MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.
What the CMS Data Shows About MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. operates under CMS contract H9827, issued by Trinity Health Plan New York (parent organization Trinity Health Corporation). The contract is classified as a HMO product, which governs how enrollees access care: HMOs require in-network providers and referrals for most specialist care, trading network flexibility for lower cost-sharing. This contract is also flagged in CMS data as a Special Needs Plan (SNP), meaning enrollment is restricted to beneficiaries meeting specific eligibility criteria — chronic condition, dual Medicare-Medicaid status, or institutional residence. Service area spans 1 state (NY) and 8 counties, a geography set at the CMS service-area definition level.
The overall CMS Star Rating for this contract is not yet published by CMS. This rating synthesizes 7 individual quality measures spanning 4 CMS domains, including clinical outcomes, patient experience (CAHPS), member complaints and appeals, and plan operations. The Part D drug-benefit portion of this contract carries a separate CMS Star Rating of 3.0, which reflects pharmacy cost, adherence to chronic medications, and drug pricing accuracy. Ratings at 4+ stars trigger federal Quality Bonus Payments that insurers typically reinvest in supplemental benefits.
On costs, this contract lists a monthly plan premium of not reported. Beyond standard Medicare Parts A and B, the contract documents 15 supplemental benefits in the CMS benefits file — coverage extras such as dental, vision, hearing aids, fitness programs, and OTC allowances that Original Medicare does not provide. Before enrolling, verify that your preferred providers participate in the plan's network for your specific county, review the current Summary of Benefits, and confirm that your prescriptions appear on the plan formulary. All figures shown come from CMS public-use files for the 2026 contract year; this page is informational only and is not personalized Medicare counseling advice.
Quality Measures by Domain
Customer Service
1 measuresCall Center – Foreign Language Interpreter and TTY Availability
Drug Plan Customer Service
1 measuresComplaints about the Drug Plan
Drug Safety & Pricing
4 measuresMedication Adherence for Cholesterol (Statins)
Medication Adherence for Diabetes Medications
Medication Adherence for Hypertension (RAS antagonists)
MTM Program Completion Rate for CMR
Member Complaints and Changes in the Drug Plan’s Performance
1 measuresRating of Drug Plan
Supplemental Benefits
| Benefit | Covered | Max Benefit | Copay |
|---|---|---|---|
| Dental (Preventive) | ✓ Yes | $1,000 | — |
| Hearing Aids | ✓ Yes | — | — |
| Hearing Exam | ✓ Yes | — | — |
| Vision — Eye Exam | ✓ Yes | — | — |
| Vision — Eyewear | ✓ Yes | — | — |
Medicare Advantage Star Rating Distribution
Percentage of Medicare Advantage plans at each CMS star rating level (2026 plan year)
Source: CMS Medicare Advantage Star Ratings 2026. Distribution reflects national plan-county records.
County Availability
Medicare Advantage Guides
Related Healthcare Data
Frequently Asked Questions
What is the star rating for MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.?
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. (Contract H9827) by Trinity Health Plan New York has an overall CMS star rating of Not yet rated out of 5. Star ratings are based on quality measures including preventive care, chronic disease management, and member satisfaction.
How much does MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. cost per month?
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. has a monthly premium of data not available. Plan costs may vary by county.
What type of plan is MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.?
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. is a HMO Medicare Advantage plan offered by Trinity Health Plan New York. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs. HMO plans generally require you to use in-network providers and get referrals for specialists.
Where is MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. available?
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. is available in 1 state (NY) across 8 counties. Coverage area can vary — check with the insurer or Medicare.gov for exact availability in your ZIP code.
What supplemental benefits does MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. offer?
MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. covers 15 supplemental benefits beyond standard Medicare, including dental preventive, hearing aids, hearing exam, vision eye exam, vision eyewear. Many Medicare Advantage plans include dental, vision, and hearing coverage not available under Original Medicare.
How is MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. rated on quality measures?
CMS evaluates MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. across 7 individual quality measures spanning 4 domains, including DD1: Drug Plan Customer Service, DD2: Member Complaints and Changes in the Drug Plan’s Performance, DD4: Drug Safety and Accuracy of Drug Pricing and more. These measures cover clinical outcomes, patient experience, and plan operations.
Data Source
Data from CMS Medicare Advantage 2026 Star Ratings and Plan Finder datasets. Contract ID: H9827. Last updated: 2026 plan year.
Read our methodology — how this data is sourced, computed, and verified.