2020 Richmond County New York
Medicare Advantage Plans

There are 39 Medicare Advantage Plans available in Richmond County NY from 11 different health insurance providers. 7 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. Richmond County New York residents can also pick from 33 Medicare Special Needs Plans. The highest rated plan available in Richmond County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Sign
Up
AARP Medicare Advantage Plan 1 (HMO)
More details...
$49.00 $395.00 $6,700 NoEnroll
AARP Medicare Advantage Plan 2 (HMO)
More details...
$29.00 $415.00 $6,700 NoEnroll
Aetna Medicare Elite Plan (PPO)
More details...
$0 $300.00 $6,700 YesEnroll
Aetna Medicare Premier Plan (PPO)
More details...
$83.00 $250.00 $6,700 YesEnroll
Aetna Medicare Value Plan (HMO)
More details...
$0 $300.00 $6,700 YesEnroll
Centers Plan for Medicare Advantage Care (HMO)
More details...
$0 $395.00 $6,700 NoEnroll
EmblemHealth VIP Essential (HMO)
More details...
$55.00 $295.00 $6,700 NoEnroll
EmblemHealth VIP Go (HMO-POS)
More details...
$71.00 $250.00 $6,700 NoEnroll
EmblemHealth VIP Gold (HMO)
More details...
$122.50 $200.00 $6,700 NoEnroll
EmblemHealth VIP Gold Plus (HMO)
More details...
$301.00 $200.00 $6,700 NoEnroll
EmblemHealth VIP Part B Saver (HMO)
More details...
$0 $435.00 $6,700 NoEnroll
EmblemHealth VIP Passport NYC (HMO)
More details...
$32.00 $295.00 $6,700 NoEnroll
EmblemHealth VIP Value (HMO)
More details...
$0 $295.00 $6,700 NoEnroll
Empire MediBlue Extra (HMO)
More details...
$21.70 $435.00 $5,900 YesEnroll
Empire MediBlue Select (HMO)
More details...
$0 $350.00 $6,400 YesEnroll
Fidelis Medicare $0 Premium (HMO)
More details...
$0 $0 $6,700 NoEnroll
Fidelis Medicare Advantage Flex (HMO-POS)
More details...
$22.50 $435.00 $6,700 NoEnroll
Healthfirst 65 Plus Plan (HMO)
More details...
$0 $350.00 $6,700 NoEnroll
Healthfirst Increased Benefits Plan (HMO)
More details...
$36.60 $435.00 $6,700 NoEnroll
Humana Gold Plus H3533-021 (HMO)
More details...
$20.00 $200.00 $6,500 NoEnroll
Humana Gold Plus H3533-023 (HMO)
More details...
$48.00 $200.00 $5,400 NoEnroll
Humana Gold Plus H3533-027 (HMO)
More details...
$0 $400.00 $6,700 NoEnroll
HumanaChoice H5970-021 (PPO)
More details...
$0 $350.00 $6,700 NoEnroll
HumanaChoice H5970-022 (PPO)
More details...
$98.00 $0 $4,400 NoEnroll
HumanaChoice H5970-023 (PPO)
More details...
$207.00 $0 $3,000 NoEnroll
MetroPlus Platinum Plan (HMO)
More details...
$141.00 $435.00 $6,700 NoEnroll
Sunrise Advantage Community Plan (HMO)
More details...
$39.00 $0 $5,700 NoNAEnroll
UnitedHealthcare Medicare Advantage Choice Plan 1 (Region
More details...
$16.00 $300.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region
More details...
$46.00 $275.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Choice Plan 4 (Region
More details...
$79.00 $150.00 $6,700 NoEnroll
WellCare Choice (HMO)
More details...
$0 $0 $6,700 YesNAEnroll
WellCare Preferred (HMO)
More details...
$81.00 $0 $6,700 YesNAEnroll
WellCare Rx (HMO)
More details...
$13.00 $435.00 $6,700 NoNAEnroll


Return to 2020 Medicare Advantage Plans in New York





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Sign Up
AARP Medicare Advantage Essential (HMO)
$0 Local HMO * $6,700 Enroll
Empire MediBlue Core (HMO)
$0 Local HMO * $6,700
Empire MediBlue Core Select (HMO)
$0 Local HMO * $6,700
Healthfirst Coordinated Benefits Plan (HMO)
$0 Local HMO * $6,700
HumanaChoice H5970-016 (PPO)
$0 Local PPO * $4,500 Enroll
UnitedHealthcare Medicare Advantage Essential (Regional P
$0 Regional PPO * $6,700 Enroll





2020 Medicare Special Needs Plans in Richmond county New York

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
ArchCare Advantage (HMO I-SNP)     $36.60 $435.0  No Institutional
ArchCare Community Choice (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
Centers Plan for Dual Coverage Care (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
Centers Plan for Medicaid Advantage Plus (HMO D-SNP)     $76.00 $435.0  No Dual-Eligible
Centers Plan for Nursing Home Care (HMO I-SNP)     $36.60 $435.0  No Institutional
Elderplan Advantage For Nursing Home Residents (HMO I-SNP     $36.60 $435.0  No Institutional
Elderplan Assist (HMO I-SNP)     $36.60 $435.0  No Institutional
Elderplan Plus Long Term Care (HMO D-SNP)     $35.00 $435.0  No Dual-Eligible
EmblemHealth VIP Assist (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
EmblemHealth VIP Connect (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
EmblemHealth VIP Dual (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
EmblemHealth VIP Dual Select (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
EmblemHealth VIP Solutions (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
Empire MediBlue Dual Advantage (HMO D-SNP)     $36.60 $435.0  Yes Dual-Eligible
Empire MediBlue Dual Advantage Select (HMO D-SNP)     $36.60 $435.0  Yes Dual-Eligible
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
Fidelis Medicaid Advantage Plus (HMO D-SNP)     $17.40 $435.0  No Dual-Eligible
Hamaspik Medicare Select (HMO D-SNP)     $36.60 $435.0  No Dual-EligibleToo New
Healthfirst CompleteCare (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
Healthfirst Life Improvement Plan (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
Humana Gold Plus SNP-DE H3533-029 (HMO D-SNP)     $33.60 $390.0  No Dual-Eligible
Longevity Health Plan (HMO I-SNP)     $36.60 $435.0  No InstitutionalToo New
MetroPlus Advantage Plan (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
Reflections (HMO C-SNP)     $39.00 $0  No Chronic or Disabling ConditionNA
RiverSpring MAP (HMO D-SNP)     $36.60 $435.0  No Dual-EligibleNA
RiverSpring Star (HMO I-SNP)     $36.60 $435.0  No InstitutionalNA
Sunrise Advantage Plan (HMO I-SNP)     $0 $0  No InstitutionalNA
UnitedHealthcare Dual Complete (HMO D-SNP)     $29.60 $435.0  No Dual-Eligible
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)     $34.60 $435.0  No InstitutionalToo New
UnitedHealthcare Nursing Home Plan 2 (HMO I-SNP)     $34.90 $435.0  No Institutional
VNSNY CHOICE Total (HMO D-SNP)     $36.60 $435.0  No Dual-Eligible
WellCare Access (HMO D-SNP)     $27.40 $435.0  No Dual-EligibleNA



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

GAP

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.


Call For A licensed Sales Agent

1-855-492-4169

  • Mon-Fri 8:30am-8:00pm


Or Enroll Online Here

Call to Enroll!