Independent Health's Encompass 65 (HMO) in Cattaraugus County, New York — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Independent Health's Encompass 65 (HMO) (H3362-016) is a $0-premium Medicare Advantage HMO from Independent Health Association, Inc. available in Cattaraugus County, New York in 2026, with a 5.0-star overall rating, a $6,750 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationIndependent Health Association, Inc.
Plan nameIndependent Health's Encompass 65 (HMO)
Contract IDH3362
Plan ID016
Segment ID0
Contract year2026
Contract categoryMA
Plan typeHMO
SNPNo
Monthly consolidated premium
Part C premium$0.00
Part D basic premium
Part D total premium
Annual Part D deductible
Maximum out-of-pocket (in-network)$6750.00
Overall star rating5.0

How this plan is structured

  • $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $6,750 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Cattaraugus County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Cattaraugus County

The CMS CY2026 Landscape file lists 53 Medicare Advantage plans in Cattaraugus County, New York, of which 5 carry a 5.0-star overall rating and 23 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $232.20 per month, and in-network out-of-pocket maximums range from $3000.00 to $9250.00.

Other 5.0-star Medicare Advantage plans in Cattaraugus County (first three alphabetically):

PlanOrganizationPremiumMOOP
Independent Health's Encompass 65 RED 042 (HMO)Independent Health Association, Inc.$40.00$9250.00
Independent Health's Encompass 65 RED 043 (HMO)Independent Health Association, Inc.$190.00$7000.00
Independent Health's Encompass 65 RED 044 (HMO)Independent Health Association, Inc.$95.00$7500.00

For the full county plan directory, see all Medicare plans in Cattaraugus County, New York.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3362-016.
  2. Call the plan (Independent Health Association, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3362-016 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3362-016, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3362 are the contract number issued to the organization, and the three-digit 016 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Independent Health's Encompass 65 (HMO) an HMO or PPO?

Independent Health's Encompass 65 (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Independent Health's Encompass 65 (HMO) include prescription drug coverage?

Independent Health's Encompass 65 (HMO) does not include Part D prescription drug coverage in its consolidated benefits.

What is the maximum out-of-pocket cost for Independent Health's Encompass 65 (HMO)?

The 2026 in-network maximum out-of-pocket limit for Independent Health's Encompass 65 (HMO) is $6750.00, per the CMS CY2026 Landscape file.

What counties offer Independent Health's Encompass 65 (HMO) (H3362-016)?

Independent Health's Encompass 65 (HMO) (H3362-016) is offered in eight New York counties: Allegany County, Cattaraugus County, Chautauqua County, Erie County, Genesee County, Niagara County, Orleans County, and Wyoming County.

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