Medicare Advantage PPO plans in New York
There are 66 Medicare Advantage PPO plans in New York from 9 carriers, averaging 3.79 out of 5 stars across the 43 plans CMS has rated. 59% of those with a published premium charge $0 a month (39 of 66); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 66 PPO 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 $9,586, which sits below the median — the spread is not symmetric, so the median is the better guide.
New York has 2 five-star Medicare Advantage PPO plans.
Of the 66 PPO plans here, 2 carry CMS's top overall rating of 5 stars and 29 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.
23 of New York's PPO plans carry no star rating yet.
CMS rates a contract, not a plan, and does not rate one that is too new or has too little data — so 23 plans here shows no rating at all. Unrated is not the same as badly rated; it usually means a new contract, and those plans have to be judged on benefits and network instead.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in New York
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| UHC Nursing Home Plan NY-F001 (PPO I-SNP)UnitedHealthcare · Institutional SNP | 5★ | $9,850 | $4.20 |
| UHC Nursing Home Plan NY-F002 (PPO I-SNP)UnitedHealthcare · Institutional SNP | 5★ | $9,850 | $0 |
| Freedom Valor (PPO)Highmark Blue Cross Blue Shield or Highmark Blue S | 4.5★ | $6,700 | $0 |
| Independent Health's Medicare Passport Connect (PPO)Independent Health | 4.5★ | $9,850 | $81 |
| UHC Dual Complete NY-S001 (PPO D-SNP)UnitedHealthcare · Dual-Eligible SNP | 4.5★ | $9,850 | $19.40 |
Showing 5 of 66. See all New YorkMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Aetna MedicareCVS Health Corporation | 23 | 4.0 | 1 |
| Devoted HealthDevoted Health, Inc. | 23 | — | 11 |
| UnitedHealthcareUnitedHealth Group, Inc. | 8 | 3.9 | 4 |
| WellcareCentene Corporation | 4 | 3.0 | 1 |
| HumanaHumana Inc. | 3 | 3.0 | — |
| MVP HEALTH CAREMVP Health Care, Inc. | 2 | 3.5 | — |
| Healthfirst Medicare PlanHealthfirst, Inc. | 1 | 3.0 | — |
| Highmark Blue Cross Blue Shield or Highmark Blue SHighmark Health | 1 | 4.5 | — |
| Independent HealthIndependent Health Association, Inc. | 1 | 4.5 | — |
How PPO compares
States with similar PPO star ratings
New York Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in New York?
What are the star ratings for New York PPO plans?
How many Medicare Advantage PPO plans are available in New York?
Do New York PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in New York?
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