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
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2292-001-0 		Local PPO $300 per Quarter Yes $1,200 Yes $2,000 Yes No Yes Yes No 4,220
Elderplan Elderplan For Medicaid Beneficiaries (HMO D-SNP)
H3347-002-0 		HMO $210 per Month No $0 Yes $1,300 No No Yes Yes No 4,185
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-010-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 4,132
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage Select (HMO D-SNP)
H8432-028-0 		HMO $210 per Quarter Yes $840 Yes $1,500 Yes No Yes Yes No 4,094
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 3,907
Humana Humana Gold Plus H3533-033 (HMO)
H3533-033-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 3,906
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 3,842
Humana Humana Gold Plus H3533-027 (HMO)
H3533-027-0 		HMO No $0 Yes No No Yes No No 3,794
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-009-0 		HMO $35 per Quarter Yes $140 Yes $2,500 Yes No Yes Yes No 3,743
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Nation (PPO)
H5526-021-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 3,646
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 3,617
Excellus Health Plan, Inc Univera SeniorChoice Value Plus (HMO-POS)
H3351-012-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 3,613
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 3,394
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-118-0 		Local PPO No $0 Yes $2,500 No No Yes No No 3,391
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-040-0 		Local PPO No $0 Yes $2,500 No No Yes No No 3,324
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 3,298
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-110-0 		Local PPO No $0 Yes $2,500 No No Yes No No 3,282
Anthem BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-027-0 		HMO $27 per Quarter Yes $108 No 3,273
Humana Humana Gold Plus H3533-010 (HMO)
H3533-010-0 		HMO No $0 Yes No No Yes No No 3,173
Elderplan Elderplan Plus Long Term Care (HMO D-SNP)
H3347-007-0 		HMO $270 per Month No $0 Yes $1,300 No No Yes Yes No 3,091
VNS Health Medicare VNS Health Total (HMO D-SNP)
H5549-003-0 		HMO $266 per Month No $0 Yes $1,500 Yes No No No No 3,075
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-007-0 		HMO $155 per Quarter Yes $620 No 2,986
Independent Health Independent Health's Encompass 65 (HMO)
H3362-016-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 2,955
MVP HEALTH CARE MVP Medicare Preferred Gold with Part D (HMO-POS)
H3305-021-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 2,832
CDPHP Medicare Advantage CDPHP Flex Rx (PPO)
H5042-011-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 2,813
CDPHP Medicare Advantage CDPHP Group Medicare Rx (PPO)
H5042-802-0 		Local PPO No $0 No 2,731
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus (HMO)
H1732-006-0 		HMO $40 per Quarter Yes $160 Yes $2,000 No No Yes Yes No 2,710
MVP HEALTH CARE MVP Medicare Patriot Plan with Part D (PPO)
H9615-014-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,701
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-215-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 2,696
MVP HEALTH CARE MVP Medicare WellSelect with Part D (PPO)
H9615-012-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,641
Wellcare Wellcare Assist (HMO)
H4868-016-0 		HMO $47 per Quarter No $188 Yes $2,000 No No Yes Yes No 2,583
VillageCareMAX VillageCareMAX Medicare Total Advantage (HMO D-SNP)
H2168-002-0 		HMO $0 per Month Yes $0 Yes No No No No No 2,529
MVP HEALTH CARE MVP Medicare Secure Plus with Part D (HMO-POS)
H3305-022-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 2,427
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Forever Blue 751 (PPO)
H5526-004-0 		Local PPO $35 per Quarter Yes $140 Yes No No Yes No No 2,417
Excellus Health Plan, Inc Medicare BlueActive (PPO)
H3335-055-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,375
Elderplan Elderplan Extra Help (HMO)
H3347-009-0 		HMO $140 per Quarter No $560 Yes $1,000 No No Yes Yes No 2,367
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 2,352
CenterLight Healthcare PACE CenterLight Healthcare PACE Dual Eligible (PACE)
H3329-001-0 		National PACE No $0 No 2,237
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 2,176
Anthem BlueCross BlueShield Empire MediBlue Extra Select (HMO)
H8432-035-0 		HMO $90 per Quarter Yes $360 Yes $2,000 No No Yes Yes No 2,166
Humana Humana Gold Plus H3533-013 (HMO)
H3533-013-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 2,127
VNS Health Medicare VNS Health EasyCare Plus (HMO D-SNP)
H5549-011-0 		HMO $225 per Month No $0 Yes $1,400 Yes No No No No 2,118
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Senior Blue Basic (HMO)
H3384-067-0 		HMO No $0 No 2,027
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 1,974
CDPHP Medicare Advantage CDPHP Vital Rx (PPO)
H5042-009-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 1,967
Anthem BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-016-0 		HMO $35 per Quarter Yes $140 Yes $2,000 Yes No Yes Yes No 1,944
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 1,935
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 1,861
Excellus Health Plan, Inc Medicare Blue Choice Optimum (HMO-POS)
H3351-006-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 1,778
Excellus Health Plan, Inc Univera SeniorChoice Secure (HMO-POS)
H3351-002-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 1,768

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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