- Entity
- county:delaware-sussex-10005
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/delaware/sussex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 20
- PPO Plans
- 12
- HMO Plans
- 4
- HMO-POS Plans
- 4
- PFFS Plans
- 0
- Average Monthly Premium
- 18.19
- Average MOOP
- 6972.5
- Average Part D Deductible
- 490
- $0 Premium Plans
- 14
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.76
- $0 Premium Plan Share
- 70
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 58
- 3-Star Plan Share
- 42
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 5
- PPO Average Monthly Premium
- 26.48
- PPO Average MOOP
- 7220.83
- PPO Enrollment
- 11096
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 11.5
- HMO Average MOOP
- 6875
- HMO Enrollment
- 3150
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 6325
- HMO-POS Enrollment
- 3639
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:delaware-sussex-10005
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/delaware/sussex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-delaware-sussex-10005-landscape-stats
- Plans Indexed
- 20
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Premier
H5521-095-0 -
Humana Essentials Plus Giveback H7617-100
H7617-100-0 -
AARP Medicare Advantage Essentials from UHC DE-3
H5253-142-0 -
AARP Medicare Advantage Extras from UHC DE-6
H5253-206-0 -
AARP Medicare Advantage from UHC DE-0001
H2406-075-0 -
AARP Medicare Advantage from UHC DE-0002
H2406-100-0 -
AARP Medicare Advantage Patriot No Rx DE-MA01
H5253-143-0 -
Aetna Medicare Advantra Eagle Plus
H3959-056-0 -
Aetna Medicare Advantra Signature
H3959-055-0 -
Complete Blue PPO Distinct
H8166-007-0 -
Freedom Blue PPO Valor
H8166-003-0 -
Humana Essentials Plus Giveback H5216-308
H5216-308-0 -
Humana USAA Honor Giveback
H5216-386-2 -
Humana USAA Honor Giveback
H5216-381-0 -
HumanaChoice H5216-387
H5216-387-2 -
HumanaChoice H5216-390
H5216-390-0 -
Aetna Medicare Enhanced
H3931-102-0 -
HealthSpring Preferred
H2108-042-1 -
HealthSpring True Choice
H7849-146-0 -
Wellcare Simple
H4661-001-0
-
Aetna Medicare Premier
- Total Standard Medicare Advantage Enrollment
- 17885
2026 Medicare Advantage Plans in Sussex County, DE
Last update: .
In Sussex County, DE, there are 20 Medicare Advantage plans available for 2026. Of these, 14 offer a $0 monthly premium, and about 58% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Sussex County, DE. Or explore all Medicare Options available in Sussex County, DE.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 12
- Average Monthly Premium $26.48/mo
- Total PPO Enrollment 11,096
- $0 Premium PPO Plans 7
- Average MOOP $7,221
- Top PPO by Enrollment AARP Medicare Advantage from UHC DE-0002 (PPO) — 3,478 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Premier | $87 | $7,500 | $615 | H5521-095-0 | |
| Humana Essentials Plus Giveback H7617-100 | $0 | $9,250 | $360 | H7617-100-0 | |
| AARP Medicare Advantage from UHC DE-0001 | $0 | $6,700 | $600 | H2406-075-0 | |
| AARP Medicare Advantage from UHC DE-0002 | $52 | $6,300 | $520 | H2406-100-0 | |
| Complete Blue PPO Distinct | $134 | $6,500 | $615 | H8166-007-0 | |
| Freedom Blue PPO Valor | $0 | $6,000 | N/A | H8166-003-0 | |
| Humana Essentials Plus Giveback H5216-308 | $0 | $9,250 | $390 | H5216-308-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-386-2 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-381-0 | |
| HumanaChoice H5216-387 | $25 | $8,950 | $500 | H5216-387-2 | |
| HumanaChoice H5216-390 | $20 | $5,900 | $615 | H5216-390-0 | |
| HealthSpring True Choice | $0 | $6,800 | $250 | H7849-146-0 |
What is the total number of PPO plans offered in Sussex?
There are 12 PPO plans in 2026, covering 11,096 beneficiaries.
How much do PPO plans cost in Sussex?
The average PPO premium in Sussex is $26.48 per month, with 7 plans offering $0 premiums.
What is the most popular PPO plan in Sussex?
AARP Medicare Advantage from UHC DE-0002 (PPO) is the top PPO in Sussex, with 3,478 enrollees.
What is the number of PPO plans without Part D coverage in Sussex?
There are 3 PPO plans in Sussex without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 4
- Average Monthly Premium
- $11.50/mo
- Total HMO Enrollment
- 3,150
- $0 Premium HMO Plans
- 3
- Average MOOP
- $6,875
- Top HMO by Enrollment
- Aetna Medicare Advantra Signature (HMO) — 2,240 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Advantra Eagle Plus | $0 | $6,750 | N/A | H3959-056-0 | |
| Aetna Medicare Advantra Signature | $0 | $6,500 | $615 | H3959-055-0 | |
| Aetna Medicare Enhanced | $46 | $6,750 | $615 | H3931-102-0 | |
| HealthSpring Preferred | $0 | $7,500 | $0 | H2108-042-1 |
What is the average monthly premium for HMO plans?
HMO plans in Sussex cost $11.50 per month on average.
Which HMO plan is most popular in Sussex?
The most popular HMO plan in Sussex is Aetna Medicare Advantra Signature (HMO), with 2,240 enrollees.
How many HMO plans in Sussex do not include drug coverage?
There are 1 HMO plans in Sussex without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC DE-3 | $0 | $5,900 | $440 | H5253-142-0 | |
| AARP Medicare Advantage Extras from UHC DE-6 | $0 | $6,700 | $600 | H5253-206-0 | |
| AARP Medicare Advantage Patriot No Rx DE-MA01 | $0 | $6,700 | N/A | H5253-143-0 | |
| Wellcare Simple | $0 | $6,000 | $615 | H4661-001-0 |
What is the leading HMO-POS plan in Sussex?
AARP Medicare Advantage Essentials from UHC DE-3 (HMO-POS) is the top HMO-POS in Sussex, with 1,900 enrollees.
What is the number of HMO-POS plans without Part D coverage in Sussex?
1 HMO-POS plans in Sussex do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Sussex County, DE for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 11 | 58% |
| 3 Stars | 8 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 5% |
| Average Rating | 3.76 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
This page follows data provenance practices aligned with the USCDI Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.