2022 Suffolk County New York
Medicare Advantage Plans

There are 26 Medicare Advantage Plans available in Suffolk County NY from 7 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. Suffolk County New York residents can also pick from 23 Medicare Special Needs Plans. The best Medicare Advantage plan in Suffolk County New York 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
Click
for
Formulary
Aetna Medicare Elite Plan (PPO)
(H5521-120)
$0 $300.00 $7,550 YesBrowse
Formulary
Aetna Medicare Premier Plan (PPO)
(H5521-117)
$99.00 $300.00 $7,550 YesBrowse
Formulary
Aetna Medicare Premier Plus Plan (PPO)
(H5521-341)
$37.00 $350.00 $7,550 YesBrowse
Formulary
Aetna Medicare Value Plan (HMO)
(H3312-064)
$89.00 $250.00 $7,550 YesBrowse
Formulary
EmblemHealth VIP Essential (HMO)
(H3330-032)
$33.60 $325.00 $7,550 NoBrowse
Formulary
EmblemHealth VIP Gold (HMO)
(H3330-021)
$256.00 $200.00 $7,550 NoBrowse
Formulary
EmblemHealth VIP Gold Plus (HMO)
(H3330-038)
$261.00 $200.00 $7,550 NoBrowse
Formulary
EmblemHealth VIP Passport (HMO)
(H5991-003)
$34.40 $350.00 $7,550 NoBrowse
Formulary
EmblemHealth VIP Value (HMO)
(H3330-036)
$0 $325.00 $7,550 NoBrowse
Formulary
Empire MediBlue HealthPlus (HMO)
(H1732-006)
$25.00 $350.00 $6,700 YesToo NewBrowse
Formulary
Empire MediBlue Plus (HMO)
(H8432-011)
$80.00 $350.00 $6,950 NoBrowse
Formulary
Empire MediBlue Select (HMO)
(H8432-033)
$79.00 $350.00 $6,900 YesBrowse
Formulary
Humana Gold Plus H3533-010 (HMO)
(H3533-010)
$39.60 $250.00 $7,550 NoBrowse
Formulary
Humana Gold Plus H3533-027 (HMO)
(H3533-027)
$0 $425.00 $7,550 NoBrowse
Formulary
HumanaChoice H5970-024 (PPO)
(H5970-024)
$0 $350.00 $7,200 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
VNSNY CHOICE EasyCare (HMO)
(H5549-012)
$25.00 $480.00 $7,550 NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H2775-113)
$30.70 $480.00 $6,700 NoBrowse
Formulary
Wellcare Giveback Open (PPO)
(H2775-111)
$0 $325.00 $7,550 YesBrowse
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

Plan Name ⇅ Premium Type MOOP Overall
Rating
Aetna Medicare Eagle Plan (PPO)
(H5521-320)
$0 Local PPO * $7,550
Humana Honor (PPO)
(H5970-016)
$0 Local PPO * $4,500
UnitedHealthcare Medicare Advantage Patriot (Regional PPO
(R5342-002)
$0 Regional PPO * $6,700





2022 Medicare Special Needs Plans in Suffolk county New York

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure Plan (HMO D-SNP)     $23.20 $400.0  No Gap Coverage Dual-Eligible
AgeWell New York CareWell (HMO I-SNP)     $42.40 $480.0  No Gap Coverage Institutional
Centers Plan for Nursing Home Care (HMO I-SNP)     $42.40 $480.0  No Gap Coverage Institutional
Elderplan Advantage For Nursing Home Residents (HMO I-SNP     $42.40 $480.0  No Gap Coverage Institutional
Elderplan Assist (HMO I-SNP)     $42.00 $480.0  No Gap Coverage Institutional
EmblemHealth VIP Dual (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-Eligible
EmblemHealth VIP Dual Select (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-Eligible
EmblemHealth VIP Solutions (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-Eligible
Empire MediBlue Dual Advantage Select (HMO D-SNP)     $42.40 $480.0  Some Generics Dual-Eligible
Empire MediBlue HealthPlus Dual Connect (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-EligibleToo New
Empire MediBlue HealthPlus Dual Plus (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-EligibleToo New
Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)     $38.90 $480.0  No Gap Coverage Dual-Eligible
Longevity Health Plan (HMO I-SNP)     $36.60 $480.0  No Gap Coverage InstitutionalNA
UnitedHealthcare Assisted Living Plan (PPO I-SNP)     $42.40 $200.0  No Gap Coverage Institutional
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 1 (PPO I-SNP)     $42.00 $480.0  No Gap Coverage Institutional
VNSNY CHOICE EasyCare Plus (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-Eligible
VNSNY CHOICE Total (HMO D-SNP)     $42.40 $480.0  No Gap Coverage Dual-Eligible
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)     $18.30 $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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