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The 2018 Medicare Part D Plans in Schenectady County New York.
2014 Medicare Part-D Plans in Schenectady county New York
(Click the Plan Name for More Details)
Medicare Advantage Plans in Schenectady county New York
| Plan Name | Type | Premium C+D | Part D Deductible |
Drug Benefit Type | Gap | Max Out of Pocket | Overall Rating |
| BasiCare with Part D (PPO) (H9615-008) |
Local PPO | $27.00 | $310.00 | Basic | No Gap Coverage | $4,000 | |
| BlueSaver MSA (MSA) (H9788-002) |
MSA * | NA | |||||
| BlueShield Forever Blue Medicare PPO 750 (PPO) (H5526-014) |
Local PPO | $144.00 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| BlueShield Senior Blue 650 Part D (HMO-POS) (H3384-059) |
Local HMO | $39.00 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| BlueShield Senior Blue HMO 652 PartD (HMO) (H3384-013) |
Local HMO | $99.00 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| CDPHP Choice (HMO) (H3388-001) |
Local HMO * | $24.00 | $2,500 | ||||
| CDPHP Choice Rx (HMO) (H3388-002) |
Local HMO | $81.00 | $0 | Enhanced | Some Generics, Few Brands | $2,500 | |
| CDPHP Classic (PPO) (H5042-004) |
Local PPO * | $110.00 | $3,400 | ||||
| CDPHP Classic Rx (PPO) (H5042-001) |
Local PPO | $182.00 | $0 | Enhanced | Some Generics, Few Brands | $3,400 | |
| CDPHP Core Rx (PPO) (H5042-005) |
Local PPO | $126.00 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| CDPHP Prime Rx (PPO) (H5042-007) |
Local PPO | $256.00 | $0 | Enhanced | Some Generics, Few Brands | $3,400 | |
| CDPHP Value Rx (HMO) (H3388-004) |
Local HMO | $32.00 | $0 | Enhanced | No Gap Coverage | $3,300 | |
| Empire MediBlue Freedom I (PPO) (H3342-012) |
Local PPO | $50.00 | $125.00 | Enhanced | No Gap Coverage | $4,500 | |
| Empire MediBlue Freedom II (PPO) (H3342-014) |
Local PPO | $72.00 | $90.00 | Enhanced | No Gap Coverage | $3,700 | |
| Empire MediBlue Plus (HMO) (H3370-014) |
Local HMO | $67.00 | $0 | Enhanced | No Gap Coverage | $4,000 | |
| 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 | ||||
| GoldAnywhere with Part D - Option 1 (PPO) (H9615-002) |
Local PPO | $238.00 | $0 | Enhanced | Few Generics | $2,000 | |
| GoldAnywhere with Part D - Option 2 (PPO) (H9615-007) |
Local PPO | $64.00 | $0 | Enhanced | Few Generics | $4,000 | |
| GoldValue with Part D (HMO-POS) (H9859-013) |
Local HMO | $59.50 | $0 | Enhanced | Few Generics | $6,000 | |
| Humana Gold Plus H3533-006 (HMO) (H3533-006) |
Local HMO | $0 | $0 | Enhanced | Few Generics, Few Brands | $5,500 | NA |
| HumanaChoice H5970-008 (PPO) (H5970-008) |
Local PPO | $48.00 | $0 | Enhanced | Few Generics, Few Brands | $6,700 | |
| HumanaChoice H5970-010 (PPO) (H5970-010) |
Local PPO | $133.00 | $0 | Enhanced | Few Generics, Few Brands | $6,700 | |
| Preferred Gold with Part D (HMO-POS) (H9859-002) |
Local HMO | $117.00 | $0 | Enhanced | Few Generics | $4,500 | |
| Preferred Gold without Part D (HMO-POS) (H9859-001) |
Local HMO * | $18.40 | $4,500 | ||||
| Today's Options Advantage 800 (PPO) (H2775-094) |
Local PPO * | $0 | $6,700 | ||||
| Today's Options Advantage Plus 350A (PPO) (H2775-082) |
Local PPO | $90.00 | $0 | Enhanced | No Gap Coverage | $3,250 | |
| Today's Options Advantage Plus 850B (PPO) (H2775-088) |
Local PPO | $36.00 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| Today's Options Premier 100 (PFFS) (H2816-001) |
PFFS * | $40.00 | N/A | ||||
| Today's Options Premier 400 (PFFS) (H2816-007) |
PFFS * | $0 | $4,400 | ||||
| Today's Options Premier Plus 350A (PFFS) (H2816-013) |
PFFS | $92.00 | $0 | Enhanced | No Gap Coverage | N/A | |
| Today's Options Premier Plus 850B (PFFS) (H2816-019) |
PFFS | $37.00 | $0 | Enhanced | No Gap Coverage | N/A | |
| 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 Advance (HMO) (H3361-059) |
Local HMO * | $0 | $6,700 | ||||
| WellCare Value (HMO-POS) (H3361-099) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 |
Medicare Special Needs Plans in Schenectady county New York
| Plan Name | Type | Consolidated Premium C+D | Part D Deductible |
Gap | Special Needs Type | Overall Rating |
| 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 | |
| Humana Gold Plus HMO-SNP-DE H3533-008 (HMO SNP) (H3533- 008) |
Local HMO | $13.80 | $110.00 | No Gap Coverage | Dual-Eligible | NA |
| UnitedHealthcare Nursing Home Plan (HMO SNP) (H3379- 022) |
Local HMO | $35.20 | $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- 065) |
Local HMO | $23.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| WellCare Liberty (HMO SNP) (H3361- 098) |
Local HMO | $32.40 | $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
