Senior Blue 601 (HMO) Medicare Advantage Plan H3384-022 • 2027 • Niagara County, NY
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $6700.00In-network
- Part B Giveback
- −$7.00 reduction
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Niagara County, NY
- Local Enrollment
- 46 beneficiaries in Niagara County
Senior Blue 601 (HMO) Introduction
Senior Blue 601 is a Medicare Advantage HMO plan offered by Highmark Blue Cross Blue Shield or Highmark Blue Shield. It uses a Health Maintenance Organization (HMO) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $6700.00 in-network maximum out-of-pocket. CMS Plan ID H3384-022 identifies this plan.
You must live in Niagara County, New York to enroll in this plan. CMS reports 46 beneficiaries enrolled in this plan in Niagara County. For assistance with this plan, new members can call (844)537-7720 (TTY 711).
Compare Similar Plans in Niagara County
Compare this plan with the two most-enrolled HMO plans available in Niagara County, New York. Enrollment is based on CMS local enrollment data.
| Plan Detail | Senior Blue 601 | Univera SeniorChoice Basic | Independent Health's Encompass 65 RED 044 |
|---|---|---|---|
| CMS Plan ID | H3384-022-0 |
H3351-017-0 |
H3362-044-0 |
| Local Enrollment | 46 | 3,888 | 2,237 |
| Monthly Premium | $0.00 | $0.00 | $110.00 |
| Medical Deductible | $0.00 | $0.00 | $175 |
| Maximum Out-of-Pocket | $6,700.00 | $9,850.00 | $8,000.00 |
| Part B Giveback | −$7.00 reduction | Not offered | Not offered |
| Primary Care | $0 copay | $5 copay | $0 copay |
| Specialist | $45 copay | $35 copay | $35 copay |
| Part D Deductible | Not Applicable | $700.00 | $510.00 |
| CMS Star Rating | 4.0 | 4.0 | 4.5 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $45 copay | $0 copay | $0-$35 copay |
Want to explore more options? Browse all Medicare Advantage plans in Niagara County, or compare Medicare Advantage plans across New York, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Senior Blue 601 has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H3384-022.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H3384-022-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
- Specialist
- In-network: $45 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
- Telehealth benefit
- In-network: $0-$50 copay
- Routine chiropractic
- In-network: $15 copay
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $150 copay
- Lab services
- In-network: $0-$10 copay
- Outpatient x-rays
- In-network: $45 copay
- Diagnostic tests and procedures
- In-network: $45 copay
Emergency and Urgent Care Services
- Emergency room care
- $130 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $50 copay
- Inpatient hospital care
- Tier 1
$290 per day for days 1-7
$0 per day for days 8-90
$0 per stay - Skilled Nursing Facility
- Tier 1
$0 per day for days 1-20
$221 per day for days 21-100 - Ground ambulance
- In-network: $300 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $40 copay
- Outpatient group therapy
- In-network: $40 copay
- Inpatient psychiatric hospital care
- Tier 1
$290 per day for days 1-7
$0 per day for days 8-90
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $15 copay
- Occupational therapy
- In-network: $15 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: 0%-20% coinsurance
- Durable medical equipment
- In-network: 0%-20% coinsurance
- Prosthetics
- In-network: 20% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
- Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
- Dental x-rays
- In-network: $0 copay
- Cleaning
- In-network: $0 copay
- Periodontics
- In-network: 50% coinsurance
- Endodontics
- In-network: 50% coinsurance
- Restorative services
- In-network: 50% coinsurance
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: 50% coinsurance
Vision Services
- Routine eye exam
- In-network: $0 copay
- Contact lenses
- In-network: $0 copay
- Eyeglass frames only
- In-network: $0 copay
- Eyeglass lenses only
- In-network: $0 copay
- Eyeglasses (frames & lenses)
- In-network: $0 copay
- Upgrades
- In-network: $0 copay
Hearing Services
- Hearing exam
- In-network: $45 copay
- Fitting/evaluation
- In-network: $0 copay
- Prescription hearing aids
- In-network: $599-$899 copay
- OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Senior Blue 601 as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H3384)
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Highmark Blue Cross Blue Shield or Highmark Blue Shield
- Website
- Highmark Blue Cross Blue Shield or Highmark Blue Shield Plan Page
- Providers
- Highmark Blue Cross Blue Shield or Highmark Blue Shield Providers Page
- Formulary
- Highmark Blue Cross Blue Shield or Highmark Blue Shield Formulary Page
- Pharmacy
- Highmark Blue Cross Blue Shield or Highmark Blue Shield Pharmacy Page
- New Member Health Plan Help
- (844)537-7720
- New Member Health Plan TTY
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Advantage Plan Availability
Senior Blue 601 is available to eligible Medicare beneficiaries residing in Niagara County, New York, including communities such as Barker, Burt, Gasport, Lewiston, Lockport, Middleport, Newfane, North Tonawanda, Ransomville, Sanborn, Wilson, Youngstown, Niagara Falls, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Highmark Blue Cross Blue Shield or Highmark Blue Shield (official source) | http://medicare.highmark.com | October 4, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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