New York Medicare Insurance Plans
Medicare Supplement Insurance (Medigap) Policies
New York is a state that requires insurers to sell Medicare Supplement Insurance policies to residents who are under the age of 65.
The high-risk pool plan that existed for individuals who may otherwise have difficulty acquiring health insurance (formerly the NY Bridge Plan) has been incorporated into the state health insurance exchange under the provisions of the Affordable Care Act. Called NY State of Health, the plan offers low-cost, quality health insurance coverage and financial assistance to those who qualify, based on a pre-existing coverage, loss of coverage, or income.
Mini-COBRA Policies (Small Group)
New York does mandate COBRA insurance continuation coverage for all employers, regardless of size.
New York Medicare Savings Program
The state of New York has three Medicare Savings Programs, the income guidelines of which are:
- Qualified Medicare Beneficiaries (QMBs): For a family of one with a monthly income under $973 and a family of two (or more) with a monthly income under $1,311, New York pays all premiums for Medicare Part B and all copays and deductibles for Medicare Parts A and B.
- Specified Low-Income Medicare Beneficiaries (SLMBs): For a family of one with income under $1,167 per month or a family of two (or more) with monthly income under $1,573, the state pays premiums for Medicare Part B.
- Qualified Individuals 1 (QI1s): For individuals with income under $1,313 per month or couples with an income under $1,770 a month, the state pays premiums for Medicare Part B.
State Health Insurance Information, Counseling, and Assistance Program (HIICAP)
Your local New York Health Insurance Information, Counseling, and Assistance Program (HIICAP) provides you with information in order to help you understand your Medicare benefits. New York HIICAP is a confidential, one-on-one Medicare beneficiary counseling and assistance program available to you throughout the state.
New York HIICAP provides education, counseling, and information concerning:
- Medicare Part A
- Medicare Part B
- Medicare Part C (Medicare Advantage Plans)
- Medicare Part D (Prescription Drug Plans)
- Medicare Prescription Drug Program for New York
- Medicare Supplement Insurance (Medigap)
- Help with paying for your prescriptions
New York HIICAP also provides assistance with Medicare/Medicaid fraud and abuse, as well as other information concerning health insurance benefits that are important to you. The New York HIICAP receives funding in part through a grant from the Centers for Medicare and Medicaid Services (CMS)
Low-Income Subsidy (ExtraHelp) for Prescription Drugs
For 2015, the low-income subsidy for Extra Help with prescription drugs in the state of New York is $36.90, based on benchmark premiums.
Consult with one of our many MedicareSolutions.com insurance specialists in order to get individual assistance specific to your area of need. One of the knowledgeable professionals will assist you with comparing your options with New York Medicare insurance plans and can help you find the right Medicare insurance benefits.