2022 Niagara County New York
Medicare Advantage Plans

There are 54 Medicare Advantage Plans available in Niagara 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. Niagara County New York residents can also pick from 15 Medicare Special Needs Plans. The best Medicare Advantage plan in Niagara 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 $7,550 YesBrowse
Formulary
Aetna Medicare Credit Plan (PPO)
(H5521-313)
$0 $350.00 $7,550 YesBrowse
Formulary
Aetna Medicare Premier Plan (PPO)
(H5521-215)
$0 $250.00 $6,500 YesBrowse
Formulary
Aetna Medicare Value Plan (HMO-POS)
(H3312-065)
$0 $250.00 $7,550 YesBrowse
Formulary
Centers Plan for Medicare Advantage Care (HMO)
(H6988-001)
$0 $395.00 $7,550 NoBrowse
Formulary
Highmark Blue Cross Blue Shield BlueSaver (HMO)
(H3384-062)
$0 $290.00 $7,550 NoBrowse
Formulary
Highmark Blue Cross Blue Shield Forever Blue 751 (PPO)
(H5526-004)
$205.00 $0 $6,700 NoBrowse
Formulary
Highmark Blue Cross Blue Shield Forever Blue Value (PPO)
(H5526-016)
$146.00 $0 $6,700 NoBrowse
Formulary
Highmark Blue Cross Blue Shield Freedom Nation (PPO)
(H5526-020)
$26.00 $290.00 $7,550 NoBrowse
Formulary
Highmark Blue Cross Blue Shield Senior Blue 651 (HMO)
(H3384-019)
$121.00 $0 $6,700 NoBrowse
Formulary
Highmark Blue Cross Blue Shield Senior Blue Basic (HMO)
(H3384-067)
$0 $350.00 $7,550 NoBrowse
Formulary
Highmark Blue Cross Blue Shield Senior Blue Select (HMO)
(H3384-058)
$59.00 $175.00 $6,700 NoBrowse
Formulary
Humana Gold Plus H3533-006 (HMO)
(H3533-006)
$0 $300.00 $7,200 NoBrowse
Formulary
HumanaChoice H5970-001 (PPO)
(H5970-001)
$17.00 $0 $4,500 NoBrowse
Formulary
HumanaChoice H5970-015 (PPO)
(H5970-015)
$0 $250.00 $4,900 NoBrowse
Formulary
HumanaChoice H5970-018 (PPO)
(H5970-018)
$0 $310.00 $4,800 NoBrowse
Formulary
Independent Healths Encompass 65 Basic (HMO)
(H3362-017)
$125.00 $0 $6,900 NoBrowse
Formulary
Independent Healths Encompass 65 Core (HMO)
(H3362-033)
$65.00 $100.00 $6,900 NoBrowse
Formulary
Independent Healths Encompass 65 Edge (HMO)
(H3362-039)
$0 $480.00 $7,550 NoBrowse
Formulary
Independent Healths Encompass 65 Element (HMO)
(H3362-038)
$0 $195.00 $6,900 NoBrowse
Formulary
Independent Healths Medicare Passport Advantage (PPO)
(H3344-005)
$99.00 $150.00 $6,900 NoBrowse
Formulary
Independent Healths Medicare Passport Prime (PPO)
(H3344-010)
$225.00 $0 $6,900 YesBrowse
Formulary
MVP Medicare Patriot Plan with Part D (PPO)
(H9615-014)
$45.00 $250.00 $7,550 NoBrowse
Formulary
MVP Medicare Preferred Gold with Part D (HMO-POS)
(H3305-015)
$211.00 $0 $7,550 YesBrowse
Formulary
MVP Medicare Secure with Part D (HMO-POS)
(H3305-030)
$15.00 $300.00 $7,550 NoBrowse
Formulary
MVP Medicare WellSelect with Part D (PPO)
(H9615-012)
$80.00 $250.00 $7,550 NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 1 (Region
(R5342-001)
$16.00 $300.00 $7,200 YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region
(R5342-005)
$46.00 $250.00 $6,900 YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 4 (Region
(R5342-006)
$84.00 $150.00 $6,700 YesBrowse
Formulary
Univera SeniorChoice Advanced (HMO-POS)
(H3351-019)
$33.00 $100.00 $7,200 NoBrowse
Formulary
Univera SeniorChoice Basic (HMO)
(H3351-017)
$0 $200.00 $7,550 NoBrowse
Formulary
Univera SeniorChoice Extra (HMO)
(H3351-020)
$0 $350.00 $7,550 NoBrowse
Formulary
Univera SeniorChoice Secure (HMO-POS)
(H3351-002)
$107.00 $0 $4,500 NoBrowse
Formulary
Univera SeniorChoice Value (HMO)
(H3351-010)
$60.00 $0 $6,700 NoBrowse
Formulary
Univera SeniorChoice Value Plus (HMO-POS)
(H3351-012)
$92.00 $0 $5,000 NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H2775-113)
$30.70 $480.00 $6,700 NoBrowse
Formulary
Wellcare Fidelis Assist (HMO-POS)
(H5599-002)
$17.10 $480.00 $7,550 NoBrowse
Formulary
Wellcare Fidelis No Premium (HMO)
(H5599-004)
$0 $0 $7,550 NoBrowse
Formulary
Wellcare Giveback Open (PPO)
(H2775-111)
$0 $325.00 $7,550 YesBrowse
Formulary
Wellcare No Premium (HMO)
(H4868-019)
$0 $0 $6,700 NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H2775-106)
$0 $0 $6,700 YesBrowse
Formulary
Wellcare Premium Ultra Open (PPO)
(H2775-105)
$121.00 $0 $3,400 NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in New York





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Niagara 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 $425.0  No Gap Coverage Dual-Eligible
Centers Plan for Nursing Home Care (HMO I-SNP)     $42.40 $480.0  No Gap Coverage Institutional
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)     $30.10 $460.0  No Gap Coverage Dual-Eligible
HumanaChoice SNP-DE H5970-020 (PPO D-SNP)     $19.40 $480.0  No Gap Coverage Dual-Eligible
Independent Healths Medicare Family Choice (HMO I-SNP)     $42.40 $0  No Gap Coverage Institutional
Nascentia Dual Advantage (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-EligibleNA
Nascentia Skilled Nursing Facility (HMO I-SNP)     $42.40 $480.0  No Gap Coverage InstitutionalNA
UnitedHealthcare Dual Complete Plan 1 (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Dual Complete Plan 2 (HMO D-SNP)     $37.40 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)     $42.40 $480.0  No Gap Coverage Institutional
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)     $42.40 $480.0  No Gap Coverage Institutional
Wellcare Dual Access (HMO D-SNP)     $30.80 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Access Open (PPO D-SNP)     $37.30 $480.0  No Gap Coverage Dual-Eligible
Wellcare Fidelis Dual Access (HMO D-SNP)     $20.00 $480.0  No Gap Coverage Dual-Eligible
Wellcare Fidelis Dual Plus (HMO D-SNP)     $23.30 $480.0  No Gap Coverage Dual-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.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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