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

Your Medicare Coverage Options in Ulster County, NY

This page explains all Medicare coverage options available to residents of Ulster County, New York, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.

Medicare Options at a Glance

Residents of Ulster County, New York can choose from several Medicare coverage types, each offering a different balance of access, cost, and benefits. The main options are:

  • Original Medicare: Provides broad access to providers across the country.
  • Medicare Advantage: Offers all-in-one coverage, often with lower upfront costs.
  • Part D: Covers prescription drugs when paired with Original Medicare.
  • Medigap: Reduces gaps in coverage and limits out-of-pocket expenses.
  • SNPs: Tailored plans for individuals with qualifying health or financial needs.
  • Other Options: Includes VA coverage, employer-sponsored plans, and local support programs.

Because each option works in a different way, understanding the differences is critical when choosing Medicare coverage in Ulster County.

Medicare Advantage Options in Ulster County

Medicare Advantage plans in Ulster County combine hospital and medical coverage into a private plan option, often with prescription drug coverage and extra benefits. Availability, plan type, and out-of-pocket limits vary by county.

Medicare Advantage Snapshot Ulster County
Total Medicare Advantage plans 22
$0 premium plans 13
HMO plans 2
PPO plans 11
Plans with drug coverage 16
Lowest MOOP $4,950
Highest MOOP $9,250
Highest Part B giveback $155.60

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
HumanaChoice Giveback H5970-030 3.0 ★ 27,642
Wellcare Simple Open 3.0 ★ 23,569
AARP Medicare Advantage from UHC NY-0013 3.5 ★ 19,222

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Aetna Medicare Signature 3.0 ★ 5,941
EmblemHealth VIP Gold Plus 4.0 ★ 1,205

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Wellcare Simple 3.0 ★ 17,043
Wellcare Fidelis Simple 3.0 ★ 10,661
MVP Medicare Secure Plus with Part D 4.0 ★ 8,785

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 Ulster County

Prescription Drug Coverage (Part D) in Ulster County

For those using Original Medicare, Part D plans provide separate prescription drug coverage. Plan differences include premiums, deductibles, pharmacy access, and the list of covered drugs.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
HealthSpring Assurance Rx $35.70 $615 166,293
Wellcare Classic $45.70 $615 159,988
SilverScript Choice $116.00 $615 77,001

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $42.40 $615 165,843
AARP Medicare Rx Preferred from UHC $163.70 $130 139,591
HealthSpring Extra Rx $91.60 $615 20,144

Choosing a Part D plan is less about how many plans are available and more about whether your medications are covered at your preferred pharmacy at an affordable price.

See Medicare Part D plans in New York

Medicare Supplement (Medigap) Coverage in Ulster 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 Ulster 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 Ulster, 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.

SNP Coverage Options in Ulster County

Special Needs Plans are Medicare Advantage plans created for people with specific eligibility profiles, including those with Medicaid, certain chronic conditions, or institutional care needs.

SNP Snapshot Ulster County
Total SNP plans 20
D-SNP plans 18
C-SNP plans 0
I-SNP plans 2

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete NY-S002 4.0 ★ 142,935
Wellcare Fidelis Dual Liberty Sync 3.0 ★ 46,212
HumanaChoice SNP-DE H5970-020 3.0 ★ 15,944

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Nursing Home Plan NY-F002 4.5 ★ 5,141
Aetna Medicare Longevity 4.5 ★ 1,116

SNP availability in Ulster depends on eligibility. These plans are not general Medicare options for everyone, but they can be important for beneficiaries with Medicaid or qualifying chronic health conditions.

See Special Needs Plans in Ulster County

VA Coverage and Local Medicare Help in Ulster County

Some beneficiaries may have coverage choices or support options outside standard Medicare plan categories, including VA health benefits, retiree coverage, and counseling programs.

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

Choosing the Best Medicare Coverage for You in Ulster County

Selecting Medicare coverage depends on how you prefer to receive care, control costs, and access providers. Most people begin by deciding between Medicare Advantage and Original Medicare.

Medicare Advantage plans bundle hospital, medical, and often prescription drug coverage into one plan. They may offer lower premiums and extra benefits, but usually require you to stay within a provider network.

Original Medicare provides access to providers nationwide who accept Medicare. Many beneficiaries add a Part D drug plan and a Medigap policy to help manage costs and reduce out-of-pocket expenses.

Special Needs Plans (SNPs) are designed for individuals with qualifying health conditions or eligibility, including those with Medicaid. While not available to everyone, they can provide focused coverage when you meet the criteria.

The best option depends on your preferred doctors, medication needs, and how you balance monthly premiums with potential out-of-pocket costs.

To take the next step, review available plans and coverage options in Ulster County.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed May 2, 2026
  • CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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, "Understanding Medicare Advantage Plans" — Last accessed May 6, 2026
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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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