Explore Medicare Advantage Plans 2022 Annual Enrollment: October 15 - December 7 Home Our Plans Medicare Advantage Choose the Right Medicare Advantage Plan in New York At EmblemHealth, we offer a variety of plans to fit different needs and budgets. Learn how our 2022 Medicare Advantage Prescription Drug plans can give you the benefits you want, at a price you can afford. And when you’re ready to enroll, we’ll make it easy. We are here to help you every step of the way. Enroll Now CHOOSE THE RIGHT MEDICARE PLAN Aging Into Medicare Enroll in a Medicare Plan Medicare Basics Medicare Disaster Events Policy Find your Medicare Advantage plan, made in New York for New Yorkers Showing available plans in Check Availability Plan availability varies by location. Please enter your ZIP Code to see plans available in your area. 2022 2021 2022 EmblemHealth Medicare Advantage Plans EmblemHealth VIP Value (HMO) You will pay $0 each month for the plan — a $0 premium. With EmblemHealth VIP Value, you will pay $15 to see your primary care doctor, and $50 to see specialists. You will also get benefits Medicare does not cover, like up to $450 yearly in routine eyewear. This plan offers Optional Supplemental benefits, where you have the option to add SilverSneakers® fitness and/or comprehensive dental benefits at a low cost. Primary Care Physician: $15 Specialist: $50 View VIP Value Plan EmblemHealth VIP Gold (HMO) You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $25 View VIP Gold Plan EmblemHealth VIP Reserve (HMO) You will pay $0 each month for the plan. With this plan, you will pay $0 to see your primary care doctor and $25 to see specialists in-network. This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $25 for over-the-counter (OTC) items monthly through mail order and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $25 View VIP Reserve Plan EmblemHealth VIP Rx Saver (HMO) You will pay $5 to see your primary care doctor and $40 to see specialists. This plan does not have an annual deductible on Tier 1, Tier 2, and Tier 3 drugs. In addition, you will get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $25 for over-the-counter (OTC) items monthly through mail order and a SilverSneakers® membership. Primary Care Physician: $5 Specialist: $40 View VIP Rx Saver Plan EmblemHealth VIP Dual (HMO D-SNP) This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $0 for 10 additional acupuncture visits, a SilverSneakers® membership, and $50 for over-the-counter (OTC) items monthly, including healthy food items and produce. Primary Care Physician: $0 Specialist: $0 View VIP Dual Plan EmblemHealth VIP Rx Saver (HMO) You will pay $5 to see your primary care doctor and $40 to see specialists. This plan does not have an annual deductible on Tier 1, Tier 2, and Tier 3 drugs. In addition, you will get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $25 for over-the-counter (OTC) items monthly through mail order and a SilverSneakers® membership. Primary Care Physician: $5 Specialist: $40 View VIP Rx Saver Plan EmblemHealth VIP Solutions (HMO D-SNP) This is a special needs plan (D-SNP) for people enrolled in Medicare and who have partial or full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You may pay $0 or low copays depending on your level of Medicaid for covered services in this plan. You will also get benefits Medicare does not cover, like preventive dental, $0 for 10 additional acupuncture visits, hearing aid allowance, and eyewear allowance. Primary Care Physician: $0 Specialist: $0 or $30 View VIP Solutions Plan EmblemHealth VIP Passport (HMO) You will pay $34.40 each month for the plan. With this plan, you will pay $5 to see your primary care doctor and $40 to see specialists in-network. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $5 Specialist: $40 View VIP Passport Plan EmblemHealth VIP Gold (HMO) You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $25 View VIP Gold Plan EmblemHealth VIP Passport NYC (HMO) You will pay $34.90 each month for the plan. With this plan, you will pay $15 to see your primary care doctor and $50 to see specialists in-network. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $15 Specialist: $50 View VIP Passport NYC Plan EmblemHealth VIP Dual Select (HMO D-SNP) This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan. You will also get benefits Original Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance $60 for over-the-counter (OTC) items monthly. Primary Care Physician: $0 Specialist: $0 View VIP Dual Select Plan EmblemHealth VIP Gold (HMO) You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $25 View VIP Gold Plan EmblemHealth VIP Dual Reserve (HMO D-SNP) This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan. You will also get benefits Medicare does not cover, like $147 monthly for over-the-counter (OTC) items, including healthy food items and produce. Primary Care Physician: $0 Specialist: $0 View VIP Dual Reserve Plan EmblemHealth VIP Essential (HMO) Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists. This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $45 View VIP Essential Plan EmblemHealth VIP Essential (HMO) Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists. This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $45 View VIP Essential Plan EmblemHealth VIP Essential (HMO) Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists. This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $45 View VIP Essential Plan EmblemHealth VIP Essential (HMO) Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists. This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $45 View VIP Essential Plan EmblemHealth VIP Dual (HMO D-SNP) This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $0 for 10 additional acupuncture visits, a SilverSneakers® membership, and $120 for over-the-counter (OTC) items monthly, including healthy food items and produce. Primary Care Physician: $0 Specialist: $0 View VIP Dual Plan EmblemHealth VIP Dual (HMO D-SNP) This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $0 for 10 additional acupuncture visits, a SilverSneakers® membership, and $100 for over-the-counter (OTC) items monthly, including healthy food items and produce. Primary Care Physician: $0 Specialist: $0 View VIP Dual Plan EmblemHealth VIP Gold (HMO) You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $25 View VIP Gold Plan EmblemHealth VIP Gold Plus (HMO) You will pay $0 for many medical services, such as when you see your primary care doctor or specialists or get urgently needed services. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership. Primary Care Physician: $0 Specialist: $0 View VIP Gold Plus Plan ADDITIONAL MEDICARE RESOURCES Medicare Provider Directories Find participating doctor, hospitals, dental and other providers for your Medicare plan. The EmblemHealth Difference See how we set ourselves apart from the competition with our network of doctors, Connect Concierge Service, 24 Hour Nurse Hotline, Care Management program, and Neighborhood Care. Medicare Pharmacy: Additional Information Learn more about our over-the-counter benefit, how to get money back for a drug, and more. ENROLL IN MEDICARE Find the Right Plan We want you to feel comfortable and secure with your Medicare decisions; that’s why EmblemHealth offers many low-cost Medicare Part C and Part D plans some even at $0 with a wide range of benefits to meet your needs. Help Me Choose We are Here for You Contact Us Health Insurance Plan of Greater New York (HIP) is an HMO/HMO-POS/HMO D-SNP plan with a Medicare contract and a Coordination of Benefits Agreement with the New York State Department of Health. EmblemHealth Plan, Inc. is a PPO plan and a standalone PDP with a Medicare contract. Enrollment in HIP and EmblemHealth Plan, Inc. depends on contract renewal. HIP and EmblemHealth Plan, Inc. are EmblemHealth companies. Out-of-network/non-contracted providers are under no obligation to treat EmblemHealth members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For accommodations of persons with special needs at meetings, call Medicare HMO at 877-344-7364 (TTY: 711) and Medicare PDP (VIP Rx and VIP Rx Plus) at 877-444-7241 (TTY: 711) 8 am to 8 pm, seven days a week. SilverSneakers and the SilverSneakers shoe logotype are registered trademarks of Tivity Health, Inc. © 2021 Tivity Health, Inc. All rights reserved. Teladoc and related marks are trademarks of Teladoc Health, Inc. and are used by EmblemHealth with permission. Last Updated: 10/01/2021 Y0026_201700 Ready to choose your plan? 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Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.