Medicare Advantage Plans in Sullivan County, New York
Below are Medicare Advantage plans available to residents of Sullivan county, New York.
3 carriers offer 10 plans throughout the county of Sullivan.
Residents may choose plans from
Universal American Corp., Empire BlueCross BlueShield or ActiveSaver MSA or BlueSaver MSA. 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 Sullivan county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Sullivan
| Carrier |
Plan Title |
Plan Type |
| Universal American Corp. |
Today's Options Premier 400 (PFFS) (H2816-010) |
Private Fee for Service |
Premium and Other Important Information - $6 700 out-of-pocket limit for Medicare-covered services.
- $59.00 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.
- $25 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.
- $30 copay for each primary care doctor visit
- $60 copay for each specialist visit
|
| Universal American Corp. |
Today's Options Premier Plus 450G (PFFS) (H2816-022) |
Private Fee for Service |
Premium and Other Important Information - $6 700 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
- 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.
- $25 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.
- $30 copay for each primary care doctor visit
- $60 copay for each specialist visit
|
| Universal American Corp. |
Today's Options Premier 100 (PFFS) (H2816-026) |
Private Fee for Service |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $110.00 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 Plus 150A (PFFS) (H2816-028) |
Private Fee for Service |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $152 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
|
| Empire BlueCross BlueShield |
Empire MediBlue Freedom III (PPO) (H3342-002) |
Local Preferred Provider Organization |
Premium and Other Important Information - $2 800 out-of-pocket limit for Medicare-covered services.
- $106 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.
- $20 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
- $50 copay for each specialist visit
|
| Empire BlueCross BlueShield |
Empire MediBlue Freedom I (PPO) (H3342-012) |
Local Preferred Provider Organization |
Premium and Other Important Information - Package: 1 - Preventive Dental Package:
- Package: 2 - Comprehensive Dental and Vision Package:
- $12 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
- $30 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 Eye Exams Eye Wear
- $4 500 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.
- $40 copay for each primary care doctor visit
- $65 copay for each specialist visit
|
| Empire BlueCross BlueShield |
Empire MediBlue Freedom II (PPO) (H3342-014) |
Local Preferred Provider Organization |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $47 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 copay for each primary care doctor visit
- $50 copay for each specialist visit
|
| Empire BlueCross BlueShield |
Empire MediBlue Select (HMO) (H3370-002) |
HMO |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $36 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.
- $30 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
|
| Empire BlueCross BlueShield |
Empire MediBlue Essential (HMO) (H3370-019) |
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
- $30 copay for each specialist visit for Medicare-covered benefits.
|
| 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.
|
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