-033) |
Local HMO | $161.50 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Empire MediBlue Essential (HMO) (H3370-019) |
Local HMO * | $0 | $6,000 | ||||
| Empire MediBlue Freedom I (PPO) (H3342-012) |
Local PPO | $50.00 | $125.00 | Enhanced | No Gap Coverage | $4,500 | |
| Empire MediBlue Freedom II (PPO) (H3342-013) |
Local PPO | $56.00 | $100.00 | Enhanced | No Gap Coverage | $4,300 | |
| Empire MediBlue Freedom III (PPO) (H3342-001) |
Local PPO | $116.00 | $0 | Enhanced | No Gap Coverage | $3,300 | |
| Empire MediBlue Plus (HMO) (H3370-001) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $5,900 | |
| Fidelis Medicare $0 Premium (HMO) (H3328-019) |
Local HMO | $0 | $0 | Basic | No Gap Coverage | $6,700 | |
| Fidelis Medicare Advantage Flex (HMO-POS) (H3328-003) |
Local HMO | $37.20 | $240.00 | Basic | No Gap Coverage | $6,700 | |
| Fidelis Medicare Advantage without Rx (HMO-POS) (H3328-001) |
Local HMO * | $0 | $6,700 | ||||
| Healthfirst 65 Plus Plan (HMO) (H3359-001) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| Healthfirst Coordinated Benefits Plan (HMO) (H3359-027) |
Local HMO * | $0 | $6,700 | ||||
| Healthfirst Increased Benefits Plan (HMO) (H3359-019) |
Local HMO | $30.00 | $310.00 | Basic | No Gap Coverage | $6,700 | |
| Humana Gold Plus H3533-007 (HMO) (H3533-007) |
Local HMO | $0 | $0 | Enhanced | Few Generics, Few Brands | $6,700 | NA |
| Liberty Health Advantage Preferred Choice (HMO) (H3337-001) |
Local HMO | $0 | $0 | Enhanced | All Generics | $5,500 | |
| Touchstone Health Medicare Clear (HMO-POS) (H3327-039) |
Local HMO * | $0 | $3,400 | ||||
| Touchstone Health Medicare Freedom (HMO-POS) (H3327-038) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Touchstone Health Medicare Power (HMO) (H3327-001) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Touchstone Health Medicare Total (HMO) (H3327-002) |
Local HMO | $37.20 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| UnitedHealthcare MedicareComplete Choice (Regional PPO) (R5342-001) |
Regional PPO | $0 | $0 | Enhanced | No Gap Coverage | $5,200 | |
| UnitedHealthcare MedicareComplete Choice Essential (Regiona (R5342-002) |
Regional PPO * | $0 | $5,200 | ||||
| VNSNY CHOICE Medicare Classic (HMO) (H5549-008) |
Local HMO | $37.20 | $310.00 | Basic | No Gap Coverage | $6,700 | |
| VNSNY CHOICE Medicare Enhanced (HMO) (H5549-004) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| WellCare Choice (HMO-POS) (H3361-106) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| WellCare Rx (HMO) (H3361-130) |
Local HMO | $22.90 | $0 | Basic | No Gap Coverage | $6,700 |
Medicare Special Needs Plans in Richmond county New York
| Plan Name | Type | Consolidated Premium C+D | Part D Deductible |
Gap | Special Needs Type | Overall Rating |
| Advantage Health NYC - SNP (HMO SNP) (H2773- 017) |
Local HMO | $0 | $0 | Some Generics | Chronic or Disabling Condition | NA |
| Advantage Value One NY - Dual (HMO SNP) (H2773- 018) |
Local HMO | $31.10 | $0 | Some Generics | Dual-Eligible | NA |
| Affinity Medicare Solutions (HMO SNP) (H5991- 002) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Affinity Medicare Ultimate (HMO SNP) (H5991- 001) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Amerivantage Specialty + Rx (HMO SNP) (H6181- 007) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Amida Care Live Life Advantage (HMO SNP) (H6745- 003) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Chronic or Disabling Condition | Too New |
| Amida Care True Life Advantage (HMO SNP) (H6745- 002) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | Too New |
| ArchCare Advantage (HMO SNP) (H1777- 007) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Institutional | NA |
| CenterLight Direct Total Plan (HMO SNP) (H5989- 008) |
Local HMO | $33.90 | $310.00 | No Gap Coverage | Dual-Eligible | NA |
| CenterLight Healthcare Direct Complete Plan (HMO SNP) (H5989- 002) |
Local HMO | $34.00 | $310.00 | No Gap Coverage | Institutional | NA |
| Easy Choice Diamond Rewards (HMO SNP) (H9285- 003) |
Local HMO | $0 | $0 | No Gap Coverage | Chronic or Disabling Condition | NA |
| Elderplan Advantage For Nursing Home Residents (HMO SNP) (H3347- 003) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Institutional | |
| Elderplan For Medicaid Beneficiaries (HMO SNP) (H3347- 002) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Elderplan Medicaid Advantage (HMO SNP) (H3347- 008) |
Local HMO | $37.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Elderplan Plus Long Term Care (HMO SNP) (H3347- 007) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| EmblemHealth Dual Eligible (HMO SNP) (H3330- 029) |
Local HMO | $34.00 | $310.00 | No Gap Coverage | Dual-Eligible | |
| EmblemHealth Dual Eligible (PPO SNP) (H5528- 018) |
Local PPO | $34.00 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Fidelis Dual Advantage (HMO SNP) (H3328- 002) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Fidelis Dual Advantage Flex (HMO SNP) (H3328- 017) |
Local HMO | $37.20 | $310.00 | Some Generics | Dual-Eligible | |
| Fidelis Long Term Care Advantage (HMO SNP) (H3328- 018) |
Local HMO | $44.50 | $310.00 | No Gap Coverage | Institutional | |
| Fidelis Medicaid Advantage Plus (HMO SNP) (H3328- 016) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Healthfirst AssuredCare (HMO SNP) (H3359- 035) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Institutional | |
| Healthfirst CompleteCare (HMO SNP) (H3359- 034) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Healthfirst Life Improvement Plan (HMO SNP) (H3359- 021) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Healthfirst Maximum Plan (HMO SNP) (H3359- 033) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus HMO-SNP-DE H3533-004 (HMO SNP) (H3533- 004) |
Local HMO | $12.20 | $125.00 | No Gap Coverage | Dual-Eligible | NA |
| Touchstone Health Medicare Grand (HMO SNP) (H3327- 043) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Touchstone Health Medicare Prestige (HMO SNP) (H3327- 026) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Touchstone Health Medicare Prestige Plus (HMO SNP) (H3327- 044) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete (HMO SNP) (H3387- 010) |
Local HMO | $24.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan (HMO SNP) (H3379- 002) |
Local HMO | $28.30 | $310.00 | No Gap Coverage | Institutional | |
| VNSNY CHOICE Medicare Maximum (HMO SNP) (H5549- 006) |
Local HMO | $31.50 | $310.00 | No Gap Coverage | Dual-Eligible | |
| VNSNY CHOICE Medicare Preferred (HMO SNP) (H5549- 002) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| VNSNY CHOICE Total (HMO SNP) (H5549- 003) |
Local HMO | $37.20 | $310.00 | No Gap Coverage | Dual-Eligible | |
| WellCare Access (HMO SNP) (H3361- 109) |
Local HMO | $36.00 | $310.00 | No Gap Coverage | Dual-Eligible |
Source: CMS.
Plans as of September 3, 2013.
Plans are subject to change as contracts are finalized.
Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.
Plan Type Is the type of organization offering the Medicare Plans.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescrition Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
* Plan Type Indicates plan does not offer Part D drug coverage.
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your plan for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit TypeEnhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.
GAPCoverage gap ("donut hole"). This means there's a temporary limit on what the drug plan will cover for drugs. (Unless you get the low-income subsidy) Once you reach the coverage gap in 2014, you will pay 47.5% of the plan's cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail.
Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows:
- All: 100% of formulary drugs are covered through the gap
- Many: 65% to 100% of formulary drugs are covered through the gap
- Some: 10% to 65 % of formulary drugs are covered through the gap
- Few: 0% to 10% of formulary drugs are covered through the gap (and must also be >15 "brand" products covered through the gap)
- No Gap Coverage: 0% of formulary drugs are covered through the gap (or 15 "brand" products covered through the gap)
- All Formulary Drugs: cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit)
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
