Our 2019 Plans

2019 Medicare Advantage Plans

Effective November 19, 2018, the Centers for Medicare and Medicaid Services (CMS) imposed intermediate sanctions on Quality Health Plans of New York (QHPNY). This means that QHPNY can not accept new enrollments into our plan and/or market to enrollees, at this time.

There were four reasons QHPNY was sanctioned:

  1. Failing to meet CMS financial requirements.
  2. Failing to file these financial statements timely.
  3. Failing to pay 95% of out-of-network providers within 60 days.
  4. Failing to notify out-of-network providers of claim denial decisions within 60 days after receipt of service requests.

 

If you are a current QHPNY member, the benefits you have as a member of your current plan will not be affected in any way and will continue while QHPNY is sanctioned.  You still have access to our providers and pharmacy network and coverage for medical services and drugs on our formulary.

QHPNY is working diligently to resolve these issues as quickly as possible and we apologize for the inconvenience.

2019 Advantage Silver NY

This is our most popular plan available to residents of Nassau and Suffolk. Members love the Part B Premium Giveback of $120/year.

2019 Advantage Health LI

A Chronic Illness Special Needs Plan for residents of Nassau and Suffolk. Has a great benefit in the Part B Premium Giveback of $300/year.

2019 Advantage Health NYC

This is our chronic illness special needs plan for residents of Queens and Richmond Counties. There is no plan premium.

2019 Advantage Value One NY

Designed specifically for those enrolled in New York State Medicaid. Benefits are coordinated so you have very few out-of-pocket costs. Available in all 4 counties of our service area.

2019 Advantage Silver NY City

A really generous benefit array for $0 plan premium but only Medicare Beneficiaries residing in Richmond and Queens Counties are eligible.

2019 Advantage Premium LI

This is our premium plan and is available in all 4 counties in our service delivery area. There is an $78/month plan premium for this plan which is rich and generous in services and benefits.

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