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The 2019 Medicare Part D Plans in Schenectady County New York.
2015 Medicare Part-D Plans in Schenectady county New York
There are 24 Medicare Part-D Plans available in Schenectady County from 11 different health insurance providers. You can choose from 6 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $15 and the highest monthly premium is $143. The highest rated PDP available in Schenectady County received a 4.5 overall star rating from CMS and the lowest rated plan is 2.5 stars.
(Click the Plan Name for More Details)
Medicare Advantage Plans in Schenectady county New York
| Plan Name |
Type |
Premium C+D |
Part D
Deductible |
Gap |
Max Out of Pocket |
Overall Rating |
Formulary |
BasiCare with Part D (PPO)
(H9615-008) |
Local PPO |
$49.70 |
$320.00 |
No |
$4,000 | | Browse
Formulary |
BlueSaver MSA (MSA)
(H9788-002) |
MSA * |
|
|
|
N/A | | |
BlueShield Forever Blue Medicare PPO 750 (PPO)
(H5526-014) |
Local PPO |
$187.00 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
BlueShield Senior Blue 650 Part D (HMO-POS)
(H3384-059) |
Local HMO |
$63.00 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
BlueShield Senior Blue HMO 652 PartD (HMO)
(H3384-013) |
Local HMO |
$119.00 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
CDPHP Basic RX (HMO)
(H3388-013) |
Local HMO |
$29.50 |
$0.00 |
No |
$6,500 | | Browse
Formulary |
CDPHP Choice (HMO)
(H3388-001) |
Local HMO * |
$40.00 |
|
|
$4,000 | | |
CDPHP Choice Rx (HMO)
(H3388-002) |
Local HMO |
$95.50 |
$0.00 |
Yes |
$4,000 | | Browse
Formulary |
CDPHP Classic (PPO)
(H5042-004) |
Local PPO * |
$138.00 |
|
|
$4,000 | | |
CDPHP Classic Rx (PPO)
(H5042-001) |
Local PPO |
$194.50 |
$0.00 |
Yes |
$4,000 | | Browse
Formulary |
CDPHP Core Rx (PPO)
(H5042-005) |
Local PPO |
$134.50 |
$0.00 |
No |
$4,250 | | Browse
Formulary |
CDPHP Prime Rx (PPO)
(H5042-007) |
Local PPO |
$276.50 |
$0.00 |
Yes |
$3,750 | | Browse
Formulary |
CDPHP Value Rx (HMO)
(H3388-004) |
Local HMO |
$45.50 |
$0.00 |
No |
$5,000 | | 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 | | |
Forever Blue Medicare PPO Value (PPO)
(H5526-017) |
Local PPO |
$36.90 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
Gold PPO with Part D (PPO)
(H9615-007) |
Local PPO |
$122.60 |
$0.00 |
Yes |
$4,000 | | Browse
Formulary |
GoldValue with Part D (HMO-POS)
(H9859-013) |
Local HMO |
$103.60 |
$0.00 |
Yes |
$6,000 | | Browse
Formulary |
Humana Gold Plus H3533-006 (HMO)
(H3533-006) |
Local HMO |
$0.00 |
$320.00 |
Yes |
$6,700 | NA | Browse
Formulary |
Humana Gold Plus H3533-013 (HMO)
(H3533-013) |
Local HMO |
$22.40 |
$320.00 |
No |
$6,700 | NA | Browse
Formulary |
HumanaChoice H5970-008 (PPO)
(H5970-008) |
Local PPO |
$55.00 |
$320.00 |
Yes |
$6,700 | | Browse
Formulary |
HumanaChoice H5970-010 (PPO)
(H5970-010) |
Local PPO |
$157.00 |
$320.00 |
Yes |
$6,700 | | Browse
Formulary |
Preferred Gold with Part D (HMO-POS)
(H9859-002) |
Local HMO |
$167.40 |
$0.00 |
Yes |
$4,500 | | Browse
Formulary |
Preferred Gold without Part D (HMO-POS)
(H9859-001) |
Local HMO * |
$47.40 |
|
|
$4,500 | | |
Today's Options Advantage Plus 150A (PPO)
(H2775-082) |
Local PPO |
$89.00 |
$0.00 |
No |
$3,400 | | Browse
Formulary |
Today's Options Advantage Plus 350B (PPO)
(H2775-088) |
Local PPO |
$34.00 |
$0.00 |
No |
$6,700 | | Browse
Formulary |
Today's Options Premier 100 (PFFS)
(H2816-001) |
PFFS * |
$25.00 |
|
|
N/A | | |
Today's Options Premier 200 (PFFS)
(H2816-007) |
PFFS * |
$0.00 |
|
|
$4,400 | | |
Today's Options Premier Plus 150A (PFFS)
(H2816-013) |
PFFS |
$85.00 |
$0.00 |
No |
N/A | | Browse
Formulary |
Today's Options Premier Plus 350B (PFFS)
(H2816-019) |
PFFS |
$34.00 |
$0.00 |
No |
N/A | | 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 Advance (HMO)
(H3361-059) |
Local HMO * |
$0.00 |
|
|
$6,700 | | |
WellCare Value (HMO)
(H3361-099) |
Local HMO |
$0.00 |
$0.00 |
No |
$5,000 | | Browse
Formulary |
Medicare Special Needs Plans in Schenectady 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 - 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 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
