County guide · Suffolk County, NY · 2027 plan year
Original Medicare vs Medicare Advantage in Suffolk County, NY
This guide lists 18 Medicare Advantage plans for 2027 in Suffolk County, with the yearly cost of each one next to Original Medicare with Medigap. Special needs plans are not on this list.
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- Plans
- 18
- $0 premium
- 7 plans
- Lowest in-network limit
- $6,800
- Highest in-network limit
- $9,850
In New York, you can go back to Medigap later
New York requires Medigap companies to sell you a plan at any time of year, and your health does not change the price. So you can try Medicare Advantage and go back to Original Medicare with Medigap later.
Read about Medigap rights on Medicare.govYearly cost of each plan
Totals include premiums, the Part B premium, copays, and drug costs for three levels of care. A light year is checkups and a few visits. A regular year has ongoing specialist care. A heavy year has frequent care and a 5-day hospital stay.
| Plan | Monthly premiums | Yearly limit on medical costs | Stars | Prior authorization | Light year | Regular year | Heavy year |
|---|---|---|---|---|---|---|---|
| Original Medicare with Medigap Plan Gand the lowest-cost drug plan | Part B $209.50 + Plan G from $373 + a drug plan from $37.30 | $292 Part B deductible, then Plan G pays | Not rated | Short list of services | $7,724 | $9,899 | $10,124 |
| VNS Health EasyCare (HMO)HMO from VNS Health Medicare · Plan ID H5549-012 · Medicare.govIts page is set for Kings County, NY | $25 plan + Part B $209.50 | $9,850 in network | 4 of 5 | 21 services | $2,889 | $5,096 | $11,034 |
| Healthfirst Increased Benefits Plan (HMO)HMO from Healthfirst Medicare Plan · Plan ID H3359-019 · Medicare.govIts page is set for Kings County, NY | $17.10 plan + Part B $209.50 | $9,850 in network | 3.5 of 5 | 23 services | $2,759 | $5,217 | $10,514 |
| EmblemHealth VIP Value (HMO)HMO from EmblemHealth · Plan ID H3330-049 · Medicare.govIts page is set for Kings County, NY | $0 plan + Part B $209.50 | $9,850 in network | 4 of 5 | 14 services | $2,599 | $5,779 | $11,359 |
| Wellcare Fidelis Assist (HMO-POS)HMO-POS from Wellcare · Plan ID H5599-002 · Medicare.govIts page is set for Kings County, NY | $0 plan + Part B $209.50 | $9,850 in network | 3 of 5 | 20 services | $2,579 | $5,839 | $11,164 |
| EmblemHealth VIP Saver (HMO)HMO from EmblemHealth · Plan ID H3330-051 · Medicare.govIts page is set for Kings County, NY | $40.40 plan + Part B $209.50 | $9,850 in network | 4 of 5 | 14 services | $3,079 | $6,169 | $11,462 |
| Wellcare Fidelis Simple (HMO-POS)HMO-POS from Wellcare · Plan ID H5599-004 · Medicare.govIts page is set for Kings County, NY | $0 plan + Part B $209.50 | $9,850 in network | 3 of 5 | 20 services | $2,980 | $6,566 | $12,116 |
| Aetna Medicare Elite (PPO)PPO from Aetna Medicare · Plan ID H5521-120 · Medicare.govIts page is set for Kings County, NY | $0 plan + Part B $209.50 | $9,850 in network; $14,800 in and out of network | 4 of 5 | 19 services | $3,229 | $6,567 | $12,551 |
| Aetna Medicare Enhanced (HMO)HMO from Aetna Medicare · Plan ID H3312-064 · Medicare.gov | $104 plan + Part B $209.50 | $9,850 in network | 3 of 5 | 19 services | $3,802 | $6,800 | $12,502 |
| Anthem Medicare Advantage 3 (HMO-POS)HMO-POS from Anthem Blue Cross and Blue Shield HP · Plan ID H6988-007 · Medicare.gov | $70 plan + Part B $209.50 | $9,850 in network | 5 of 5 | 23 services | $3,444 | $6,815 | $12,749 |
| EmblemHealth VIP Gold (HMO)HMO from EmblemHealth · Plan ID H3330-021 · Medicare.gov | $166 plan + Part B $209.50 | $9,850 in network | 4 of 5 | 14 services | $4,541 | $6,972 | $10,451 |
| Humana Gold Plus H3533-037 (HMO)HMO from Humana · Plan ID H3533-037 · Medicare.gov | $50 plan + Part B $209.50 | $9,250 in network | 3 of 5 | 24 services | $3,169 | $7,007 | $13,859 |
| Anthem Medicare Advantage (HMO)HMO from Anthem Blue Cross and Blue Shield HP · Plan ID H8432-011 · Medicare.gov | $96 plan + Part B $209.50 | $9,850 in network | 3 of 5 | 23 services | $3,791 | $7,166 | $12,951 |
| EmblemHealth VIP Gold Plus (HMO)HMO from EmblemHealth · Plan ID H3330-038 · Medicare.govIts page is set for Kings County, NY | $216 plan + Part B $209.50 | $9,850 in network | 4 of 5 | 14 services | $5,106 | $7,337 | $10,591 |
| Healthfirst Signature (PPO)PPO from Healthfirst Medicare Plan · Plan ID H9678-002 · Medicare.govIts page is set for Kings County, NY | $155 plan + Part B $209.50 | $9,850 in network; $14,800 in and out of network | 3 of 5 | 23 services | $4,839 | $7,717 | $12,877 |
| Aetna Medicare Elite Extra (PPO)PPO from Aetna Medicare · Plan ID H5521-674 · Medicare.gov | $79 plan + Part B $209.50 | $9,850 in network; $14,800 in and out of network | 4 of 5 | 19 services | $4,177 | $8,136 | $14,116 |
| Anthem Veteran 2 (HMO-POS)HMO-POS from Anthem Blue Cross and Blue Shield HP · Plan ID H6988-008 · No drug coverage · Medicare.govIts page is set for Kings County, NY | $0 plan + Part B $209.50 (the plan pays back $125 of Part B) | $6,800 in network | 5 of 5 | 23 services | $1,382 | $9,556 | $28,725 |
| Aetna Medicare Eagle Giveback (PPO)PPO from Aetna Medicare · Plan ID H5521-320 · No drug coverage · Medicare.govIts page is set for Kings County, NY | $0 plan + Part B $209.50 (the plan pays back $80 of Part B) | $9,850 in network; $14,800 in and out of network | 4 of 5 | 19 services | $1,882 | $9,696 | $28,750 |
| Wellcare Fidelis Patriot Simple (HMO-POS)HMO-POS from Wellcare · Plan ID H5599-010 · No drug coverage · Medicare.govIts page is set for Kings County, NY | $0 plan + Part B $209.50 | $9,850 in network | 3 of 5 | 20 services | $2,847 | $10,286 | $29,325 |
Original Medicare totals use the lowest Plan G price that New York Department of Financial Services, community rated Medicare Supplement premiums (in effect as of October 1, 2026) lists for a 65-year-old woman who does not use tobacco, $373 a month. A plan with no drug coverage counts drugs at full price, unless its members can add a separate drug plan. A plan name with a link opens a page where you can change the care level, the Medigap plan, your age, and your drugs.
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Sources and method
Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. Medigap prices come from New York Department of Financial Services, community rated Medicare Supplement premiums (in effect as of October 1, 2026), pulled 2026-10-13. They are for the price area that includes ZIP 11901. Totals use typical Medicare-allowed amounts for each service and typical drug prices.
- Medigap prices: New York Department of Financial Services, community rated Medicare Supplement premiums (in effect as of October 1, 2026)
- CMS Plan Benefit Package files, 2027
- CMS 2027 landscape files (premiums and limits)
- CMS 2027 plan crosswalk
- CMS 2027 Star Ratings
- 2026 Medicare Trustees Report: projected 2027 Part A and Part B amounts (Tables V.E1 and V.E2)
- CMS 2026 Part A and Part B amounts
- Medicare.gov: Medigap guaranteed issue rights
These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.
Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.