Best East Amherst, New York Medicare Companies & Plans (2024)
East Amherst, New York Medicare plans include Advantage plans from private health insurance companies as well as standalone Part D prescription drug coverage. For those that prefer original Medicare, East Amherst, NY supplemental plans are also available. Medicare plans in East Amherst, New York are sold by both large national companies and local insurers.
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Michael Leotta
Insurance Operations Specialist
Michael earned a degree in Business Management degree with an insurance focus, which led to a successful 25-year career in insurance claims operations and support. He possesses a high-level of business acumen across multiple areas of the insurance industry. Over the course of his career, he served in multiple roles supporting claims operations including: Claims Specialist, Claims Trainer, Claim Au...
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UPDATED: Dec 4, 2023
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UPDATED: Dec 4, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Dec 4, 2023Fact Checked
The Highlights
- East Amherst, NY Medicare options include Advantage, standalone Part D, and Medicare supplement
- Medicare Advantage plans are available in East Amherst with both PPO and HMO networks
- You can buy Medicare supplement coverage in East Amherst, New York if you have original Medicare and want coverage for out-of-pocket costs
If you’re eligible for Medicare in East Amherst, New York, you have a lot of choices. Major health insurance companies provide East Amherst, New York Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes East Amherst, NY Part D coverage or buy prescription coverage as a standalone policy.
Read More: Best Medicare Companies
East Amherst, New York Medicare supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that East Amherst original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy East Amherst, New York Medicare coverage? Enter your ZIP code to compare East Amherst, NY Medicare options available to you right now.
Medicare Advantage Companies in East Amherst, New York
Medicare Advantage in East Amherst, New York is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in East Amherst, NY offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Medicare Advantage Companies in East Amherst, New York
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage (HMO) – H3379-040-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| Aetna Medicare Assure Plan (HMO D-SNP) – H3312-070-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
| Aetna Medicare Credit Plan (PPO) – H5521-313-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $7,550 |
| Aetna Medicare Eagle Plan (PPO) – H5521-323-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Aetna Medicare Elite Plan (PPO) – H5521-212-0 | $16.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Premier Plan (PPO) – H5521-215-0 | $23.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $7,550 |
| Aetna Medicare Value Plan (HMO) – H3312-065-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $7,550 |
| BlueCross BlueShield BlueSaver (HMO) – H3384-062-0 | $0.00 | $290 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 27% | $7,550 |
| BlueCross BlueShield Forever Blue 751 (PPO) – H5526-004-0 | $204.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 33% | $6,700 |
| BlueCross BlueShield Forever Blue Value (PPO) – H5526-016-0 | $145.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 33% | $6,700 |
| BlueCross BlueShield Freedom Nation (PPO) – H5526-020-0 | $25.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 27% | $7,550 |
| BlueCross BlueShield Senior Blue 601 (HMO) – H3384-022-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| BlueCross BlueShield Senior Blue 651 (HMO) – H3384-019-0 | $120.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 33% | $6,700 |
| BlueCross BlueShield Senior Blue Select (HMO) – H3384-058-0 | $58.00 | $190 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 29% | $6,700 |
| Centers Plan for Medicare Advantage Care (HMO) – H6988-001-0 | $0.00 | $395 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% | $7,550 |
| Centers Plan for Nursing Home Care (HMO I-SNP) – H6988-003-0 | $42.30 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | n/a |
| Fidelis Dual Advantage (HMO D-SNP) – H5599-006-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 47%, Specialty Tier: 25% | n/a |
| Fidelis Dual Advantage Flex (HMO D-SNP) – H5599-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: 24%, Non-Preferred Drug: 39%, Specialty Tier: 25% | n/a |
| Fidelis Medicare $0 Premium (HMO) – H5599-004-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 33% | $7,550 |
| Fidelis Medicare Advantage Flex (HMO-POS) – H5599-002-0 | $7.40 | $445 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: 24%, Non-Preferred Drug: 41%, Specialty Tier: 25% | $7,550 |
| Fidelis Medicare Advantage without Rx (HMO-POS) – H5599-005-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Independent Health’s Assure Advantage (HMO C-SNP) – H3362-035-0 | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 40%, Specialty Tier: 33%, Select Care Drugs: $11.00 | n/a |
| Independent Health’s Encompass 65 (HMO) – H3362-016-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Independent Health’s Encompass 65 Basic (HMO) – H3362-017-0 | $125.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: 43%, Specialty Tier: 30% | $7,550 |
| Independent Health’s Encompass 65 Core (HMO) – H3362-033-0 | $65.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: 46%, Specialty Tier: 29% | $7,550 |
| Independent Health’s Encompass 65 Element (HMO) – H3362-038-0 | $0.00 | $375 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 41%, Specialty Tier: 26% | $7,550 |
| Independent Health’s Medicare Family Choice (HMO I-SNP) – H3362-020-0 | $42.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 33% | n/a |
| Independent Health’s Medicare Passport Advantage (PPO) – H3344-005-0 | $99.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 40%, Specialty Tier: 31% | $7,550 |
| Independent Health’s Medicare Passport Prime (PPO) – H3344-010-0 | $215.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 33% | $7,550 |
| MVP Medicare Patriot Plan with Part D (PPO) – H9615-014-0 | $36.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $40.00, Non-Preferred Drug: 27%, Specialty Tier: 27% | $7,550 |
| MVP Medicare Preferred Gold with Part D (HMO-POS) – H3305-015-0 | $211.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: 27%, Specialty Tier: 33% | $7,550 |
| MVP Medicare Preferred Gold without Part D (HMO-POS) – H3305-007-0 | $115.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| MVP Medicare Secure with Part D (HMO-POS) – H3305-030-0 | $25.00 | $350 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 25% | $7,550 |
| MVP Medicare WellSelect with Part D (PPO) – H9615-012-0 | $80.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 25% | $7,550 |
| Nascentia Dual Advantage (HMO D-SNP) – H9066-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15% | n/a |
| Nascentia Medicaid Advantage Plus (HMO D-SNP) – H9066-001-0 | $51.60 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00 | n/a |
| Nascentia Skilled Nursing Facility (HMO I-SNP) – H9066-002-0 | $42.30 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | n/a |
| UnitedHealthcare Dual Complete (HMO D-SNP) – H3387-010-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
| UnitedHealthcare Dual Complete One (HMO D-SNP) – H3387-013-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
| UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) – R5342-001-0 | $16.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) – R5342-005-0 | $46.00 | $275 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) – R5342-006-0 | $84.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,700 |
| UnitedHealthcare Medicare Advantage Patriot (Regional PPO) – R5342-002-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) – H3379-022-0 | $36.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) – H2292-001-0 | $34.10 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| Univera SeniorChoice Advanced (HMO-POS) – H3351-019-0 | $33.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 30% | $7,200 |
| Univera SeniorChoice Basic (HMO) – H3351-017-0 | $0.00 | $360 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 26% | $7,550 |
| Univera SeniorChoice Secure (HMO-POS) – H3351-002-0 | $121.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $4,500 |
| Univera SeniorChoice Select (HMO-POS) – H3351-001-0 | $45.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
| Univera SeniorChoice Value (HMO) – H3351-010-0 | $69.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,700 |
| Univera SeniorChoice Value Plus (HMO-POS) – H3351-012-0 | $106.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,000 |
| WellCare Absolute (PPO) – H2775-111-0 | $0.00 | $150 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $7,550 |
| WellCare Access (HMO D-SNP) – H4868-004-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 25% | n/a |
| WellCare Imperial (PPO D-SNP) – H2775-112-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | n/a |
| WellCare Liberty (HMO D-SNP) – H4868-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | n/a |
| WellCare Patriot (HMO) – H4868-003-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| WellCare Summit (PPO) – H2775-113-0 | $5.10 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | $6,700 |
| WellCare Today’s Options Advantage Plus 150A (PPO) – H2775-105-0 | $121.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33% | $3,400 |
| WellCare Today’s Options Advantage Plus 550B (PPO) – H2775-106-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $6,700 |
| WellCare Today’s Options Premier 200 (PFFS) – H2816-037-0 | $71.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| WellCare Today’s Options Premier 300 (PFFS) – H2816-038-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| WellCare Today’s Options Premier Plus 250A (PFFS) – H2816-013-0 | $156.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33% | n/a |
| WellCare Today’s Options Premier Plus 650B (PFFS) – H2816-019-0 | $55.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | n/a |
| WellCare Value (HMO) – H4868-019-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% | $6,700 |
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Medicare Supplement Companies in East Amherst, New York
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With a East Amherst, New York Medicare supplement plan, you can get coverage for some or all of those costs. Medicare supplement plans in New York are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in East Amherst, New York
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company of New York (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan L, Medigap Plan N |
| BlueShield of Northeastern New York | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| EmblemHealth Services Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F |
| Empire BlueCross New York | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Globe Life Insurance Company of New York | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan L, Medigap Plan N |
| Humana (Humana Insurance Company of New York) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan L, Medigap Plan N |
| Mutual of Omaha Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G |
| State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F |
East Amherst, New York Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard New York Medicare supplement plans? Take a look at all of the East Amherst, New York Medicare supplement plans with coverage details.
East Amherst, New York Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $169-$350 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $226-$510 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $301-$511 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $391-$502 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $305-$514 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $69-$91 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $268-$476 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $69-$91 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $86-$207 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $181-$297 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $524-$524 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $190-$282 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in East Amherst, New York
Prescription drug coverage for Medicare in East Amherst, New York is covered by a Part D plan. You can purchase Part D coverage in East Amherst, New York as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in East Amherst, New York
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 178 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 121 – 0 by Elixir Insurance |
Monthly Premium: $15.60 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 172 – 0 by WellCare |
Monthly Premium: $15.60 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5552 – 006 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 16% Tier 4: 35% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 138 – 0 by WellCare |
Monthly Premium: $17.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5983 – 007 – 0 by Express Scripts Medicare |
Monthly Premium: $23.60 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Cigna Secure-Essential Rx (PDP) S5617 – 282 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 40% Tier 5: 25% |
| Blue Rx Enhanced (PDP) S3375 – 003 – 0 by BlueCross BlueShield: Empire, Excellus, WNY & NEN |
Monthly Premium: $30.70 Annual Deductable: $325 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: 20% Tier 4: 39% Tier 5: 27% |
| Express Scripts Medicare – Value (PDP) S5983 – 004 – 0 by Express Scripts Medicare |
Monthly Premium: $33.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $20.00 Tier 4: 46% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 077 – 0 by WellCare |
Monthly Premium: $34.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $30.00 Tier 4: 33% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 006 – 0 by Aetna Medicare |
Monthly Premium: $35.00 Annual Deductable: $290 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 40% Tier 5: 27% |
| Elixir RxSecure (PDP) S7694 – 003 – 0 by Elixir Insurance |
Monthly Premium: $35.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 34% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 037 – 0 by WellCare |
Monthly Premium: $36.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $42.00 Tier 4: 35% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5552 – 004 – 0 by Humana |
Monthly Premium: $37.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 013 – 0 by Cigna |
Monthly Premium: $38.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $25.00 Tier 4: 50% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 277 – 0 by WellCare |
Monthly Premium: $40.20 Annual Deductable: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 27% |
| AARP MedicareRx Walgreens (PDP) S5921 – 382 – 0 by UnitedHealthcare |
Monthly Premium: $40.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Blue Rx Standard (PDP) S3375 – 001 – 0 by BlueCross BlueShield: Empire, Excellus, WNY & NEN |
Monthly Premium: $49.10 Annual Deductable: $440 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $34.00 Tier 4: 32% Tier 5: 25% |
| EmblemHealth VIP Rx (PDP) S5966 – 003 – 0 by EmblemHealth Medicare PDP |
Monthly Premium: $49.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $12.00 Tier 3: $40.00 Tier 4: 33% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 248 – 0 by Cigna |
Monthly Premium: $50.00 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 379 – 0 by UnitedHealthcare |
Monthly Premium: $70.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $8.00 Tier 3: $31.00 Tier 4: 40% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5552 – 005 – 0 by Humana |
Monthly Premium: $72.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 39% Tier 5: 25% |
| EmblemHealth VIP Rx Plus (PDP) S5966 – 004 – 0 by EmblemHealth Medicare PDP |
Monthly Premium: $72.50 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $3,970 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $0.00 Tier 3: $35.00 Tier 4: $95.00 Tier 5: 28% |
| Blue Rx Plus (PDP) S3375 – 002 – 0 by BlueCross BlueShield: Empire, Excellus, WNY & NEN |
Monthly Premium: $72.70 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
| SilverScript Plus (PDP) S5601 – 007 – 0 by Aetna Medicare |
Monthly Premium: $76.60 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 48% Tier 5: 33% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 200 – 0 by WellCare |
Monthly Premium: $82.00 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 43% Tier 5: 33% |
| Express Scripts Medicare – Choice (PDP) S5983 – 006 – 0 by Express Scripts Medicare |
Monthly Premium: $87.60 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| AARP MedicareRx Preferred (PDP) S5805 – 001 – 0 by UnitedHealthcare |
Monthly Premium: $94.80 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
Compare Medicare Rates in East Amherst, New York
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Frequently Asked Questions
What are Medicare Companies and Plans?
Medicare Companies and Plans refer to private insurance companies that offer Medicare coverage options beyond the basic benefits provided by the original Medicare program. These companies provide additional benefits and options to enhance your healthcare coverage.
What factors should I consider when selecting a Medicare Company or Plan?
When choosing a Medicare Company or Plan, it’s important to consider factors such as the company’s reputation, customer service, network of healthcare providers, coverage options, costs (including premiums, deductibles, and copayments), and the specific benefits and services offered.
Are there any highly recommended Medicare Companies in East Amherst, New York?
While it’s not possible to endorse specific companies, there are several highly regarded Medicare insurance providers available in East Amherst, New York. These companies may include well-known national insurers as well as regional or local providers. It’s recommended to research and compare different companies to find the one that best fits your needs.
How can I find the best Medicare Company or Plan for me in East Amherst, New York?
To find the best Medicare Company or Plan for your specific needs in East Amherst, New York, you can follow these steps:
- Research: Explore and compare various Medicare insurance providers available in your area.
- Assess your needs: Consider your healthcare needs and preferences, such as prescription drug coverage, doctor networks, and preferred hospitals.
- Compare plans: Review the benefits, coverage, costs, and limitations of different plans.
- Seek guidance: Consult with insurance agents, Medicare counselors, or other trusted professionals who can provide personalized advice.
- Enroll: Once you’ve made your decision, enroll in the chosen Medicare Company or Plan.
Can I change my Medicare Company or Plan if I’m not satisfied?
Yes, you have the opportunity to change your Medicare Company or Plan during certain enrollment periods. The Annual Enrollment Period (AEP), which typically occurs from October 15th to December 7th each year, allows you to switch plans. Additionally, there are Special Enrollment Periods (SEPs) that may be available to you if you experience qualifying life events, such as moving, losing other coverage, or becoming eligible for Medicaid.
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Michael Leotta
Insurance Operations Specialist
Michael earned a degree in Business Management degree with an insurance focus, which led to a successful 25-year career in insurance claims operations and support. He possesses a high-level of business acumen across multiple areas of the insurance industry. Over the course of his career, he served in multiple roles supporting claims operations including: Claims Specialist, Claims Trainer, Claim Au...
Insurance Operations Specialist
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