Medicare Advantage Plans for New York

3,160,153 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? New York Enrollees
Healthfirst Medicare Plan Healthfirst Life Improvement Plan (HMO D-SNP)
H3359-021-0 		HMO $0 per Month No $0 Yes No No Yes Yes No 148,319
UnitedHealthcare UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP)
H3387-014-2 		HMOPOS $193 per Month No $0 Yes $2,000 Yes No Yes Yes No 121,761
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 79,665
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 54,430
Wellcare by Fidelis Care Wellcare Fidelis Dual Access (HMO D-SNP)
H5599-001-0 		HMO $123 per Month Yes $0 Yes $700 No No Yes Yes No 44,808
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 35,396
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-014-0 		HMO $200 per Month Yes $0 Yes $1,500 No No Yes Yes No 34,809
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-120-0 		Local PPO No $0 Yes $2,500 No No Yes No No 34,659
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 34,433
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 34,319
Excellus Health Plan, Inc Medicare Blue Choice Select (HMO)
H3351-016-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 29,800
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 29,151
Healthfirst Medicare Plan Healthfirst Increased Benefits Plan (HMO)
H3359-019-0 		HMO $0 per Month No $0 Yes No No Yes Yes No 26,955
Humana HumanaChoice H5970-024 (PPO)
H5970-024-2 		Local PPO No $0 Yes No No Yes No No 26,596
Healthfirst Medicare Plan Healthfirst 65 Plus Plan (HMO)
H3359-001-0 		HMO No $0 Yes No No Yes Yes No 26,175
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield BlueSaver (HMO)
H3384-062-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 24,239
Excellus Health Plan, Inc Medicare BlueEssential (PPO)
H3335-053-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 22,842
Healthfirst Medicare Plan Healthfirst CompleteCare (HMO D-SNP)
H3359-034-0 		HMO $0 per Month No $0 No 22,749
UnitedHealthcare AARP Medicare Advantage Mosaic Choice (PPO)
H3418-001-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 21,296
EmblemHealth EmblemHealth VIP Dual (HMO D-SNP)
H3330-042-3 		HMO $110 per Month No $1,320 Yes $1,500 No No No No No 20,743
Healthfirst Medicare Plan Healthfirst Signature (HMO)
H5989-011-0 		HMO $70 per Quarter No $280 Yes No No Yes Yes No 19,722
Excellus Health Plan, Inc Medicare BlueClassic (PPO)
H3335-038-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 17,537
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 17,379
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3307-002-0 		HMOPOS No $0 Yes Yes No Yes Yes No 17,201
Independent Health Independent Health's Encompass 65 Core (HMO)
H3362-033-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 17,167
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 16,146
Independent Health Independent Health's Encompass 65 Basic (HMO)
H3362-017-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 15,572
EmblemHealth EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0 		HMO No $0 No 15,346
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus Dual Connect (HMO D-SNP)
H1732-003-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 15,257
EmblemHealth EmblemHealth VIP Premier (HMO)
H3330-814-0 		HMO No $0 No 15,140
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS No $0 No 14,075
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2775-112-0 		Local PPO $84 per Month Yes $0 Yes $2,000 No No Yes Yes No 13,776
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-077-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 13,772
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-048-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 13,530
UnitedHealthcare AARP Medicare Advantage Prime (HMO-POS)
H3307-015-0 		HMOPOS No $0 Yes Yes No Yes Yes No 13,088
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 12,254
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 12,153
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 12,063
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 11,402
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-008-7 		HMO No $0 No 11,382
Humana Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)
H3533-034-2 		HMO $1,860 per Month No $0 Yes $1,000 Yes No Yes No No 11,277
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 11,009
CDPHP Medicare Advantage CDPHP Group Medicare Rx (HMO)
H3388-803-0 		HMO No $0 No 10,897
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 10,784
Excellus Health Plan, Inc Univera SeniorChoice Basic (HMO)
H3351-017-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 10,683
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 10,618
Independent Health Independent Health's Encompass 65 Element (HMO)
H3362-038-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 10,316
Humana HumanaChoice SNP-DE H5970-020 (PPO D-SNP)
H5970-020-0 		Local PPO $2,400 per Month No $0 Yes No No Yes No No 9,898
Excellus Health Plan, Inc Medicare BlueEnhanced (PPO)
H3335-015-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 9,895
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 9,880

Top 20 Medicare Advantage Insurance Companyes for New York

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
UnitedHealthcare 438,158 229,178 374,352
Healthfirst Medicare Plan 245,387 241,778 237,870
Aetna Medicare 210,646 161,939 228,440
Excellus Health Plan, Inc 162,330 145,092 145,092
Wellcare 154,283 113,505 157,743
Humana 131,843 111,033 144,273
EmblemHealth 71,306 29,431 40,798
Highmark Blue Cross Blue Shield or Highmark Blue Shield 70,998 56,314 56,314
Independent Health 65,426 50,115 50,115
MVP HEALTH CARE 54,801 44,665 44,665
Wellcare by Fidelis Care 54,684 53,504 56,835
CDPHP Medicare Advantage 51,222 38,211 38,211
Anthem BlueCross BlueShield 41,601 22,930 20,612
ANTHEM BLUE CROSS AND BLUE SHIELD 34,445 35,438 35,438
Elderplan 12,084 12,988 12,988
MetroPlus Health Plan 9,607 9,932 10,206
Anthem Blue Cross and Blue Shield 8,891 0 0
VNS Health Medicare 5,943 7,475 7,475
Cigna Healthcare 3,417 6,911 6,911
VillageCareMAX 3,021 3,430 3,430

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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