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New York Part D Plans

How to get drug coverage?

Medicare beneficiaries can obtain prescription drug coverage by enrolling in a Medicare stand alone prescription drug plan (Part D) or by enrolling in a Medicare Advantage plan (Part C) with a drug component.

Enrollment in 2016

In 2016, 1,430,612 enrolled in a Stand Alone New York Prescription Drug Plan and 1,187,479 enrolled in an New York Medicare Advantage Plan with prescription drug coverage.

Costs for Medicare drug coverage

Medicare drug plans cover a portion of all covered prescription drug costs after the enrollee has paid their annual drug deductible. However an enrollee’s actual drug costs will depend on their drug plan’s cost-sharing requirements for each drug tier, whether they use a preferred pharmacy in the plan’s network, whether their drugs are listed in the plan’s formulary (and if so, the tier in which the drugs are listed), and whether the enrollee is eligible for income-based subsidies.

New York 2017 Medicare Part D Plans at a glance

Using CMS data HealthPocket found that:

  • The average monthly premium for a 2017 Medicare prescription drug plan in New York is $50.02, 6.01% less than the national average of $53.22. The lowest available Medicare Part D monthly premium in the state of New York in 2017 is $14.60.
  • The maximum possible annual drug deductible in any 2017 Medicare drug plan is $400, but in New York the average annual drug deductible for Medicare Part D plans is $224.41. 41.18% of Medicare Part D insurance plans in New York have a $0 annual drug deductible.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part D plans each year based on customer service, member complaints, member satisfaction, patient safety, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average CMS star rating assigned to Medicare Part D insurance plans in New York was 3.2 stars in 2017.
  • Among New York's 2017 Medicare prescription drug plans with CMS star ratings:
    • 11.76% earned a score of 4 or 4.5 stars
    • 70.59% earned a score of 3 or 3.5 stars
    • 11.76% earned a score of 2.5 star
    • 5.88% of plans are “Not enough data available”.

Sources:

Medicare Enrollment Dashboard:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CMSProgramStatistics/Dashboard.html

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New York Medicare Part D Insurance Companies

There are 15 Part D insurance providers that offer affordable and comprehensive Part D insurance in New York. Of these, the companies that offer the largest variety of plans to choose from are UnitedHealthcare, Humana, and ExpressScripts. In New York,. The following are all medicare insurance providers in New York:

Humana

3 Plans

WellCare

2 Plans

Horizon Blue Cross Blue Shield of New Jersey

2 Plans

Highmark Health Insurance Company

2 Plans

Aetna

2 Plans

Magellan Rx Medicare

1 Plans

MII Life, Inc.

1 Plans

2018 Best Medicare Part D Plans in New York

There are 30 medicare part d plans in New York. The following are the 10 highest rated part d plans in New York based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $38Anthem BCBS - Blue MedicareRx Value Plus (PDP)
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from $122Anthem BCBS - Blue MedicareRx Premier (PDP)
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from $29SilverScript - SilverScript Choice (PDP)
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from $47Horizon Blue Cross Blue Shield of New Jersey - Horizon Medicare Blue Rx Standard (PDP)
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from $68Avalon Insurance Company - SecureRx - Option 3 (PDP)
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from $72SilverScript - SilverScript Plus (PDP)
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from $84Highmark Health Insurance Company - Blue Rx PDP Plus (PDP)
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from $99Horizon Blue Cross Blue Shield of New Jersey - Horizon Medicare Blue Rx Enhanced (PDP)
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from $133Avalon Insurance Company - SecureRx - Option 1 (PDP)
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from $157Highmark Health Insurance Company - Blue Rx PDP Complete (PDP)
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See all Part D plans in New York

Best New York Part D Plans for patients with High Blood Pressure

The following are the 5 highest rated medicare part d plans in New York based on their CMS rating of the plan's medication adherence for hypertension.

Monthly CostPlan NameCMS Rating
from $27MII Life, Inc. - Basic Blue Rx (PDP)Not Rated
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from $62Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $39Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
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from $38Magellan Rx Medicare - Magellan Rx Medicare Basic (PDP)
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from $80WellCare - WellCare Extra (PDP)
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Best New York Part D Plans for patients with High Cholesterol

The following are the 5 highest rated medicare part d plans in New York based on their CMS rating of the plan's medication adherence for cholesterol.

Monthly CostPlan NameCMS Rating
from $27MII Life, Inc. - Basic Blue Rx (PDP)Not Rated
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from $62Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $39Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
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from $38Magellan Rx Medicare - Magellan Rx Medicare Basic (PDP)
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from $80WellCare - WellCare Extra (PDP)
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Best New York Part D Plans for patients with Diabetes

The following are the 5 highest rated medicare plans in New York based on their CMS rating for the plan's ability for diabetes treatment and the plan's medication adherence for oral diabetes medications.

Monthly CostPlan NameCMS Rating
from $27MII Life, Inc. - Basic Blue Rx (PDP)Not Rated
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Details
from $62Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
Remove X
Details
from $39Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
Remove X
Details
from $38Magellan Rx Medicare - Magellan Rx Medicare Basic (PDP)
Remove X
Details
from $80WellCare - WellCare Extra (PDP)
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Details

Most Popular Medicare Doctors in New York

The following are the most popular medicare doctors in New York based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
Internal MedicineNEW YORK, NY
Internal MedicineBROOKLYN, NY
SurgeryGREAT NECK, NY
SpecialistNEW HYDE PARK, NY
RadiologyNEW ROCHELLE, NY
Internal MedicineBROOKLYN, NY
RadiologySMITHTOWN, NY
RadiologyBAY SHORE, NY
Internal MedicineFLUSHING, NY
See all doctors accepting Medicare in New York

Browse Part D Plans by Cities

  1. New York, NY
  2. Buffalo, NY
  3. Rochester, NY
  4. Yonkers, NY
  5. Syracuse, NY
  6. Albany, NY
See all cities in New York

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