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If you’re wondering about Medicare eligibility in New York, look no further than HealthMarkets. We can help you find answers to your Medicare questions.In New York, almost 19% of the state’s total populationwas considered Medicare eligible in 2020, and more than 3.6 million individuals received Medicare benefits.2

If you’re ready to begin comparing Medicare plans online with HealthMarkets, start shopping now. 

Who Is Eligible for Medicare in New York?

You may have Medicare eligibility in New York if you’re a U.S. citizen or a permanent legal resident who has lived in the U.S. for more than five years and one or more of the following applies to you:3 

  • You are 65 or older.
  • You have been on Social Security Disability Insurance (SSDI) for two years.
  • You have end-stage renal disease (ESRD) or Lou Gehrig’s disease.

How Does Medicare Work in New York?

If you’ve established that you are eligible for Medicare, it’s time to review your choices. You can opt for the government’s “Original Medicare” or choose an all-in-one plan from a private insurance company.

There are four parts of Medicare:

  • Part A, which covers inpatient hospital care)
  • Part B, which covers outpatient services like doctor visits
  • Part C or Medicare Advantage, which combines Parts A and B
  • Part D, which covers prescription drugs

Medicare Parts A and B are Original Medicare. With this option, you can add to your coverage with a separate Part D prescription drug plan and a Medicare Supplement plan, both of which are sold by insurance companies.

Over 1.5 million New Yorkers are enrolled in a Medicare Advantage plan,2 which means their Medicare benefits are provided by a private insurance company. Medicare Advantage bundles Parts A & B into a single plan and often includes additional coverage such as prescription drugs, dental, and vision.

How Can I Apply for Medicare in New York?

You can apply for Original Medicare in New York by contacting the Social Security Administration, either by phone or online. If you are already receiving Social Security benefits, you will be automatically enrolled.4

Need help choosing a Medicare plan? At no additional cost to you, HealthMarkets’ FitScore® can provide you with personalized recommendations from recognized insurance companies. 

HealthMarkets can also help you find out if you are eligible for Extra Help, a program that helps lower prescription drug coverage costs. Approximately 47% of Medicare-eligible New Yorkers who applied for Extra Help were deemed eligible in 2020.4

Get your free FitScore with HealthMarkets now.


1. QuickFacts New York, U.S. Census Bureau. 2019. Retrieved from | 2. Total Number of Medicare Beneficiaries, KFF. 2020. Retrieved from | 3. Original Medicare (Part A and B) Eligibility and Enrollment, CMS. 2020. Retrieved from |  4. Extra Help with Medicare Prescription Drug Plan Costs. SSA. 2020. Retrieved from 

HealthMarkets’ FitScore intends to identify plans that fit your needs. You should carefully review official plan materials

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