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Medicare Advantage Plans

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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 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.

CHOOSE THE RIGHT MEDICARE PLAN

Find your Medicare Advantage plan, made in
New York for New Yorkers

Showing available plans in

Plan availability varies by location. Please enter your ZIP Code to see plans available in your area.

2025 EmblemHealth Medicare Advantage Plans

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.

Available in the following counties: Bronx, New York, and Queens

Primary Care Physician: $0 Specialist: $25

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.

Available in the following counties: Suffolk and Westchester

Primary Care Physician: $0 Specialist: $25

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.

Available in the following counties: Nassau

Primary Care Physician: $0 Specialist: $25

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.

Available in the following counties: Kings

Primary Care Physician: $0 Specialist: $25

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.

Available in the following counties: Bronx, Dutchess, Kings, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Sullivan, Ulster, and Westchester

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Rx Saver (HMO)

You will pay $0 to see your primary care doctor and $25 to see specialists. This plan does not have an annual deductible on Tier 1, Tier 2, Tier 3, and Tier 6 drugs. In addition, you will get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $70 for over-the-counter (OTC) items and a SilverSneakers® membership.

Available in the following counties: Albany, Broome, Columbia, Delaware, Greene, Rensselaer, Saratoga, Schenectady, Warren, and Washington

Primary Care Physician: $0 Specialist: $25

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 $20 for over-the-counter (OTC) items.

Available in the following counties: Bronx, Kings, New York, and Queens

Primary Care Physician: $0 Specialist: $0

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 $60 for over-the-counter (OTC) items.

Available in the following counties: Albany, Broome, Columbia, Delaware, Dutchess, Greene, Nassau, Orange, Putnam, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Suffolk, Sullivan, Ulster, Warren, Washington, and Westchester 

Primary Care Physician: $0 Specialist: $0

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.

This plan utilizes our VIP Reserve network of providers.

You will also get benefits Medicare does not cover, like $20 monthly for over-the-counter (OTC) items.

Available in the following counties:  Bronx, Kings, New York, and Queens

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Dual Enhanced (HMO D-SNP)

EmblemHealth VIP Dual Enhanced (HMO D-SNP) is New York’s Integrated Benefits For Dually Eligible Enrollees Program (IB-Dual). If you are a member of the EmblemHealth Enhanced Care or EmblemHealth Enhanced Care Plus plan, when you become Medicare eligible, you may be enrolled in EmblemHealth VIP Dual Enhanced (HMO D-SNP). You pay $0 for covered services in this plan.

This program provides a complete set of benefits and services for members with Medicaid and Medicare who do not require long-term services and support. You will receive your Medicaid and Medicare-covered services, Medicare prescription drug coverage, plus additional services like fitness benefits through one plan. EmblemHealth will coordinate all your care.

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 $20 for over-the-counter (OTC) items.

Available in the following counties:  Bronx, Kings, New York, and Queens

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Dual Enhanced (HMO D-SNP)

EmblemHealth VIP Dual Enhanced (HMO D-SNP) is New York’s Integrated Benefits For Dually Eligible Enrollees Program (IB-Dual). If you are a member of the EmblemHealth Enhanced Care or EmblemHealth Enhanced Care Plus plan, when you become Medicare eligible, you may be enrolled in EmblemHealth VIP Dual Enhanced (HMO D-SNP). You pay $0 for covered services in this plan.

This program provides a complete set of benefits and services for members with Medicaid and Medicare who do not require long-term services and support. You will receive your Medicaid and Medicare-covered services, Medicare prescription drug coverage, plus additional services like fitness benefits through one plan. EmblemHealth will coordinate all your care.

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 $60 for over-the-counter (OTC) items.

Available in the following counties: Nassau, Richmond, Suffolk, and Westchester

Primary Care Physician: $0 Specialist: $0

See More Plans

Additional Medicare Resources

Medicare Basics

Get your questions about Medicare answered with EmblemHealth. Learn the basics of Medicare and everything you need to know before enrolling.

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 Provider Directories

Find participating doctor, hospitals, dental and other providers for your Medicare plan.

Medicare Grievances and Appeals

Learn how to file a complaint or appeal using the necessary forms.

Enroll Now

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 with a wide range of benefits to meet your needs.  

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Health Insurance Plan of Greater New York (HIP) is an HMO plan with a Medicare contract and a HMO D-SNP plan with a Medicare contract and a contract with the New York State Department of Health. Enrollment in HIP depends on contract renewal. HIP is an EmblemHealth company.

Every year, Medicare evaluates plans based on a 5-star rating system.

 

For accommodations of persons with special needs at meetings, call 877-344-7364 (TTY: 711).  From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Saturday.

SilverSneakers is a registered trademark of Tivity Health, Inc. © 2024 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: 01/01/2025

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