2026 Medicare Advantage Plans in Waldo County, ME
Last update: . Enrollment data updated: May 2, 2026
For 2026, Waldo County, ME includes 22 Medicare Advantage plans. Enrollment across these plans totals approximately 4,601, with 15 $0 premium options and 33% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Waldo County, ME are summarized separately. Visit Medicare Options in Waldo County, ME to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 10
- Average Monthly Premium
- $8.40/mo
- Total PPO Enrollment
- 1,642
- $0 Premium PPO Plans
- 8
- Average MOOP
- $7,375
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC ME-0002 (PPO) — 1,010 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC ME-0002 | $0 | $9,250 | $600 | H2001-083-2 | |
| AARP Medicare Advantage Patriot No Rx ME-MA01 | $0 | $5,900 | N/A | H2001-021-0 | |
| HumanaChoice Giveback H7617-046 | $0 | $6,500 | $395 | H7617-046-0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5216-059-0 | |
| HumanaChoice Giveback H5216-138 | $0 | $6,500 | $395 | H5216-138-0 | |
| HumanaChoice H5216-175 | $0 | $6,700 | $500 | H5216-175-0 | |
| Martin's Point Generations Advantage Select | $49 | $9,000 | $450 | H1365-005-0 | |
| Wellcare Low Premium Open | $35 | $8,500 | $615 | H2775-109-0 | |
| Wellcare Patriot Giveback Open | $0 | $9,250 | N/A | H2775-116-0 | |
| Anthem I MaineHealth Advantage Veteran | $0 | $7,200 | N/A | H9219-004-0 |
What is the average monthly premium for PPO plans in Waldo?
PPO plans in Waldo cost $8.40 per month on average.
Which PPO plan has the highest enrollment in Waldo?
The most popular PPO plan in Waldo is AARP Medicare Advantage from UHC ME-0002 (PPO), with 1,010 enrollees.
How many PPO plans in Waldo do not include prescription drug coverage?
4 PPO plans in Waldo do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 5
- Average Monthly Premium $7.80/mo
- Total HMO Enrollment 694
- $0 Premium HMO Plans 3
- Average MOOP $6,650
- Top HMO by Enrollment Martin's Point Generations Advantage Alliance (HMO) — 303 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Martin's Point Generations Advantage Alliance | $0 | $5,000 | N/A | H5591-003-0 | |
| Anthem I MaineHealth Advantage Plus | $25 | $6,800 | $235 | H9065-008-0 | |
| Humana Gold Plus Giveback H5619-066 | $0 | $8,250 | $355 | H5619-066-0 | |
| Humana Gold Plus H5619-001 | $0 | $6,800 | $615 | H5619-001-0 | |
| Humana Gold Plus H5619-137 | $14 | $6,400 | $615 | H5619-137-0 |
What is the top HMO by enrollment in Waldo?
Martin's Point Generations Advantage Alliance (HMO) is the top HMO in Waldo, with 303 enrollees.
What is the number of HMO plans without Part D coverage in Waldo?
1 HMO plans in Waldo do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 6
- Average Monthly Premium
- $33.33/mo
- Total HMO-POS Enrollment
- 2,250
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $8,125
- Top HMO-POS by Enrollment
- Martin's Point Generations Advantage Essential (HMO-POS) — 1,037 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Martin's Point Generations Advantage Essential | $0 | $9,000 | $300 | H5591-018-0 | |
| Martin's Point Generations Advantage Prime | $109 | $7,000 | $275 | H5591-016-0 | |
| UHC Northern Light Health ME-0001 | $36 | $6,700 | $440 | H5253-162-2 | |
| Anthem I MaineHealth Advantage Choice | $55 | $7,550 | $150 | H9065-003-0 | |
| Wellcare Giveback | $0 | $9,250 | $615 | H9364-004-0 | |
| Wellcare Simple | $0 | $9,250 | $615 | H9364-001-0 |
What is the typical premium for HMO-POS plans in Waldo?
HMO-POS plans in Waldo cost $33.33 per month on average.
Which HMO-POS plan has the most members in Waldo?
The most popular HMO-POS plan in Waldo is Martin's Point Generations Advantage Essential (HMO-POS), with 1,037 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Waldo?
There are 0 HMO-POS plans in Waldo without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellcare Advantage Simple | $0 | $4,300 | N/A | H2816-040-0 |
What is the total number of PFFS plans in Waldo?
In 2026, Waldo has 1 PFFS plans with 15 enrollees.
How much do PFFS plans cost in Waldo?
The typical PFFS premium in Waldo is $0.00, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Waldo County, ME (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 7 | 33% |
| 3 Stars | 14 | 67% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 5% |
| Average Rating | 3.62 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — 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.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (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.