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  1. 🏠
  2. Medicare Options
  3. New York
  4. Broome County

2026 Medicare Coverage Options in Broome County, NY

Learn about Medicare coverage options available in Broome County, New York, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.

Last update: June 10, 2026. Enrollment data updated: June 13, 2026

Medicare Options at a Glance

Medicare coverage options in Broome County, New York center on a few primary paths, each designed for different priorities like provider flexibility, cost control, and care coordination. These include:

  • Original Medicare: Ideal for nationwide provider access without network restrictions.
  • Medicare Advantage: Combines coverage into one plan, often with lower premiums and added benefits.
  • Part D: Adds prescription drug coverage to Original Medicare.
  • Medigap: Helps reduce out-of-pocket costs and improve predictability.
  • SNPs: Designed for people with specific health conditions or eligibility requirements.
  • Other Options: May include VA benefits, employer or retiree plans, and local assistance programs.

Each option operates differently. Comparing how they work is essential to selecting the right Medicare coverage in Broome County.

The various Medicare plans and other available options work differently. Understanding how they compare is the key to choosing the right Medicare coverage.

Medicare Advantage Options in Broome County

Medicare Advantage plans in Broome County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.

Medicare Advantage Snapshot Broome County
Total Medicare Advantage plans 27
$0 premium plans 17
HMO plans 1
PPO plans 14
Plans with drug coverage 19
Lowest MOOP $3,400
Highest MOOP $9,250
Highest Part B giveback $127.00

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
HumanaChoice Giveback H5970-030 3.0 ★ 28,305
Wellcare Simple Open 3.0 ★ 23,097
Aetna Medicare Signature 4.5 ★ 18,285

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Aetna Medicare Signature 3.0 ★ 7,474

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Wellcare Simple 3.0 ★ 17,318
Wellcare Fidelis Simple 3.0 ★ 10,932
MVP Medicare Secure Plus with Part D 4.0 ★ 8,820

Top PFFS Plans by Enrollments

Plan CMS Rating Enrollment
Wellcare Simple 3.0 ★ 17,318
Wellcare Fidelis Simple 3.0 ★ 10,932
MVP Medicare Secure Plus with Part D 4.0 ★ 8,820

Medicare Advantage coverage varies based on network structure, inclusion of drug benefits, and maximum out-of-pocket costs each year. Many beneficiaries begin with these plans for their all-in-one coverage and added perks, but provider access and plan rules play a key role in the decision.

See Medicare Advantage plans in Broome County

Medicare Part D Plans in Broome County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
HealthSpring Assurance Rx $35.70 $615 167,825
Wellcare Classic $45.70 $615 160,218
SilverScript Choice $116.00 $615 76,238

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $42.40 $615 166,871
AARP Medicare Rx Preferred from UHC $163.70 $130 138,730
HealthSpring Extra Rx $91.60 $615 20,034

Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.

See Medicare Part D plans in New York

Medigap Plans in Broome County

Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.

Across 6 insurers, sample data shows monthly premiums starting near $68 and rising above $0 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.

Medigap Snapshot Broome County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

For residents of Broome, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.

Sample Plan G Pricing in New York

Plan G typically ranges from $302 to $0.

Carrier Plan Low High
AARP - UnitedHealthcare G $306 $0
Humana G $606 $0
Mutual of Omaha G $476 $0

Sample Plan N Pricing in New York

Plan N typically ranges from $220 to $0.

Carrier Plan Low High
AARP - UnitedHealthcare N $241 $0
Humana N $429 $0

Explore all Medicare Supplement plans in New York for more details.

Special Needs Plans (SNPs) in Broome County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Broome County
Total SNP plans 21
D-SNP plans 18
C-SNP plans 0
I-SNP plans 3

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete NY-S002 4.0 ★ 140,631
Wellcare Fidelis Dual Liberty Sync 3.0 ★ 46,639
Aetna Medicare Full Dual 3.0 ★ 16,268

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Nursing Home Plan NY-F001 4.5 ★ 3,666
Aetna Medicare Longevity 4.5 ★ 1,124
Nascentia Skilled Nursing Facility 0.0 ★ 225

In Broome, SNP options are limited to individuals who meet specific eligibility criteria. While not a general option, they play an important role for beneficiaries with Medicaid or certain chronic health needs.

See Special Needs Plans in Broome County

VA Coverage and Local Medicare Help in Broome County

Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.

Additional Support Options Broome County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability HIICAP
Local help resource Health Insurance Information Counseling and Assistance Program

How to Choose the Right Medicare Coverage for You in Broome County

Choosing Medicare coverage comes down to how you want to receive care, manage Medicare costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.

Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.

Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.

Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.

The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.

To explore your options in more detail, start by reviewing available plans and coverage types in Broome County.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed June 13, 2026
  • CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026

County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
  • Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed May 7, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
  • Medicare.gov, "Get Medigap Basics" — Last accessed May 5, 2026

MedicarePlans.com is 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 documentation is maintained in alignment 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.

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