| Company Name | Plan Name | Benefit Type | $0 Premium with Full Low-Income Subsidy? | Monthly Drug Premium | Annual Drug Deductible | Type of Extra Coverage Offered in the Gap | Contract ID | Plan ID |
|---|---|---|---|---|---|---|---|---|
| Aetna Medicare 800-445-1796 |
Aetna Medicare Rx Essentials | Basic | $32.70 | $205 | No Gap Coverage | S5810 | 037 | |
| Aetna Medicare Rx - Costco Plus Plan | Enhanced | $69.50 | $0 | Some Generics | S5810 | 139 | ||
| Aetna Medicare Rx Premier | Enhanced | $136.80 | $0 | Many Generics | S5810 | 173 | ||
| American Progressive Life & Health Insurance Company of New York 800-978-9500 |
Prescriba Rx Bronze | Basic | $0 Premium with Full Low-Income Subsidy | $25.30 | $295 | No Gap Coverage | S5825 | 045 |
| Prescriba Rx Gold | Enhanced | $34.40 | $0 | No Gap Coverage | S5825 | 017 | ||
| Prescriba Rx Platinum | Enhanced | $69.70 | $0 | All Generics | S5825 | 085 | ||
| Bravo Health 877-504-7252 |
Bravo Rx | Basic | $0 Premium with Full Low-Income Subsidy | $27.50 | $295 | No Gap Coverage | S5998 | 001 |
| CIGNA Medicare Rx 800-735-1459 |
CIGNA Medicare Rx Plan One | Basic | $0 Premium with Full Low-Income Subsidy | $27.30 | $295 | No Gap Coverage | S5617 | 013 |
| CIGNA Medicare Rx Plan Two | Enhanced | $45.00 | $0 | No Gap Coverage | S5617 | 015 | ||
| CIGNA Medicare Rx Plan Three | Enhanced | $78.70 | $0 | Some Generics | S5617 | 173 | ||
| Coventry Advantra Rx 800-882-3822 |
Advantra Rx Value | Enhanced | $30.60 | $0 | No Gap Coverage | S0197 | 002 | |
| Advantra Rx Premier | Basic | $48.20 | $0 | No Gap Coverage | S0197 | 003 | ||
| Advantra Rx Premier Plus | Enhanced | $65.90 | $0 | Many Generics | S0197 | 005 | ||
| Envision Rx Plus 866-250-2005 |
Envision Rx Plus Silver | Basic | $32.00 | $295 | No Gap Coverage | S7694 | 003 | |
| Envision Rx Plus Gold | Enhanced | $70.60 | $0 | No Gap Coverage | S7694 | 037 | ||
| First Health Part D 800-588-3322 |
First Health Part D-Secure | Enhanced | $26.40 | $175 | No Gap Coverage | S5569 | 005 | |
| First Health Part D-Premier | Basic | $29.30 | $0 | No Gap Coverage | S5569 | 003 | ||
| First United American Life Insurance Company 866-299-3407 |
First UA Medicare Part D Rx Covg - Silver | Basic | $38.80 | $150 | No Gap Coverage | S5580 | 004 | |
| First UA Medicare Part D Prescription Drug | Enhanced | $40.70 | $0 | No Gap Coverage | S5580 | 003 | ||
| GHI Medicare Prescription Drug Plan 800-611-8454 |
GHI Medicare Prescription Drug Plan | Basic | $0 Premium with Full Low-Income Subsidy | $19.60 | $295 | No Gap Coverage | S5966 | 001 |
| Health Net 800-606-3604 |
Health Net Orange Option 1 | Basic | $28.50 | $295 | No Gap Coverage | S5678 | 003 | |
| Health Net Orange Option 2 | Enhanced | $48.40 | $0 | No Gap Coverage | S5678 | 009 | ||
| Health Now New York Inc. 888-989-9905 |
Smart Health RX | Basic | $40.50 | $0 | No Gap Coverage | S5585 | 001 | |
| Health Spring Prescription Drug Plan 800-618-3694 |
Health Spring Prescription Drug Plan -Reg 3 | Basic | $31.00 | $295 | No Gap Coverage | S5932 | 004 | |
| HIP Insurance Company of New York 800-447-9169 |
HIP Standard Part D New York | Basic | $0 Premium with Full Low-Income Subsidy | $21.00 | $295 | No Gap Coverage | S5741 | 001 |
| HIP Enhanced Part D New York | Enhanced | $39.00 | $0 | Many Generics | S5741 | 003 | ||
| Humana Insurance Company of New York 800-706-0872 |
Humana PDP Enhanced S5552-001 | Enhanced | $36.00 | $0 | No Gap Coverage | S5552 | 001 | |
| Humana PDP Standard S5552-003 | Basic | $55.20 | $295 | No Gap Coverage | S5552 | 003 | ||
| Humana PDP Complete S5552-002 | Enhanced | $100.80 | $0 | Many Generics | S5552 | 002 | ||
| Medco Medicare Prescription Plan 800-758-3605 |
Medco Medicare Prescription Plan - Value | Basic | $0 Premium with Full Low-Income Subsidy | $25.90 | $295 | No Gap Coverage | S5983 | 004 |
| Medco Medicare Prescription Plan - Choice | Enhanced | $41.30 | $0 | No Gap Coverage | S5983 | 001 | ||
| Medco Medicare Prescription Plan - Access | Enhanced | $69.20 | $0 | All Generics | S5983 | 005 | ||
| Rx America 877-279-0370 |
Advantage Star Plan by Rx America | Basic | $0 Premium with Full Low-Income Subsidy | $25.30 | $295 | No Gap Coverage | S5644 | 004 |
| Advantage Freedom Plan by Rx America | Enhanced | $29.30 | $0 | No Gap Coverage | S5644 | 048 | ||
| Silver Script Insurance Company 866-552-6106 |
Silver Script Value | Basic | $0 Premium with Full Low-Income Subsidy | $26.10 | $295 | No Gap Coverage | S5601 | 006 |
| Silver Script Plus | Enhanced | $45.40 | $50 | Many Generics | S5601 | 007 | ||
| Silver Script Complete | Enhanced | $68.10 | $0 | Many Generics | S5601 | 074 | ||
| Simply Prescriptions 800-659-1986 |
Rx 1 | Basic | $42.80 | $295 | No Gap Coverage | S3521 | 001 | |
| Rx 3 | Enhanced | $48.10 | $100 | No Gap Coverage | S3521 | 003 | ||
| Sterling Life Insurance Company 888-909-1713 |
Sterling Rx | Basic | $32.10 | $295 | No Gap Coverage | S4802 | 024 | |
| Uni Care 888-949-5384 |
Medicare Rx Rewards Standard | Basic | $0 Premium with Full Low-Income Subsidy | $26.70 | $295 | No Gap Coverage | S5960 | 109 |
| Medicare Rx Rewards Value | Basic | $37.60 | $130 | No Gap Coverage | S5960 | 003 | ||
| United Healthcare 888-867-5561 |
AARP Medicare Rx Saver | Basic | $33.80 | $295 | No Gap Coverage | S5921 | 203 | |
| AARP 800-745-0922 Medicare Rx Preferred | Basic | $34.80 | $0 | No Gap Coverage | S5805 | 001 | ||
| United Health Rx Basic | Enhanced | $45.20 | $0 | No Gap Coverage | S5921 | 207 | ||
| AARP Medicare Rx Enhanced | Enhanced | $75.50 | $0 | Many Generics | S5921 | 213 | ||
| Universal American (formerly Memberhealth) 866-684-5353 |
Community CCRx Basic | Basic | $41.80 | $295 | No Gap Coverage | S5803 | 072 | |
| Community CCRx Choice | Enhanced | $48.30 | $0 | No Gap Coverage | S5803 | 140 | ||
| Community CCRx Gold | Enhanced | $84.50 | $0 | All Generics | S5803 | 220 | ||
| Well Care 888-423-5252 |
Well Care Classic | Basic | $28.40 | $295 | No Gap Coverage | S5967 | 140 | |
| Well Care Signature | Enhanced | $37.60 | $0 | No Gap Coverage | S5967 | 037 |
