Suffolk County, New York — 2026 Medicare Advantage plans
51 individual Medicare Advantage plan segments from 11 parent organizations are filed for Suffolk County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
51plans filed +1 vs prior year
14with a $0 premium unchanged vs prior year
$9,250median in-network MOOP +$125 vs prior year
17on 4-star or better contracts
21report comprehensive dental
36report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| Aetna Medicare Elite (PPO) CVS Health Corporation · H5521-120-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Meals |
| Elderplan Select (HMO-POS I-SNP) Elderplan, Inc. · H3347-018-000 · SoB | HMO-POS I-SNP | $0 | $7,500 | $0 | 3.5out of 5 stars, Average | $175 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| HealthSpring True Choice (PPO) Health Care Service Corporation · H7849-150-000 · SoB ✓ | PPO | $0 | $6,800 | $250 | 3.0out of 5 stars, Average | $45 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Direct Choice GIveback (PPO) Humana Inc. · H5970-032-000 · SoB ✓ | PPO | $0 | $9,250 | $475 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Humana Gold Plus Giveback H3533-027 (HMO) Humana Inc. · H3533-027-000 · SoB ✓ | HMO | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Wellcare Fidelis Simple (HMO-POS) Centene Corporation · H5599-004-000 · SoB ✓ | HMO-POS | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| Wellcare Giveback Open (PPO) Centene Corporation · H2775-111-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam |
| Wellcare Simple (HMO-POS) Centene Corporation · H4868-019-000 · SoB ✓ | HMO-POS | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| Wellcare Simple Open (PPO) Centene Corporation · H2775-106-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| Healthfirst Increased Benefits Plan (HMO) Healthfirst, Inc. · H3359-019-000 · SoB | HMO | $24.20 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| VNS Health EasyCare (HMO) Visiting Nurse Service of New York · H5549-012-000 · SoB | HMO | $25 | $9,250 | $500 | 3.5out of 5 stars, Average | $107 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete NY-Q001 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3387-015-002 · SoB ✓ | HMO-POS D-SNP | $31 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H5970-029 (PPO) Humana Inc. · H5970-029-000 · SoB ✓ | PPO | $32 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Wellcare Fidelis Assist (HMO-POS) Centene Corporation · H5599-002-000 · SoB ✓ | HMO-POS | $32.50 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP) Humana Inc. · H3533-034-002 · SoB ✓ | HMO D-SNP | $34.10 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Partial Dual Care (HMO D-SNP) CVS Health Corporation · H3312-090-000 · SoB ✓ | HMO D-SNP | $38.30 | $9,250 | $615 | 3.0out of 5 stars, Average | $15 | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP) Elderplan, Inc. · H3347-003-000 · SoB | HMO-POS I-SNP | $44.80 | $9,250 | $615 | 3.5out of 5 stars, Average | $175 | Vision exam Eyewear Hearing aids Transportation OTC allowance |
| UHC Nursing Home Plan NY-F002 (PPO I-SNP) UnitedHealth Group, Inc. · H2292-002-000 · SoB ✓ | PPO I-SNP | $51.40 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Wellcare Assist (HMO-POS) Centene Corporation · H4868-016-000 · SoB ✓ | HMO-POS | $51.40 | $9,250 | $590 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| VNS Health EasyCare Plus (HMO D-SNP) Visiting Nurse Service of New York · H5549-011-000 · SoB | HMO D-SNP | $51.60 | $9,250 | $615 | 3.5out of 5 stars, Average | $235 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete NY-S001 (PPO D-SNP) UnitedHealth Group, Inc. · H2001-063-002 · SoB ✓ | PPO D-SNP | $52.80 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Elite Extra (PPO) CVS Health Corporation · H5521-674-000 · SoB ✓ | PPO | $54 | $9,250 | $615 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Healthfirst Signature (PPO) Healthfirst, Inc. · H9678-002-000 · SoB | PPO | $55 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Aetna Medicare Full Dual Care (HMO D-SNP) CVS Health Corporation · H3312-069-000 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $615 | 3.0out of 5 stars, Average | $165 | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Longevity (PPO I-SNP) CVS Health Corporation · H5521-461-000 · SoB ✓ | PPO I-SNP | $58.80 | $9,250 | $615 | 4.5out of 5 stars, Above average | $150 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem HealthPlus Full Dual Advantage (HMO D-SNP) Elevance Health, Inc. · H8432-042-000 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP) Elevance Health, Inc. · H8432-041-000 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP) Elevance Health, Inc. · H6988-004-000 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $615 | 5.0out of 5 stars, Excellent | Reported | Vision exam Eyewear Hearing aids OTC allowance |
| EmblemHealth VIP Dual (HMO D-SNP) EmblemHealth, Inc. · H5991-012-002 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $615 | 3.0out of 5 stars, Average | $40 | Vision exam Eyewear Hearing aids OTC allowance |
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) EmblemHealth, Inc. · H5991-013-002 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $615 | 3.0out of 5 stars, Average | $40 | Vision exam Eyewear Hearing aids OTC allowance |
| Healthfirst Life Improvement Plan (HMO D-SNP) Healthfirst, Inc. · H3359-021-000 · SoB | HMO D-SNP | $58.80 | $9,250 | $615 | 4.5out of 5 stars, Above average | $175 | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Longevity Health Plan (HMO I-SNP) Longevity Health Founders, LLC · H8457-001-000 · SoB | HMO I-SNP | $58.80 | $9,250 | $615 | Not rated | $180 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UHC Dual Complete NY-S002 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3387-014-002 · SoB ✓ | HMO-POS D-SNP | $58.80 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete NY-Y001 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3387-013-000 · SoB ✓ | HMO-POS D-SNP | $58.80 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | OTC allowance Meals |
| VNS Health Total (HMO D-SNP) Visiting Nurse Service of New York · H5549-003-000 · SoB | HMO D-SNP | $58.80 | $0 | $615 | 3.5out of 5 stars, Average | $310 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Assist Open (PPO) Centene Corporation · H2775-113-000 · SoB ✓ | PPO | $58.80 | $9,250 | $530 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Wellcare Dual Access (HMO D-SNP) Centene Corporation · H4868-004-000 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $410 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Dual Access Open (PPO D-SNP) Centene Corporation · H2775-112-000 · SoB ✓ | PPO D-SNP | $58.80 | $9,250 | $510 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Fidelis Dual Align (HMO D-SNP) Centene Corporation · H5599-003-000 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) Centene Corporation · H5599-013-002 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $580 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Anthem Medicare Advantage 3 (HMO-POS) Elevance Health, Inc. · H6988-007-000 · SoB ✓ | HMO-POS | $70 | $9,250 | $275 | 5.0out of 5 stars, Excellent | $45 | Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Medicare Advantage (HMO) Elevance Health, Inc. · H8432-011-000 · SoB ✓ | HMO | $90 | $9,250 | $100 | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| Aetna Medicare Enhanced (HMO) CVS Health Corporation · H3312-064-000 · SoB ✓ | HMO | $94 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Aetna Medicare Enhanced (PPO) CVS Health Corporation · H5521-665-000 · SoB ✓ | PPO | $134 | $6,750 | $615 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Meals |
| EmblemHealth VIP Gold (HMO) EmblemHealth, Inc. · H3330-021-003 · SoB ✓ | HMO | $175 | $9,250 | $200 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids |
| EmblemHealth VIP Gold Plus (HMO) EmblemHealth, Inc. · H3330-038-000 · SoB ✓ | HMO | $252 | $9,250 | $200 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids |
| Aetna Medicare Eagle Giveback (PPO) CVS Health Corporation · H5521-320-000 · SoB ✓ | PPO | — | $9,250 | — | 4.5out of 5 stars, Above average | $60 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Anthem Veteran 2 (HMO-POS) Elevance Health, Inc. · H6988-008-000 · SoB ✓ | HMO-POS | — | $6,800 | — | 5.0out of 5 stars, Excellent | $65 | Preventive dental Comprehensive dental Vision exam OTC allowance |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5970-016-000 · SoB ✓ | PPO | — | $4,950 | — | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Fidelis Patriot Simple (HMO-POS) Centene Corporation · H5599-010-000 · SoB ✓ | HMO-POS | — | $9,250 | — | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Patriot Simple (HMO-POS) Centene Corporation · H4868-003-000 · SoB ✓ | HMO-POS | — | $6,700 | — | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Suffolk County?
Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.
Download all 51 Suffolk County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.