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Explore Medicare Advantage Plans

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2023 Annual Enrollment: October 15 - December 7

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 2023 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

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

2023 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.

Primary Care Physician: $0 Specialist: $25

EmblemHealth VIP Reserve Classic (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

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

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 monthly, including healthy food items and produce.

Primary Care Physician: $0 Specialist: $0

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 

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

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 $150 monthly for over-the-counter (OTC) items, including healthy food items and produce.

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Essential (HMO)

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

EmblemHealth VIP Essential (HMO)

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

EmblemHealth VIP Essential (HMO)

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

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 $130 for over-the-counter (OTC) items monthly, including healthy food items and produce.

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 $110 for over-the-counter (OTC) items monthly, including healthy food items and produce.

Primary Care Physician: $0 Specialist: $0

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

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

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

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

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

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

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 

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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 a Medicare Plan

Apply for Medicare in New York through EmblemHealth. Enroll a Medicare Advantage plan, and view New York enrollment options.

Medicare Grievances and Appeals

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

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.  

EMB MB WEB Medicare Banner 1440X450 3 10 20

Health Insurance Plan of Greater New York (HIP) is an HMO/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.

For accommodations of persons with special needs at meetings, call Medicare HMO at 877-344-7364 (TTY: 711) 8 am to 8 pm, seven days a week.

 

SilverSneakers and the SilverSneakers shoe logotype are registered trademarks of Tivity Health, Inc. © 2022 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: 10/01/2022

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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

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.