Medicare Plans in
Washington County, NY
47 Medicare Advantage Plans Found in Washington County. See Plans
Washington County, NY
Medicare Information
For Washington County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 47 MA plans are available in Washington 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 Washington 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 Washington County
Average Cost of Medicare Advantage Plans in Washington County, New York | |
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Average Monthly Premium | $54.80 |
Average in-network out-of-pocket spending limit | $6,715.38 |
Average drug deductible in 2023 (weighted) | $335.21 |
Percentage of plans rated 4 stars or higher | 31.9% |
Average Cost of Medicare Advantage Plans in Washington County, New York |
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Average Monthly Premium $54.80 |
Average in-network out-of-pocket spending limit $6,715.38 |
Average drug deductible in 2021 (weighted) $335.21 |
Percentage of plans rated 4 stars or higher 31.9% |
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 Washington County, NY
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in New York in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Elite Plan (PPO) | H5521: 119 | $0 | $195 | $7,550 | Yes | 3.5 out of 5 |
Aetna Medicare Credit Plan (PPO) | H5521: 313 | $0 | $350 | $7,550 | Yes | 3.5 out of 5 |
Aetna Medicare Eagle Plan (PPO) | H5521: 323 | $0 | N/A | $7,000 | No | 3.5 out of 5 |
Aetna Medicare Premier Plus Plan (PPO) | H5521: 382 | $0 | $250 | $7,550 | Yes | 3.5 out of 5 |
Aetna Medicare Value Plan (HMO-POS) | H3312: 062 | $0 | $300 | $7,550 | Yes | 3.5 out of 5 |
Aetna Medicare Assure Plan (HMO D-SNP) | H3312: 070 | $0 | $0 | $8,300 | Yes | 3.5 out of 5 |
Aetna Medicare Discover Value Plan (PPO) | H5521: 383 | $23 | $250 | $7,550 | Yes | 3.5 out of 5 |
Aetna Medicare Premier Plan (PPO) | H5521: 110 | $37 | $195 | $7,550 | Yes | 3.5 out of 5 |
SilverScript Choice (PDP) | S5601: 006 | $41 | $505 | N/A | Yes | 3.5 out of 5 |
SilverScript Plus (PDP) | S5601: 007 | $68 | $0 | N/A | Yes | 3.5 out of 5 |

Cigna Medicare Advantage Plans in Washington County, NY
The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in New York in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna Extra Rx (PDP) | S5617: 248 | $76 | $100 | N/A | Yes | 3 out of 5 |
Empire BlueCross
Empire BlueCross Medicare Advantage Plans in Washington County, NY
The following table includes cost information and other plan details for Empire BlueCross Medicare Advantage plans available in New York in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Empire MediBlue Dual Advantage (HMO D-SNP) | H8432: 039 | $0 | $0 | $8,300 | Yes | 3.5 out of 5 |
Blue Rx Standard (PDP) | S3375: 001 | $83 | $460 | N/A | Yes | 2 out of 5 |
Blue Rx Plus (PDP) | S3375: 002 | $99 | $0 | N/A | Yes | 2 out of 5 |

Humana Inc. Medicare Advantage Plans in Washington County, NY
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in New York in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) | H3533: 002 | $0 | $0 | $0 | Yes | 4 out of 5 |
Humana Gold Plus H3533-006 (HMO) | H3533: 006 | $0 | $300 | $6,500 | Yes | 4 out of 5 |
HumanaChoice H5970-015 (PPO) | H5970: 015 | $0 | $250 | $4,900 | Yes | 4 out of 5 |
Humana Honor (PPO) | H5970: 016 | $0 | N/A | $4,500 | No | 4 out of 5 |
HumanaChoice H5970-018 (PPO) | H5970: 018 | $0 | $310 | $4,800 | Yes | 4 out of 5 |
HumanaChoice SNP-DE H5970-020 (PPO D-SNP) | H5970: 020 | $0 | $0 | $0 | Yes | 4 out of 5 |
HumanaChoice H5970-001 (PPO) | H5970: 001 | $15 | $0 | $4,500 | Yes | 4 out of 5 |
Humana Gold Plus H3533-013 (HMO) | H3533: 013 | $25 | $275 | $6,000 | Yes | 4 out of 5 |
Humana Walmart Value Rx Plan (PDP) | S5552: 006 | $41 | $505 | N/A | Yes | 3.5 out of 5 |
Humana Premier Rx Plan (PDP) | S5552: 005 | $96 | $300 | N/A | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Washington County, NY
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in New York in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
UnitedHealthcare Dual Complete Choice (PPO D-SNP) | H0271: 060 | $0 | $0 | $0 | Yes | 4 out of 5 |
UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) | H3387: 014 | $0 | $0 | $0 | Yes | 4 out of 5 |
UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP) | H3387: 015 | $0 | $0 | $0 | Yes | 4 out of 5 |
AARP Medicare Advantage Choice (PPO) | H3418: 004 | $0 | $0 | $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 | $200 | $7,200 | Yes | 4 out of 5 |
AARP MedicareRx Walgreens (PDP) | S5921: 382 | $41 | $350 | N/A | Yes | 3 out of 5 |
UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) | R5342: 005 | $44 | $100 | $6,900 | Yes | 4 out of 5 |
AARP MedicareRx Saver Plus (PDP) | S5921: 379 | $81 | $505 | N/A | Yes | 3 out of 5 |
UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) | R5342: 006 | $82 | $0 | $6,700 | Yes | 4 out of 5 |
AARP MedicareRx Preferred (PDP) | S5805: 001 | $117 | $0 | N/A | Yes | 3.5 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Washington 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 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare No Premium Open (PPO) | H2775: 106 | $0 | $0 | $6,700 | Yes | 2.5 out of 5 |
Wellcare Giveback Open (PPO) | H2775: 111 | $0 | $325 | $7,550 | Yes | 2.5 out of 5 |
Wellcare Dual Access Open (PPO D-SNP) | H2775: 112 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
Wellcare Fidelis Dual Access (HMO D-SNP) | H5599: 001 | $0 | $0 | $0 | Yes | 3.5 out of 5 |
Wellcare Fidelis No Premium (HMO) | H5599: 004 | $0 | $0 | $7,550 | Yes | 3.5 out of 5 |
Wellcare Assist Open (PPO) | H2775: 113 | $9 | $505 | $6,700 | Yes | 2.5 out of 5 |
Wellcare Value Script (PDP) | S4802: 138 | $11 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Fidelis Assist (HMO-POS) | H5599: 002 | $17 | $505 | $7,550 | Yes | 3.5 out of 5 |
Wellcare Classic (PDP) | S4802: 077 | $37 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Medicare Rx Value Plus (PDP) | S4802: 237 | $71 | $0 | N/A | Yes | 3 out of 5 |
Wellcare Medicare Rx Value Plus (PDP) | S4802: 206 | $71 | $0 | N/A | Yes | 3 out of 5 |
Wellcare Premium Ultra Open (PPO) | H2775: 105 | $115 | $0 | $3,400 | Yes | 2.5 out of 5 |