Medicare in New York

Medicare plans in New York City, NY: open enrollment guide

Medicare's open enrollment runs October 15 to December 7. What matters for New York City: which health systems to check, and where county and state lines change your options.

Medicare in New York City

In New York City, choosing a Medicare plan is mostly a question of networks. The city's big teaching hospitals and health systems are not all in every plan.

If your specialist is at a hospital in one borough and your pharmacy is in another, check both against each plan before you decide.

New York City is in the five boroughs (New York, Kings, Queens, Bronx and Richmond counties), New York. Where you live decides which plans and prices you can get, because plan availability is set by county and ZIP code.

Use the “Look at plans yourself” button at the top of the page to compare plans for New York on your own, or call and we will go through it with you.

Health systems to check in New York City

Before you choose or keep a plan, check that your own doctors and hospitals are in its network. These are among the largest systems serving the area. Naming them here is not a statement that any plan includes them.

County and state lines near New York City

Many New Yorkers get care just outside the five boroughs, in Nassau, Suffolk or Westchester counties, and plan availability can change at the county line.

The dates

Medicare's Annual Enrollment Period runs October 15 to December 7, and changes start January 1. People already in a Medicare Advantage plan get one more change between January 1 and March 31.

Free, unbiased Medicare counseling in New York is also available through HIICAP (Health Insurance Information, Counseling and Assistance Program) at 1-800-701-0501.

More on Medicare in New York

Medicare questions in New York City

Which New York City health systems should I check a Medicare plan against?

NYC Health + Hospitals, NewYork-Presbyterian, Mount Sinai Health System, NYU Langone Health, Northwell Health are among the largest systems serving New York City. A plan can include some and leave out others, so check the specific doctor and hospital you use. Naming a system here does not mean any plan includes it.

Does it matter which county or state line I live on near New York City?

Many New Yorkers get care just outside the five boroughs, in Nassau, Suffolk or Westchester counties, and plan availability can change at the county line.

I live in Queens and my specialist is in Manhattan. Does that matter?

It can. Plans are offered by county, and each plan builds its own network. A Queens address with a Manhattan doctor is common, and the answer depends on the plan, so check that doctor and hospital by name for each plan you consider.

More for New York City

Talk through your Medicare options in New York City

Call 855-367-1095 and a licensed agent will review your plan, doctors and prescriptions with you before December 7.

  • Licensed insurance help
  • No guaranteed eligibility, pricing, or availability
  • Educational starting point

GetFastRates.com is not connected with or endorsed by the U.S. government or the federal Medicare program. Calling connects you with licensed insurance help. Plan availability, costs, benefits, and enrollment rules can vary by state, carrier, and individual situation.