AgeWell New York Advantage Plus Benefits*

  • $0 monthly plan premium
  • $0 Part D yearly deductible
  • Medicare Prescription Drug Coverage (Part D)
    Generic copay: $0 or $1.20 or $3.70
    All other drugs copay: $0 or $4.00 or $9.20
  • $0 copay for Primary Care Provider (PCP) visits – in person or via telehealth
  • $0 copay for Specialist visits – in person or via telehealth
  • $0 copay for screenings and immunizations (vaccines)
  • $100/month Over-the-Counter (OTC) card ($1,200/year credit)
  • $0 copay for eyewear after cataract surgery (1 visit every 2 years)
  • $0 copay for routine hearing exams (up to $1,500 covered towards hearing aids every 2 years)
  • $0 copay for dental services – Medicaid covered services
  • $0 copay for diabetic supplies
  • $0 emergency and urgent care services

The above describes benefits that you are entitled to based on your Medicare & full Medicaid eligibility.  Please Refer to the AgeWell New York Advantage Plus (HMO D-SNP) Member materials for additional information in regards to benefits available under the Medicaid Advantage Plus Plan.

2021 MAP Summary of Benefitsopens PDF file

*Must maintain eligibility requirements for $0 cost share

This plan uses a formulary. Limitations may apply.