Compare by State – Medicare Plans in New York

New York Medicare Plans

New York residents turning 65 become eligible for Medicare.

While the Medicare plans in New York are great, some people require Medicare Supplements and Advantage plans to cover additional expenses and increased flexibility for their needs.

The Medicare Supplements plan will cover the deductibles, copays, coinsurance, and more than Original Medicare which can save you thousands of dollars. Additionally, you will have the freedom to see any doctor that accepts Medicare.

Medicare Advantage plans offer similar coverage to Original Medicare, but offer additionals, like prescription drug coverage, and don’t always cost you an additional premium.

The state does have unique rules that benefit New York Medicare beneficiaries, but considering cost-of-living is so high, New York Medicare plan premiums can be very expensive.

New York Medicare Plans Open Enrollment

Like every state, Medicare beneficiaries in New York are eligible for Medicare at age 65. While in most states, residents would only have a 6-month window to enroll without being asked health questions, this is not the case in New York. Here, Medicare beneficiaries never run out of time to apply for a Medigap plan without health questions. This can be an incredible advantage, but it does come with a high price in some cases.

Because they can’t ask questions, New York carriers usually price the Medigap premiums higher than states without this rule in order to fund expensive medical claims.

New York Medicare Advantage

Impressively, New York offers up to 92 Medicare Advantage plans available, depending on what county you live in. When you enroll in a Medicare Advantage plan, you will get your care from the plan’s network of providers. This means that the private plans will pay instead of Medicare.

Medicare Advantage plans generally have lower premiums than Medigap plans though you will experience back-end costs like copays, coinsurance, etc.

Open enrollment for Medicare Advantage in New York begins on January 1 and ends March 31.

New York Medicare Part D

While Original Medicare and Medicare Supplement plans don’t offer coverage for prescription drugs, there is an option to enroll in Medicare Part D in the state of New Mexico. If this is enticing for you, there are 23 Part D plans available.

New York Medigap Plans

Contrary to popular belief, your Part A & Part B benefits do not cover all of your medical expenses during retirement. Medigap plans to help people pay for things like deductibles and coinsurances.

Medicare Supplements in New York cover some, or even all, of the deductibles and coinsurance left over by Original Medicare.

This can save you thousands in out-of-pocket expenses, putting a cap on those costs, and this plan doesn’t limit you to a network of doctors that accept Medicare only.

There are 10 plans lettered A through N that offer standardized coverage. This means all plans lettered the same have to offer the same coverage and the only difference is price. So, be sure to shop your coverage.

Medicare Advantage for New York Residents Under the Age of 65 with Disabilities

While Medicare is generally reserved for those turning 65, there are cases in which someone may be eligible for Medicare under the age of 65. This includes individuals with disabilities who have received Social Security Disability Income for 24 months or have End Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS, also known as Lou Gehrig’s disease).

It is important to note that there is a five-month waiting period after a beneficiary is determined to be disabled before they can begin to collect Social Security Disability Income. People who meet all the criteria for Social Security Disability Income are generally automatically enrolled in Medicare Part A and Part B. For the people who meet the standards, but do not qualify for Social Security Income, have an option to purchase Medicare by paying a Part A premium monthly as well as a monthly Part B premium.

An exception to the 5-month waiting people does apply for those people with ESRD and ALS. These individuals do not have to collect benefits for 24 months in order to become eligible for Medicare.

The requirements for Medicare eligibility for people with ESRD and ALS are:

ESRD – Generally 3 months after a course of regular dialysis begins or after a kidney transplant
ALS – Immediately upon collecting Social Security Disability benefits

Regrettably, those with disabilities often have lower incomes, require more health care, and find it more difficult to pay for and obtain care compared to Medicare beneficiaries over 65 years of age. Take our questionnaire to see if you qualify for Medicare benefits, even if you are under the age of 65.

Every state is different, and so obtaining Medicare benefits in New York can be complicated or confusing. If you are disabled or under the age of 65 wondering if you qualify, it is best to contact us directly to see if you are eligible.

What Medicare Advantage benefits am I eligible for under the age of 65 in New York?

At 100Insure, we can help you discover benefits you might be eligible for including:

Premiums starting at $0 per month
Coverage for copays and deductibles
Prescription drugs
Dental
Vision
Hearing
And transportation to the doctor and pharmacy

That’s right. Our company has helped qualified people under the age of 65 in New York receive benefits like:

Massage services
Meals after a hospital
Food for their service dog
A gym membership
Money for vitamins and groceries
Home improvements
In home care & aides
And pest control services

Medicare Coverage for Working People in New York with Disabilities

Medicare eligibility for working people with disabilities falls into three distinct time frames.

Trial work period– extends 9 months after a disabled individual obtains a job
Second period– This period is for 93 months after the end of the trial work period.
Third period– An indefinite period following those 93 months.

Keep in mind that Medicare eligibility during each of these periods applies only while the individual continues to meet the medical standard for being considered disabled under Social Security rules.