Trinity Health Plan New York No Premium (HMO) Medicare Advantage Plan H9827-001 • 2027 • Rensselaer County, NY
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $425
- Maximum Out-of-Pocket
- $7900.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $425.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Rensselaer County, NY
- Local Enrollment
- 277 beneficiaries in Rensselaer County
Trinity Health Plan New York No Premium (HMO) Introduction
Trinity Health Plan New York No Premium is a Medicare Advantage HMO plan offered by Trinity Health Plan New York. It uses a Health Maintenance Organization (HMO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $425 medical deductible, and $7900.00 in-network maximum out-of-pocket. CMS Plan ID H9827-001 identifies this plan. The 2027 Part D prescription drug deductible is $425.00.
You must live in Rensselaer County, New York to enroll in this plan. CMS reports 277 beneficiaries enrolled in this plan in Rensselaer County. For assistance with this plan, new members can call (800)964-4525 (TTY 711).
Compare Similar Plans in Rensselaer County
Compare this plan with the two most-enrolled HMO plans available in Rensselaer County, New York. Enrollment is based on CMS local enrollment data.
| Plan Detail | Trinity Health Plan New York No Premium | CDPHP $0 Medicare Rx | CDPHP Choice Rx |
|---|---|---|---|
| CMS Plan ID | H9827-001-0 |
H3388-014-0 |
H3388-002-0 |
| Local Enrollment | 277 | 3,630 | 2,715 |
| Monthly Premium | $0.00 | $0.00 | $139.00 |
| Medical Deductible | $425 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $7,900.00 | $9,850.00 | $6,400.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $30 copay | $0-$50 copay | $0-$35 copay |
| Part D Deductible | $425.00 | $700.00 | $250.00 |
| CMS Star Rating | 3.0 | 3.5 | 3.5 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $50 copay | $35 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Advantage plans in Rensselaer County, or compare Medicare Advantage plans across New York, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Trinity Health Plan New York No Premium 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 H9827-001.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H9827-001-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
- Specialist
- In-network: $30 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
- Telehealth benefit
- In-network: $0-$30 copay
- Routine chiropractic
- Not covered
- 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: $295 copay
- Lab services
- In-network: $0 copay
- Outpatient x-rays
- In-network: $45 copay
- Diagnostic tests and procedures
- In-network: $40 copay
Emergency and Urgent Care Services
- Emergency room care
- $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $40 copay
- Inpatient hospital care
- Tier 1
$425 per day for days 1-5
$0 per day for days 6-90
$0 per stay - Skilled Nursing Facility
- Tier 1
$0 per day for days 1-20
$221 per day for days 21-65
$0 per day for days 66-100 - Ground ambulance
- In-network: $240 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $30 copay
- Outpatient group therapy
- In-network: $30 copay
- Inpatient psychiatric hospital care
- Tier 1
$425 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $30 copay
- Occupational therapy
- In-network: $30 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
- Durable medical equipment
- In-network: 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: 70% coinsurance
- Endodontics
- In-network: 70% 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
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 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 Trinity Health Plan New York No Premium as a Part B benefit.
Prescription Drug Coverage
Trinity Health Plan New York No Premium includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $40.45 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $425.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Trinity Health Plan New York starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Trinity Health Plan New York No Premium may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $5.00 copay | Coming soon |
| Preferred Brand | 25% coinsurance | Coming soon |
| Non-Preferred Drug | 45% coinsurance | Coming soon |
| Specialty Tier | 27% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H9827)
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 | Not enough data available |
| Managing Chronic (Long Term) Conditions | Not enough data available |
| Member Experience with Health Plan | Not enough data available |
| Complaints and Changes in Plans Performance | Not enough data available |
| Health Plan Customer Service | Not enough data available |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | Not enough data available |
| Member Experience with the Drug Plan | Not enough data available |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Trinity Health Plan New York
- Website
- Trinity Health Plan New York Plan Page
- Providers
- Trinity Health Plan New York Providers Page
- Formulary
- Trinity Health Plan New York Formulary Page
- Pharmacy
- Trinity Health Plan New York Pharmacy Page
- New Member Health Plan Help
- (800)964-4525
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (800)964-4525
- New Member Part D TTY Users
- 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
Trinity Health Plan New York No Premium is available to eligible Medicare beneficiaries residing in Rensselaer County, New York, including communities such as Averill Park, Castleton On Hudson, Cropseyville, Eagle Bridge, East Greenbush, East Nassau, Hoosick Falls, Johnsonville, Melrose, Nassau, Petersburg, Poestenkill, Rensselaer, Schaghticoke, Stephentown, Troy, Valley Falls, West Sand Lake, Wynantskill, 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 |
|---|---|---|
| Trinity Health Plan New York (official source) | http://www.thpmedicare.org/new-york | 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 |
MedicarePlans.com operates as an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.