Medicare Advantage Plans (Medicare Part C) In New York

Anthem Medicare Advantage plans in New York cover Medicare Parts A and B, plus other coverage not offered by Original Medicare. Most plans include prescription drug, dental, vision, and hearing care coverage, and a prepaid benefits card.1

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Get All-In-One Coverage With An Anthem Medicare Advantage Plan In New York

 

Medicare Advantage Plans (Part C) include all the benefits of Parts A and B, and more, in one convenient plan. See what Anthem Medicare Advantage has to offer in New York.

Benefits To Stretch Your Budget

Our HMO and PPO plans help cover Original Medicare out-of-pocket costs and make your money go further with benefits like:

  • $0 or low monthly premiums
  • $0 medical deductibles
  • $0 prescription drug copays

Comprehensive Health Coverage

Most Anthem Part C plans include valuable benefits that go beyond Original Medicare:

  • Prescription Drug (Part D) coverage
  • Dental, vision, and hearing benefits
  • Broad national network of doctors and hospitals

Smart Tip: You may be eligible for the Anthem Benefits Prepaid Card to help pay for utilities, groceries, and over-the-counter health items.1

Compare Anthem MediBlue HMO And PPO Plans

 

With Health Maintenance Organizations (HMOs), you must use doctors and hospitals within a network, but you can use doctors and hospitals in and out of network3 with Preferred Provider Organizations (PPOs). Compare the differences between HMOs and PPOs in New York.

 

Features And Considerations

 

Anthem MediBlue HMO

 

 

Anthem MediBlue PPO

 

Good for those who want ...

 


Lower costs and are open to getting care only in the plan’s network 

 

Flexibility to access out-of-network care with no referrals for specialists

 

Includes Medicare Part A (hospital) & Part B (medical)

 


 


 


 

 

 

Monthly premium

 

$0

MOST PLANS*

$0

MOST PLANS*

 

Copays (In-network primary care provider)

 

 

$0 - $35

 

 

$0 - $10

 

 

Deductibles

 

$0

FOR ALL PLANS

$0

FOR SOME PLANS

 

Referral required

 

 

In some cases

 

No

 

Where to go for care

 

 
In-network providers only

 

In-network and out-of-network providers3

 

 

Includes prescription drug coverage (Part D)

 

 
Most plans
 
Most plans

 

Includes dental, vision, & hearing coverage

 

 

 

 

 

 

 

Your share of healthcare costs

 

 

Lower copays and coinsurance 

 

Higher out-of-network copays and coinsurance

 

 

Your annual out-of-pocket costs

 

 

Lower

 

Higher

*Monthly premiums vary by plan and state

Smart Tip: Check to see if your doctors are in our network, and your prescriptions are covered.

Explore Anthem Special Needs Plans (SNPs)

 

Medicare Advantage SNPs in New York are plans for people living with disabilities, certain medical conditions, or those who qualify for Medicaid and Medicare. These plans combine Original Medicare Part A (hospital) and Part B (medical) with valuable benefits.

Dual Special Needs Plans (D-SNPs)

 

Our D-SNPs offer support for people eligible for both Medicare and Medicaid.

 

 A Care Manager that coordinates your care, medications, and benefits

 

 Prescription drug coverage

 

 Dental, vision, and hearing coverage

 

 Support for OTC, utilities, groceries, and transportation

 

 And a range of other benefits

 

Explore Anthem Dual Special Needs Plans (D-SNPs) 

   

   

   

You still have time to pick a Medicare plan – sign up by December 7.

Explore your options in one easy call or click. You can speak with an experienced advisor about which benefits and savings are most important to you. No pressure – just straight talk about what you need from your health care coverage.
Call us or explore plans today.   tel

Frequently Asked Questions About Medicare Advantage Plans

A Medicare Advantage plan combines your Original Medicare coverage (Parts A and B) with additional benefits like prescription drug coverage (Part D) plus dental, vision, and hearing benefits.

These plans are popular because you can get medical, hospital, prescription drug, dental, vision, and hearing benefits – all in one plan. Most of our plans have $0 monthly premium and maximum out-of-pocket costs. Plus, these plans offer other benefits, including allowances for utilities, groceries, and over-the-counter health items. There's also a variety of options - you can pick the plan that's best for you from HMO, PPO, D-SNP, and C-SNP that are tailored to your specific needs.

Once you've signed up for Original Medicare (Parts A and B), you can enroll in Medicare Advantage during your Initial Enrollment Period. This starts three months before your 65th birthday month and ends three months after it.

 

You may qualify for a Special Enrollment Period if you experience certain life events, such as moving out of your current plan’s service area or losing your employer-based health coverage.

 

You can also add, switch, or drop your plan during the Medicare Annual Enrollment Period, from October 15 through December 7 each year.

 

And the Medicare Advantage Open Enrollment Period – January 1 to March 31 – offers a one-time opportunity to change your plan.

Your specific health needs and your budget are the most important considerations. For example, if you will need care from out-of-network specialists and facilities,3 a Medicare Advantage PPO plan may be the right choice for you because these plans typically let you access care out of network without a referral. Otherwise, an HMO plan may be a better fit.

 

It's important to note that PPO plans typically have a higher cost than HMO plans. But they are great for someone who wants the flexibility to see any doctor or specialist outside the network and without a referral.

 

Before signing up for a plan that includes prescription drug coverage, be sure to check if your medication is covered.

 

Learn More About Medicare Advantage HMOs vs. PPOs   

   

 

Need Help Or Ready To Shop?

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Read Our Medicare Articles

Learn more about Medicare Advantage and compare differences between Original Medicare vs. Medicare Advantage. You can also take a deeper dive into other articles about Medicare plans, benefits, and more.

Attend A Free Event

Sign up and find out how Anthem Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual webinar, or a live seminar where a Medicare licensed agent will be present to answer your questions

  

Learn About Plans In Your State

1 Benefits may vary based on where you live and the plan you select.

 

2 Benefit based on one-way trips to plan-covered services.

 

3 Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

 

Empire Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. Empire Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Empire Blue Cross and Blue Shield depends on contract renewal.