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Medicare Advantage PPO Plans In New York

Explore the benefits of a Medicare Advantage plan with the doctor choice of a PPO.

Need help finding the right plan? Talk to a licensed agent:


Empire MediBlue PPO Plans In New York


Empire MediBlue PPO plans are Medicare Advantage plans in New York that offer the benefits of a Preferred Provider Organization (PPO) plan, including flexibility to choose doctors in and out of the plan network.


Medicare Advantage plans offer all-in-one coverage that includes Medicare Parts A, B, and usually Medicare Part D (prescription coverage). Some MediBlue plans cover services not included under Original Medicare, like dental, vision, or hearing coverage.


Learn more about Medicare Advantage Plans with Empire, including the difference between Medicare Advantage HMO and PPO plans.


Is A Medicare PPO Plan Right For You?


With a Medicare Advantage PPO plan, you may want to choose a primary care physician (PCP) for checkups; however, it is not required. You don’t need a referral if you need to see a specialist or want to see another doctor. Using a doctor and healthcare facility in your plan’s network will almost always save you money.


Medicare Advantage PPO plans allow you to visit doctors or use facilities that are out of network, as long as they are participating with Original Medicare. If you use an out-of-network provider, your costs may be more.



Do You Have A Favorite Doctor?

Check if your doctor is in the plan’s network.


What Do Medicare PPO Plans Cover? 


With an Empire MediBlue PPO in New York, you will have a strong network of doctors and hospitals you can trust for quality care.


Here are some of the other benefits of our Medicare Advantage plans:

Dental, vision, & hearing

Benefits are built right into your plan, and you may be able to buy additional dental and vision coverage.

Prescription drug coverage

Coverage for a wide range of prescription drugs and Medication Therapy Management (MTM) programs for complex health needs.

No-cost fitness benefit

Access thousands of SilverSneakers® fitness locations at no extra charge.

24/7 telehealth visits

Connect with providers by computer, tablet, or smartphone in the convenience of your home.

Preventive services

Coverage for annual check-ups, immunizations, and flu shots, as well as certain tests and screenings.

Over-the-counter (OTC) health items

Receive an allowance for OTC items like vitamins, aspirin, dental and vision care products, and more.

Benefits listed may vary based on the plan you choose or where you live.

What Do Medicare Advantage PPO Plans Cost?


Medicare Advantage plans can help you save money. Since you may decide to receive care in network or out of network with an Empire MediBlue PPO, some costs, such as deductibles, coinsurance, or copays may vary within the plan.


 Monthly premiums as low as $0
Costs for Empire MediBlue PPO plans vary, but depending on where you live, plans may be available starting at $0 per month.


 Copays as low as $0
Low, fixed copays for doctor visits and outpatient lab tests.


 Deductibles as low as $0
Some plans have $0 deductibles for in-network medical costs. Your deductible for out-of-network care may be higher.



Benefits listed may vary based on the plan you choose or where you live.

Who Can Enroll In A Medicare Advantage PPO Plan?

Anyone eligible for Medicare can choose a Medicare Advantage PPO plan. Choose an Empire MediBlue PPO in New York for all the coverage of a Medicare Advantage plan with the cost and service benefits of a PPO.


People with a chronic condition or who have both Medicare and Medicaid may enroll in a Medicare Advantage Special Needs Plan (SNP). These plans offer specialized care including home-delivered meals, transportation, over-the-counter (OTC) health items, and other benefits. Some plans have $0 deductibles for in-network medical costs. Your deductible for out-of-network care may be higher.

Benefits listed may vary based on the plan you choose or where you live.

Frequently Asked Questions About Medicare Advantage PPO Plans

A Medicare Advantage Preferred Provider Organization (PPO) plan provides you with coverage for Medicare-covered services in addition to more benefits that Original Medicare doesn't cover, such as dental, vision, and hearing.

A Medicare Advantage PPO is just one option when selecting Medicare Advantage (Part C) plans. Learn more about your Medicare Advantage plan options.


A Medicare Advantage Special Needs Plan (SNP) is also available for people living with certain medical conditions or those who are eligible for Medicaid and Medicare.  

More To Know About Medicare Advantage

Attend A Free Medicare Event

Sign up for a free Medicare event to learn how Empire Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual Medicare webinar. Or, if you prefer, come to a live seminar in your area where a licensed Medicare agent will be present to answer your questions.

Find An Event

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Empire BlueCross BlueShield is a Medicare Advantage plan with a Medicare contract. Empire BlueCross BlueShield is a SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Empire BlueCross BlueShield depends on contract renewal.