name = "Atlas Commons research objects — Medicare plans in Monroe, New York (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in Monroe, New York: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ny/monroe.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ny/monroe/plan-count"
warrant = "DERIVED"
name = "43 Medicare plans are available in Monroe, New York for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 43 Medicare Advantage and Part D plans available in Monroe, New York. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ny/monroe/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in Monroe, New York range from $0.00/mo to $229.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Monroe, New York. Across the 43 plans with a published premium, the range is $0.00/mo to $229.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify in the CMS CY2026 Medicare Landscape Files for Monroe, New York. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ny/monroe/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 37 of 43 Medicare plans in Monroe, New York (CY2026); average overall: 3.6 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 37 of 43 Medicare plans in Monroe, New York for CY2026. The unweighted average overall star rating across rated plans is 3.6. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 6 unrated plans in this county are not rated, not unqualified."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ny/monroe/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for Monroe, New York (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Monroe, New York for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ny/monroe"
falsifier = "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."

[[medicarePlans]]
contract_plan_id = "H2001_063"
plan_name = "UHC Dual Complete NY-S001 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 52.8
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2292_001"
plan_name = "UHC Nursing Home Plan NY-F001 (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 58.8
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2816_037"
plan_name = "Wellcare Advantage Enhanced (PFFS)"
category = "MA"
plan_type = "PFFS"
organization = "Wellcare"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 4300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2816_038"
plan_name = "Wellcare Advantage Simple (PFFS)"
category = "MA"
plan_type = "PFFS"
organization = "Wellcare"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3305_007"
plan_name = "MVP Medicare Preferred Gold without Part D (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "MVP HEALTH CARE"
monthly_premium_usd = "N/A"
overall_stars = 4
moop_in_network_usd = 7200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3305_015"
plan_name = "MVP Medicare Preferred Gold with Part D (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "MVP HEALTH CARE"
monthly_premium_usd = 229
overall_stars = 4
moop_in_network_usd = 6800
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3305_033"
plan_name = "MVP DualAccess (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "MVP HEALTH CARE"
monthly_premium_usd = 54.6
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3305_034"
plan_name = "MVP DualAccess Complete (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "MVP HEALTH CARE"
monthly_premium_usd = 58.8
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3312_087"
plan_name = "Aetna Medicare Full Dual (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Aetna Medicare"
monthly_premium_usd = 36.2
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3347_003"
plan_name = "Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)"
category = "SNP"
plan_type = "HMO-POS I-SNP"
organization = "Elderplan"
monthly_premium_usd = 44.8
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3347_018"
plan_name = "Elderplan Select (HMO-POS I-SNP)"
category = "SNP"
plan_type = "HMO-POS I-SNP"
organization = "Elderplan"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 7500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3351_006"
plan_name = "Medicare Blue Choice Optimum (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Excellus Health Plan, Inc"
monthly_premium_usd = 224.8
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3351_007"
plan_name = "Medicare Blue Choice Freedom (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "Excellus Health Plan, Inc"
monthly_premium_usd = "N/A"
overall_stars = 4
moop_in_network_usd = 4500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3351_022"
plan_name = "Medicare Blue Choice Core (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Excellus Health Plan, Inc"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3351_023"
plan_name = "Medicare Blue Choice Prime (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Excellus Health Plan, Inc"
monthly_premium_usd = 55
overall_stars = 4
moop_in_network_usd = 8000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3387_013"
plan_name = "UHC Dual Complete NY-Y001 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 58.8
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3387_014"
plan_name = "UHC Dual Complete NY-S002 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 58.8
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3387_015"
plan_name = "UHC Dual Complete NY-Q001 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 31
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3533_002"
plan_name = "Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4868_003"
plan_name = "Wellcare Patriot Simple (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4868_004"
plan_name = "Wellcare Dual Access (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Wellcare"
monthly_premium_usd = 58.8
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4868_019"
plan_name = "Wellcare Simple (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_323"
plan_name = "Aetna Medicare Eagle Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_461"
plan_name = "Aetna Medicare Longevity (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "Aetna Medicare"
monthly_premium_usd = 58.8
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_521"
plan_name = "Aetna Medicare Elite (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 84
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_522"
plan_name = "Aetna Medicare Enhanced (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 131
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5549_003"
plan_name = "VNS Health Total (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "VNS Health Medicare"
monthly_premium_usd = 58.8
overall_stars = 3.5
moop_in_network_usd = 0
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5549_011"
plan_name = "VNS Health EasyCare Plus (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "VNS Health Medicare"
monthly_premium_usd = 51.6
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5549_012"
plan_name = "VNS Health EasyCare (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "VNS Health Medicare"
monthly_premium_usd = 25
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5599_003"
plan_name = "Wellcare Fidelis Dual Align (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Wellcare"
monthly_premium_usd = 58.8
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5599_010"
plan_name = "Wellcare Fidelis Patriot Simple (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5599_013"
plan_name = "Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Wellcare"
monthly_premium_usd = 58.8
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5970_016"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 4950
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5970_020"
plan_name = "HumanaChoice SNP-DE H5970-020 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "Humana"
monthly_premium_usd = 0.9
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5970_029"
plan_name = "HumanaChoice H5970-029 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 32
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5970_030"
plan_name = "HumanaChoice Giveback H5970-030 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7524_003"
plan_name = "Medicare Blue Dual (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Excellus Health Plan Community Care LLC"
monthly_premium_usd = 49.3
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7524_004"
plan_name = "Medicare Blue Dual Secure (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Excellus Health Plan Community Care LLC"
monthly_premium_usd = 21.2
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7813_001"
plan_name = "iCircle Dual Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "iCircle Services of the Finger Lakes, Inc"
monthly_premium_usd = 58.8
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9066_001"
plan_name = "Nascentia Medicaid Advantage Plus (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Nascentia Health Plus"
monthly_premium_usd = 58.8
overall_stars = "Not rated"
moop_in_network_usd = 8500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9066_002"
plan_name = "Nascentia Skilled Nursing Facility (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "Nascentia Health Plus"
monthly_premium_usd = 58.8
overall_stars = "Not rated"
moop_in_network_usd = 6000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9066_003"
plan_name = "Nascentia Dual Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Nascentia Health Plus"
monthly_premium_usd = 58.8
overall_stars = "Not rated"
moop_in_network_usd = 8500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9615_021"
plan_name = "MVP Medicare WellSelect with Part D (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "MVP HEALTH CARE"
monthly_premium_usd = 160
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"
