2020 Low Income Subsidy Information

Important Notice on MAPD HMO Plan Termination Effective March 1, 2020

Effective February 29, 2020, Quality Health Plans of New York (QHPNY) will terminate its contract with the Centers for Medicare and Medicaid Services (CMS).

Quality Health Plans of New York won’t offer Medicare plans after February 29, 2020. This means coverage through Quality Health Plans of New York will end February 29, 2020.

It has been our honor to serve you. Quality of Health Plans of New York would like to thank you for the opportunity and sincerely apologizes for any inconvenience this may cause.

For more information members should refer to the notices recently mailed or call Customer Service at 1 (877) 233-7058 (TTY/TDD: 711). Until March 31st, you can call us 7 days a week from 8:00 a.m. to 8:00 p.m. and from April 1 to April 30th, you can call us Monday through Friday from 8:00 a.m. to 8:00 p.m.

You may also call 1-800-MEDICARE (1-800-633-4227). Tell them your plan isn’t going to be offered after February 2020 and you want help choosing a new plan. This toll-free help line is available 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

You may be able to get extra help to pay for your prescription drug premium and costs. To see if you qualify for getting extra help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call-1-800-325-0778
  • Your State Medicaid Office…call by county: Suffolk County DDS, 631-854-9700; Nassau County, 516-227-7474; Richmond and Queens County, 718-557-1399.

To learn more about CMS Best Available Evidence (BAE) policy CLICK HERE.

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our plan.

Refer to the tables below to see what your monthly plan premium would be if you qualify for a Low-Income Subsidy.

Advantage Premium NY

Your level of extra help Monthly Premium*
100% $3.40
75% $12.55
50% $21.70
25% $30.85

Advantage Value One NY-Dual

Your level of extra help Monthly Premium*
100% $0
75% $0
50% $7.10
25% $16.25

Advantage Silver NY, Advantage Silver NY City,
Advantage Health LI, Advantage Health NYC

Your level of extra help Monthly Premium*
100% $0
75% $0
50% $0
25% $0

*This does not include any Medicare Part B premium you may have to pay. Premium includes coverage for both medical services and prescription drug coverage.