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Medicare Advantage Plans in Erie County, New York

Below are Medicare Advantage plans available to residents of Erie county, New York. 11 carriers offer 40 plans throughout the county of Erie. Residents may choose plans from carriers such as Care Improvement Plus, Catholic Health LIFE and Universal American Corp.. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Erie county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Erie

Carrier	Plan Title	Plan Type
Care Improvement Plus	Care Improvement Plus Silver Rx (PPO SNP) (H0084-022)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply. $39.8 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits 20% of the cost for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 20% of the cost for each specialist visit for Medicare-covered benefits. 20% of the cost for each primary care doctor visit 20% of the cost for each specialist visit
Care Improvement Plus	Care Improvement Plus Gold Rx (PPO SNP) (H0084-023)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $50 copay for each specialist visit
Care Improvement Plus	Care Improvement Plus Medicare Advantage (PPO) (H0084-025)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $53 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $35 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $50 copay for each specialist visit
Catholic Health LIFE	CHS Buffalo - Dual (PACE) (H1518-001)	National PACE
Catholic Health LIFE	CHS Buffalo - Medicare only (PACE) (H1518-002)	National PACE
Universal American Corp.	Today's Options Advantage Plus 150A (PPO) (H2775-082)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $63 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $35 copay for each specialist visit
Universal American Corp.	Today's Options Advantage Plus 550B (PPO) (H2775-088)	Local Preferred Provider Organization
Premium and Other Important Information $4 400 out-of-pocket limit for Medicare-covered services. $6 000 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $20 copay for each primary care doctor visit $40 copay for each specialist visit
Universal American Corp.	Today's Options Advantage 300 (PPO) (H2775-094)	Local Preferred Provider Organization
Premium and Other Important Information $4 400 out-of-pocket limit for Medicare-covered services. $6 000 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $20 copay for each primary care doctor visit $40 copay for each specialist visit
Universal American Corp.	Today's Options Premier 100 (PFFS) (H2816-001)	Private Fee for Service
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $20.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $35 copay for each specialist visit
Universal American Corp.	Today's Options Premier 300 (PFFS) (H2816-007)	Private Fee for Service
Premium and Other Important Information $4 400 out-of-pocket limit for Medicare-covered services. $6 000 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $20 copay for each primary care doctor visit $40 copay for each specialist visit
Universal American Corp.	Today's Options Premier Plus 150A (PFFS) (H2816-013)	Private Fee for Service
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $72 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $35 copay for each specialist visit
Universal American Corp.	Today's Options Premier Plus 350B (PFFS) (H2816-019)	Private Fee for Service
Premium and Other Important Information $4 400 out-of-pocket limit for Medicare-covered services. $6 000 out-of-pocket limit for Medicare-covered services. $21 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $20 copay for each primary care doctor visit $40 copay for each specialist visit
MVP HEALTH CARE	Preferred Gold (HMO-POS) (H3305-016)	HMO with POS Option
Premium and Other Important Information $3 800 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits Authorization rules may apply. $15 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
MVP HEALTH CARE	Preferred Gold Rx (HMO-POS) (H3305-017)	HMO with POS Option
Premium and Other Important Information $3 800 out-of-pocket limit for Medicare-covered services. $104.4 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $15 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
MVP HEALTH CARE	GoldValue Rx (HMO-POS) (H3305-018)	HMO with POS Option
Premium and Other Important Information $4 600 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $20 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Excellus Health Plan Inc	Univera Medicare PPO Plan 102 (PPO) (H3335-002)	Local Preferred Provider Organization
Premium and Other Important Information $4 000 out-of-pocket limit. All plan services included. $10 000 out-of-pocket limit. All plan services included. $40 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $45 copay for each specialist visit
Independent Health	Independent Health Medicare Passport Premier (PPO) (H3344-003)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $5 100 out-of-pocket limit for Medicare-covered services. $173 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $5 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $30 copay for each specialist visit
Independent Health	Independent Health Medicare Passport Advantage (PPO) (H3344-005)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $500 annual deductible. Contact the plan for services that apply. $5 100 out-of-pocket limit for Medicare-covered services. $65 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $40 copay for each primary care doctor visit $40 copay for each specialist visit
Independent Health	Independent Health Medicare Passport Basic (PPO) (H3344-006)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $250 annual deductible. Contact the plan for services that apply. $5 100 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $40 copay for each primary care doctor visit $40 copay for each specialist visit
MVP HEALTH CARE	GoldAnywhere Rx (PPO) (H3346-007)	Local Preferred Provider Organization
Premium and Other Important Information $2 000 out-of-pocket limit for Medicare-covered services. $5 000 out-of-pocket limit for Medicare-covered services. $155 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits Authorization rules may apply. $10 copay for each primary care doctor visit for Medicare-covered benefits. $15 copay for each in-area network urgent care Medicare-covered visit $15 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $35 copay for each specialist visit
Excellus Health Plan Inc	SeniorChoice Select (HMO-POS) (H3351-001)	HMO with POS Option
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $80.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Excellus Health Plan Inc	SeniorChoice Secure (HMO-POS) (H3351-002)	HMO with POS Option
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $114 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Excellus Health Plan Inc	SeniorChoice Value (HMO) (H3351-010)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Excellus Health Plan Inc	SeniorChoice Value Plus (HMO) (H3351-012)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $40 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
WellCare	WellCare Liberty (HMO SNP) (H3361-043)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
WellCare	WellCare Advance (HMO) (H3361-059)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
WellCare	WellCare Access (HMO SNP) (H3361-065)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
WellCare	WellCare Value (HMO-POS) (H3361-099)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
WellCare	WellCare Choice (HMO-POS) (H3361-129)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Independent Health	Independent Health Encompass 65 (HMO) (H3362-003)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $39.8 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Independent Health	Independent Health Encompass 65 (HMO) (H3362-016)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Independent Health	Independent Health Encompass 65 Basic (HMO) (H3362-017)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Independent Health	Independent Health Medicare Family Choice (HMO SNP) (H3362-020)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $37 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $0 copay for the cost of each in-area network urgent care Medicare-covered visit. $0 copay for each specialist doctor visit for Medicare-covered benefits.
UnitedHealthcare	UnitedHealthcare Nursing Home Plan (HMO SNP) (H3379-022)	HMO
Premium and Other Important Information $3 500 out-of-pocket limit for Medicare-covered services. $39.8 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.
BlueCross BlueShield of WNY OR BlueShield of NENY	BlueCross BlueShield Senior Blue HMO 651 PartD (HMO) (H3384-019)	HMO
Premium and Other Important Information Package: 1 - Optional Dental Benefit: $10 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $250 plan coverage limit every year for these benefits. $3 400 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
BlueCross BlueShield of WNY OR BlueShield of NENY	BlueCross BlueShield Senior Blue HMO 601 (HMO) (H3384-022)	HMO
Premium and Other Important Information Package: 1 - Optional Dental Benefit: $10 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $250 plan coverage limit every year for these benefits. $3 400 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
BlueCross BlueShield of WNY OR BlueShield of NENY	BlueCross BlueShield Senior Blue HMO 653 PartD (HMO) (H3384-041)	HMO
Premium and Other Important Information Package: 1 - Optional Dental Benefit: $10 monthly premium in addition to your $95 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $250 plan coverage limit every year for these benefits. $3 400 out-of-pocket limit for Medicare-covered services. $95 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
BlueCross BlueShield of WNY or BlueShield of NENY	BlueCross BlueShield Forever Blue Medicare PPO 701 (PPO) (H5526-002)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - Optional Dental Benefit: $10 monthly premium in addition to your $40 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $250 plan coverage limit every year for these benefits. $3 400 out-of-pocket limit for Medicare-covered services. $5 100 out-of-pocket limit for Medicare-covered services. $40.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $30 copay for each specialist visit
BlueCross BlueShield of WNY or BlueShield of NENY	BlueCross BlueShield Forever Blue Medicare PPO 751 (PPO) (H5526-004)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - Optional Dental Benefit: $10 monthly premium in addition to your $111 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $250 plan coverage limit every year for these benefits. $5 100 out-of-pocket limit for Medicare-covered services. $7 000 out-of-pocket limit for Medicare-covered services. $111 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $40 copay for each specialist visit
ActiveSaver MSA or BlueSaver MSA	BlueSaver MSA (MSA) (H9788-001)	Medical Savings Account
Premium and Other Important Information Balance billing means that a provider may charge and bill you more than the plan's payment amount for services There is a limit on what providers may charge for Medicare-covered services $4 750 annual deductible Note that only Medicare-covered services will count toward your annual deductible. Medicare will deposit $3 000 into your bank account. You will not have a monthly plan premium. Medicare pays the monthly plan premium for the Medicare MSA Plan. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Balance billing counts towards your plan deductible. Doctor Office Visits Once you reach the plan deductible Medicare MSA plans cover Original Medicare benefits. Co-pay for Medicare MSAs is $0 once deductible is met.

New York Plan Data by County

• Albany, NY Medicare Advantage Plans
• Allegany, NY Medicare Advantage Plans
• Bronx, NY Medicare Advantage Plans
• Broome, NY Medicare Advantage Plans
• Cattaraugus, NY Medicare Advantage Plans
• Cayuga, NY Medicare Advantage Plans
• Chautauqua, NY Medicare Advantage Plans
• Chemung, NY Medicare Advantage Plans
• Chenango, NY Medicare Advantage Plans
• Clinton, NY Medicare Advantage Plans
• Columbia, NY Medicare Advantage Plans
• Cortland, NY Medicare Advantage Plans
• Delaware, NY Medicare Advantage Plans
• Dutchess, NY Medicare Advantage Plans
• Erie, NY Medicare Advantage Plans
• Essex, NY Medicare Advantage Plans
• Franklin, NY Medicare Advantage Plans
• Fulton, NY Medicare Advantage Plans
• Genesee, NY Medicare Advantage Plans
• Greene, NY Medicare Advantage Plans
• Hamilton, NY Medicare Advantage Plans
• Hardin, NY Medicare Advantage Plans
• Herkimer, NY Medicare Advantage Plans
• Jefferson, NY Medicare Advantage Plans
• Kings, NY Medicare Advantage Plans
• Lewis, NY Medicare Advantage Plans
• Livingston, NY Medicare Advantage Plans
• Madison, NY Medicare Advantage Plans
• Monroe, NY Medicare Advantage Plans
• Montgomery, NY Medicare Advantage Plans
• Nassau, NY Medicare Advantage Plans
• New York, NY Medicare Advantage Plans

• Niagara, NY Medicare Advantage Plans
• Oneida, NY Medicare Advantage Plans
• Onondaga, NY Medicare Advantage Plans
• Ontario, NY Medicare Advantage Plans
• Orange, NY Medicare Advantage Plans
• Orleans, NY Medicare Advantage Plans
• Oswego, NY Medicare Advantage Plans
• Otsego, NY Medicare Advantage Plans
• Putnam, NY Medicare Advantage Plans
• Queens, NY Medicare Advantage Plans
• Rensselaer, NY Medicare Advantage Plans
• Richmond, NY Medicare Advantage Plans
• Rockland, NY Medicare Advantage Plans
• Saint Lawrence, NY Medicare Advantage Plans
• Saratoga, NY Medicare Advantage Plans
• Schenectady, NY Medicare Advantage Plans
• Schoharie, NY Medicare Advantage Plans
• Schuyler, NY Medicare Advantage Plans
• Seneca, NY Medicare Advantage Plans
• Steuben, NY Medicare Advantage Plans
• Suffolk, NY Medicare Advantage Plans
• Sullivan, NY Medicare Advantage Plans
• Tioga, NY Medicare Advantage Plans
• Tompkins, NY Medicare Advantage Plans
• Ulster, NY Medicare Advantage Plans
• Warren, NY Medicare Advantage Plans
• Washington, NY Medicare Advantage Plans
• Wayne, NY Medicare Advantage Plans
• Westchester, NY Medicare Advantage Plans
• Wyoming, NY Medicare Advantage Plans
• Yates, NY Medicare Advantage Plans

New York Plan Data by City

• Buffalo, NY Medicare Advantage Plans
• Rochester, NY Medicare Advantage Plans

• Syracuse, NY Medicare Advantage Plans
• Yonkers, NY Medicare Advantage Plans