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The 2021 Medicare Advantage Plans in Kings County NY.
2015 Medicare Advantage Plans in Kings County New York
There are 45 Medicare Advantage Plans available in Kings County NY from 22 health insurance providers and 43 Special Needs Plans available. 6 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $6700. The highest rated plan available in Kings County received a 4 overall star rating from CMS and the lowest rated plan is 2.5 stars.
(Click the Plan Name for More Details)
| Plan Name |
Type |
Premium
C+D |
Part D
Deductible |
Gap |
Max Out of
Pocket |
Overall Rating |
Formulary |
| Return to Counties In New York | | | | | |
AARP MedicareComplete Essential (HMO)
(H3307-018) |
Local HMO * |
$0.00 |
|
|
$5,200 | | |
AARP MedicareComplete Mosaic (HMO)
(H3307-015) |
Local HMO |
$0.00 |
$150.00 |
No |
$3,900 | | Browse
Formulary |
AARP MedicareComplete Plan 1 (HMO)
(H3307-002) |
Local HMO |
$29.00 |
$230.00 |
No |
$5,200 | | Browse
Formulary |
AARP MedicareComplete Plan 2 (HMO)
(H3379-001) |
Local HMO |
$0.00 |
$260.00 |
No |
$6,700 | | Browse
Formulary |
ActiveSaver MSA (MSA)
(H9788-004) |
MSA * |
|
|
|
N/A | NA | |
Advantage Care (HMO)
(H6988-001) |
Local HMO |
$0.00 |
$0.00 |
No |
$6,700 | Too New | Browse
Formulary |
Aetna Medicare Select Plan (HMO)
(H3312-002) |
Local HMO |
$0.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
Aetna Medicare Value Plan (HMO)
(H3312-061) |
Local HMO |
$49.00 |
$0.00 |
No |
$4,500 | | Browse
Formulary |
Affinity Medicare Passport Elite (HMO)
(H5991-005) |
Local HMO |
$126.00 |
$0.00 |
Yes |
$3,400 | | Browse
Formulary |
Affinity Medicare Passport Essentials (HMO)
(H5991-003) |
Local HMO |
$0.00 |
$0.00 |
Yes |
$5,800 | | Browse
Formulary |
Affinity Medicare Passport Select (HMO)
(H5991-004) |
Local HMO |
$46.00 |
$0.00 |
Yes |
$5,000 | | Browse
Formulary |
AlphaCare Renew (HMO)
(H9122-001) |
Local HMO |
$0.00 |
$0.00 |
No |
$3,400 | Too New | Browse
Formulary |
Amerivantage Balance + Rx (HMO)
(H6181-009) |
Local HMO |
$0.00 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
Amida Care True Life Plus (HMO)
(H6745-001) |
Local HMO |
$0.00 |
$0.00 |
No |
$3,400 | Too New | Browse
Formulary |
Easy Choice Rewards (HMO)
(H9285-001) |
Local HMO |
$0.00 |
$0.00 |
No |
$3,400 | NA | Browse
Formulary |
Elderplan Classic: Zero Premium (HMO)
(H3347-005) |
Local HMO |
$0.00 |
$320.00 |
No |
$6,700 | | Browse
Formulary |
Elderplan Extra Help (HMO)
(H3347-009) |
Local HMO |
$36.90 |
$320.00 |
No |
$6,700 | | Browse
Formulary |
EmblemHealth Advantage (PPO)
(H5528-023) |
Local PPO |
$96.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
EmblemHealth Essential (HMO)
(H3330-032) |
Local HMO |
$0.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
EmblemHealth PPO I (PPO)
(H5528-001) |
Local PPO * |
$30.00 |
|
|
$6,700 | | |
EmblemHealth VIP (HMO)
(H3330-021) |
Local HMO |
$49.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
EmblemHealth VIP High Option (HMO)
(H3330-033) |
Local HMO |
$233.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
Empire MediBlue Essential (HMO)
(H3370-033) |
Local HMO * |
$0.00 |
|
|
$5,700 | | |
Empire MediBlue Freedom I (PPO)
(H3342-019) |
Local PPO |
$71.00 |
$304.00 |
No |
$4,500 | | Browse
Formulary |
Empire MediBlue Plus (HMO)
(H3370-029) |
Local HMO |
$0.00 |
$257.00 |
No |
$5,600 | | Browse
Formulary |
Fidelis Medicare $0 Premium (HMO)
(H3328-019) |
Local HMO |
$0.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
Fidelis Medicare Advantage Flex (HMO-POS)
(H3328-003) |
Local HMO |
$36.90 |
$240.00 |
No |
$6,700 | | Browse
Formulary |
Fidelis Medicare Advantage without Rx (HMO-POS)
(H3328-001) |
Local HMO * |
$0.00 |
|
|
$6,700 | | |
Healthfirst 65 Plus Plan (HMO)
(H3359-001) |
Local HMO |
$0.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
Healthfirst Coordinated Benefits Plan (HMO)
(H3359-027) |
Local HMO * |
$0.00 |
|
|
$6,700 | | |
Healthfirst Increased Benefits Plan (HMO)
(H3359-019) |
Local HMO |
$34.00 |
$320.00 |
No |
$6,700 | | Browse
Formulary |
Humana Gold Plus H3533-005 (HMO)
(H3533-005) |
Local HMO |
$0.00 |
$320.00 |
Yes |
$6,700 | NA | Browse
Formulary |
Liberty Health Advantage Preferred Choice (HMO)
(H3337-001) |
Local HMO |
$0.00 |
$0.00 |
Yes |
$5,500 | | Browse
Formulary |
LiveWell (HMO)
(H4922-001) |
Local HMO |
$32.90 |
$250.00 |
Yes |
$6,700 | Too New | Browse
Formulary |
MetroPlus Platinum (HMO)
(H0423-004) |
Local HMO |
$101.10 |
$320.00 |
No |
$6,700 | | Browse
Formulary |
Touchstone Health Medicare Clear (HMO-POS)
(H3327-039) |
Local HMO * |
$0.00 |
|
|
$3,400 | | |
Touchstone Health Medicare Freedom (HMO-POS)
(H3327-038) |
Local HMO |
$0.00 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
Touchstone Health Medicare Power (HMO)
(H3327-001) |
Local HMO |
$0.00 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
Touchstone Health Medicare Total (HMO)
(H3327-002) |
Local HMO |
$36.90 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
UnitedHealthcare MedicareComplete Choice (Regional PPO)
(R5342-001) |
Regional PPO |
$0.00 |
$225.00 |
No |
$6,700 | | Browse
Formulary |
UnitedHealthcare MedicareComplete Choice Essential (Regio
(R5342-002) |
Regional PPO * |
$0.00 |
|
|
$6,700 | | |
VNSNY CHOICE Medicare Classic (HMO)
(H5549-008) |
Local HMO |
$34.10 |
$320.00 |
No |
$6,700 | | Browse
Formulary |
VNSNY CHOICE Medicare Enhanced (HMO)
(H5549-004) |
Local HMO |
$0.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
WellCare Choice (HMO-POS)
(H3361-106) |
Local HMO |
$0.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
WellCare Rx (HMO)
(H3361-130) |
Local HMO |
$30.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
* Plan Type Indicates plan does not offer Part D drug coverage.
Medicare Special Needs Plans in Kings county New York
Source: CMS.
Plans as of September 2, 2014.
Plans are subject to change as contracts are finalized.
Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.
Plan Type Is the type of organization offering the Medicare Plans.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
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 Type
Enhanced 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.
GAP
In 2015 once you and your plan provider have spent $2,960 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 45% of the plan's cost for covered brand-name prescription drugs unless your plan offers additional coverage. You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs.
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
