Medicare Advantage Enrollment Data

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December 8th, 2017

Please see the following for the Medicare Advantage (MA) enrollment numbers for NY based on the Centers for Medicare and Medicaid Services (CMS) November 2017 report (Medicare Advantage State/County Enrollment Data):

Table 1: Alpha Listing by NY County

Table 2: Percent Enrolled by County

Table 3: Number Enrolled by County

Table 4: Number of Contracts per County

GRAPHICS: 1.) MA Contracts and 2.) MA Enrollments

According to the Kaiser Family Foundation approximately 30 percent of all dual eligibles in the U.S. are in a Medicare Advantage product. Across all 50 states the average Medicare Advantage enrollment is 31.6 percent of beneficiaries. This ranges from a low of 0.2 percent in Alaska to 59.2 percent in California. The territory of Puerto Rico comes in at 67.3 percent.

Among neighboring states, the numbers are:

  • Pennsylvania           31.3 percent
  • New Jersey              25 percent
  • Massachusetts       34.2 percent

Total Medicare Advantage Distribution of Enrollment by Plan Type in New York
Health Maintenance
Organization		 National PPOs Regional PPOs PFFS Plans Cost Plans Other Plans
1,379,711 70% 18% 10% 2% <1% <1%

Source: CMS Medicare Advantage Enrollment Data

Key and Links  
PFFS = Private Fee–for–Service
PPO = Preferred Provider Organization
  Cost Plans

Table 1: Alpha Listing by NY County

County Name # of
Contracts		 Eligible Enrolled Percentage
Albany 23 59,974 25,935 43.2%
Allegany 16 10,394 3,823 36.8%
Bronx 45 203,850 115,878 56.8%
Broome 16 44,478 17,598 39.6%
Cattaraugus 14 17,983 8,135 45.2%
Cayuga 12 16,099 5,219 32.4%
Chautauqua 15 30,665 13,590 44.3%
Chemung 10 19,899 7,577 38.1%
Chenango 13 11,953 4,514 37.8%
Clinton 8 18,179 4,052 22.3%
Columbia 14 15,345 4,677 30.5%
Cortland 10 9,326 2,628 28.2%
Delaware 13 11,386 3,364 29.6%
Dutchess 17 58,390 11,646 20.0%
Erie 26 194,447 112,546 57.9%
Essex 13 9,342 2,175 23.3%
Franklin 8 11,082 2,673 24.1%
Fulton 16 13,052 6,218 47.6%
Genesee 14 12,937 6,982 54.0%
Greene 14 11,877 4,146 34.9%
Hamilton 10 1,591 492 30.9%
Herkimer 15 14,826 5,826 39.3%
Jefferson 11 19,911 6,006 30.2%
Kings 48 367,594 157,544 42.9%
Lewis 8 5,356 1,647 30.8%
Livingston 8 13,326 7,649 57.4%
Madison 11 14,148 5,479 38.7%
Monroe 22 153,032 98,776 64.6%
Montgomery 15 12,305 5,461 44.4%
Nassau 38 262,268 60,156 22.9%
New York 50 281,062 103,023 36.7%
Niagara 21 48,984 26,596 54.3%
Oneida 14 52,376 20,017 38.2%
Onondaga 21 92,900 40,173 43.2%
Ontario 12 25,289 14,531 57.5%
Orange 18 62,485 12,243 19.6%
Orleans 12 8,719 4,568 52.4%
Oswego 13 24,695 9,455 38.3%
Otsego 14 14,231 3,467 24.4%
Putnam 9 18,635 3,574 19.2%
Queens 47 353,495 162,458 46.0%
Rensselaer 20 32,000 13,301 41.6%
Richmond 32 87,518 34,383 39.3%
Rockland 18 56,843 11,677 20.5%
St. Lawrence 23 23,327 5,782 24.8%
Saratoga 19 46,722 20,560 44.0%
Schenectady 13 32,028 15,020 46.9%
Schoharie 10 6,736 2,044 30.3%
Schuyler 10 4,714 1,781 37.8%
Seneca 9 7,571 3,151 41.6%
Steuben 13 22,213 7,571 34.1%
Suffolk 28 285,772 53,315 18.7%
Sullivan 9 16,972 2,495 14.7%
Tioga 13 11,322 4,316 38.1%
Tompkins 9 16,443 4,132 25.1%
Ulster 14 40,087 9,693 24.2%
Warren 16 17,474 7,235 41.4%
Washington 18 13,772 5,625 40.8%
Wayne 11 21,709 12,137 55.9%
Westchester 29 173,774 45,352 26.1%
Wyoming 14 8,677 4,543 52.4%
Yates 11 5,881 3,081 52.4%
TOTALS 1,073 3,559,441 1,379,711 38.8%
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Table 2: Percent Enrolled by County

County Name # of
Contracts		 Eligible Enrolled Percentage
Monroe 23 153,032 98,776 64.6%
Erie 16 194,447 112,546 57.9%
Ontario 45 25,289 14,531 57.5%
Livingston 16 13,326 7,649 57.4%
Bronx 14 203,850 115,878 56.8%
Wayne 12 21,709 12,137 55.9%
Niagara 15 48,984 26,596 54.3%
Genesee 10 12,937 6,982 54.0%
Orleans 13 8,719 4,568 52.4%
Yates 8 5,881 3,081 52.4%
Wyoming 14 8,677 4,543 52.4%
Fulton 10 13,052 6,218 47.6%
Schenectady 13 32,028 15,020 46.9%
Queens 17 353,495 162,458 46.0%
Cattaraugus 26 17,983 8,135 45.2%
Montgomery 13 12,305 5,461 44.4%
Chautauqua 8 30,665 13,590 44.3%
Saratoga 16 46,722 20,560 44.0%
Albany 14 59,974 25,935 43.2%
Onondaga 14 92,900 40,173 43.2%
Kings 10 367,594 157,544 42.9%
Seneca 15 7,571 3,151 41.6%
Rensselaer 11 32,000 13,301 41.6%
Warren 48 17,474 7,235 41.4%
Washington 8 13,772 5,625 40.8%
Broome 8 44,478 17,598 39.6%
Herkimer 11 14,826 5,826 39.3%
Richmond 22 87,518 34,383 39.3%
Madison 15 14,148 5,479 38.7%
Oswego 38 24,695 9,455 38.3%
Oneida 50 52,376 20,017 38.2%
Tioga 21 11,322 4,316 38.1%
Chemung 14 19,899 7,577 38.1%
Schuyler 21 4,714 1,781 37.8%
Chenango 12 11,953 4,514 37.8%
Allegany 18 10,394 3,823 36.8%
New York 12 281,062 103,023 36.7%
Greene 13 11,877 4,146 34.9%
Steuben 14 22,213 7,571 34.1%
Cayuga 9 16,099 5,219 32.4%
Hamilton 47 1,591 492 30.9%
Lewis 20 5,356 1,647 30.8%
Columbia 32 15,345 4,677 30.5%
Schoharie 18 6,736 2,044 30.3%
Jefferson 23 19,911 6,006 30.2%
Delaware 19 11,386 3,364 29.6%
Cortland 13 9,326 2,628 28.2%
Westchester 10 173,774 45,352 26.1%
Tompkins 10 16,443 4,132 25.1%
St. Lawrence 9 23,327 5,782 24.8%
Otsego 13 14,231 3,467 24.4%
Ulster 28 40,087 9,693 24.2%
Franklin 9 11,082 2,673 24.1%
Essex 13 9,342 2,175 23.3%
Nassau 9 262,268 60,156 22.9%
Clinton 14 18,179 4,052 22.3%
Rockland 16 56,843 11,677 20.5%
Dutchess 18 58,390 11,646 20.0%
Orange 11 62,485 12,243 19.6%
Putnam 29 18,635 3,574 19.2%
Suffolk 14 285,772 53,315 18.7%
Sullivan 11 16,972 2,495 14.7%
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Table 3: Number Enrolled by County

County Name # of
Contracts		 Eligible Enrolled Percentage
Queens 23 353,495 162,458 46.0%
Kings 16 367,594 157,544 42.9%
Bronx 45 203,850 115,878 56.8%
Erie 16 194,447 112,546 57.9%
New York 14 281,062 103,023 36.7%
Monroe 12 153,032 98,776 64.6%
Nassau 15 262,268 60,156 22.9%
Suffolk 10 285,772 53,315 18.7%
Westchester 13 173,774 45,352 26.1%
Onondaga 8 92,900 40,173 43.2%
Richmond 14 87,518 34,383 39.3%
Niagara 10 48,984 26,596 54.3%
Albany 13 59,974 25,935 43.2%
Saratoga 17 46,722 20,560 44.0%
Oneida 26 52,376 20,017 38.2%
Broome 13 44,478 17,598 39.6%
Schenectady 8 32,028 15,020 46.9%
Ontario 16 25,289 14,531 57.5%
Chautauqua 14 30,665 13,590 44.3%
Rensselaer 14 32,000 13,301 41.6%
Orange 10 62,485 12,243 19.6%
Wayne 15 21,709 12,137 55.9%
Rockland 11 56,843 11,677 20.5%
Dutchess 48 58,390 11,646 20.0%
Ulster 8 40,087 9,693 24.2%
Oswego 8 24,695 9,455 38.3%
Cattaraugus 11 17,983 8,135 45.2%
Livingston 22 13,326 7,649 57.4%
Chemung 15 19,899 7,577 38.1%
Steuben 38 22,213 7,571 34.1%
Warren 50 17,474 7,235 41.4%
Genesee 21 12,937 6,982 54.0%
Fulton 14 13,052 6,218 47.6%
Jefferson 21 19,911 6,006 30.2%
Herkimer 12 14,826 5,826 39.3%
St. Lawrence 18 23,327 5,782 24.8%
Washington 12 13,772 5,625 40.8%
Madison 13 14,148 5,479 38.7%
Montgomery 14 12,305 5,461 44.4%
Cayuga 9 16,099 5,219 32.4%
Columbia 47 15,345 4,677 30.5%
Orleans 20 8,719 4,568 52.4%
Wyoming 32 8,677 4,543 52.4%
Chenango 18 11,953 4,514 37.8%
Tioga 23 11,322 4,316 38.1%
Greene 19 11,877 4,146 34.9%
Tompkins 13 16,443 4,132 25.1%
Clinton 10 18,179 4,052 22.3%
Allegany 10 10,394 3,823 36.8%
Putnam 9 18,635 3,574 19.2%
Otsego 13 14,231 3,467 24.4%
Delaware 28 11,386 3,364 29.6%
Seneca 9 7,571 3,151 41.6%
Yates 13 5,881 3,081 52.4%
Franklin 9 11,082 2,673 24.1%
Cortland 14 9,326 2,628 28.2%
Sullivan 16 16,972 2,495 14.7%
Essex 18 9,342 2,175 23.3%
Schoharie 11 6,736 2,044 30.3%
Schuyler 29 4,714 1,781 37.8%
Lewis 14 5,356 1,647 30.8%
Hamilton 11 1,591 492 30.9%
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Table 4: Number of Contracts per County

County Name # of
Contracts		 Eligible Enrolled Percentage
New York 50 281,062 103,023 36.70%
Kings 48 367,594 157,544 42.90%
Queens 47 353,495 162,458 46.00%
Bronx 45 203,850 115,878 56.80%
Nassau 38 262,268 60,156 22.90%
Richmond 32 87,518 34,383 39.30%
Westchester 29 173,774 45,352 26.10%
Suffolk 28 285,772 53,315 18.70%
Erie 26 194,447 112,546 57.90%
Albany 23 59,974 25,935 43.20%
St. Lawrence 23 23,327 5,782 24.80%
Monroe 22 153,032 98,776 64.60%
Niagara 21 48,984 26,596 54.30%
Onondaga 21 92,900 40,173 43.20%
Rensselaer 20 32,000 13,301 41.60%
Saratoga 19 46,722 20,560 44.00%
Orange 18 62,485 12,243 19.60%
Rockland 18 56,843 11,677 20.50%
Washington 18 13,772 5,625 40.80%
Dutchess 17 58,390 11,646 20.00%
Allegany 16 10,394 3,823 36.80%
Broome 16 44,478 17,598 39.60%
Fulton 16 13,052 6,218 47.60%
Warren 16 17,474 7,235 41.40%
Chautauqua 15 30,665 13,590 44.30%
Herkimer 15 14,826 5,826 39.30%
Montgomery 15 12,305 5,461 44.40%
Cattaraugus 14 17,983 8,135 45.20%
Columbia 14 15,345 4,677 30.50%
Genesee 14 12,937 6,982 54.00%
Greene 14 11,877 4,146 34.90%
Oneida 14 52,376 20,017 38.20%
Otsego 14 14,231 3,467 24.40%
Ulster 14 40,087 9,693 24.20%
Wyoming 14 8,677 4,543 52.40%
Chenango 13 11,953 4,514 37.80%
Delaware 13 11,386 3,364 29.60%
Essex 13 9,342 2,175 23.30%
Oswego 13 24,695 9,455 38.30%
Schenectady 13 32,028 15,020 46.90%
Steuben 13 22,213 7,571 34.10%
Tioga 13 11,322 4,316 38.10%
Cayuga 12 16,099 5,219 32.40%
Ontario 12 25,289 14,531 57.50%
Orleans 12 8,719 4,568 52.40%
Jefferson 11 19,911 6,006 30.20%
Madison 11 14,148 5,479 38.70%
Wayne 11 21,709 12,137 55.90%
Yates 11 5,881 3,081 52.40%
Chemung 10 19,899 7,577 38.10%
Cortland 10 9,326 2,628 28.20%
Hamilton 10 1,591 492 30.90%
Schoharie 10 6,736 2,044 30.30%
Schuyler 10 4,714 1,781 37.80%
Putnam 9 18,635 3,574 19.20%
Seneca 9 7,571 3,151 41.60%
Sullivan 9 16,972 2,495 14.70%
Tompkins 9 16,443 4,132 25.10%
Clinton 8 18,179 4,052 22.30%
Franklin 8 11,082 2,673 24.10%
Lewis 8 5,356 1,647 30.80%
Livingston 8 13,326 7,649 57.40%
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GRAPHICS: 1.) MA Contracts and 2.) MA Enrollments

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December 8th, 2017

Please see the following for the Medicare Special Needs Plan (SNP) enrollment numbers for NY based on the Centers for Medicare and Medicaid Services (CMS) November 2017 report (Special Needs Plan Comprehensive Report November 2017):

Chart: Medicare Managed Care SNP Enrollment – NYS Fully Integrated Duals Advantage (FIDA) Region

Chart: Dual Eligible Special Needs Plans in FIDA Region and Albany/Schenectady Counties GRAPHICS: 1.) SNP Contracts and 2.) SNP Enrollment (non–FIDA counties)

Table 5: Medicare Special Needs Plan (SNP) Enrollments by Number Enrolled and Percent of Total

Table 6: Medicare Special Needs Plan (SNP) Enrollments by Contract Name

Table 7: Medicare Special Needs Plan (SNP) Enrollments by SNP Type

Table8: Non–FIDA County D–SNP Enrollment County Alpha

Table 9: Non–FIDA County D–SNP Enrollment Percentages


  MEDICARE MANAGED CARE ENROLLMENT – NYS FULLY INTEGRATED DUALS ADVANTAGE (FIDA) REGION
OPTIONS MMP MAP D–SNAPs FIDE SNP I–SNP C–SNP Non–SNP MA Partial
Capitation
MLTC		 PACE TOTAL
ENROLLMENT
ENROLLMENT 5,166 7,402 203,470 7,087 11,515 771 302,018 152,442 3,132 540,561
  Key and Links   * Not included in TOTAL ENROLLMENT
MMP Medicare–Medicaid Plans
MAP Medicaid Advantage Plus
D–SNAPs Dual Eligible Special Need Plans (D–SNP)
FIDE SNP Fully Integrated Dual Eligible SNPs
I–SNP Institutional Special Needs Plans (I–SNPs)
C–SNP Chronic Condition Special Need Plans (C–SNP)
Non–SNP MA Medicare Advantage
MLTC Managed Long Term Care
PACE Program of All–inclusive Care for the Elderly

Sources: May 2017 CMS SNP Comprehensive Report and MCRAdv/Part D Monthly Enrollment Data

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Dual Eligible Special Needs Plans in FIDA Region and Albany/Schenectady Counties  
Contract Name Queens Bronx Kings New York Richmond Nassau Westchester Suffolk Albany Schenectady #of Counties
THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. x x x x x x x x x x 10
WELL CARE OF NEW YORK, INC. x x x x x x x x x x 10
VNS CHOICE x x x x x x x x x x 10
HEALTH INSURANCE PLAN OF GREATER NEW YORK x x x x x x x x     8
AFFINITY HEALTH PLAN, INC. x x x x x x x x     8
ELDER PLAN, I NC. x x x x x x x       7
HEALTHFIRST HEALTH PLAN, INC. x x x x x x x       7
EMPIRE HEALTHCHOICE HMO, INC. x x x x x x x       7
HUMANA HEALTH COMPANY OF NEW YORK,INC. x x x x x       x x 7
AGEWELL NEW YORK, LLC x x x x   x x x     7
GUILDNET, INC. x x x x x x   x     7
UNITED HEALTHCARE OF NEW YORK, INC. x x x x x x         6
SENIOR WHOLE HEALTH OF NEW YORK, INC. x x x x   x x       6
CENTERS PLAN FOR HEALTHY LIVING, LLC x x x x x           5
METROPLUS HEALTH PLAN, INC. x x x x             4
VILLAGE SENIOR SERVICES CORPORATION x x x x             4
QUALITY HEALTH PLANS OF NEW YORK, INC. x       x x   x     4
Number of SNP Plans/County 17 16 16 16 13 13 10 8 4 4  

Source: CMS Contract Management Report 2017

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Table 5. Medicare Special Needs Plan (SNP) Enrollments by Number Enrolled and Percent of Total

  CONTRACT NAME PLAN NAME GEOGRAPHIC TYPE ENROLLMENT PERCENT SPECIALTY
1 HEALTHFIRST HEALTH PLAN, INC. Healthfirst Life Improvement Plan (HMO SNP) New York City, Nassau and Westchester Counties 73,222 26.9%  
2 UNITEDHEALTHCARE OF NEW YORK, IN C. UnitedHealthcare Dual Complete (HMO SNP) Select counties in New York 60,754 22.4%  
3 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Dual Advantage Flex (HMO SNP) NY Counties 33,129 12.2%  
4 WELLCARE OF NEW YORK, INC. WellCare Access (HMO SNP) Select Counties in NY 16,632 6.1%  
5 VNS CHOICE VNSNY CHOICE Medicare Preferred (HMO SNP) NYC Metro Area and Capital Region 11,776 4.3%  
6 EMPIRE HEALTH CHOICE HMO, INC. Empire MediBlue Dual Advantage (HMO SNP) New York City Area 9,445 3.5 %  
7 HEALTH INSURANCE PLAN OF GREATER NEW YORK EmblemHealth VIP Dual (HMO SNP) Counties of NYC, Westchester and Long Island 9,259 3.4%  
8 UNITEDHEALTHCARE OF NEW YORK, INC. UnitedHealthcare Nursing Home Plan (HM O S NP) New York Metropolitan area 8,105 3.0%  
9 MET ROPLUS HEALTH PLAN, INC. MetroPlus Advantage Plan (HMO SNP) NYC – The Bronx, Brooklyn, Manhattan, Queens 7,705 2.8%  
10 AFFINITY HEALTH PLAN, INC. Affinity Medicare Ultimate (HMO SNP) NYC, Nassau, Orange, Rockland, Suffolk, Westchester 6,796 2.5%  
11 HEALTHFIRST HEALTH PLAN, INC. Healthfirst Complete Care (HMO SNP) New York City, Nassau, and Westchester Counties 4,979 1.8% FIDE SNP
12 UNITED HEALTHCARE OF NEW YORK, INC. UnitedHealthcare Nursing Home Plan (HMO SNP) Upstate New York 4,328 1.6%  
13 ELDERPLAN, INC. Elderplan For Medicaid Beneficiaries (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Westchester 4,028 1.5%  
14 WELLCARE OF NEW YORK, INC. WellCare Liberty (HMO SNP) Select Counties in NY 2,350 0.9 %  
15 WELLCARE OF NEW YORK, INC. WellCare Aooess (HMO SNP) Select Counties in NY 1,796 0.7%  
16 CATHOLIC SPECIAL NEEDS PLAN, LLC ArchCare Advantage (HMO SNP) NYC, Westchester, Putnam, Dutchess, Orange, Onondaga 1,708 0.6%  
17 AFFINITY HEALTH PLAN, INC. Affinity Medicare Solutions (HMO SNP) NYC, Nassau, Orange, Rockland, Suffolk, Westchester 1,650 0.6%  
18 ELDERPLAN, INC. Elderplan Advantage For Nursing Home Residents (HMO SNP) Bronx, Kings, Monroe, Nassau, NY, Queens, Richmond, Suffolk, Westchester 1,590 0.6%  
19 VNS CHOICE VNSNY CHOICE Total (HMO SNP) New York Metro Area 1,567 0.6%  
20 THE NEWYORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Dual Advantage (HMO SNP) NY Counties 1,460 0.5%  
21 ELDER PLAN, INC. Elderplan Plus Long Term Care (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Richmond, Westchester 1,279 0.5 % FIDE SNP
22 INDEPENDENT HEALTH ASSOCIATION, INC. Independent Health Medicare Family Choice (HMO SNP) Western New York 1,275 0.5%  
23 HUMANA HEALTH COMPANY OF NEW YORK,INC. Humana Gold Plus SNP–DE H3533–002 (HMO SNP) Select Counties in New York 1,058 0.4%  
24 HUMANA HEALTH COMPANY OF NEW YORK, INC. Humana Gold Plus SNP–DE H3533–004 (HMO SNP) Select Counties in New York 704 0.3%  
25 CENTERLIGHT HEALTHCARE, INC. Center llght Health care Direct Complete Plan (HMO SNP) NYC, LI, Westchester and Rockland Counties 605 0.2%  
26 LIBERTY HEALTH ADVANTAGE, INC. Liberty Health Advantage Dual Power (HMO SNP) Bronx, Kings, Nassau, New York, Queens, Richmond 590 0.2%  
27 GUILDNET, INC. GuildNet Gold (HMO SNP) Bronx, Kings, NY, Queens, Nassau, Suffolk, Richmond 579 0.2% FIDE SNP
28 VNS CHOICE VNSNY CHOICE Medicare Maximum (HMO SNP) New York Metro Area 576 0.2%  
29 CENTERS PLAN FOR HEALTHY LIVING, LLC Centers Plan for Dual Coverage Care (HMO SNP) Kings, Queens, Bronx, Manhattan and Richmond Counties 531 0.2%  
30 HEALTHFIRST HEALTH PLAN, INC. Healthfirst AssuredCare (HMO SNP) New York City and Nassau County 437 0.2%  
31 ELDERSERVE HEALTH, INC. RiverSpring Star (HMO SNP) Counties: Brx, Ki, Na, NY, Qu, Ri, Wes 332 0.1%  
31 AGEWELL NEW YORK, UC AgeWell New York FeelWell (HMO SNP) New York City Metro Area, Long Island, Westchester 325 0.1%  
33 VILLAGE SENIOR SERVICES CORPORATION VillageCareMAX Medicare Health Advantage (HMO SNP) Bronx, Brooklyn, Manhattan, Queens 293 0.1%  
34 AGEWELL NEW YORK, LLC AgeWell New York CareWell (HMO SNP) New York City Metro Area, Long Island,Westchester 218 0.1%  
35 FALLON HEALTH WEINBERG, INC. Fallon Health Weinberg–HMO SNP (HMO SNP) Erie and Niagara Counties 171 0.1%  
36 HEALTH INSURANCE PLAN OF GREATER NEW YORK Emblem Health VIP Dual Group (HMO SNP) Counties of NYC, Westchester and Long Island 109 0.0%  
37 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Medicaid Advantage Plus (HMO SNP) NY Counties 103 0.0% FIDE SNP
38 SENIOR WHOLE HEALTH OF NEW YORK, INC. Senior Whole Health of New York NHC (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Westchester 98 0.0% FIDE SNP
39 AGEWELL NEWYORK, LLC AgeWell New York BeWell (HMO SNP) New York City Metro Area, Long Island, Westchester 97 0.0%  
40 VILLAGE SENIOR SERVICES CORPORATION VillageCareMAX Medicare Total Advantage (HMO SNP) Bronx, Brooklyn, Manhattan, Queens 73 0.0%  
41 QUA LITY HEALTH PLANS OF NEW YORK, INC. Advantage Value One NY – Dual (HMO SNP) Nassau, Queens, Staten Island and Suffolk Counties 41 0.0%  
42 CENTERS PLAN FOR HEALTHY LIVING, C Centers Plan for Nursing Home Care (HMO SNP) NYC Metro Area, Rockland, Erie, Niagara Counties 35 0.0%  
43 UNITEDHEALTHCARE INSURANCE COMPANY OF NY UnitedHealthcare Nursing Home Plan (PPO SNP) Select counties in New York   0  
  TOTAL 271,808  

      Source: CMS SNP Comprehensive Report Nov. 2017

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Table 6. Medicare Special Needs Plan (SNP) Enrollments by Contract Name

  CONTRACT NAME PLAN NAME GEOGRAPHIC TYPE ENROLLMENT PERCENT SPECIALTY
1 AFFINITY HEALTHPLAN, INC. Affinity Medicare Ultimate (HMO SNP) NYC, Nassau, Orange, Rock and, Suffolk, Westchester 6,796 Dual–Eligible  
2 AFFINITY HEALTH PLAN, INC. Affinity Medicare Solutions (HMO SNP) NYC, Nassau, Orange, Rockland, Suffolk, Westchester 1,650 Dual–Eligible  
3 AGEWELL NEW YORK, LLC AgeWell New York FeelWell (HMO SNP) New York City Metro Area, Long Island, Westchester 325 Dual–Eligible  
4 AGEWELL NEW YORK, LLC AgeWell New York CareWell (HMO SNP) New York City Metro Area, Long Island, Westchester 218 Institutional  
5 AGEWELL NEW YORK, LLC AgeWell New York BeWell (HMO SNP) New York City Metro Area, Long Island, Westchester 97 Dual–Eligible  
6 CATHOLIC SPECIAL NEEDS PLAN, LLC ArchCare Advantage (HMO SNP) NYC, Westchester, Putnam, Dutchess, Orange, Onondaga 1,708 Institutional  
7 CENTERLIGHT HEALTHCARE, INC. Centerlight Healthcare Direct Complete Plan (HMO SNP) NYC, LI, Westchester and Rockland Counties 605 Institutional  
8 CENTERS PLAN FOR HEALTHY LIVING, LLC Centers Plan for Dual Coverage Care (HMO SNP) Kings, Queens, Bronx, Manhattan and Richmond Counties 531 Dual–Eligible  
9 CENTERS PLAN FOR HEALTHY LIVING, LLC Centers Plan for Nursing Home Care (HMO SNP) NYC Metro Area, Rockland, Erie, Niagara Counties 35 Institutional  
10 ELDERPLAN, INC. Elderplan For Medicaid Beneficiaries (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Westchester 4,028 Dual–Eligible  
11 ELDERPLAN, INC. Elderplan Advantage For Nursing Home Residents (HMO SNP) Bronx, Kings, Monroe, Nassau, NY, Queens, Richmond, Suffolk, Westchester 1,590 Institutional  
12 ELDERPLAN, INC. Elderplan Plus Long Term Care (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Richmond, Westchester 1,279 Dual–Eligible FIDE SNP
13 ELDERSERVE HEALTH, INC. RiverSpring Star (HMO SNP) Counties: Brx, Ki, Na, NY, Qu, Ri, Wes 332 Institutional  
14 EMPIRE HEALTHCHOICE HMO, INC. Empire MediBlue Dual Advantage (HMO SNP) New York City Area 9,445 Dual–Eligible  
15 FALLON HEALTH WEINBERG, INC. Fallon Health Weinberg – HMO SNP (HMO SNP) Erie and Niagara Counties 171 Dual–Eligible  
16 GULDNET, INC. GuildNet Gold (HMO SNP) Bronx, Kings, NY, Queens, Nassau, Suffolk, Richmond 579 Dual–Eligible FIDE SNP
17 HEALTH INSURANCE PLAN OF GREATER NEW YORK Emblem Health VIP Dual (HMO SNP) Counties of NYC, Westchester and Long Island 9,259 Dual–Eligible  
18 HEALTH INSURANCE PLAN OF GREATER NEW YORK EmblemHealth VIP Dual Group (HMO SNP) Counties of NYC, Westchester and Long Island 109 Dual–Eligible  
19 HEALTHFIRST HEALTH PLAN, INC. Healthfirst Life Improvement Plan (HMO SNP) New York City, Nassau and Westchester Counties 73,222 Dual–Eligible  
20 HEALTHFIRST HEALTH PLAN, INC. Healthfirst CompleteCare (HMO SNP) New York City, Nassau, and Westchester Counties 4,979 Dual–Eligible FIDE SNP
21 HEALTHFIRST HEALTH PLAN, INC. Healthfirst AssuredCare (HMO SNP) New York City and Nassau County 437 Institutional  
22 HUMANA HEALTH COMPANY OF NEW YORK, INC. Humana Gold Plus SNP–DEH3533 002 (HMO SNP) Select Counties in New York 1,058 Dual–Eligible  
23 HUMANA HEALTH COMPANY OF NEW YORK, INC. Humana Gold Plus SNP–DEH3533 004 (HMO SNP) Select Counties in New York 704 Dual–Eligible  
24 INDEPENDENT HEALTH ASSOCIATION, INC. Independent Health Medicare Family Choice (HMO SNP) Western New York 1,275 Institutional  
25 LIBERTY HEALTH ADVANTAGE, INC. Liberty Health Advantage Dual Power (HMO SNP) Bronx, Kings, Nassau, New York, Queens, Richmond 590 Dual–Eligible  
26 METROPLUS HEALTH PLAN, INC. MetroPlus Advantage Plan (HMO SNP) NYC – The Bronx, Brooklyn, Manhattan, Queens 7,705 Dual–Eligible  
27 QUALITY HEALTH PLANS OF NEW YORK, INC. Advantage Value One NY – Dual (HMO SNP) Nassau, Queens, Staten Island and Suffolk Counties 41 Dual–Eligible  
28 SENIOR WHOLE HEALTH OF NEW YORK, INC. Senior Whole Health of New York NHC (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Westchester 98 Dual–Eligible FIDE SNP
29 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Dual Advantage Flex (HMO SNP) NY Counties 33,129 Dual–Eligible  
30 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Dual Advantage (HMO SNP) NY Counties 1,460 Dual–Eligible  
31 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Medicaid Advantage Plus (HMO SNP) NY Counties 103 Dual–Eligible FIDE SNP
31 UNITED HEALTHCARE INSURANCE COMPANY OF NY United Healthcare Nursing Home Plan (PPO SNP) Select counties in New York   Institutional  
33 UNITEDHEALTHCARE OF NEW YORK, INC. United Healthcare Dual Complete (HMO SNP) Select counties in New York 60,754 Dual–Eligible  
34 UNITEDHEALTHCARE OF NEW YORK, INC. United Heathcare Nursing Home Plan (HMO SNP) New York Metropolitan area 8,105 Institutional  
35 UNITEDHEALTHCARE OF NEW YORK, INC. United Heathcare Nursing Home Plan (HMO SNP) Upstate New York 4,328 Institutional  
36 VILLAGE SENIOR SERVICES CORPORATION VillageCareMAX Medicare Health Advantage (HMO SNP) Bronx, Brooklyn, Manhattan, Queens 293 Dual–Eligible  
37 VILLAGE SENIOR SERVICES CORPORATION VillageCareMAX Medicare Total Advantage (HMO SNP) Bronx, Brooklyn, Manhattan, Queens 73 Dual–Eligible  
38 VNS CHOICE VNSNY CHOICE Medicare Preferred (HMO SNP) NYC Metro Area and Capital Region 11,776 Dual–Eligible  
39 VNS CHOICE VNSNY CHOICE Total (HMO SNP) New York Metro Area 1,567 Dual–Eligible FIDE SNP
40 VNS CHOICE VNSNY CHOICE Medicare Maximum (HMO SNP) New York Metro Area 576 Dual–Eligible  
41 WELLCARE OF NEW YORK, INC. WellCare Access (HMO SNP) Select Counties in NY 16,632 Dual–Eligible  
42 WELLCARE OF NEW YORK, INC. WellCare Liberty (HMO SNP) Select Counties in NY 2,350 Dual–Eligible  
43 WELLCARE OF NEW YORK, INC. WellCare Access (HMO SNP) Select Counties in NY 1,796 Dual–Eligible  

      Source: CMS SNP Comprehensive Report Nov. 2017

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Table 7. Medicare Special Needs Plan (SNP) Enrollments by SNP Type

  CONTRACT NAME PLAN NAME GEOGRAPHIC TYPE ENROLLMENT PERCENT SPECIALTY
1 HEALTHFIRST HEALTH PLAN, INC. Healthfirst Life Improvement Plan (HMO SNP) New York City, Nassau and Westchester Counties 73,222 Dual–Eligible  
2 UNITEDHEALTHCARE OF NEW YORK, INC. United Healthcare Dual Complete (HMO SNP) Select counties in New York 60,754 Dual–Eligible  
3 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Dual Advantage Flex (HMO SNP) NY Counties 33,129 Dual–Eligible  
4 WELLCARE OF NEW YORK, INC. WellCare Access (HMO SNP) Select Counties in NY 16,632 Dual–Eligible  
5 VNS CHOICE VNSNY CHOICE Medicare Preferred (HMO SNP) NYC Metro Area and Capital Region 11,776 Dual–Eligible  
6 EMPIRE HEALTHCHOICE HMO, INC. Empire MediBlue Dual Advantage (HMO SNP) New York City Area 9,445 Dual–Eligible  
7 HEALTH INSURANCE PLAN OF GREATER NEW YORK Emblem Health VIP Dual (HMO SNP) Counties of NYC, Westchester and Long Island 9,259 Dual–Eligible  
8 METROPLUS HEALTH PLAN, INC. MetroPlus Advantage Plan (HMO SNP) NYC – The Bronx, Brooklyn, Manhattan, Queens 7,705 Dual–Eligible  
9 AFFINITY HEALTHPLAN, INC. Affinity Medicare Ultimate (HMO SNP) NYC, Nassau, Orange, Rockland, Suffolk, Westchester 6,796 Dual–Eligible  
10 HEALTHFIRST HEALTH PLAN, INC. Healthfirst CompleteCare (HMO SNP) New York City, Nassau, and Westchester Counties 4,979 Dual–Eligible FIDE SNP
11 ELDERPLAN, INC. Elderplan For Medicaid Beneficiaries (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Westchester 4,028 Dual–Eligible  
12 WELLCARE OF NEW YORK, INC. WellCare Liberty (HMO SNP) Select Counties in NY 2,350 Dual–Eligible  
13 WELLCARE OF NEW YORK, INC. WellCare Access (HMO SNP) Select Counties in NY 1,796 Dual–Eligible  
14 AFFINITY HEALTH PLAN, INC. Affinity Medicare Solutions (HMO SNP) NYC, Nassau, Orange, Rockland, Suffolk, Westchester 1,650 Dual–Eligible  
15 VNS CHOICE VNSNY CHOICE Total (HMO SNP) New York Metro Area 1,567 Dual–Eligible FIDE SNP
16 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Dual Advantage (HMO SNP) NY Counties 1,460 Dual–Eligible  
17 ELDERPLAN, INC. Elderplan Plus Long Term Care (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Richmond, Westchester 1,279 Dual–Eligible FIDE SNP
18 HUMANA HEALTH COMPANY OF NEW YORK, INC. Humana Gold Plus SNP–DEH3533 002 (HMO SNP) Select Counties in New York 1,058 Dual–Eligible  
19 HUMANA HEALTH COMPANY OF NEW YORK, INC. Humana Gold Plus SNP–DEH3533 004 (HMO SNP) Select Counties in New York 704 Dual–Eligible  
20 LIBERTY HEALTH ADVANTAGE, INC. Liberty Health Advantage Dual Power (HMO SNP) Bronx, Kings, Nassau, New York, Queens, Richmond 590 Dual–Eligible  
21 GULDNET, INC. GuildNet Gold (HMO SNP) Bronx, Kings, NY, Queens, Nassau, Suffolk, Richmond 579 Dual–Eligible FIDE SNP
22 VNS CHOICE VNSNY CHOICE Medicare Maximum (HMO SNP) New York Metro Area 576 Dual–Eligible  
23 CENTERS PLAN FOR HEALTHY LIVING, LLC Centers Plan for Dual Coverage Care (HMO SNP) Kings, Queens, Bronx, Manhattan and Richmond Counties 531 Dual–Eligible  
24 AGEWELL NEW YORK, LLC AgeWell New York FeelWell (HMO SNP) New York City Metro Area, Long Island, Westchester 325 Dual–Eligible  
25 VILLAGE SENIOR SERVICES CORPORATION VillageCareMAX Medicare Health Advantage (HMO SNP) Bronx, Brooklyn, Manhattan, Queens 293 Dual–Eligible  
26 FALLON HEALTH WEINBERG, INC. Fallon Health Weinberg – HMO SNP (HMO SNP) Erie and Niagara Counties 171 Dual–Eligible  
27 HEALTH INSURANCE PLAN OF GREATER NEW YORK EmblemHealth VIP Dual Group (HMO SNP) Counties of NYC, Westchester and Long Island 109 Dual–Eligible  
28 THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC. Fidelis Medicaid Advantage Plus (HMO SNP) NY Counties 103 Dual–Eligible FIDE SNP
29 SENIOR WHOLE HEALTH OF NEW YORK, INC. Senior Whole Health of New York NHC (HMO SNP) Bronx, Kings, Nassau, NY, Queens, Westchester 98 Dual–Eligible FIDE SNP
30 AGEWELL NEW YORK, LLC AgeWell New York BeWell (HMO SNP) New York City Metro Area, Long Island, Westchester 97 Dual–Eligible  
31 VILLAGE SENIOR SERVICES CORPORATION VillageCareMAX Medicare Total Advantage (HMO SNP) Bronx, Brooklyn, Manhattan, Queens 73 Dual–Eligible  
31 QUALITY HEALTH PLANS OF NEW YORK, INC. Advantage Value One NY – Dual (HMO SNP) Nassau, Queens, Staten Island and Suffolk Counties 41 Dual–Eligible  
33 UNITEDHEALTHCARE OF NEW YORK, INC. United Heathcare Nursing Home Plan (HMO SNP) New York Metropolitanarea 8,105 Institutional  
34 UNITEDHEALTHCARE OF NEW YORK, INC. United Heathcare Nursing Home Plan (HMO SNP) Upstate New York 4,328 Institutional  
35 CATHOLIC SPECIAL NEEDS PLAN, LLC ArchCare Advantage (HMO SNP) NYC, Westchester, Putnam, Dutchess, Orange, Ononda 1,708 Institutional  
36 ELDERPLAN, INC. Elderplan Advantage For Nursing Home Residents (HMO SNP) Bronx, Kings, Monroe, Nassau, NY, Queens, Richmond, Suffolk, Westchester 1,590 Institutional  
37 INDEPENDENT HEALTH ASSOCIATION, INC. Independent Health Medicare Family Choice (HMO SNP) Western New York 1,275 Institutional  
38 CENTERLIGHT HEALTHCARE, INC. Centerlight Healthcare Direct Complete Plan (HMO SNP) NYC, LI, Westchester and Rockland Counties 605 Institutional  
39 HEALTHFIRST HEALTH PLAN, INC. Healthfirst AssuredCare (HMO SNP) New York City and Nassau County 437 Institutional  
40 ELDERSERVE HEALTH, INC. RiverSpring Star (HMO SNP) Counties: Brx, Ki, Na, NY, Qu, Ri, Wes 332 Institutional  
41 AGEWELL NEW YORK, LLC AgeWell New York CareWell (HMO SNP) New York City Metro Area, Long Island, Westchester 218 Institutional  
42 CENTERS PLAN FOR HEALTHY LIVING, LLC Centers Plan for Nursing Home Care (HMO SNP) NYC Metro Area, Rockland, Erie, Niagara Counties 35 Institutional  
43 UNITED HEALTHCARE INSURANCE COMPANY OF NY United Heathcare Nursing Home Plan (PPO SNP) Select counties in New York   Institutional  

      Source: CMS SNP Comprehensive Report Nov. 2017

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Table 8.
  Non–FIDA COUNTY
D–SNP ENROLLMENT		 SORT BY
ENROLLMENT		  
COUNTY NUMBER ENROLLED %of TOTAL ENROLLED
1 Albany 2989 11.0%
2 Allegany 39 0.1%
3 Broome 1368 5.0%
4 Cattaraugus 101 0.4%
5 Cayuga 113 0.4%
6 Chautauqua 0 0.0%
7 Chemung 140 0.5%
8 Chenango 157 0.6%
9 Clinton 106 0.4%
10 Columbia 172 0.6%
11 Cortland 121 0.4%
12 Delaware 209 0.8%
13 Dutchess 741 2.7%
14 Erie 5149 19.0%
15 Essex 34 0.1%
16 Franklin 45 0.2%
17 Fulton 142 0.5%
18 Genesee 0 0.0%
19 Greene 142 0.5%
20 Hamilton 0 0.0%
21 Herkimer 335 1.2%
22 Jefferson 425 1.6%
23 Lewis 27 0.1%
24 Livingston 0 0.0%
25 Madison 0 0.0%
26 Monroe 2799 10.3%
27 Montgomery 269 1.0%
28 Niagara 1322 4.9%
29 Oneida 1689 6.2%
30 Onondaga 2703 10.0%
31 Ontario 0 0.0%
32 Orange 1389 5.1%
33 Orleans 23 0.1%
34 Oswego 539 2.0%
35 Otsego 86 0.3%
36 Putnam 84 0.3%
37 Rensselaer 537 2.0%
38 Rockland 1326 4.9%
39 Saratoga 284 1.0%
40 Schoharie 19 0.1%
41 Schuyler 76 0.3%
42 Seneca 23 0.1%
43 St.Lawrence 200 0.7%
44 Steuben 163 0.6%
45 Sullivan 122 0.5%
46 Toga 99 0.4%
47 Tompkins 0 0.0%
48 Ulster 434 1.6%
49 Warren 132 0.5%
50 Washington 107 0.4%
51 Wayne 26 0.1%
52 Wyoming 51 0.2%
53 Yates 53 0.2%
  TOTAL 27110  
Table 9.
  Non–FIDA COUNTY
D–SNP ENROLLMENT		 ALPHA LISTING
BY COUNTY		  
COUNTY NUMBER ENROLLED %of TOTAL ENROLLED
1 Erie 5149 19.0%
2 Albany 2989 11.0%
3 Monroe 2799 10.3%
4 Onondaga 2703 10.0%
5 Oneida 1689 6.2%
6 Orange 1389 5 1%
7 Broome 1368 5.0%
8 Rockland 1326 4 9%
9 Niagara 1322 4 9%
10 Dutchess 741 2.7%
11 Oswego 539 2.0%
12 Rensselaer 537 2.0%
13 Ulster 434 1.6%
14 Jefferson 425 1.6%
15 Herkimer 335 1.2%
16 Sa r a t o g a 284 1.0%
17 Montgomery 269 1.0%
18 Delaware 209 0.8%
19 St. Lawrence 200 0.7%
20 Columbia 172 0.6%
21 Steuben 163 0.6%
22 Chenango 157 0.6%
23 Fulton 142 0.5%
24 Greene 142 0.5%
25 Chemung 140 0.5%
26 Warren 132 0.5%
27 Sullivan 122 0.5%
28 Cortland 121 0.4%
29 Cayuga 113 0.4%
30 Washington 107 0.4%
31 Clinton 106 0.4%
32 Cattaraugus 101 0.4%
33 Tioga 99 0.4%
34 Otsego 86 0.3%
35 Putnam 84 0.3%
36 Schuyler 76 0.3%
37 Yates 53 0.2%
38 Wyoming 51 0.2%
39 Franklin 45 0.2%
40 Allegany 39 0.1%
41 Essex 34 0.1%
42 Lewis 27 0.1%
43 Wayne 26 0.1%
44 Orleans 23 0.1%
45 Seneca 23 0.1%
46 Schoharie 19 0.1%
47 Chautauqua 0 0.0%
48 Genesee 0 0.0%
49 Hamilton 0 0.0%
50 Livingston 0 0.0%
51 Madison 0 0.0%
52 Ontario 0 0.0%
53 Tompkins 0 0.0%
  TOTAL 27110  
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