2020 Cayuga County New York
Medicare Advantage Plans

There are 33 Medicare Advantage Plans available in Cayuga County NY from 7 different health insurance providers. 6 of these Medicare 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. Cayuga County New York residents can also pick from 6 Medicare Special Needs Plans. The highest rated plan available in Cayuga County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars

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Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage (HMO)
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$0 $195.00 $6,700 NoEnroll
Aetna Medicare Premier Plan (PPO)
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$0 $200.00 $6,700 YesEnroll
Aetna Medicare Value Plan (HMO)
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$0 $0 $6,700 YesEnroll
Fidelis Medicare $0 Premium (HMO)
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$0 $0 $6,700 NoEnroll
Fidelis Medicare Advantage Flex (HMO-POS)
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$22.50 $435.00 $6,700 NoEnroll
HumanaChoice H5970-015 (PPO)
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$0 $275.00 $5,900 NoEnroll
HumanaChoice H5970-018 (PPO)
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$0 $310.00 $6,700 NoEnroll
HumanaChoice H5970-019 (PPO)
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$34.00 $200.00 $5,500 NoEnroll
Medicare BlueClassic (PPO)
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$44.00 $0 $6,700 NoEnroll
Medicare BlueEnhanced (PPO)
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$138.00 $0 $5,000 NoEnroll
Medicare BlueEssential (PPO)
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$0 $100.00 $6,700 NoEnroll
Medicare BlueSecure (PPO)
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$101.00 $0 $6,700 NoEnroll
MVP Gold PPO with Part D (PPO)
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$115.00 $0 $5,800 YesEnroll
MVP GoldSecure with Part D (HMO-POS)
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$39.00 $150.00 $6,700 NoEnroll
MVP GoldValue with Part D (HMO-POS)
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$89.00 $0 $6,700 YesEnroll
MVP Preferred Gold with Part D (HMO-POS)
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$139.00 $0 $4,800 YesEnroll
MVP WellSelect with Part D (PPO)
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$0 $325.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Choice Plan 1 (Region
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$16.00 $300.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region
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$46.00 $275.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Choice Plan 4 (Region
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$79.00 $150.00 $6,700 NoEnroll
WellCare Today's Options Advantage Plus 150A (PPO)
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$136.00 $0 $3,400 NoEnroll
WellCare Today's Options Advantage Plus 550B (PPO)
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$10.00 $0 $6,700 NoEnroll
WellCare Today's Options Classic (HMO)
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$0 $0 $6,700 YesNAEnroll
WellCare Today's Options Premier Plus 250A (PFFS)
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$156.00 $0 $- NoEnroll
WellCare Today's Options Premier Plus 650B (PFFS)
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$55.00 $0 $- NoEnroll

Return to 2020 Medicare Advantage Plans in New York

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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Fidelis Medicare Advantage without Rx (HMO-POS)
$0 Local HMO * $6,700
HumanaChoice H5970-016 (PPO)
$0 Local PPO * $4,500 Enroll
Medicare BlueBasic (PPO)
$60.00 Local PPO * $6,700
MVP Preferred Gold without Part D (HMO-POS)
$62.00 Local HMO * $6,700 Enroll
MVP SmartFund (MSA)
MSA * $- NA
UnitedHealthcare Medicare Advantage Essential (Regional P
$0 Regional PPO * $6,700 Enroll
WellCare Today's Options Premier 200 (PFFS)
$76.00 PFFS * $-
WellCare Today's Options Premier 300 (PFFS)
$0 PFFS * $-

2020 Medicare Special Needs Plans in Cayuga county New York

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Fidelis Dual Advantage (HMO D-SNP)     $31.80 $0  No Dual-Eligible
Fidelis Dual Advantage Flex (HMO D-SNP)     $27.10 $0  No Dual-Eligible
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)     $24.80 $350.0  No Dual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP)     $29.60 $435.0  No Dual-Eligible
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)     $36.60 $435.0  No InstitutionalToo New
UnitedHealthcare Nursing Home Plan 2 (HMO I-SNP)     $34.60 $435.0  No Institutional

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 provider 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; 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
  • (EA) Enhanced Alternative 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.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard


In 2020 once you and your plan provider have spent $4020 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 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage.

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

Source: CMS. Data as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.

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