Looking for Medicare Advantage plans in Monroe County? Enter your ZIP below to compare affordable or $0 premium plans in your area.
Monroe County, NY, is home to 29 Medicare Advantage (Medicare Part C) plans in 2023.
Learn more about Medicare Advantage in New York or call to speak with a licensed insurance agent who can help you compare Monroe County Medicare Advantage plans and – if you're eligible – help you enroll.
Rochester Medicare Advantage plans can come in several different forms. The two most popular types are HMO and PPO plans.
No matter what type of plan it is, all Medicare Advantage plans in Rochester and around the country combine your Medicare Part A and Part B benefits into one single plan. Many of these plans also offer additional benefits Original Medicare (Parts A and B) doesn't cover.
Learn more and review this list of 2023 Rochester Medicare Advantage plans.
|2023 Medicare Advantage Plans in Monroe|
|Number of unique plans||29|
|Average monthly premium||$12.27|
|Average (in-network) out-of-pocket maximum||$5003.45|
|Average Medicare Star Rating*||3.53|
While the number of unique plans in any county can change slightly every year, the table above presents a good idea of what you can expect to see in 2023.
The average monthly premium for Medicare Advantage plans in Monroe is $12.27 per month in 2023, though there may be plans available where you live that feature different premiums.
Medicare Advantage plans in Monroe County have an average Medicare Star Rating of 3.53 in 2023.* Plans rated four stars or higher are considered top-rated Medicare plans.
Premiums, deductibles and other costs may vary. The numbers reported in the table above are taken from the Centers for Medicare & Medicaid Services (CMS). A licensed insurance agent will be able to help you review and compare costs for specific plans available in New York or wherever you may live.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
The following table includes cost information and other plan details for Medicare Advantage plans available in Monroe in 2023.
|Plan Name||Plan Code||Monthly Premium||Deductible||Out of Pocket Max||Prescription Drug Coverage||Medicare Star Rating|
|AARP Medicare Advantage (HMO-POS)||H3379-041-000||$0||$295||$7550||Yes||4 out of 5 stars|
|Aetna Medicare Assure Plan (HMO D-SNP)||H3312-070-000||$0||$0||$8300||Yes||3.5 out of 5 stars|
|Aetna Medicare Credit Plan (PPO)||H5521-313-000||$0||$350||$7550||Yes||3.5 out of 5 stars|
|Aetna Medicare Discover Value Plan (PPO)||H5521-318-000||$22||$300||$7550||Yes||3.5 out of 5 stars|
|Aetna Medicare Eagle Plan (PPO)||H5521-323-000||$0||N/A||$7000||No||3.5 out of 5 stars|
|Aetna Medicare Premier Plan (PPO)||H5521-076-000||$53||$195||$7550||Yes||3.5 out of 5 stars|
|Aetna Medicare Value Plan (PPO)||H5521-118-000||$0||$250||$7550||Yes||3.5 out of 5 stars|
|Humana Gold Plus H3533-006 (HMO)||H3533-006-000||$0||$300||$6500||Yes||4 out of 5 stars|
|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)||H3533-002-000||$0||$0||$0||Yes||4 out of 5 stars|
|Humana Honor (PPO)||H5970-016-000||$0||N/A||$4500||No||4 out of 5 stars|
|HumanaChoice H5970-001 (PPO)||H5970-001-000||$15||$0||$4500||Yes||4 out of 5 stars|
|HumanaChoice H5970-015 (PPO)||H5970-015-000||$0||$250||$4900||Yes||4 out of 5 stars|
|HumanaChoice H5970-018 (PPO)||H5970-018-000||$0||$310||$4800||Yes||4 out of 5 stars|
|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)||H5970-020-000||$0||$0||$0||Yes||4 out of 5 stars|
|UnitedHealthcare Dual Complete Choice (PPO D-SNP)||H0271-060-001||$0||$0||$0||Yes||4 out of 5 stars|
|UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP)||H3387-014-001||$0||$0||$0||Yes||4 out of 5 stars|
|UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP)||H3387-015-001||$0||$0||$0||Yes||4 out of 5 stars|
|UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)||R5342-001-000||$16||$200||$7200||Yes||4 out of 5 stars|
|UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)||R5342-005-000||$44||$100||$6900||Yes||4 out of 5 stars|
|UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)||R5342-006-000||$82||$0||$6700||Yes||4 out of 5 stars|
|UnitedHealthcare Medicare Advantage Patriot (Regional PPO)||R5342-002-000||$0||N/A||$6700||No||4 out of 5 stars|
|Wellcare Assist Open (PPO)||H2775-113-000||$8.7||$505||$6700||Yes||2.5 out of 5 stars|
|Wellcare Dual Access (HMO D-SNP)||H4868-004-000||$0||$0||$0||Yes||3 out of 5 stars|
|Wellcare Dual Access Open (PPO D-SNP)||H2775-112-000||$0||$0||$0||Yes||2.5 out of 5 stars|
|Wellcare Giveback Open (PPO)||H2775-111-000||$0||$325||$7550||Yes||2.5 out of 5 stars|
|Wellcare No Premium (HMO)||H4868-019-000||$0||$0||$8300||Yes||3 out of 5 stars|
|Wellcare No Premium Open (PPO)||H2775-106-000||$0||$0||$6700||Yes||2.5 out of 5 stars|
|Wellcare Patriot No Premium (HMO)||H4868-003-000||$0||N/A||$6700||No||3 out of 5 stars|
|Wellcare Premium Ultra Open (PPO)||H2775-105-000||$115||$0||$3400||Yes||2.5 out of 5 stars|
The fall Medicare Open Enrollment Period (also called the Annual Enrollment Period, or AEP) is an important time for Rochester Medicare beneficiaries. Depending on your circumstances, this may be the only time you can make changes to your Phoenix Medicare coverage.
This 2022 Medicare open enrollment period starts on October 15 and lasts until December 7. This period is open to all eligible Medicare beneficiaries who wish to add, drop or change Medicare plans.
Connect with a licensed insurance agent today for help determining your eligibility and finding the best 2023 Medicare Advantage plan in Rochester for you.
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