HMO
Signature HMO
Healthfirst
Premium
$0
MOOP
$6,700
PCP / Specialist
$0 / $30
Part B Giveback
$0
Dental $2,500OTC $85Vision $250Transport 30
Hospital: $430 / days 1–5 · Hearing: $0–$1,475 copay
Medicare Explainers
Designed for CMS plan data
New York MedicarePlan Year 2026
Find plans that fit the member’s costs and benefits.
Search by ZIP code, then narrow plans by carrier, plan type, premium, MOOP and benefits such as dental, OTC and transportation.
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Enter New York ZIP code
The ZIP code automatically identifies New York City, Nassau County, or Suffolk County and shows plans available in that county.
Fallback data is showing until the live CMS refresh succeeds. Plan details should always be confirmed before enrollment.
Location found
New York City
ZIP 10001
Plans showing
11 of 11
Lowest MOOP
$6,700
Top estimated value
Signature HMO
Plan directory
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Showing 11 of 11 plans in New York City
1
PPO
Signature PPO
Healthfirst
Premium
$0
MOOP
$8,000
PCP / Specialist
$0 / $35
Part B Giveback
$0
Dental $1,500OTC $0Vision $250
Hospital: $325 / days 1–5 · Hearing: $0–$1,475 copay
HMO
65 Plus HMO
Healthfirst
Premium
$0
MOOP
$9,350
PCP / Specialist
$0 / $25
Part B Giveback
$0
Dental $2,000OTC $0Vision $200Transport 10
Hospital: $460 / days 1–5 · Hearing: $0–$1,475 copay
PPO
Simple PPO H2775-106
Wellcare
Premium
$0
MOOP
$8,850
PCP / Specialist
$0 / $30
Part B Giveback
$0
Dental $1,000OTC $40Vision $100
Hospital: $375 / days 1–7 · Hearing: $0
PPO
Giveback PPO H2775-111
Wellcare
Premium
-$73
MOOP
$8,850
PCP / Specialist
$0 / $35
Part B Giveback
$73
Dental $0OTC $0Vision $100
Hospital: $1,810 / 90 days · Hearing: Routine exam only
HMO-POS
Simple HMO-POS H4868-019
Wellcare
Premium
$0
MOOP
$8,300
PCP / Specialist
$0 / $25
Part B Giveback
$0
Dental $0OTC $0Vision $200
Hospital: $445 / days 1–5 · Hearing: $750
HMO-POS
Fidelis Simple HMO-POS H5599-004
Wellcare
Premium
$0
MOOP
$8,300
PCP / Specialist
$0 / $25
Part B Giveback
$0
Dental $1,500OTC $0Vision $200
Hospital: $475 / days 1–5 · Hearing: $1,500
PPO
True Choice PPO
Cigna
Premium
$0
MOOP
$7,400
PCP / Specialist
$0 / $40
Part B Giveback
$0
Dental $1,700OTC $50Vision $100
Hospital: $210 / days 1–7 · Hearing: $399–$1,800 / 2 yrs
HMO
Gold Plus HMO H3533-033
Humana
Premium
$0
MOOP
$9,350
PCP / Specialist
$0 / $45
Part B Giveback
$0
Dental $0OTC $50Vision $100
Hospital: $310 / days 1–6 · Hearing: $0–$999 copay
PPO
Elite PPO H5521-120
Aetna
Premium
$0
MOOP
$9,350
PCP / Specialist
$0 / $35
Part B Giveback
$0
Dental $0OTC $0Vision $200
Hospital: $850 · Hearing: $0–$1,700 copay
HMO
Value Select H3312-074
Aetna
Premium
$0
MOOP
$9,350
PCP / Specialist
$0 / $45
Part B Giveback
$0
Dental $1,500OTC $45Vision $165
Hospital: $399 / days 1–6 · Hearing: $0–$1,700 copay
| # | 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 | Healthfirst | Signature HMO | HMO | $0 | $0 | $0 | $590 | $0 | $30 | $0 | $0 | $85 | $2,500 | $250 | $0–$1,475 copay | $430 / days 1–5 | $6,700 | 30 | 1,964 |
| 2 | Healthfirst | Signature PPO | PPO | $0 | $0 | $0 | $590 | $0 | $35 | $0 | $0 | $0 | $1,500 | $250 | $0–$1,475 copay | $325 / days 1–5 | $8,000 | 0 | 380 |
| 3 | Healthfirst | 65 Plus HMO | HMO | $0 | $0 | $0 | $590 | $0 | $25 | $0 | $0 | $0 | $2,000 | $200 | $0–$1,475 copay | $460 / days 1–5 | $9,350 | 10 | 802 |
| 4 | Wellcare | Simple PPO H2775-106 | PPO | $0 | $0 | $0 | $420 | $0 | $30 | $35 | $50 | $40 | $1,000 | $100 | $0 | $375 / days 1–7 | $8,850 | 0 | 12 |
| 5 | Wellcare | Giveback PPO H2775-111 | PPO | -$73 | $73 | $180 | $420 | $0 | $35 | $55 | $50 | $0 | $0 | $100 | Routine exam only | $1,810 / 90 days | $8,850 | 0 | -472 |
| 6 | Wellcare | Simple HMO-POS H4868-019 | HMO-POS | $0 | $0 | $0 | $420 | $0 | $25 | $50 | $50 | $0 | $0 | $200 | $750 | $445 / days 1–5 | $8,300 | 0 | -984 |
| 7 | Wellcare | Fidelis Simple HMO-POS H5599-004 | HMO-POS | $0 | $0 | $0 | $420 | $0 | $25 | $50 | $50 | $0 | $1,500 | $200 | $1,500 | $475 / days 1–5 | $8,300 | 0 | 516 |
| 8 | Cigna | True Choice PPO | PPO | $0 | $0 | $500 | $0 | $0 | $40 | $0 | $0 | $50 | $1,700 | $100 | $399–$1,800 / 2 yrs | $210 / days 1–7 | $7,400 | 0 | 748 |
| 9 | Humana | Gold Plus HMO H3533-033 | HMO | $0 | $0 | $580 | $590 | $0 | $45 | $50 | $50 | $50 | $0 | $100 | $0–$999 copay | $310 / days 1–6 | $9,350 | 0 | -1,798 |
| 10 | Aetna | Elite PPO H5521-120 | PPO | $0 | $0 | $1,000 | $590 | $0 | $35 | $40 | $40 | $0 | $0 | $200 | $0–$1,700 copay | $850 | $9,350 | 0 | -2,278 |
| 11 | Aetna | Value Select H3312-074 | HMO | $0 | $0 | $0 | $590 | $0 | $45 | $45 | $5 | $45 | $1,500 | $165 | $0–$1,700 copay | $399 / days 1–6 | $9,350 | 0 | 327 |