New York · 2027 plan year

Medicare Advantage HMO plans in New York

There are 158 Medicare Advantage HMO plans in New York from 23 carriers, averaging 3.63 out of 5 stars across the 150 plans CMS has rated. 34% of those with a published premium charge $0 a month (54 of 158); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.

158
HMO plans
23
Carriers
62
Counties covered
3.6
Avg stars (150 of 158 rated)
$9,850
Median out-of-pocket max

Across the 158 HMO plans in New York that publish one, the in-network out-of-pocket maximum sits at $9,850 for most plans, which is also the highest in the state — the ceiling on what you pay in a year for covered in-network care. The mean is $8,857, which sits below the median — the spread is not symmetric, so the median is the better guide.

A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. Star ratings are published by CMS per contract, so every plan a carrier files under the same contract shares one rating — it describes the carrier’s performance, not this specific plan’s benefits. Estimate your real costs.

New York has 6 five-star Medicare Advantage HMO plans.

Of the 158 HMO plans here, 6 carry CMS's top overall rating of 5 stars and 69 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.

New York HMO plans rank 35th of 49 on star rating.

Across the 150 rated plans here the average overall rating is 3.63 stars, 35th highest of the 49 states with HMO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.

Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.

Highest rated

Top-rated HMO plans in New York

Showing 5 of 158. See all New YorkMedicare Advantage plans →

Who sells here

HMO plans by carrier

CarrierPlansAvg starsSNPs
UnitedHealthcareUnitedHealth Group, Inc.203.814
Excellus Health Plan, IncLifetime Healthcare, Inc.194.0—
Aetna MedicareCVS Health Corporation183.07
Anthem Blue Cross and Blue Shield HPElevance Health, Inc.124.03
Highmark Blue Cross Blue Shield or Highmark Blue SHighmark Health124.0—
EmblemHealthEmblemHealth, Inc.93.9—
MVP HEALTH CAREMVP Health Care, Inc.83.52
WellcareCentene Corporation83.05
Healthfirst Medicare PlanHealthfirst, Inc.73.33
Independent HealthIndependent Health Association, Inc.64.52
HumanaHumana Inc.53.02
CDPHP Medicare AdvantageLifetime Healthcare, Inc.43.5—
Other plan types in New York

How HMO compares

All New YorkMedicare Advantage plans →

Nearby on quality

States with similar HMO star ratings

Common questions

New York Medicare Advantage HMO plans, answered

How much do Medicare Advantage HMO plans cost in New York?
Of the New York HMO plans with a published premium, 34% charge $0 a month. The monthly premium is what you pay the plan for its medical (Part C) and drug (Part D) coverage together. A $0 premium does not mean the plan is free: you still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. The number that actually caps a bad year is the in-network out-of-pocket maximum, with a median of $9,850 across these plans.
What are the star ratings for New York HMO plans?
The 150 rated HMO plans in New York average 3.63 out of 5 stars, with 69 rating 4 or better and 6 rating a full 5. CMS rates a contract rather than an individual plan, so every plan a carrier files under the same contract shares one score. A contract that is too new or has too little data is not rated at all, which is different from rating badly.
How many Medicare Advantage HMO plans are available in New York?
There are 158 HMO plans from 23 carriers, sold across 62 counties. Availability is set by county, so the plans you can actually join depend on where you live — the full list is rarely available in any one place. 62 of them are Special Needs Plans with extra eligibility rules (see below).
Do New York HMO plans include prescription drug coverage?
144 of the 158 HMO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage, and you pay one monthly premium to the plan — but that premium has a medical (Part C) part and a drug (Part D) part, and the drug part is often what makes it more than $0. Each plan's page shows both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.
What is a Special Needs Plan, and are there any in New York?
62 of the 158 HMO plans in New York are Special Needs Plans. SNPs limit enrollment to people who also have Medicaid, live in a nursing home or similar institution, or have a qualifying chronic condition. They often carry richer benefits for that group, but if you do not meet the criteria you cannot join one — so the real number of plans open to you may be lower than the total.

A $0 premium is not the whole cost.
See what a year really looks like.

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