Sullivan County, New York — 2026 Medicare Advantage plans
45 individual Medicare Advantage plan segments from 10 parent organizations are filed for Sullivan 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
45plans filed +2 vs prior year
15with a $0 premium +3 vs prior year
$9,250median in-network MOOP −$100 vs prior year
16on 4-star or better contracts
19report comprehensive dental
32report 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 · H5521-119-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Aetna Medicare Signature (HMO) CVS Health Corporation · H3312-062-000 · SoB ✓ | HMO | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Healthfirst Signature (HMO) Healthfirst, Inc. · H1722-002-000 · SoB | HMO | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) Humana Inc. · H3533-002-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice Giveback H5970-030 (PPO) Humana Inc. · H5970-030-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental 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 Open (PPO) Centene Corporation · H2775-106-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| HumanaChoice SNP-DE H5970-020 (PPO D-SNP) Humana Inc. · H5970-020-000 · SoB ✓ | PPO D-SNP | $0.90 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Partial Dual (HMO D-SNP) CVS Health Corporation · H3312-089-000 · SoB ✓ | HMO D-SNP | $5.90 | $9,250 | $615 | 3.0out of 5 stars, Average | $15 | Vision exam Eyewear Hearing aids OTC allowance Meals |
| UHC Dual Complete NY-S4 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3387-017-000 · SoB ✓ | HMO-POS D-SNP | $5.90 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| MVP Medicare Complete Wellness with Part D (PPO) MVP Health Care, Inc. · H9615-023-000 · SoB | PPO | $15 | $9,250 | $615 | 3.5out of 5 stars, Average | $25 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Healthfirst Connection Plan (HMO D-SNP) Healthfirst, Inc. · H3359-038-000 · SoB | HMO D-SNP | $20.70 | $9,250 | $615 | 4.5out of 5 stars, Above average | $55 | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Full Dual (HMO D-SNP) CVS Health Corporation · H3312-070-000 · SoB ✓ | HMO D-SNP | $23.10 | $9,250 | $615 | 3.0out of 5 stars, Average | $140 | Vision exam Eyewear Hearing aids OTC allowance Meals |
| 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 |
| AARP Medicare Advantage from UHC NY-34 (HMO-POS) UnitedHealth Group, Inc. · H3379-059-000 · SoB ✓ | HMO-POS | $29 | $8,500 | $600 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| UHC Dual Complete NY-Q001 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3387-015-001 · 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 |
| Hamaspik Medicare Select (HMO D-SNP) Hamaspik of Rockland County, Inc. · H0034-001-000 · SoB | HMO D-SNP | $34.50 | $9,250 | $615 | 3.0out of 5 stars, Average | $190 | Vision exam Eyewear OTC allowance |
| AARP Medicare Advantage from UHC NY-0013 (PPO) UnitedHealth Group, Inc. · H3418-002-000 · SoB ✓ | PPO | $49 | $9,250 | $600 | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Hamaspik Medicare Choice (HMO D-SNP) Hamaspik of Rockland County, Inc. · H0034-002-000 · SoB | HMO D-SNP | $51.50 | $9,250 | $615 | 3.0out of 5 stars, Average | $250 | Vision exam Eyewear OTC allowance |
| UHC Dual Complete NY-S001 (PPO D-SNP) UnitedHealth Group, Inc. · H2001-063-001 · 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 |
| MVP DualAccess (HMO D-SNP) MVP Health Care, Inc. · H3305-033-000 · SoB | HMO D-SNP | $54.60 | $9,250 | $615 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Hearing aids Transportation 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 |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. · H3347-007-000 · SoB | HMO-POS D-SNP | $58.80 | $9,250 | $615 | 3.5out of 5 stars, Average | $950 | 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 |
| Healthfirst CompleteCare (HMO D-SNP) Healthfirst, Inc. · H3359-034-000 · SoB | HMO D-SNP | $58.80 | $9,250 | $615 | 4.5out of 5 stars, Above average | $252 | Vision exam Eyewear 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 |
| MVP DualAccess Complete (HMO D-SNP) MVP Health Care, Inc. · H3305-034-000 · SoB | HMO D-SNP | $58.80 | $9,250 | $615 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Hearing aids Transportation 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 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 · H5599-013-001 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | $580 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Enhanced (PPO) CVS Health Corporation · H5521-669-000 · SoB ✓ | PPO | $109 | $9,250 | $615 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| MVP Medicare Secure Plus with Part D (HMO-POS) MVP Health Care, Inc. · H3305-022-000 · SoB | HMO-POS | $116 | $6,000 | $400 | 4.0out of 5 stars, Above average | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| 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 |
| AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS) UnitedHealth Group, Inc. · H3379-060-000 · SoB ✓ | HMO-POS | — | $6,700 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Eagle Giveback (PPO) CVS Health Corporation · H5521-323-000 · SoB ✓ | PPO | — | $9,250 | — | 4.5out of 5 stars, Above average | $60 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| 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 |
| MVP Medicare Preferred Gold without Part D (HMO-POS) MVP Health Care, Inc. · H3305-020-000 · SoB | HMO-POS | — | $7,200 | — | 4.0out of 5 stars, Above average | $25 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Advantage Enhanced (PFFS) Centene Corporation · H2816-037-000 · SoB ✓ | PFFS | — | $4,300 | — | 3.5out of 5 stars, Average | — | Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Wellcare Advantage Simple (PFFS) Centene Corporation · H2816-038-000 · SoB ✓ | PFFS | — | $6,700 | — | 3.5out of 5 stars, Average | — | Comprehensive dental Vision exam Eyewear |
| 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 |
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 Sullivan 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 45 Sullivan County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.