Trinity Health Plan New York No Premium (HMO)

HMO Not Available SNP Includes Rx

Plan Details

Plan NameTrinity Health Plan New York No Premium (HMO)

OrganizationTrinity Health Plan New York

Legal EntityMOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.

Plan TypeHMO

Service AreaSelect Counties in New York

Contract IDH9827

Plan ID001

In-Network MOOP$6,200

Prescription Drug CoverageYes (Part D Included)

About This Plan

Trinity Health Plan New York No Premium (HMO) is a HMO Medicare plan offered by Trinity Health Plan New York (MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.). This plan is available to eligible Medicare beneficiaries in Select Counties in New York.

This is a Special Needs Plan (SNP) designed for Not Available beneficiaries. This plan includes Medicare Part D prescription drug coverage.

The in-network maximum out-of-pocket (MOOP) for this plan is $6,200, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.