HMO
Hamaspik Medicare Select (HMO D-SNP)
Hamaspik, Inc.
CMS Plan ID: H0034-001-0
Premium
$34.5
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $190Vision $200 eyewear maximum benefit
Hospital: — · Hearing: —
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New York MedicarePlan Year 2026
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Live CMS 2026 landscape data · revision 202609. Detailed CMS PBP benefits loaded. Plan details should always be confirmed before enrollment.
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Manhattan, New York City
ZIP 10001
Plans showing
75 of 75
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Showing 75 of 75 plans in Manhattan, New York City
1
HMO
Hamaspik Medicare Choice (HMO D-SNP)
Hamaspik, Inc.
CMS Plan ID: H0034-002-0
Premium
$51.5
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $250Vision $200 eyewear maximum benefit
Hospital: — · Hearing: —
HMO
MetroPlus Advantage Plan (HMO D-SNP)
MetroPlus Health Plan
CMS Plan ID: H0423-001-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC —Vision $450 eyewear maximum benefit48 transportation trips/period
Hospital: — · Hearing: $500 allowance
HMO
MetroPlus Platinum Plan (HMO)
MetroPlus Health Plan
CMS Plan ID: H0423-004-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental —OTC —Vision $500 eyewear maximum benefit
Hospital: $225/day days 1–8; $0/day days 9–90 · Hearing: $500 allowance
HMO
MetroPlus UltraCare (HMO D-SNP)
MetroPlus Health Plan
CMS Plan ID: H0423-007-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC —Vision $500 eyewear maximum benefitTransportation covered
Hospital: — · Hearing: $500 allowance
PPO
UHC Dual Complete NY-S001 (PPO D-SNP)
UnitedHealthcare
CMS Plan ID: H2001-063-2
Premium
$52.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $200 eyewear maximum benefit
Hospital: — · Hearing: $1500 allowance
HMO
VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)
VillageCareMAX
CMS Plan ID: H2168-001-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $350 eyewear maximum benefit36 transportation trips/period
Hospital: — · Hearing: $750 allowance
HMO
VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)
VillageCareMAX
CMS Plan ID: H2168-002-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $350 eyewear maximum benefit
Hospital: — · Hearing: $625 allowance
HMO
VillageCareMAX Medicare Select Advantage Plan (HMO)
VillageCareMAX
CMS Plan ID: H2168-004-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
$0 / $15
Part B Giveback
—
Dental $1800 maximum plan benefitOTC CoveredVision $300 eyewear maximum benefit
Hospital: $410/day days 1–4; $0/day days 5–90 · Hearing: $375 allowance
PPO
UHC Nursing Home Plan NY-F002 (PPO I-SNP)
UnitedHealthcare
CMS Plan ID: H2292-002-0
Premium
$51.4
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental $2000 maximum plan benefitOTC CoveredVision $200 eyewear maximum benefit18 transportation trips/period
Hospital: — · Hearing: $2200 allowance
PPO
Wellcare Simple Open (PPO)
Wellcare
CMS Plan ID: H2775-106-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $30
Part B Giveback
—
Dental —OTC —Vision $100 eyewear maximum benefit
Hospital: $600/day days 1–4; $0/day days 5–90 · Hearing: $750 allowance
PPO
Wellcare Giveback Open (PPO)
Wellcare
CMS Plan ID: H2775-111-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $35
Part B Giveback
—
Dental —OTC —Vision —
Hospital: — · Hearing: —
PPO
Wellcare Dual Access Open (PPO D-SNP)
Wellcare
CMS Plan ID: H2775-112-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $100 eyewear maximum benefit
Hospital: — · Hearing: $750 allowance
PPO
Wellcare Assist Open (PPO)
Wellcare
CMS Plan ID: H2775-113-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
$0 / $25
Part B Giveback
—
Dental $1000 maximum plan benefitOTC CoveredVision $100 eyewear maximum benefit
Hospital: $600/day days 1–4; $0/day days 5–90 · Hearing: $500 allowance
HMO
Aetna Medicare Full Dual Care (HMO D-SNP)
Aetna Medicare
CMS Plan ID: H3312-069-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $165Vision $100 eyewear maximum benefit
Hospital: — · Hearing: $0–$1700
HMO
Aetna Medicare Signature Care (HMO)
Aetna Medicare
CMS Plan ID: H3312-074-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $10–$50
Part B Giveback
—
Dental —OTC $15Vision $100 eyewear maximum benefit
Hospital: $407/day days 1–6; $0/day days 7–90 · Hearing: $0–$1700
HMO
Aetna Medicare Partial Dual Care (HMO D-SNP)
Aetna Medicare
CMS Plan ID: H3312-090-0
Premium
$38.3
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $15Vision $100 eyewear maximum benefit
Hospital: — · Hearing: $0–$1700
HMO
Aetna Medicare Chronic Care (HMO C-SNP)
Aetna Medicare
CMS Plan ID: H3312-091-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $0–$50
Part B Giveback
—
Dental $750 maximum plan benefitOTC $30Vision $100 eyewear maximum benefit
Hospital: $407/day days 1–6; $0/day days 7–90 · Hearing: $0–$1700
HMO
EmblemHealth VIP Gold Plus (HMO)
EmblemHealth
CMS Plan ID: H3330-038-0
Premium
$252
MOOP
$9,250
PCP / Specialist
$0 / $0
Part B Giveback
—
Dental —OTC —Vision $150 eyewear maximum benefit
Hospital: $195/day days 1–10; $0/day days 11–90 · Hearing: $3000 allowance
HMO-POS
Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)
Elderplan
CMS Plan ID: H3347-002-0
Premium
$22.7
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $660Vision $350 eyewear maximum benefit24 transportation trips/period
Hospital: — · Hearing: $1300 allowance
HMO-POS
Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)
Elderplan
CMS Plan ID: H3347-003-0
Premium
$44.8
MOOP
$9,250
PCP / Specialist
$0 / —
Part B Giveback
—
Dental —OTC $175Vision Vision coveredTransportation covered
Hospital: — · Hearing: $0
HMO-POS
Elderplan Plus Long-Term Care (HMO-POS D-SNP)
Elderplan
CMS Plan ID: H3347-007-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $950Vision $600 eyewear maximum benefit
Hospital: — · Hearing: $2500 allowance
HMO-POS
Elderplan Extra Help (HMO-POS)
Elderplan
CMS Plan ID: H3347-009-0
Premium
$58.8
MOOP
$7,550
PCP / Specialist
$0 / $0–$35
Part B Giveback
—
Dental —OTC $140Vision $200 eyewear maximum benefit32 transportation trips/period
Hospital: $425/day days 1–5; $0/day days 6–90 · Hearing: $500 allowance
HMO-POS
Elderplan Flex (HMO-POS)
Elderplan
CMS Plan ID: H3347-016-0
Premium
$0
MOOP
$7,550
PCP / Specialist
$0 / $0–$35
Part B Giveback
—
Dental $2500 maximum plan benefitOTC $140Vision $500 eyewear maximum benefit48 transportation trips/period
Hospital: $425/day days 1–5; $0/day days 6–90 · Hearing: $1500 allowance
HMO-POS
Elderplan Select (HMO-POS I-SNP)
Elderplan
CMS Plan ID: H3347-018-0
Premium
$0
MOOP
$7,500
PCP / Specialist
$0 / $0–$45
Part B Giveback
—
Dental $1500 maximum plan benefitOTC $175Vision Vision coveredTransportation covered
Hospital: $320/day days 1–6; $0/day days 7–90 · Hearing: $0
HMO
Healthfirst 65 Plus Plan (HMO)
Healthfirst Medicare Plan
CMS Plan ID: H3359-001-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $35
Part B Giveback
—
Dental $1250 maximum plan benefitOTC CoveredVision $150 eyewear maximum benefit8 transportation trips/period
Hospital: $489/day days 1–5; $0/day days 6–90 · Hearing: $0–$1475
HMO
Healthfirst Increased Benefits Plan (HMO)
Healthfirst Medicare Plan
CMS Plan ID: H3359-019-0
Premium
$24.2
MOOP
$9,250
PCP / Specialist
$0 / $25
Part B Giveback
—
Dental $1500 maximum plan benefitOTC CoveredVision $250 eyewear maximum benefit20 transportation trips/period
Hospital: $489/day days 1–5; $0/day days 6–90 · Hearing: $0–$1475
HMO
Healthfirst Life Improvement Plan (HMO D-SNP)
Healthfirst Medicare Plan
CMS Plan ID: H3359-021-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $175Vision $300 eyewear maximum benefit18 transportation trips/period
Hospital: $611/day days 1–4; $0/day days 5–90 · Hearing: $0–$1475
HMO
Healthfirst CompleteCare (HMO D-SNP)
Healthfirst Medicare Plan
CMS Plan ID: H3359-034-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $252Vision $400 eyewear maximum benefit
Hospital: $611/day days 1–4; $0/day days 5–90 · Hearing: —
HMO
Healthfirst Connection Plan (HMO D-SNP)
Healthfirst Medicare Plan
CMS Plan ID: H3359-038-0
Premium
$20.7
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $55Vision $250 eyewear maximum benefit18 transportation trips/period
Hospital: $611/day days 1–4; $0/day days 5–90 · Hearing: $0–$1475
HMO-POS
AARP Medicare Advantage from UHC NY-0005 (HMO-POS)
UnitedHealthcare
CMS Plan ID: H3379-001-0
Premium
$82
MOOP
$9,250
PCP / Specialist
$0 / $0–$55
Part B Giveback
—
Dental —OTC —Vision $300 eyewear maximum benefit
Hospital: $485/day days 1–5; $0/day days 6–90 · Hearing: $199–$1249
HMO-POS
AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS)
UnitedHealthcare
CMS Plan ID: H3379-060-0
Premium
$0
MOOP
$6,700
PCP / Specialist
$0 / $0–$55
Part B Giveback
—
Dental $1000 maximum plan benefitOTC CoveredVision $200 eyewear maximum benefit
Hospital: $550/day days 1–5; $0/day days 6–90 · Hearing: $199–$1249
HMO-POS
UHC Dual Complete NY-Y001 (HMO-POS D-SNP)
UnitedHealthcare
CMS Plan ID: H3387-013-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision —
Hospital: — · Hearing: —
HMO-POS
UHC Dual Complete NY-S002 (HMO-POS D-SNP)
UnitedHealthcare
CMS Plan ID: H3387-014-2
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $200 eyewear maximum benefit12 transportation trips/period
Hospital: — · Hearing: $2200 allowance
HMO-POS
UHC Dual Complete NY-Q001 (HMO-POS D-SNP)
UnitedHealthcare
CMS Plan ID: H3387-015-2
Premium
$31
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $200 eyewear maximum benefit
Hospital: — · Hearing: $1500 allowance
PPO
AARP Medicare Advantage from UHC NY-0012 (PPO)
UnitedHealthcare
CMS Plan ID: H3418-001-0
Premium
$0
MOOP
$8,900
PCP / Specialist
$0–$40 / $0–$55
Part B Giveback
—
Dental —OTC —Vision $300 eyewear maximum benefit
Hospital: $325/day days 1–3; $0/day days 4–90 · Hearing: $199–$1249
HMO
Humana Gold Plus Giveback H3533-027 (HMO)
Humana
CMS Plan ID: H3533-027-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental —OTC —Vision $200 eyewear maximum benefit
Hospital: $480/day days 1–5; $0/day days 6–90 · Hearing: $699–$999
HMO
Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)
Humana
CMS Plan ID: H3533-034-1
Premium
$34.1
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $250 eyewear maximum benefit24 transportation trips/period
Hospital: — · Hearing: $0
HMO
Humana Gold Plus H3533-035 (HMO)
Humana
CMS Plan ID: H3533-035-0
Premium
$22
MOOP
$9,250
PCP / Specialist
$0 / $35
Part B Giveback
—
Dental $3000 maximum plan benefitOTC CoveredVision $200 eyewear maximum benefit
Hospital: $340/day days 1–7; $0/day days 8–90 · Hearing: $399–$699
HMO
Wellcare Dual Access (HMO D-SNP)
Wellcare
CMS Plan ID: H4868-014-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $200 eyewear maximum benefit
Hospital: — · Hearing: $750 allowance
HMO-POS
Wellcare Assist (HMO-POS)
Wellcare
CMS Plan ID: H4868-016-0
Premium
$51.4
MOOP
$9,250
PCP / Specialist
$0 / $25
Part B Giveback
—
Dental $1500 maximum plan benefitOTC CoveredVision $200 eyewear maximum benefit
Hospital: $475/day days 1–5; $0/day days 6–90 · Hearing: $500 allowance
HMO-POS
Wellcare Simple (HMO-POS)
Wellcare
CMS Plan ID: H4868-019-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $25
Part B Giveback
—
Dental —OTC —Vision $200 eyewear maximum benefit
Hospital: $600/day days 1–4; $0/day days 5–90 · Hearing: $750 allowance
PPO
Aetna Medicare Eagle Giveback (PPO)
Aetna Medicare
CMS Plan ID: H5521-320-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $0–$35
Part B Giveback
—
Dental $1500 maximum plan benefitOTC $60Vision $200 eyewear maximum benefit
Hospital: $395/day days 1–6; $0/day days 7–90 · Hearing: $0–$1700
PPO
Aetna Medicare Longevity (PPO I-SNP)
Aetna Medicare
CMS Plan ID: H5521-461-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
$5 / —
Part B Giveback
—
Dental $1500 maximum plan benefitOTC $150Vision $250 eyewear maximum benefit
Hospital: — · Hearing: $750 allowance
PPO
Aetna Medicare Elite (PPO)
Aetna Medicare
CMS Plan ID: H5521-537-0
Premium
$54
MOOP
$9,250
PCP / Specialist
$0 / $0–$45
Part B Giveback
—
Dental —OTC —Vision $100 eyewear maximum benefit
Hospital: $399/day days 1–6; $0/day days 7–90 · Hearing: $0–$1700
PPO
Aetna Medicare Enhanced (PPO)
Aetna Medicare
CMS Plan ID: H5521-662-0
Premium
$124
MOOP
$9,250
PCP / Specialist
$0 / $45
Part B Giveback
—
Dental —OTC —Vision $100 eyewear maximum benefit
Hospital: $399/day days 1–6; $0/day days 7–90 · Hearing: $0–$1700
HMO
VNS Health Total (HMO D-SNP)
VNS Health Medicare
CMS Plan ID: H5549-003-0
Premium
$58.8
MOOP
$0
PCP / Specialist
$0 / $0
Part B Giveback
—
Dental $3500 maximum plan benefitOTC $310Vision $350 eyewear maximum benefit
Hospital: — · Hearing: $1000 allowance
HMO
VNS Health EasyCare Plus (HMO D-SNP)
VNS Health Medicare
CMS Plan ID: H5549-011-0
Premium
$51.6
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental $2750 maximum plan benefitOTC $235Vision $300 eyewear maximum benefit7 transportation trips/period
Hospital: — · Hearing: $700 allowance
HMO
VNS Health EasyCare (HMO)
VNS Health Medicare
CMS Plan ID: H5549-012-0
Premium
$25
MOOP
$9,250
PCP / Specialist
$0 / $35
Part B Giveback
—
Dental $2500 maximum plan benefitOTC $107Vision $300 eyewear maximum benefit11 transportation trips/period
Hospital: $400/day days 1–5; $0/day days 6–90 · Hearing: $750 allowance
HMO-POS
Wellcare Fidelis Assist (HMO-POS)
Wellcare
CMS Plan ID: H5599-002-0
Premium
$32.5
MOOP
$9,250
PCP / Specialist
$0 / $25
Part B Giveback
—
Dental $1500 maximum plan benefitOTC CoveredVision $200 eyewear maximum benefit
Hospital: $475/day days 1–5; $0/day days 6–90 · Hearing: $500 allowance
HMO
Wellcare Fidelis Dual Align (HMO D-SNP)
Wellcare
CMS Plan ID: H5599-003-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision Vision covered
Hospital: — · Hearing: $500 allowance
HMO-POS
Wellcare Fidelis Simple (HMO-POS)
Wellcare
CMS Plan ID: H5599-004-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $25
Part B Giveback
—
Dental —OTC —Vision $200 eyewear maximum benefit
Hospital: $600/day days 1–4; $0/day days 5–90 · Hearing: $750 allowance
HMO-POS
Wellcare Fidelis Patriot Simple (HMO-POS)
Wellcare
CMS Plan ID: H5599-010-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $20
Part B Giveback
—
Dental $3000 maximum plan benefitOTC CoveredVision $200 eyewear maximum benefit
Hospital: $300/day days 1–5; $0/day days 6–90 · Hearing: $750 allowance
HMO
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)
Wellcare
CMS Plan ID: H5599-013-2
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $200 eyewear maximum benefit
Hospital: — · Hearing: $500 allowance
PPO
Humana USAA Honor Giveback (PPO)
Humana
CMS Plan ID: H5970-016-0
Premium
$0
MOOP
$4,950
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental $2000 maximum plan benefitOTC CoveredVision $250 eyewear maximum benefit24 transportation trips/period
Hospital: $495/day days 1–5; $0/day days 6–90 · Hearing: $399–$699
PPO
HumanaChoice H5970-028 (PPO)
Humana
CMS Plan ID: H5970-028-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental —OTC —Vision $200 eyewear maximum benefit
Hospital: $360/day days 1–7; $0/day days 8–90 · Hearing: $699–$999
PPO
Humana Direct Choice Giveback (PPO)
Humana
CMS Plan ID: H5970-031-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental $2000 maximum plan benefitOTC —Vision $200 eyewear maximum benefit
Hospital: $400/day days 1–5; $0/day days 6–90 · Hearing: $699–$999
HMO
Healthfirst Signature (HMO)
Healthfirst Medicare Plan
CMS Plan ID: H5989-011-0
Premium
$0
MOOP
$9,250
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental $1000 maximum plan benefitOTC —Vision $200 eyewear maximum benefit
Hospital: $611/day days 1–4; $0/day days 5–90 · Hearing: $0–$1475
HMO
EmblemHealth VIP Dual Reserve (HMO D-SNP)
EmblemHealth
CMS Plan ID: H5991-010-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $80Vision $350 eyewear maximum benefit
Hospital: — · Hearing: $3000 allowance
HMO
EmblemHealth VIP Dual (HMO D-SNP)
EmblemHealth
CMS Plan ID: H5991-012-1
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC —Vision —
Hospital: — · Hearing: —
HMO
EmblemHealth VIP Dual Enhanced (HMO D-SNP)
EmblemHealth
CMS Plan ID: H5991-013-1
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC —Vision —
Hospital: — · Hearing: —
HMO
Senior Whole Health of New York NHC (HMO D-SNP)
Senior Whole Health of New York
CMS Plan ID: H5992-007-0
Premium
$17.3
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $350 eyewear maximum benefitTransportation covered
Hospital: — · Hearing: $0
HMO
Senior Whole Health Medicare Complete Care (HMO D-SNP)
Senior Whole Health of New York
CMS Plan ID: H5992-010-0
Premium
$0
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $350 eyewear maximum benefitTransportation covered
Hospital: — · Hearing: $0
HMO
ElderServe Star (HMO I-SNP)
ElderServe Health
CMS Plan ID: H6776-001-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $185Vision —
Hospital: — · Hearing: —
HMO
ElderServe MAP (HMO D-SNP)
ElderServe Health
CMS Plan ID: H6776-002-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC $302Vision —
Hospital: — · Hearing: —
HMO
Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP)
Anthem Blue Cross and Blue Shield HP
CMS Plan ID: H6988-004-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $375 eyewear maximum benefit
Hospital: — · Hearing: $4000 allowance
HMO-POS
Anthem Veteran 2 (HMO-POS)
Anthem Blue Cross and Blue Shield HP
CMS Plan ID: H6988-008-0
Premium
$0
MOOP
$6,800
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental $1000 maximum plan benefitOTC $65Vision —
Hospital: $350/day days 1–5; $0/day days 6–90 · Hearing: —
HMO-POS
Anthem Medicare Advantage 2 (HMO-POS)
Anthem Blue Cross and Blue Shield HP
CMS Plan ID: H6988-009-0
Premium
$34
MOOP
$9,250
PCP / Specialist
$0 / $50
Part B Giveback
—
Dental —OTC $30Vision —
Hospital: $480/day days 1–4; $0/day days 5–90 · Hearing: —
PPO
HealthSpring True Choice (PPO)
HealthSpring
CMS Plan ID: H7849-150-0
Premium
$0
MOOP
$6,800
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental $600 maximum plan benefitOTC $45Vision $125 eyewear maximum benefit
Hospital: $270/day days 1–6; $0/day days 7–90 · Hearing: $399–$1800
HMO-POS
Anthem Veteran (HMO-POS)
Anthem Blue Cross and Blue Shield HP
CMS Plan ID: H8432-036-0
Premium
$0
MOOP
$6,800
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental $1000 maximum plan benefitOTC $65Vision —
Hospital: $350/day days 1–5; $0/day days 6–90 · Hearing: —
HMO-POS
Anthem Medicare Advantage (HMO-POS)
Anthem Blue Cross and Blue Shield HP
CMS Plan ID: H8432-040-0
Premium
$44
MOOP
$9,250
PCP / Specialist
$0 / $50
Part B Giveback
—
Dental —OTC $30Vision —
Hospital: $480/day days 1–4; $0/day days 5–90 · Hearing: —
HMO
Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)
Anthem Blue Cross and Blue Shield HP
CMS Plan ID: H8432-041-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $375 eyewear maximum benefit60 transportation trips/period
Hospital: — · Hearing: $4000 allowance
HMO
Anthem HealthPlus Full Dual Advantage (HMO D-SNP)
Anthem Blue Cross and Blue Shield HP
CMS Plan ID: H8432-042-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
— / —
Part B Giveback
—
Dental —OTC CoveredVision $300 eyewear maximum benefit48 transportation trips/period
Hospital: — · Hearing: $3000 allowance
HMO
Longevity Health Plan (HMO I-SNP)
Longevity Health Plan
CMS Plan ID: H8457-001-0
Premium
$58.8
MOOP
$9,250
PCP / Specialist
$0 / —
Part B Giveback
—
Dental $2850 maximum plan benefitOTC $180Vision $250 eyewear maximum benefit
Hospital: — · Hearing: $1300 allowance
PPO
Healthfirst Signature (PPO)
Healthfirst Medicare Plan
CMS Plan ID: H9678-002-0
Premium
$55
MOOP
$9,250
PCP / Specialist
$0 / $40
Part B Giveback
—
Dental $1500 maximum plan benefitOTC —Vision $75 eyewear maximum benefit
Hospital: $490/day days 1–4; $0/day days 5–90 · Hearing: $0–$1475
| # | Carrier | Plan | Type | Premium | Part B Giveback | Medical Ded. | Rx Ded. | PCP | Specialist | X-Ray | Lab | OTC | Dental | Vision | Hearing | Hospital | MOOP | Transport | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Hamaspik, Inc. | Hamaspik Medicare Select (HMO D-SNP) H0034-001-0 | HMO | $34.5 | — | — | $615 | — | — | — | $0 | $190 | — | $200 eyewear maximum benefit | — | — | $9,250 | — | -809 |
| 2 | Hamaspik, Inc. | Hamaspik Medicare Choice (HMO D-SNP) H0034-002-0 | HMO | $51.5 | — | — | $615 | — | — | — | $0 | $250 | — | $200 eyewear maximum benefit | — | — | $9,250 | — | -773 |
| 3 | MetroPlus Health Plan | MetroPlus Advantage Plan (HMO D-SNP) H0423-001-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | — | — | $450 eyewear maximum benefit | $500 allowance | — | $9,250 | 48 transportation trips/period | -1,419 |
| 4 | MetroPlus Health Plan | MetroPlus Platinum Plan (HMO) H0423-004-0 | HMO | $58.8 | — | — | $615 | $0 | $40 | — | — | — | — | $500 eyewear maximum benefit | $500 allowance | $225/day days 1–8; $0/day days 9–90 | $9,250 | — | -1,721 |
| 5 | MetroPlus Health Plan | MetroPlus UltraCare (HMO D-SNP) H0423-007-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | — | — | $500 eyewear maximum benefit | $500 allowance | — | $9,250 | Transportation covered | -1,561 |
| 6 | UnitedHealthcare | UHC Dual Complete NY-S001 (PPO D-SNP) H2001-063-2 | PPO | $52.8 | — | — | $615 | — | — | — | $0 | Covered | — | $200 eyewear maximum benefit | $1500 allowance | — | $9,250 | — | -1,789 |
| 7 | VillageCareMAX | VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) H2168-001-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | Covered | — | $350 eyewear maximum benefit | $750 allowance | — | $9,250 | 36 transportation trips/period | -1,567 |
| 8 | VillageCareMAX | VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) H2168-002-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | Covered | — | $350 eyewear maximum benefit | $625 allowance | — | $9,250 | — | -1,711 |
| 9 | VillageCareMAX | VillageCareMAX Medicare Select Advantage Plan (HMO) H2168-004-0 | HMO | $58.8 | — | — | $615 | $0 | $15 | $0 | $0 | Covered | $1800 maximum plan benefit | $300 eyewear maximum benefit | $375 allowance | $410/day days 1–4; $0/day days 5–90 | $9,250 | — | -21 |
| 10 | UnitedHealthcare | UHC Nursing Home Plan NY-F002 (PPO I-SNP) H2292-002-0 | PPO | $51.4 | — | — | $615 | — | — | — | $0 | Covered | $2000 maximum plan benefit | $200 eyewear maximum benefit | $2200 allowance | — | $9,250 | 18 transportation trips/period | 300 |
| 11 | Wellcare | Wellcare Simple Open (PPO) H2775-106-0 | PPO | $0 | — | $250 | $615 | $0 | $30 | $50 | $0–$50 | — | — | $100 eyewear maximum benefit | $750 allowance | $600/day days 1–4; $0/day days 5–90 | $9,250 | — | -1,625 |
| 12 | Wellcare | Wellcare Giveback Open (PPO) H2775-111-0 | PPO | $0 | — | $250 | $615 | $0 | $35 | $50 | $0–$50 | — | — | — | — | — | $9,250 | — | -1,745 |
| 13 | Wellcare | Wellcare Dual Access Open (PPO D-SNP) H2775-112-0 | PPO | $58.8 | — | — | $510 | — | — | — | — | Covered | — | $100 eyewear maximum benefit | $750 allowance | — | $9,250 | — | -1,856 |
| 14 | Wellcare | Wellcare Assist Open (PPO) H2775-113-0 | PPO | $58.8 | — | — | $530 | $0 | $25 | $40 | $0–$50 | Covered | $1000 maximum plan benefit | $100 eyewear maximum benefit | $500 allowance | $600/day days 1–4; $0/day days 5–90 | $9,250 | — | -976 |
| 15 | Aetna Medicare | Aetna Medicare Full Dual Care (HMO D-SNP) H3312-069-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | $165 | — | $100 eyewear maximum benefit | $0–$1700 | — | $9,250 | — | -1,301 |
| 16 | Aetna Medicare | Aetna Medicare Signature Care (HMO) H3312-074-0 | HMO | $0 | — | — | $615 | $0 | $10–$50 | $50 | $0–$10 | $15 | — | $100 eyewear maximum benefit | $0–$1700 | $407/day days 1–6; $0/day days 7–90 | $9,250 | — | -1,395 |
| 17 | Aetna Medicare | Aetna Medicare Partial Dual Care (HMO D-SNP) H3312-090-0 | HMO | $38.3 | — | — | $615 | — | — | — | — | $15 | — | $100 eyewear maximum benefit | $0–$1700 | — | $9,250 | — | -1,655 |
| 18 | Aetna Medicare | Aetna Medicare Chronic Care (HMO C-SNP) H3312-091-0 | HMO | $0 | — | — | $615 | $0 | $0–$50 | $50 | $0 | $30 | $750 maximum plan benefit | $100 eyewear maximum benefit | $0–$1700 | $407/day days 1–6; $0/day days 7–90 | $9,250 | — | -585 |
| 19 | EmblemHealth | EmblemHealth VIP Gold Plus (HMO) H3330-038-0 | HMO | $252 | — | — | $200 | $0 | $0 | — | $0–$15 | — | — | $150 eyewear maximum benefit | $3000 allowance | $195/day days 1–10; $0/day days 11–90 | $9,250 | — | -3,814 |
| 20 | Elderplan | Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP) H3347-002-0 | HMO-POS | $22.7 | — | — | $615 | — | — | — | $0 | $660 | — | $350 eyewear maximum benefit | $1300 allowance | — | $9,250 | 24 transportation trips/period | 1,459 |
| 21 | Elderplan | Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP) H3347-003-0 | HMO-POS | $44.8 | — | — | $615 | $0 | — | — | $0 | $175 | — | Vision covered | $0 | — | $9,250 | Transportation covered | -1,193 |
| 22 | Elderplan | Elderplan Plus Long-Term Care (HMO-POS D-SNP) H3347-007-0 | HMO-POS | $58.8 | — | — | $615 | — | — | — | $0 | $950 | — | $600 eyewear maximum benefit | $2500 allowance | — | $9,250 | — | 2,339 |
| 23 | Elderplan | Elderplan Extra Help (HMO-POS) H3347-009-0 | HMO-POS | $58.8 | — | — | $375 | $0 | $0–$35 | $20 | $0 | $140 | — | $200 eyewear maximum benefit | $500 allowance | $425/day days 1–5; $0/day days 6–90 | $7,550 | 32 transportation trips/period | -937 |
| 24 | Elderplan | Elderplan Flex (HMO-POS) H3347-016-0 | HMO-POS | $0 | — | — | $375 | $0 | $0–$35 | $20 | $0 | $140 | $2500 maximum plan benefit | $500 eyewear maximum benefit | $1500 allowance | $425/day days 1–5; $0/day days 6–90 | $7,550 | 48 transportation trips/period | 2,633 |
| 25 | Elderplan | Elderplan Select (HMO-POS I-SNP) H3347-018-0 | HMO-POS | $0 | — | — | $0 | $0 | $0–$45 | $0 | $0 | $175 | $1500 maximum plan benefit | Vision covered | $0 | $320/day days 1–6; $0/day days 7–90 | $7,500 | Transportation covered | 1,420 |
| 26 | Healthfirst Medicare Plan | Healthfirst 65 Plus Plan (HMO) H3359-001-0 | HMO | $0 | — | — | $615 | $0 | $35 | $40 | $0 | Covered | $1250 maximum plan benefit | $150 eyewear maximum benefit | $0–$1475 | $489/day days 1–5; $0/day days 6–90 | $9,250 | 8 transportation trips/period | -63 |
| 27 | Healthfirst Medicare Plan | Healthfirst Increased Benefits Plan (HMO) H3359-019-0 | HMO | $24.2 | — | — | $615 | $0 | $25 | $35 | $0 | Covered | $1500 maximum plan benefit | $250 eyewear maximum benefit | $0–$1475 | $489/day days 1–5; $0/day days 6–90 | $9,250 | 20 transportation trips/period | 85 |
| 28 | Healthfirst Medicare Plan | Healthfirst Life Improvement Plan (HMO D-SNP) H3359-021-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | $175 | — | $300 eyewear maximum benefit | $0–$1475 | $611/day days 1–4; $0/day days 5–90 | $9,250 | 18 transportation trips/period | -989 |
| 29 | Healthfirst Medicare Plan | Healthfirst CompleteCare (HMO D-SNP) H3359-034-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | $252 | — | $400 eyewear maximum benefit | — | $611/day days 1–4; $0/day days 5–90 | $9,250 | — | -653 |
| 30 | Healthfirst Medicare Plan | Healthfirst Connection Plan (HMO D-SNP) H3359-038-0 | HMO | $20.7 | — | — | $615 | — | — | — | — | $55 | — | $250 eyewear maximum benefit | $0–$1475 | $611/day days 1–4; $0/day days 5–90 | $9,250 | 18 transportation trips/period | -1,061 |
| 31 | UnitedHealthcare | AARP Medicare Advantage from UHC NY-0005 (HMO-POS) H3379-001-0 | HMO-POS | $82 | — | — | $520 | $0 | $0–$55 | $30 | $0 | — | — | $300 eyewear maximum benefit | $199–$1249 | $485/day days 1–5; $0/day days 6–90 | $9,250 | — | -2,164 |
| 32 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS) H3379-060-0 | HMO-POS | $0 | — | — | — | $0 | $0–$55 | $30 | $0 | Covered | $1000 maximum plan benefit | $200 eyewear maximum benefit | $199–$1249 | $550/day days 1–5; $0/day days 6–90 | $6,700 | — | 444 |
| 33 | UnitedHealthcare | UHC Dual Complete NY-Y001 (HMO-POS D-SNP) H3387-013-0 | HMO-POS | $58.8 | — | — | $615 | — | — | — | $0 | Covered | — | — | — | — | $9,250 | — | -2,061 |
| 34 | UnitedHealthcare | UHC Dual Complete NY-S002 (HMO-POS D-SNP) H3387-014-2 | HMO-POS | $58.8 | — | — | $615 | — | — | — | $0 | Covered | — | $200 eyewear maximum benefit | $2200 allowance | — | $9,250 | 12 transportation trips/period | -1,813 |
| 35 | UnitedHealthcare | UHC Dual Complete NY-Q001 (HMO-POS D-SNP) H3387-015-2 | HMO-POS | $31 | — | — | $615 | — | — | — | $0 | Covered | — | $200 eyewear maximum benefit | $1500 allowance | — | $9,250 | — | -1,527 |
| 36 | UnitedHealthcare | AARP Medicare Advantage from UHC NY-0012 (PPO) H3418-001-0 | PPO | $0 | — | $1,250 | $600 | $0–$40 | $0–$55 | $30 | $0 | — | — | $300 eyewear maximum benefit | $199–$1249 | $325/day days 1–3; $0/day days 4–90 | $8,900 | — | -2,642 |
| 37 | Humana | Humana Gold Plus Giveback H3533-027 (HMO) H3533-027-0 | HMO | $0 | — | $525 | $615 | $0 | $40 | $0–$130 | $0–$50 | — | — | $200 eyewear maximum benefit | $699–$999 | $480/day days 1–5; $0/day days 6–90 | $9,250 | — | -1,840 |
| 38 | Humana | Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP) H3533-034-1 | HMO | $34.1 | — | — | $615 | — | — | $40–$130 | $0–$40 | Covered | — | $250 eyewear maximum benefit | $0 | — | $9,250 | 24 transportation trips/period | -1,418 |
| 39 | Humana | Humana Gold Plus H3533-035 (HMO) H3533-035-0 | HMO | $22 | — | — | $615 | $0 | $35 | $0–$130 | $0–$50 | Covered | $3000 maximum plan benefit | $200 eyewear maximum benefit | $399–$699 | $340/day days 1–7; $0/day days 8–90 | $9,250 | — | 1,441 |
| 40 | Wellcare | Wellcare Dual Access (HMO D-SNP) H4868-014-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | Covered | — | $200 eyewear maximum benefit | $750 allowance | — | $9,250 | — | -1,861 |
| 41 | Wellcare | Wellcare Assist (HMO-POS) H4868-016-0 | HMO-POS | $51.4 | — | — | $590 | $0 | $25 | $50 | $0–$50 | Covered | $1500 maximum plan benefit | $200 eyewear maximum benefit | $500 allowance | $475/day days 1–5; $0/day days 6–90 | $9,250 | — | -347 |
| 42 | Wellcare | Wellcare Simple (HMO-POS) H4868-019-0 | HMO-POS | $0 | — | $150 | $615 | $0 | $25 | $50 | $0–$50 | — | — | $200 eyewear maximum benefit | $750 allowance | $600/day days 1–4; $0/day days 5–90 | $9,250 | — | -1,405 |
| 43 | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) H5521-320-0 | PPO | $0 | — | — | — | $0 | $0–$35 | $35 | $0 | $60 | $1500 maximum plan benefit | $200 eyewear maximum benefit | $0–$1700 | $395/day days 1–6; $0/day days 7–90 | $9,250 | — | 1,060 |
| 44 | Aetna Medicare | Aetna Medicare Longevity (PPO I-SNP) H5521-461-0 | PPO | $58.8 | — | — | $615 | $5 | — | — | $0 | $150 | $1500 maximum plan benefit | $250 eyewear maximum benefit | $750 allowance | — | $9,250 | — | 269 |
| 45 | Aetna Medicare | Aetna Medicare Elite (PPO) H5521-537-0 | PPO | $54 | — | $1,500 | $615 | $0 | $0–$45 | $45 | $0–$10 | — | — | $100 eyewear maximum benefit | $0–$1700 | $399/day days 1–6; $0/day days 7–90 | $9,250 | — | -3,583 |
| 46 | Aetna Medicare | Aetna Medicare Enhanced (PPO) H5521-662-0 | PPO | $124 | — | — | $615 | $0 | $45 | $45 | $0–$10 | — | — | $100 eyewear maximum benefit | $0–$1700 | $399/day days 1–6; $0/day days 7–90 | $9,250 | — | -2,923 |
| 47 | VNS Health Medicare | VNS Health Total (HMO D-SNP) H5549-003-0 | HMO | $58.8 | — | — | $615 | $0 | $0 | $0 | $0 | $310 | $3500 maximum plan benefit | $350 eyewear maximum benefit | $1000 allowance | — | $0 | — | 2,969 |
| 48 | VNS Health Medicare | VNS Health EasyCare Plus (HMO D-SNP) H5549-011-0 | HMO | $51.6 | — | — | $615 | — | — | — | — | $235 | $2750 maximum plan benefit | $300 eyewear maximum benefit | $700 allowance | — | $9,250 | 7 transportation trips/period | 2,044 |
| 49 | VNS Health Medicare | VNS Health EasyCare (HMO) H5549-012-0 | HMO | $25 | — | — | $500 | $0 | $35 | $15 | $0 | $107 | $2500 maximum plan benefit | $300 eyewear maximum benefit | $750 allowance | $400/day days 1–5; $0/day days 6–90 | $9,250 | 11 transportation trips/period | 1,592 |
| 50 | Wellcare | Wellcare Fidelis Assist (HMO-POS) H5599-002-0 | HMO-POS | $32.5 | — | — | $615 | $0 | $25 | $50 | $0–$50 | Covered | $1500 maximum plan benefit | $200 eyewear maximum benefit | $500 allowance | $475/day days 1–5; $0/day days 6–90 | $9,250 | — | -145 |
| 51 | Wellcare | Wellcare Fidelis Dual Align (HMO D-SNP) H5599-003-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | Covered | — | Vision covered | $500 allowance | — | $9,250 | — | -2,061 |
| 52 | Wellcare | Wellcare Fidelis Simple (HMO-POS) H5599-004-0 | HMO-POS | $0 | — | $150 | $615 | $0 | $25 | $50 | $0–$50 | — | — | $200 eyewear maximum benefit | $750 allowance | $600/day days 1–4; $0/day days 5–90 | $9,250 | — | -1,405 |
| 53 | Wellcare | Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010-0 | HMO-POS | $0 | — | — | — | $0 | $20 | $50 | $0–$50 | Covered | $3000 maximum plan benefit | $200 eyewear maximum benefit | $750 allowance | $300/day days 1–5; $0/day days 6–90 | $9,250 | — | 2,380 |
| 54 | Wellcare | Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-2 | HMO | $58.8 | — | — | $580 | — | — | — | — | Covered | — | $200 eyewear maximum benefit | $500 allowance | — | $9,250 | — | -1,826 |
| 55 | Humana | Humana USAA Honor Giveback (PPO) H5970-016-0 | PPO | $0 | — | — | — | $0 | $40 | $0–$90 | $0–$50 | Covered | $2000 maximum plan benefit | $250 eyewear maximum benefit | $399–$699 | $495/day days 1–5; $0/day days 6–90 | $4,950 | 24 transportation trips/period | 1,790 |
| 56 | Humana | HumanaChoice H5970-028 (PPO) H5970-028-0 | PPO | $0 | — | $25 | $615 | $0 | $40 | $0–$130 | $0–$50 | — | — | $200 eyewear maximum benefit | $699–$999 | $360/day days 1–7; $0/day days 8–90 | $9,250 | — | -1,340 |
| 57 | Humana | Humana Direct Choice Giveback (PPO) H5970-031-0 | PPO | $0 | — | $525 | $475 | $0 | $40 | $0–$130 | $0–$50 | — | $2000 maximum plan benefit | $200 eyewear maximum benefit | $699–$999 | $400/day days 1–5; $0/day days 6–90 | $9,250 | — | 300 |
| 58 | Healthfirst Medicare Plan | Healthfirst Signature (HMO) H5989-011-0 | HMO | $0 | — | $300 | $615 | $0 | $40 | $40 | — | — | $1000 maximum plan benefit | $200 eyewear maximum benefit | $0–$1475 | $611/day days 1–4; $0/day days 5–90 | $9,250 | — | -615 |
| 59 | EmblemHealth | EmblemHealth VIP Dual Reserve (HMO D-SNP) H5991-010-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | $80 | — | $350 eyewear maximum benefit | $3000 allowance | — | $9,250 | — | -1,391 |
| 60 | EmblemHealth | EmblemHealth VIP Dual (HMO D-SNP) H5991-012-1 | HMO | $58.8 | — | — | $615 | — | — | — | — | — | — | — | — | — | $9,250 | — | -2,061 |
| 61 | EmblemHealth | EmblemHealth VIP Dual Enhanced (HMO D-SNP) H5991-013-1 | HMO | $58.8 | — | — | $615 | — | — | — | — | — | — | — | — | — | $9,250 | — | -2,061 |
| 62 | Senior Whole Health of New York | Senior Whole Health of New York NHC (HMO D-SNP) H5992-007-0 | HMO | $17.3 | — | — | $615 | — | — | — | — | Covered | — | $350 eyewear maximum benefit | $0 | — | $9,250 | Transportation covered | -1,213 |
| 63 | Senior Whole Health of New York | Senior Whole Health Medicare Complete Care (HMO D-SNP) H5992-010-0 | HMO | $0 | — | — | $199 | — | — | — | — | Covered | — | $350 eyewear maximum benefit | $0 | — | $9,250 | Transportation covered | -589 |
| 64 | ElderServe Health | ElderServe Star (HMO I-SNP) H6776-001-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | $185 | — | — | — | — | $9,250 | — | -1,321 |
| 65 | ElderServe Health | ElderServe MAP (HMO D-SNP) H6776-002-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | $302 | — | — | — | — | $9,250 | — | -853 |
| 66 | Anthem Blue Cross and Blue Shield HP | Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP) H6988-004-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | Covered | — | $375 eyewear maximum benefit | $4000 allowance | — | $9,250 | — | -1,686 |
| 67 | Anthem Blue Cross and Blue Shield HP | Anthem Veteran 2 (HMO-POS) H6988-008-0 | HMO-POS | $0 | — | — | — | $0 | $40 | $20–$50 | $0 | $65 | $1000 maximum plan benefit | — | — | $350/day days 1–5; $0/day days 6–90 | $6,800 | — | 556 |
| 68 | Anthem Blue Cross and Blue Shield HP | Anthem Medicare Advantage 2 (HMO-POS) H6988-009-0 | HMO-POS | $34 | — | — | $240 | $0 | $50 | $55–$100 | $0 | $30 | — | — | — | $480/day days 1–4; $0/day days 5–90 | $9,250 | — | -1,468 |
| 69 | HealthSpring | HealthSpring True Choice (PPO) H7849-150-0 | PPO | $0 | — | $400 | $250 | $0 | $40 | $50 | $0–$50 | $45 | $600 maximum plan benefit | $125 eyewear maximum benefit | $399–$1800 | $270/day days 1–6; $0/day days 7–90 | $6,800 | — | -449 |
| 70 | Anthem Blue Cross and Blue Shield HP | Anthem Veteran (HMO-POS) H8432-036-0 | HMO-POS | $0 | — | — | — | $0 | $40 | $20–$50 | $0 | $65 | $1000 maximum plan benefit | — | — | $350/day days 1–5; $0/day days 6–90 | $6,800 | — | 556 |
| 71 | Anthem Blue Cross and Blue Shield HP | Anthem Medicare Advantage (HMO-POS) H8432-040-0 | HMO-POS | $44 | — | — | $150 | $0 | $50 | $55–$100 | $0 | $30 | — | — | — | $480/day days 1–4; $0/day days 5–90 | $9,250 | — | -1,498 |
| 72 | Anthem Blue Cross and Blue Shield HP | Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP) H8432-041-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | Covered | — | $375 eyewear maximum benefit | $4000 allowance | — | $9,250 | 60 transportation trips/period | -1,446 |
| 73 | Anthem Blue Cross and Blue Shield HP | Anthem HealthPlus Full Dual Advantage (HMO D-SNP) H8432-042-0 | HMO | $58.8 | — | — | $615 | — | — | — | — | Covered | — | $300 eyewear maximum benefit | $3000 allowance | — | $9,250 | 48 transportation trips/period | -1,569 |
| 74 | Longevity Health Plan | Longevity Health Plan (HMO I-SNP) H8457-001-0 | HMO | $58.8 | — | — | $615 | $0 | — | — | $0 | $180 | $2850 maximum plan benefit | $250 eyewear maximum benefit | $1300 allowance | — | $9,250 | — | 1,759 |
| 75 | Healthfirst Medicare Plan | Healthfirst Signature (PPO) H9678-002-0 | PPO | $55 | — | $500 | $615 | $0 | $40 | $50 | — | — | $1500 maximum plan benefit | $75 eyewear maximum benefit | $0–$1475 | $490/day days 1–4; $0/day days 5–90 | $9,250 | — | -1,100 |