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Medicare in New York

By the numbers

Just over 3 million Medicare beneficiaries live in New York, making it the state with the 4th highest number of Medicare beneficiaries. New York also has the highest number of beneficiaries with prescription drug coverage from an employer plan.

  • Total enrollment in Medicare Advantage plans in New York - 992,699
  • Number of Medicare Advantage plans offered to residents - 176
  • New York beneficiaries enrolled in a stand alone drug plan - 1,044,022
  • Number of New York Prescription Drug Plans (PDPs) - 28

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in New York

New York Medicare Savings Programs: Programs in New York can assist beneficiaries in paying for things like their monthly premiums. Usually in order to qualify, your income and assets have to be lower than a certain limit that is set by the government each year.

New York State Health Insurance Counseling and Assistance Program (SHIP): In New York, SHIP is called the Health Insurance Information, Counseling and Assistance Program (HIICAP). HIICAP educates New York residents about Medicare and other health insurance issues. HIICAP also can assist beneficiaries who want to apply for Medicare Savings Programs.

How healthy is the state of New York?

New York is the third most populous state in the U.S. and ranked as the 18th healthiest state to live. New York's strength as a healthy state is helped by its low rates of cancer deaths as well as lower prevalence of obesity than other states. Two challenges facing New York are its high percentage of children in poverty as well as low immunization coverage.

All data provided by the Kaiser Family Foundation.

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Medicare has neither reviewed nor endorsed this information.