Medicare Advantage Plans for New York

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? New York Enrollees
Healthfirst Medicare Plan Healthfirst Life Improvement Plan (HMO D-SNP)
H3359-021-0 		HMO $0 No Yes No Yes Yes No 148,319
UnitedHealthcare UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP)
H3387-014-2 		HMOPOS $2,400 No Yes $2,000 No Yes Yes No 121,761
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO $0 No Yes No Yes Yes No 79,665
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 54,430
Wellcare by Fidelis Care Wellcare Fidelis Dual Access (HMO D-SNP)
H5599-001-0 		HMO $1,380 No Yes $700 No Yes Yes Yes 44,808
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 35,396
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-014-0 		HMO $1,920 No Yes $1,500 No Yes Yes Yes 34,809
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-120-0 		Local PPO $0 No Yes $1,500 No Yes No No 34,659
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $412 No Yes $1,500 No Yes Yes No 34,433
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO $232 No Yes $700 No Yes Yes No 34,319
Excellus Health Plan, Inc Medicare Blue Choice Select (HMO)
H3351-016-0 		HMO $120 No Yes No Yes No No 29,800
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 29,151
Healthfirst Medicare Plan Healthfirst Increased Benefits Plan (HMO)
H3359-019-0 		HMO $0 No Yes No Yes Yes No 26,955
Humana HumanaChoice H5970-024 (PPO)
H5970-024-2 		Local PPO $0 No Yes No Yes No No 26,596
Healthfirst Medicare Plan Healthfirst 65 Plus Plan (HMO)
H3359-001-0 		HMO $0 No Yes No Yes Yes No 26,175
Highmark BCBS of WNY and Highmark BS of NENY Highmark Blue Cross Blue Shield BlueSaver (HMO)
H3384-062-0 		HMO $100 Yes Yes No Yes No No 24,239
Excellus Health Plan, Inc Medicare BlueEssential (PPO)
H3335-053-0 		Local PPO $200 No Yes No Yes No No 22,842
Healthfirst Medicare Plan Healthfirst CompleteCare (HMO D-SNP)
H3359-034-0 		HMO $0 No No 22,749
UnitedHealthcare AARP Medicare Advantage Mosaic Choice (PPO)
H3418-001-0 		Local PPO $160 No Yes No Yes Yes No 21,296
EmblemHealth Medicare HMO EmblemHealth VIP Dual (HMO D-SNP)
H3330-042-3 		HMO $1,320 No Yes $1,500 No No No No 20,743
Healthfirst Medicare Plan Healthfirst Signature (HMO)
H5989-011-0 		HMO $280 No Yes No Yes Yes No 19,722
Excellus Health Plan, Inc Medicare BlueClassic (PPO)
H3335-038-0 		Local PPO $200 No Yes No Yes No No 17,537
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $400 Yes No 17,379
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3307-002-0 		HMOPOS $0 No Yes No Yes Yes No 17,201
Independent Health Independent Health's Encompass 65 Core (HMO)
H3362-033-0 		HMO $140 Yes Yes No Yes No No 17,167
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 16,146
Independent Health Independent Health's Encompass 65 Basic (HMO)
H3362-017-0 		HMO $200 Yes Yes No Yes No No 15,572
EmblemHealth Medicare HMO EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0 		HMO $0 No No 15,346
Empire BlueCross BlueShield Empire MediBlue HealthPlus Dual Connect (HMO D-SNP)
H1732-003-0 		HMO $1,200 Yes Yes $3,000 No Yes Yes No 15,257
EmblemHealth Medicare HMO EmblemHealth VIP Premier (HMO)
H3330-814-0 		HMO $0 No No 15,140
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS $0 No No 14,075
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2775-112-0 		Local PPO $1,044 No Yes $2,000 No Yes Yes No 13,776
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-077-0 		Local PPO $180 No Yes $2,500 No Yes No No 13,772
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-048-0 		HMO $0 No Yes $2,500 No Yes No No 13,530
UnitedHealthcare AARP Medicare Advantage Prime (HMO-POS)
H3307-015-0 		HMOPOS $0 No Yes No Yes Yes No 13,088
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO $0 No No 12,254
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 12,153
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO $316 No Yes $1,500 No Yes Yes Yes 12,063
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $600 No Yes $1,500 No Yes Yes No 11,402
Empire BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-008-7 		HMO $0 No No 11,382
Humana Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)
H3533-034-2 		HMO $0 No Yes $2,000 No Yes No No 11,277
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO $0 No No 11,009
CDPHP Medicare Advantage CDPHP Group Medicare Rx (HMO)
H3388-803-0 		HMO $0 No No 10,897
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $100 No No 10,784
Excellus Health Plan, Inc Univera SeniorChoice Basic (HMO)
H3351-017-0 		HMO $200 No Yes No Yes No No 10,683
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-040-0 		HMOPOS $280 No Yes No Yes Yes No 10,618
Independent Health Independent Health's Encompass 65 Element (HMO)
H3362-038-0 		HMO $100 Yes Yes No Yes No No 10,316
Humana HumanaChoice SNP-DE H5970-020 (PPO D-SNP)
H5970-020-0 		Local PPO $0 No Yes No Yes No No 9,898
Excellus Health Plan, Inc Medicare BlueEnhanced (PPO)
H3335-015-0 		Local PPO $200 No Yes No Yes No No 9,895
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO $0 No No 9,880

Counties in New York

County Medicare Advantage Enrolless
Albany 53,819
Allegany 8,730
Bronx 188,784
Broome 40,288
Cattaraugus 15,291
Cayuga 13,568
Chautauqua 27,221
Chemung 17,105
Chenango 10,460
Clinton 14,901
Columbia 13,066
Cortland 7,219
Delaware 10,564
Dutchess 50,012
Erie 183,827
Essex 7,450
Franklin 9,803
Fulton 12,080
Genesee 11,732
Greene 9,945
Hamilton 1,235
Herkimer 12,231
Jefferson 16,479
Kings 331,327
Lewis 4,934
Livingston 12,514
Madison 12,052
Monroe 146,322
Montgomery 10,048
Nassau 227,646
New York 238,185
Niagara 44,453
Oneida 42,120
Onondaga 80,339
Ontario 23,999
Orange 53,637
Orleans 8,135
Oswego 22,077
Otsego 11,921
Putnam 17,232
Queens 324,939
Rensselaer 27,217
Richmond 76,332
Rockland 47,480
Saratoga 43,604
Schenectady 27,514
Schoharie 6,170
Schuyler 3,939
Seneca 6,677
Steuben 19,477
St. Lawrence 19,612
Suffolk 249,947
Sullivan 13,948
Tioga 9,831
Tompkins 12,921
Ulster 33,663
Warren 14,952
Washington 12,265
Wayne 20,141
Westchester 153,928
Wyoming 7,855
Yates 4,990
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