x

You are Currently Viewing the 2022 Medicare Plans.
Click here If you Would Like to See
The 2023 Medicare Advantage Plans in Erie County NY.



2022 Erie County New York
Medicare Advantage Plans

There are 55 Medicare Advantage Plans available in Erie County NY from 10 different health insurance providers. 11 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 $7550. Erie County New York residents can also pick from 16 Medicare Special Needs Plans. The best Medicare Advantage plan in Erie County New York received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars.



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

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage (HMO)
(H3379-040)

$0$250.00$7,550YesBrowse
Formulary
Aetna Medicare Credit Plan (PPO)
(H5521-313)

$0$350.00$7,550YesBrowse
Formulary
Aetna Medicare Premier Plan (PPO)
(H5521-215)

$0$250.00$6,500YesBrowse
Formulary
Aetna Medicare Value Plan (HMO-POS)
(H3312-065)

$0$250.00$7,550YesBrowse
Formulary
Centers Plan for Medicare Advantage Care (HMO)
(H6988-001)

$0$395.00$7,550NoBrowse
Formulary
Highmark Blue Cross Blue Shield BlueSaver (HMO)
(H3384-062)

$0$290.00$7,550NoBrowse
Formulary
Highmark Blue Cross Blue Shield Forever Blue 751 (PPO)
(H5526-004)

$205.00$0$6,700NoBrowse
Formulary
Highmark Blue Cross Blue Shield Forever Blue Value (PPO)
(H5526-016)

$146.00$0$6,700NoBrowse
Formulary
Highmark Blue Cross Blue Shield Freedom Nation (PPO)
(H5526-020)

$26.00$290.00$7,550NoBrowse
Formulary
Highmark Blue Cross Blue Shield Senior Blue 651 (HMO)
(H3384-019)

$121.00$0$6,700NoBrowse
Formulary
Highmark Blue Cross Blue Shield Senior Blue Basic (HMO)
(H3384-067)

$0$350.00$7,550NoBrowse
Formulary
Highmark Blue Cross Blue Shield Senior Blue Select (HMO)
(H3384-058)

$59.00$175.00$6,700NoBrowse
Formulary
Humana Gold Plus H3533-006 (HMO)
(H3533-006)

$0$300.00$7,200NoBrowse
Formulary
HumanaChoice H5970-001 (PPO)
(H5970-001)

$17.00$0$4,500NoBrowse
Formulary
HumanaChoice H5970-015 (PPO)
(H5970-015)

$0$250.00$4,900NoBrowse
Formulary
HumanaChoice H5970-018 (PPO)
(H5970-018)

$0$310.00$4,800NoBrowse
Formulary
Independent Healths Encompass 65 Basic (HMO)
(H3362-017)

$125.00$0$6,900NoBrowse
Formulary
Independent Healths Encompass 65 Core (HMO)
(H3362-033)

$65.00$100.00$6,900NoBrowse
Formulary
Independent Healths Encompass 65 Edge (HMO)
(H3362-039)

$0$480.00$7,550NoBrowse
Formulary
Independent Healths Encompass 65 Element (HMO)
(H3362-038)

$0$195.00$6,900NoBrowse
Formulary
Independent Healths Medicare Passport Advantage (PPO)
(H3344-005)

$99.00$150.00$6,900NoBrowse
Formulary
Independent Healths Medicare Passport Prime (PPO)
(H3344-010)

$225.00$0$6,900YesBrowse
Formulary
MVP Medicare Patriot Plan with Part D (PPO)
(H9615-014)

$45.00$250.00$7,550NoBrowse
Formulary
MVP Medicare Preferred Gold with Part D (HMO-POS)
(H3305-015)

$211.00$0$7,550YesBrowse
Formulary
MVP Medicare Secure with Part D (HMO-POS)
(H3305-030)

$15.00$300.00$7,550NoBrowse
Formulary
MVP Medicare WellSelect with Part D (PPO)
(H9615-012)

$80.00$250.00$7,550NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 1 (Region
(R5342-001)

$16.00$300.00$7,200YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region
(R5342-005)

$46.00$250.00$6,900YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 4 (Region
(R5342-006)

$84.00$150.00$6,700YesBrowse
Formulary
Univera SeniorChoice Advanced (HMO-POS)
(H3351-019)

$33.00$100.00$7,200NoBrowse
Formulary
Univera SeniorChoice Basic (HMO)
(H3351-017)

$0$200.00$7,550NoBrowse
Formulary
Univera SeniorChoice Extra (HMO)
(H3351-020)

$0$350.00$7,550NoBrowse
Formulary
Univera SeniorChoice Secure (HMO-POS)
(H3351-002)

$107.00$0$4,500NoBrowse
Formulary
Univera SeniorChoice Value (HMO)
(H3351-010)

$60.00$0$6,700NoBrowse
Formulary
Univera SeniorChoice Value Plus (HMO-POS)
(H3351-012)

$92.00$0$5,000NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H2775-113)

$30.70$480.00$6,700NoBrowse
Formulary
Wellcare Fidelis Assist (HMO-POS)
(H5599-002)

$17.10$480.00$7,550NoBrowse
Formulary
Wellcare Fidelis No Premium (HMO)
(H5599-004)

$0$0$7,550NoBrowse
Formulary
Wellcare Giveback Open (PPO)
(H2775-111)

$0$325.00$7,550YesBrowse
Formulary
Wellcare No Premium (HMO)
(H4868-019)

$0$0$6,700NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H2775-106)

$0$0$6,700YesBrowse
Formulary
Wellcare Premium Enhanced (PFFS)
(H2816-019)

$55.00$0$-NoBrowse
Formulary
Wellcare Premium Ultra (PFFS)
(H2816-013)

$156.00$0$-NoBrowse
Formulary
Wellcare Premium Ultra Open (PPO)
(H2775-105)

$121.00$0$3,400NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in New York

Essex County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Erie county New York

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure Plan (HMO D-SNP) $23.80$425.0No Gap CoverageDual-Eligible
Centers Plan for Nursing Home Care (HMO I-SNP) $42.40$480.0No Gap CoverageInstitutional
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) $30.10$460.0No Gap CoverageDual-Eligible
HumanaChoice SNP-DE H5970-020 (PPO D-SNP) $19.40$480.0No Gap CoverageDual-Eligible
Independent Healths Assure Advantage (HMO C-SNP) $60.00$0No Gap CoverageChronic or Disabling Condition
Independent Healths Medicare Family Choice (HMO I-SNP) $42.40$0No Gap CoverageInstitutional
Nascentia Dual Advantage (HMO D-SNP) $42.40$480.0No Gap CoverageDual-EligibleNA
Nascentia Skilled Nursing Facility (HMO I-SNP) $42.40$480.0No Gap CoverageInstitutionalNA
UnitedHealthcare Dual Complete Plan 1 (HMO D-SNP) $42.40$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete Plan 2 (HMO D-SNP) $37.40$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) $42.40$480.0No Gap CoverageInstitutional
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) $42.40$480.0No Gap CoverageInstitutional
Wellcare Dual Access (HMO D-SNP) $30.80$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access Open (PPO D-SNP) $37.30$480.0No Gap CoverageDual-Eligible
Wellcare Fidelis Dual Access (HMO D-SNP) $20.00$480.0No Gap CoverageDual-Eligible
Wellcare Fidelis Dual Plus (HMO D-SNP) $23.30$480.0No Gap CoverageDual-Eligible



Plan Type Is the type of organization offering the Medicare Plan.

  • 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
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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.


      Site Search:

MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.