Health Insurance › Medicare › New York › Advantage Plans › Madison County, NY

Medicare Advantage Plans in Madison County, New York

Below are Medicare Advantage plans available to residents of Madison county, New York. 7 carriers offer 20 plans throughout the county of Madison. Residents may choose plans from carriers such as UnitedHealthcare, Universal American Corp. and Excellus Health Plan Inc. 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 Madison county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Madison

Carrier	Plan Title	Plan Type
UnitedHealthcare	UnitedHealthcare MedicareComplete Choice (PPO) (H1537-001)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $10 000 out-of-pocket limit for Medicare-covered services. $62 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 $45 copay for each specialist visit for Medicare-covered benefits. 40% of the cost for each primary care doctor visit 40% of the cost 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
Excellus Health Plan Inc	Medicare Blue PPO Plan TWO (PPO) (H3335-005)	Local Preferred Provider Organization
Premium and Other Important Information $3 500 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 $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. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Excellus Health Plan Inc	Medicare Blue PPO Plan THREE (PPO) (H3335-006)	Local Preferred Provider Organization
Premium and Other Important Information $3 500 out-of-pocket limit. All plan services included. $10 000 out-of-pocket limit. All plan services included. $80 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. $25 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Excellus Health Plan Inc	Medicare Blue PPO Plan FOUR (PPO) (H3335-041)	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. $40.00 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 $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. $25 copay for each primary care doctor visit $35 copay for each specialist visit
Excellus Health Plan Inc	Medicare Blue PPO Plan ONE (PPO) (H3335-051)	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. $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. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $20 copay for each primary care doctor visit $45 copay for each specialist visit
Northeast Community Care	Northeast Community Care - Plus (HMO) (H3533-001)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $19 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. $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each specialist visit for Medicare-covered benefits.
Northeast Community Care	Northeast Community Care - Dual Plus (HMO SNP) (H3533-002)	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. $3 400 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 Authorization rules may apply. $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.*
CDPHP Medicare Choices	CDPHP Classic Rx (PPO) (H5042-001)	Local Preferred Provider Organization
Premium and Other Important Information $2 500 out-of-pocket limit. All plan services included. $145 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. $20 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $25 copay for each specialist visit
CDPHP Medicare Choices	CDPHP Classic (PPO) (H5042-004)	Local Preferred Provider Organization
Premium and Other Important Information $2 500 out-of-pocket limit. All plan services included. $95.00 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 $20 copay for each primary care doctor visit for Medicare-covered benefits. $20 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $25 copay for each specialist visit
CDPHP Medicare Choices	CDPHP Core Rx (PPO) (H5042-005)	Local Preferred Provider Organization
Premium and Other Important Information $3 300 out-of-pocket limit. All plan services included. $99 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 $30 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $35 copay for each specialist visit
CDPHP Medicare Choices	CDPHP Prime Rx (PPO) (H5042-007)	Local Preferred Provider Organization
Premium and Other Important Information $2 000 out-of-pocket limit. All plan services included. $199 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. $10 copay for each specialist visit for Medicare-covered benefits. $10 copay for each primary care doctor visit $10 copay for each specialist visit
MVP HEALTH CARE	GoldAnywhere Rx (PPO) (H9615-002)	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. $138.4 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 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
ActiveSaver MSA or BlueSaver MSA	ActiveSaver MSA (MSA) (H9788-003)	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 $4 950 annual deductible Note that only Medicare-covered services will count toward your annual deductible. Medicare will deposit $3 200 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.
MVP HEALTH CARE	Preferred Gold (HMO-POS) (H9859-001)	HMO with POS Option
Premium and Other Important Information $3 800 out-of-pocket limit for Medicare-covered services. $14.60 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) (H9859-002)	HMO with POS Option
Premium and Other Important Information $3 800 out-of-pocket limit for Medicare-covered services. $72.1 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) (H9859-013)	HMO with POS Option
Premium and Other Important Information $4 600 out-of-pocket limit for Medicare-covered services. $46.2 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.

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