Medicare Plans in
Genesee County, NY
44 Medicare Advantage Plans Found in Genesee County. See Plans
Genesee County, NY
Medicare Information
For Genesee County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 44 MA plans are available in Genesee County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about Medicare Advantage plans in Genesee County, New York, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Genesee County
Average Cost of Medicare Advantage Plans in Genesee County, New York | |
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Average Monthly Premium | $91.91 |
Average in-network out-of-pocket spending limit | $6,855.00 |
Average drug deductible in 2022 (weighted) | $264.57 |
Percentage of plans rated 4 stars or higher | 77.3% |
Average Cost of Medicare Advantage Plans in Genesee County, New York |
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Average Monthly Premium $91.91 |
Average in-network out-of-pocket spending limit $6,855.00 |
Average drug deductible in 2021 (weighted) $264.57 |
Percentage of plans rated 4 stars or higher 77.3% |
Learn More About Medicare Advantage
Prescription Drug Plans
Plan Type | Description |
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HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
Plan Type and Description |
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HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans

Aetna Inc. Medicare Advantage Plans in Genesee County, NY
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in New York in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Credit Plan (PPO) | H5521: 313 | $0 | $350 | $7,550 | Yes | 4 out of 5 |
Aetna Medicare Eagle Plan (PPO) | H5521: 323 | $0 | N/A | $7,550 | No | 4 out of 5 |
Aetna Medicare Premier Plan (PPO) | H5521: 215 | $0 | $250 | $6,500 | Yes | 4 out of 5 |
Aetna Medicare Value Plan (HMO-POS) | H3312: 065 | $0 | $250 | $7,550 | Yes | 3 out of 5 |
Healthnow New York Inc.
Healthnow New York Inc. Medicare Advantage Plans in Genesee County, NY
The following table includes cost information and other plan details for Healthnow New York Inc. Medicare Advantage plans available in New York in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Highmark Blue Cross Blue Shield BlueSaver (HMO) | H3384: 062 | $0 | $290 | $7,550 | Yes | 4 out of 5 |
Highmark Blue Cross Blue Shield Senior Blue 601 (HMO) | H3384: 022 | $0 | N/A | $6,700 | No | 4 out of 5 |
Highmark Blue Cross Blue Shield Senior Blue Basic (HMO) | H3384: 067 | $0 | $350 | $7,550 | Yes | 4 out of 5 |
Highmark Blue Cross Blue Shield Freedom Nation (PPO) | H5526: 020 | $26 | $290 | $7,550 | Yes | 5 out of 5 |
Highmark Blue Cross Blue Shield Senior Blue Select (HMO) | H3384: 058 | $59 | $175 | $6,700 | Yes | 4 out of 5 |
Highmark Blue Cross Blue Shield Senior Blue 651 (HMO) | H3384: 019 | $121 | $0 | $6,700 | Yes | 4 out of 5 |
Highmark Blue Cross Blue Shield Forever Blue Value (PPO) | H5526: 016 | $146 | $0 | $6,700 | Yes | 5 out of 5 |
Highmark Blue Cross Blue Shield Forever Blue 751 (PPO) | H5526: 004 | $205 | $0 | $6,700 | Yes | 5 out of 5 |
Independent Health
Independent Health Medicare Advantage Plans in Genesee County, NY
The following table includes cost information and other plan details for Independent Health Medicare Advantage plans available in New York in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Independent Health's Encompass 65 (HMO) | H3362: 016 | $0 | N/A | $6,700 | No | 4.5 out of 5 |
Independent Health's Encompass 65 Edge (HMO) | H3362: 039 | $0 | $480 | $7,550 | Yes | 4.5 out of 5 |
Independent Health's Encompass 65 Element (HMO) | H3362: 038 | $0 | $195 | $6,900 | Yes | 4.5 out of 5 |
Independent Health's Encompass 65 Core (HMO) | H3362: 033 | $65 | $100 | $6,900 | Yes | 4.5 out of 5 |
Independent Health's Medicare Passport Advantage (PPO) | H3344: 005 | $99 | $150 | $6,900 | Yes | 4.5 out of 5 |
Independent Health's Encompass 65 Basic (HMO) | H3362: 017 | $125 | $0 | $6,900 | Yes | 4.5 out of 5 |
Independent Health's Medicare Passport Prime (PPO) | H3344: 010 | $225 | $0 | $6,900 | Yes | 4.5 out of 5 |
Lifetime Healthcare, Inc.
Lifetime Healthcare, Inc. Medicare Advantage Plans in Genesee County, NY
The following table includes cost information and other plan details for Lifetime Healthcare, Inc. Medicare Advantage plans available in New York in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Univera SeniorChoice Basic (HMO) | H3351: 017 | $0 | $200 | $7,550 | Yes | 4.5 out of 5 |
Univera SeniorChoice Extra (HMO) | H3351: 020 | $0 | $350 | $7,550 | Yes | 4.5 out of 5 |
Univera SeniorChoice Select (HMO-POS) | H3351: 001 | $0 | N/A | $4,500 | No | 4.5 out of 5 |
Univera SeniorChoice Advanced (HMO-POS) | H3351: 019 | $33 | $100 | $7,200 | Yes | 4.5 out of 5 |
Univera SeniorChoice Value (HMO) | H3351: 010 | $60 | $0 | $6,700 | Yes | 4.5 out of 5 |
Univera SeniorChoice Value Plus (HMO-POS) | H3351: 012 | $92 | $0 | $5,000 | Yes | 4.5 out of 5 |
Univera SeniorChoice Secure (HMO-POS) | H3351: 002 | $107 | $0 | $4,500 | Yes | 4.5 out of 5 |
MVP Health Care, Inc.
MVP Health Care, Inc. Medicare Advantage Plans in Genesee County, NY
The following table includes cost information and other plan details for MVP Health Care, Inc. Medicare Advantage plans available in New York in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
MVP Medicare Secure with Part D (HMO-POS) | H3305: 030 | $15 | $300 | $7,550 | Yes | 4.5 out of 5 |
MVP Medicare Patriot Plan with Part D (PPO) | H9615: 014 | $45 | $250 | $7,550 | Yes | 4 out of 5 |
MVP Medicare WellSelect with Part D (PPO) | H9615: 012 | $80 | $250 | $7,550 | Yes | 4 out of 5 |
MVP Medicare Preferred Gold without Part D (HMO-POS) | H3305: 007 | $105 | N/A | $7,550 | No | 4.5 out of 5 |
MVP Medicare Preferred Gold with Part D (HMO-POS) | H3305: 015 | $211 | $0 | $7,550 | Yes | 4.5 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Genesee County, NY
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in New York in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage (HMO) | H3379: 040 | $0 | $250 | $7,550 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) | R5342: 002 | $0 | N/A | $6,700 | No | 4 out of 5 |
UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) | R5342: 001 | $16 | $300 | $7,200 | Yes | 4 out of 5 |
UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) | R5342: 005 | $46 | $250 | $6,900 | Yes | 4 out of 5 |
UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) | R5342: 006 | $84 | $150 | $6,700 | Yes | 4 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Genesee County, NY
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in New York in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare Advantage No Premium (PFFS) | H2816: 038 | $0 | N/A | N/A | No | 3.5 out of 5 |
Wellcare Giveback Open (PPO) | H2775: 111 | $0 | $325 | $7,550 | Yes | 3.5 out of 5 |
Wellcare No Premium Open (PPO) | H2775: 106 | $0 | $0 | $6,700 | Yes | 3.5 out of 5 |
Wellcare Assist Open (PPO) | H2775: 113 | $31 | $480 | $6,700 | Yes | 3.5 out of 5 |
Wellcare Premium Enhanced (PFFS) | H2816: 019 | $55 | $0 | N/A | Yes | 3.5 out of 5 |
Wellcare Advantage Premium Enhanced (PFFS) | H2816: 037 | $62 | N/A | N/A | No | 3.5 out of 5 |
Wellcare Premium Ultra Open (PPO) | H2775: 105 | $121 | $0 | $3,400 | Yes | 3.5 out of 5 |
Wellcare Premium Ultra (PFFS) | H2816: 013 | $156 | $0 | N/A | Yes | 3.5 out of 5 |