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New York MedicareAdvantage Plans

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Medicare Advantage Plans in Tompkins County, New York

Below are Medicare Advantage plans available to residents of Tompkins county, New York. 4 carriers offer 13 plans throughout the county of Tompkins. Residents may choose plans from carriers such as Universal American Corp., Excellus Health Plan Inc and MVP HEALTH CARE. 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 Tompkins county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Tompkins

Carrier Plan Title Plan Type
Universal American Corp. Today's Options Premier 100 (PFFS) (H2816-002) Private Fee for Service

    Premium and Other Important Information

    • $3 400 out-of-pocket limit for Medicare-covered services.
    • $47.00 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 400 (PFFS) (H2816-008) Private Fee for Service

      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
      • 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 150A (PFFS) (H2816-014) Private Fee for Service

        Premium and Other Important Information

        • $3 400 out-of-pocket limit for Medicare-covered services.
        • $100 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 450B (PFFS) (H2816-020) Private Fee for Service

          Premium and Other Important Information

          • $6 700 out-of-pocket limit for Medicare-covered services.
          • $35 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
          Excellus Health Plan Inc Medicare Blue PPO Plan TWO (PPO) (H3335-014) 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.
            • $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 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) (H3335-015) 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.
              • $110 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 ONE (PPO) (H3335-038) 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
                Excellus Health Plan Inc Medicare Blue PPO Plan FOUR (PPO) (H3335-043) 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
                  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.

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