2026 Central New York (Excellus) Pricing & Plan Designs
2026 Central New York (Excellus) Retiree Health Plan Preview – SPANY / BCPA
The Statewide Purchasing Alliance of New York (SPANY) is pleased to announce the 2026 Medicare Advantage and MAPD plan offerings through the Broome County Purchasing Alliance (BCPA) in partnership with Excellus BlueCross BlueShield.
Broker-Friendly by Design
The Statewide Purchasing Alliance of New York (SPANY) is a broker-friendly program. Participating groups have the flexibility to retain their existing broker of record or, if preferred, designate our SPANY team as their broker. The choice is entirely yours — we work seamlessly with both models to ensure a smooth implementation and ongoing support, no matter which option you choose.
🩺 2026 Central New York (Excellus) Plan Options & Monthly Premiums
(effective January 1, 2026 – December 31, 2026)
| MAPD PPO Plans (with Rx Coverage) | Premium | MA-Only PPO Plans | Premium |
|---|---|---|---|
| Plan 1 – $0/$5/$20 (1x) | $546.10 | Plan 5 – MA-Only with Dental (Enhanced) | $246.18 |
| Plan 2 – $0/$10/$20 (1x) | $443.98 | Plan 6 – MA-Only | $160.18 |
| Plan 3 – $10/$20/$35 (2x) | $454.73 | Plan 9 – MA-Only | $193.50 |
| Plan 4 – $0/$1/$1 (1x) | $583.73 | Plan 10 – MA-Only | $177.38 |
| Plan 7 – $5/$15/$30 (1x) | $430.00 | ||
| Plan 8 – $5/$20/$40 (1x) | $408.50 |
Important Notes
✅ Pharmacy coverage is carved out and administered separately under Excellus Commercial Rx; it is not managed directly by the health plan.
✅ Premium rates shown are finalized figures for 2026 and require no rounding adjustments.
✅ Any premium increase in 2027 will be capped at no more than 7.5%.
Key Federal Policy Shifts Impacting 2026
-
IRA Part D Redesign – $2,100 cap on out-of-pocket prescription costs
-
Medicare Prescription Payment Program (M3P) – Option to spread Rx costs monthly
-
Medicare Wage Index Adjustments – Driving cost and reimbursement changes
- For additional information on these changes, please click here.
📞 Interested in reviewing plan designs or savings projections for your group?
Contact the SPANY team today.
