Medicare plans
Monroe County, NY
33 Medicare Advantage plans and 9 drug-only plans are offered in Monroe County, NY for 2027. 11 of the Advantage plans have a $0 monthly premium.
License: a US government work, in the public domain (Public Domain Mark 1.0).
Data only, not plan advice. Confirm on Medicare.gov Plan Finder or 1-800-MEDICARE.
Shopping for your own coverage? Use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.
Plans by type
| Type | Plans |
|---|---|
| Advantage without drug coverage | 4 |
| Advantage with drugs | 29 |
| Drug only | 9 |
| All plans | 42 |
20 of these are Special Needs Plans (SNPs), open only to people who qualify: 15 D-SNP for people with both Medicare and Medicaid and 5 I-SNP for people who live in a nursing home or need that level of care at home. The 9 drug-only plans are listed for all of New York.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
For agents and agencies
Run this for a client's ZIP
Rivvi's county landscape snapshot opens with Monroe County, NY filled in. Swap in a client's ZIP to get every 2027 plan in their county, counted by type and carrier, with premium and out-of-pocket ranges.
Open the county snapshotFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Premiums and out-of-pocket limits
| Measure | 2027 |
|---|---|
| Advantage monthly premium | $0 to $277 |
| Advantage plans at $0 | 11 |
| Advantage out-of-pocket maximum (in network) | $0 to $9,850 |
| Drug-only monthly premium | $37.30 to $238.30 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Star Ratings
| Overall rating | Advantage plans |
|---|---|
| 3 stars | 8 |
| 3.5 stars | 7 |
| 4 stars | 13 |
| 4.5 stars | 1 |
| 5 stars | 1 |
| Not enough data | 3 |
15 Advantage plans in Monroe County, NY have an overall rating of 4 stars or more.
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Change from 2026
Monroe County, NY has 33 Advantage plans in 2027, 10 fewer than 2026 (43). 5 plans are new to the county and 15 plans offered here in 2026 are gone. $0 plans go from 13 to 11.
| Advantage plans | 2026 | 2027 |
|---|---|---|
| Offered in the county | 43 | 33 |
| At a $0 premium | 13 | 11 |
| New for 2027 | 5 | |
| Offered in 2026, gone in 2027 | 15 |
Offered here in 2026, not in 2027
- Wellcare Advantage Enhanced (PFFS) (H2816-037, Centene Corporation)
- Wellcare Advantage Simple (PFFS) (H2816-038, Centene Corporation)
- Aetna Medicare Full Dual (HMO D-SNP) (H3312-087, CVS Health Corporation)
- Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) (H3533-002, Humana Inc.)
- Wellcare Patriot Simple (HMO-POS) (H4868-003, Centene Corporation)
- Wellcare Dual Access (HMO D-SNP) (H4868-004, Centene Corporation)
- Wellcare Simple (HMO-POS) (H4868-019, Centene Corporation)
- Aetna Medicare Enhanced (PPO) (H5521-522, CVS Health Corporation)
- Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) (H5599-013, Centene Corporation)
- Humana USAA Honor Giveback (PPO) (H5970-016, Humana Inc.)
- HumanaChoice SNP-DE H5970-020 (PPO D-SNP) (H5970-020, Humana Inc.)
- HumanaChoice H5970-029 (PPO) (H5970-029, Humana Inc.)
- HumanaChoice Giveback H5970-030 (PPO) (H5970-030, Humana Inc.)
- iCircle Dual Advantage (HMO D-SNP) (H7813-001, CDS Monarch, Inc.)
- MVP Medicare WellSelect with Part D (PPO) (H9615-021, MVP Health Care, Inc.)
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Plans by parent organization
| Parent organization | Advantage | Drug only | Total |
|---|---|---|---|
| Centene Corporation | 6 | 2 | 8 |
| CVS Health Corporation | 3 | 1 | 4 |
| Elderplan, Inc. | 2 | 0 | 2 |
| Health Care Service Corporation | 0 | 1 | 1 |
| Humana Inc. | 0 | 3 | 3 |
| Lifetime Healthcare, Inc. | 6 | 0 | 6 |
| MVP Health Care, Inc. | 5 | 0 | 5 |
| UnitedHealth Group, Inc. | 5 | 2 | 7 |
| VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | 3 | 0 | 3 |
| Visiting Nurse Service of New York | 3 | 0 | 3 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Every 2027 plan in Monroe County, NY
42 plans, by plan name. Select a column to sort. Plan types: HMO (health maintenance organization) means you generally must use the plan's network of doctors and hospitals, except in an emergency; HMO-POS is an HMO with a point-of-service option that may cover some care outside the network, usually at a higher cost; and PPO (preferred provider organization) means you can see doctors outside the network, usually at a higher cost.
| Plan ↑ | Type | Premium | Out-of-pocket max | Drug deductible | Stars |
|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP)S5921-382-000 · UnitedHealth Group, Inc. | Drug onlyPDP | $238.30 | n/a | $300 | 3 |
| AARP Medicare Rx Saver from UHC (PDP)S5921-379-000 · UnitedHealth Group, Inc. | Drug onlyPDP | $174.50 | n/a | $700 | 3 |
| Aetna Medicare Eagle Giveback (PPO)H5521-323-000 · CVS Health Corporation | Advantage without drug coveragePPO | $0 | $9,850 | n/a | 4 |
| Aetna Medicare Elite (PPO)H5521-521-000 · CVS Health Corporation | Advantage with drugsPPO | $109 | $9,850 | $700 | 4 |
| Aetna Medicare Longevity (PPO I-SNP)H5521-461-000 · CVS Health Corporation | Advantage with drugsPPO I-SNP | $10.70 | $9,850 | $700 | 4 |
| Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)H3347-003-000 · Elderplan, Inc. | Advantage with drugsHMO-POS I-SNP | $33.70 | $9,850 | $700 | 3.5 |
| Elderplan Select (HMO-POS I-SNP)H3347-018-000 · Elderplan, Inc. | Advantage with drugsHMO-POS I-SNP | $0 | $9,850 | $350 | 3.5 |
| HealthSpring Assurance Rx (PDP)S5715-024-000 · Health Care Service Corporation | Drug onlyPDP | $40.50 | n/a | $700 | 2.5 |
| Humana Basic Rx Plan (PDP)S5884-216-000 · Humana Inc. | Drug onlyPDP | $169.60 | n/a | $700 | 4.5 |
| Humana Premier Rx Plan (PDP)S5884-217-000 · Humana Inc. | Drug onlyPDP | $169.30 | n/a | $350 | 4.5 |
| Humana Value Rx Plan (PDP)S5884-218-000 · Humana Inc. | Drug onlyPDP | $177.20 | n/a | $687 | 4.5 |
| Medicare Blue Choice Core (HMO)H3351-022-000 · Lifetime Healthcare, Inc. | Advantage with drugsHMO | $19 | $9,850 | $700 | 4 |
| Medicare Blue Choice Freedom (HMO-POS)H3351-007-000 · Lifetime Healthcare, Inc. | Advantage without drug coverageHMO-POS | $0 | $6,500 | n/a | 4 |
| Medicare Blue Choice Optimum (HMO-POS)H3351-006-000 · Lifetime Healthcare, Inc. | Advantage with drugsHMO-POS | $263 | $6,700 | $100 | 4 |
| Medicare Blue Choice Prime (HMO-POS)H3351-023-000 · Lifetime Healthcare, Inc. | Advantage with drugsHMO-POS | $89.80 | $8,000 | $700 | 4 |
| Medicare Blue Dual (HMO D-SNP)H7524-003-000 · Lifetime Healthcare, Inc. | Advantage with drugsHMO D-SNP | $23.70 | $9,850 | $700 | 3 |
| Medicare Blue Dual Secure (HMO D-SNP)H7524-004-000 · Lifetime Healthcare, Inc. | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3 |
| MVP DualAccess (HMO D-SNP)H3305-033-000 · MVP Health Care, Inc. | Advantage with drugsHMO D-SNP | $13.10 | $9,820 | $700 | 3.5 |
| MVP DualAccess Complete (HMO D-SNP)H3305-034-000 · MVP Health Care, Inc. | Advantage with drugsHMO D-SNP | $22.20 | $9,850 | $700 | 3.5 |
| MVP Medicare Preferred Gold with Part D (HMO-POS)H3305-015-000 · MVP Health Care, Inc. | Advantage with drugsHMO-POS | $277 | $6,800 | $400 | 3.5 |
| MVP Medicare Preferred Gold without Part D (HMO-POS)H3305-007-000 · MVP Health Care, Inc. | Advantage without drug coverageHMO-POS | $0 | $7,200 | n/a | 3.5 |
| MVP Medicare WellValue with Part D (HMO-POS)H3305-039-000 · MVP Health Care, Inc. | Advantage with drugsHMO-POS | $217 | $9,850 | $700 | 3.5 |
| Nascentia Dual Advantage (HMO D-SNP)H9066-003-000 · VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | Advantage with drugsHMO D-SNP | $27 | $9,850 | $700 | Not enough data |
| Nascentia Medicaid Advantage Plus (HMO D-SNP)H9066-001-000 · VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | Advantage with drugsHMO D-SNP | $30.30 | $9,850 | $700 | Not enough data |
| Nascentia Skilled Nursing Facility (HMO I-SNP)H9066-002-000 · VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | Advantage with drugsHMO I-SNP | $25.40 | $9,850 | $700 | Not enough data |
| SilverScript Choice (PDP)S5601-006-000 · CVS Health Corporation | Drug onlyPDP | $166.60 | n/a | $700 | 2.5 |
| UHC Dual Complete NY-Q001 (HMO-POS D-SNP)H3387-015-001 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS D-SNP | $0 | $9,850 | $700 | 4 |
| UHC Dual Complete NY-S001 (PPO D-SNP)H2001-063-001 · UnitedHealth Group, Inc. | Advantage with drugsPPO D-SNP | $19.40 | $9,850 | $700 | 4.5 |
| UHC Dual Complete NY-S002 (HMO-POS D-SNP)H3387-014-003 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS D-SNP | $31.70 | $9,850 | $700 | 4 |
| UHC Dual Complete NY-YL (HMO-POS D-SNP)H3387-013-000 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS D-SNP | $40.50 | $9,850 | $700 | 4 |
| UHC Nursing Home Plan NY-F001 (PPO I-SNP)H2292-001-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO I-SNP | $4.20 | $9,850 | $700 | 5 |
| VNS Health EasyCare (HMO)H5549-012-000 · Visiting Nurse Service of New York | Advantage with drugsHMO | $25 | $9,850 | $650 | 4 |
| VNS Health EasyCare Plus (HMO D-SNP)H5549-011-000 · Visiting Nurse Service of New York | Advantage with drugsHMO D-SNP | $23.60 | $9,850 | $700 | 4 |
| VNS Health Total (HMO D-SNP)H5549-003-000 · Visiting Nurse Service of New York | Advantage with drugsHMO D-SNP | $40.50 | $0 | $700 | 4 |
| Wellcare Classic (PDP)S4802-077-000 · Centene Corporation | Drug onlyPDP | $40.30 | n/a | $700 | 3 |
| Wellcare Fidelis Assist (HMO-POS)H5599-002-000 · Centene Corporation | Advantage with drugsHMO-POS | $0 | $9,850 | $700 | 3 |
| Wellcare Fidelis Dual Access (HMO D-SNP)H5599-016-000 · Centene Corporation | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3 |
| Wellcare Fidelis Dual Align Unity (HMO D-SNP)H5599-003-000 · Centene Corporation | Advantage with drugsHMO D-SNP | $40.50 | $9,850 | $700 | 3 |
| Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)H5599-014-000 · Centene Corporation | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3 |
| Wellcare Fidelis Patriot Simple (HMO-POS)H5599-010-000 · Centene Corporation | Advantage without drug coverageHMO-POS | $0 | $9,850 | n/a | 3 |
| Wellcare Fidelis Simple (HMO-POS)H5599-004-000 · Centene Corporation | Advantage with drugsHMO-POS | $0 | $9,850 | $700 | 3 |
| Wellcare Value Script (PDP)S4802-138-000 · Centene Corporation | Drug onlyPDP | $37.30 | n/a | $700 | 3 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
For pharmacies
Check your patients' drugs on these plans
Enter a drug and Rivvi compares its 2026 and 2027 Part D formulary placement on every plan near a ZIP: tier changes, new prior authorization, step therapy, and quantity limits.
Free to start. Opens Rivvi, the AI workspace for healthcare teams.
Neighboring counties
Health data for Monroe County, NY
About this data
Plans, premiums, out-of-pocket maximums, and drug deductibles come from the CMS CY2027 Medicare Advantage and Part D landscape file. Change from 2026 compares it with the CY2026 landscape. Stars are the 2027 Star Ratings CMS released October 8, 2026: the overall rating for Advantage plans and the Part D summary rating for drug-only plans, which have no overall rating.
Advantage counts include Special Needs Plans (SNPs), which are open only to people who qualify: D-SNPs for people with both Medicare and Medicaid, C-SNPs for people with certain chronic conditions, and I-SNPs for people who live in a nursing home or need that level of care at home. Drug-only plans are listed by CMS for a whole state, so every county page shows them. Employer group plans are not in the file. This page lists plans; it does not say which plan fits anyone, and Rivvi does not sell plans.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page