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Reviewed by Joel Ohman
Founder, CFP® Joel Ohman

UPDATED: Oct 29, 2021

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The Highlights

  • You can buy Medicare Supplement coverage in Ozone Park, New York if you have original Medicare and want coverage for out-of-pocket costs
  • Medicare Advantage plans are available in Ozone Park with both PPO and HMO networks
  • Options for Medicare Supplement in Ozone Park, New York include Medigap Plan F-high deductible and Medigap Plan G

If you’re eligible for Medicare in Ozone Park, New York, you have a lot of choices. Major health insurance companies provide Ozone Park, New York Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Ozone Park, NY Part D coverage, or buy prescription coverage as a standalone policy.

Ozone Park, 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 Ozone Park original Medicare plans don’t cover, like coinsurance and deductibles.

Ready to buy Ozone Park, New York Medicare coverage? Enter your ZIP code to compare Ozone Park, NY Medicare options available to you right now.

Medicare Advantage Companies in Ozone Park, New York

Medicare Advantage in Ozone Park, 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 Ozone Park, 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 Ozone Park, 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 Mosaic Choice (PPO) – H3418-001-0 $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
AARP Medicare Advantage Patriot (HMO) – H3307-018-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $6,700
AARP Medicare Advantage Plan 1 (HMO) – H3307-002-0 $54.00 $395 . 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: 25% $6,700
AARP Medicare Advantage Plan 2 (HMO) – H3379-001-0 $34.00 $395 . 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: 25% $6,700
AARP Medicare Advantage Prime (HMO) – H3307-015-0 $0.00 $295 . 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
Aetna Medicare Assure Plan (HMO D-SNP) – H3312-069-0 $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 Eagle Plan (PPO) – H5521-320-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
Aetna Medicare Elite Plan (HMO) – H3312-068-0 $39.00 $300 . 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: 27% $7,550
Aetna Medicare Elite Plan (PPO) – H5521-120-0 $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
Aetna Medicare Elite Plan 3 (PPO) – H5521-310-0 $39.00 $300 . 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: 27% $7,550
Aetna Medicare Premier Plan (PPO) – H5521-040-0 $99.00 $200 . 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: 29% $7,550
Aetna Medicare Value Plan (PPO) – H5521-312-0 $22.00 $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
AgeWell New York Advantage Plus (HMO D-SNP) – H4922-010-0 $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
AgeWell New York CareWell (HMO I-SNP) – H4922-004-0 $42.30 $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
AgeWell New York FeelWell (HMO D-SNP) – H4922-003-0 $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: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 N/A
AgeWell New York LiveWell (HMO) – H4922-011-0 $42.30 $350 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
ArchCare Advantage (HMO I-SNP) – H1777-007-0 $42.30 $445 No additional gap coverage, only the Donut Hole Discount Tier 1: 25% N/A
Bright Advantage (HMO) – H2288-001-0 $0.00 $445 . Tier 1 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $6,200
Bright Advantage Assist (HMO) – H2288-005-0 $42.30 $445 . Tier 1 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 $6,500
Bright Advantage Choice (PPO) – H9516-001-0 $0.00 $445 . Tier 1 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $6,500
Bright Advantage Choice Plus (PPO) – H9516-002-0 $95.00 $445 . Tier 1 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $4,900
Bright Advantage Plus (HMO) – H2288-002-0 $59.00 $445 . Tier 1 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $4,900
Bright Advantage Senior Savings (HMO C-SNP) – H2288-009-0 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 N/A
Bright Advantage Senior Savings Assist (HMO C-SNP) – H2288-010-0 $33.90 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 N/A
Bright Advantage Special Care (HMO D-SNP) – H2288-003-0 $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: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00, Tier 6: $0.00 N/A
Centers Plan for Dual Coverage Care (HMO D-SNP) – H6988-002-0 $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 Tier 1: 15% N/A
Centers Plan for Medicaid Advantage (HMO D-SNP) – H6988-005-0 $58.70 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
Centers Plan for Medicaid Advantage Plus (HMO D-SNP) – H6988-004-0 $58.70 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
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
Elderplan Advantage For Nursing Home Residents (HMO I-SNP) – H3347-003-0 $35.50 $445 No additional gap coverage, only the Donut Hole Discount Tier 1: 25% N/A
Elderplan Assist (HMO I-SNP) – H3347-015-0 $42.30 $445 . Tier 1, 2 and 3 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $4.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 25% N/A
Elderplan Extra Help (HMO) – H3347-009-0 $25.30 $445 . Tier 1, 2 and 3 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $7,550
Elderplan For Medicaid Beneficiaries (HMO D-SNP) – H3347-002-0 $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 Tier 1: 15% N/A
Elderplan Plus Long Term Care (HMO D-SNP) – H3347-007-0 $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
EmblemHealth VIP Assist (HMO D-SNP) – H5991-008-0 $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
EmblemHealth VIP Connect (HMO D-SNP) – H5991-007-0 $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
EmblemHealth VIP Dual (HMO D-SNP) – H3330-042-1 $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
EmblemHealth VIP Dual Reserve (HMO D-SNP) – H5991-010-0 $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
EmblemHealth VIP Dual Select (HMO D-SNP) – H5991-001-0 $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 Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 N/A
EmblemHealth VIP Essential (HMO) – H3330-032-1 $0.00 $295 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $7,550
EmblemHealth VIP Go (HMO-POS) – H3330-041-1 $72.00 $250 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 28% $7,550
EmblemHealth VIP Gold (HMO) – H3330-021-1 $96.00 $200 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% $7,550
EmblemHealth VIP Gold Plus (HMO) – H3330-038-0 $302.00 $200 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% $7,550
EmblemHealth VIP Part B Saver (HMO) – H3330-040-0 $0.00 $445 . Tier 1 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% $7,550
EmblemHealth VIP Passport NYC (HMO) – H5991-006-0 $42.30 $295 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $7,550
EmblemHealth VIP Reserve (HMO) – H5991-009-0 $0.00 $295 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $7,550
EmblemHealth VIP Solutions (HMO D-SNP) – H5991-002-0 $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 Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% N/A
EmblemHealth VIP Value (HMO) – H3330-036-0 $0.00 $295 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $7,550
Empire MediBlue Core (HMO) – H8432-037-1 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
Empire MediBlue Core Select (HMO) – H8432-036-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $6,700
Empire MediBlue Dual Advantage (HMO D-SNP) – H8432-007-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 N/A
Empire MediBlue Dual Advantage Select (HMO D-SNP) – H8432-028-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 N/A
Empire MediBlue Extra Select (HMO) – H8432-035-0 $42.30 $445 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $5,900
Empire MediBlue HealthPlus (HMO) – H1732-004-0 $0.00 $350 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 26%, Select Care Drugs: $0.00 $6,900
Empire MediBlue HealthPlus Dual Advantage (HMO D-SNP) – H1732-002-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 N/A
Empire MediBlue HealthPlus Dual Connect (HMO D-SNP) – H1732-003-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 N/A
Empire MediBlue HealthPlus Dual Plus (HMO D-SNP) – H1732-001-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 N/A
Empire MediBlue Plus (HMO) – H8432-008-6 $16.00 $350 . 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: $94.00, Specialty Tier: 26% $7,550
Empire MediBlue Select (HMO) – H8432-027-0 $0.00 $350 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 26%, Select Care Drugs: $0.00 $7,550
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 Medicaid Advantage Plus (HMO D-SNP) – H5599-003-0 $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 Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $40.00, Non-Preferred Drug: 50%, Specialty Tier: 25% N/A
Hamaspik Medicare Choice (HMO D-SNP) – H0034-002-0 $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 Tier 1: 15% N/A
Hamaspik Medicare Select (HMO D-SNP) – H0034-001-0 $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 Tier 1: 15% N/A
Healthfirst 65 Plus Plan (HMO) – H3359-001-0 $0.00 $350 . Tier 1 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
Healthfirst CompleteCare (HMO D-SNP) – H3359-034-0 $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 N/A
Healthfirst Coordinated Benefits Plan (HMO) – H3359-027-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
Healthfirst Increased Benefits Plan (HMO) – H3359-019-0 $42.30 $445 No additional gap coverage, only the Donut Hole Discount Tier 1: 25% $7,550
Healthfirst Life Improvement Plan (HMO D-SNP) – H3359-021-0 $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 N/A
Healthfirst Signature (HMO) – H5989-011-0 $0.00 $350 . Tier 1 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
Humana Gold Plus H3533-027 (HMO) – H3533-027-0 $0.00 $400 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $7,550
Humana Gold Plus H3533-032 (HMO) – H3533-032-1 $21.00 $200 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,500
Humana Gold Plus H3533-033 (HMO) – H3533-033-0 $0.00 $350 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,550
Humana Gold Plus SNP-DE H3533-031 (HMO D-SNP) – H3533-031-0 $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: $2.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% N/A
Humana Honor (PPO) – H5970-016-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $4,500
HumanaChoice H5970-024 (PPO) – H5970-024-1 $0.00 $350 . Tier 1, 2 and 3 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $7,200
Integra Balanced Medicaid Advantage (HMO D-SNP) – H1205-007-0 $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 N/A
Integra Harmony (HMO D-SNP) – H1205-001-0 $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 Tier 1: 15% N/A
Integra Synergy Medicaid Advantage Plus (MAP) (HMO D-SNP) – H1205-002-0 $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 Tier 1: $0.00 N/A
Longevity Health Plan (HMO I-SNP) – H8457-001-0 $42.30 $445 No additional gap coverage, only the Donut Hole Discount Tier 1: 25% N/A
MetroPlus Advantage Plan (HMO D-SNP) – H0423-001-0 $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 Tier 1: 15% N/A
MetroPlus Platinum Plan (HMO) – H0423-004-0 $148.50 $445 No additional gap coverage, only the Donut Hole Discount Tier 1: 25% $7,550
MetroPlus UltraCare (HMO D-SNP) – H0423-007-0 $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 N/A
PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan) – H9869-001-0 $0.00 $0 All Generics, All Brands Tier 1: 0%, Tier 2: 0%, Tier 3: 0% N/A
RiverSpring MAP (HMO D-SNP) – H6776-002-0 $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 Tier 1: 15% N/A
RiverSpring Star (HMO I-SNP) – H6776-001-0 $42.30 $445 No additional gap coverage, only the Donut Hole Discount Tier 1: 25% N/A
Senior Whole Health of New York NHC (HMO D-SNP) – H5992-007-0 $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
UnitedHealthcare Assisted Living Plan (PPO I-SNP) – H2292-003-0 $42.30 $200 . Tier 1, 2 and 3 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% 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 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 1 (PPO I-SNP) – H2292-002-0 $32.60 $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 2 (HMO I-SNP) – H3379-002-0 $35.90 $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
VNSNY CHOICE Total (HMO D-SNP) – H5549-003-0 $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 Preferred Generic: $7.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Brand: 39%, Specialty Tier: 25% N/A
VillageCareMAX Medicare Health Advantage (HMO D-SNP) – H2168-001-0 $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 Tier 1: 15% N/A
VillageCareMAX Medicare Total Advantage (HMO D-SNP) – H2168-002-0 $73.70 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
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) – H4868-014-0 $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: $4.00, Preferred Brand: $40.00, Non-Preferred Drug: 45%, Specialty Tier: 25% N/A
WellCare Choice (HMO) – H4868-020-0 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $6,700
WellCare Compass (HMO) – H4868-016-0 $12.30 $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 Element (HMO) – H4868-022-0 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $6,700
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 Preferred (HMO) – H4868-010-0 $81.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $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

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Medicare Supplement Companies in Ozone Park, New York

Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With Ozone Park, 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 Ozone Park, 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

Ozone Park, 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 Ozone Park, New York Medicare Supplement plans with coverage details.

Ozone Park, 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 is 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 is 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 is 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 is 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 is 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 is 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 is 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 is 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% is 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% is 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 is 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 is 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 Ozone Park, New York

Prescription drug coverage for Medicare in Ozone Park, New York is covered by a Part D plan. You can purchase Part D coverage in Ozone Park, 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 Ozone Park, New York

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 178 – 0
by Aetna Medicare
Monthly Premium: $7.30
Annual Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Deductible: $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 Ozone Park, New York

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