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  1. 🏠
  2. Medicare Advantage Plans
  3. Massachusetts
  4. Essex County

2026 Medicare Advantage Plans in Essex County, MA

Last update: May 1, 2026. Enrollment data updated: May 2, 2026

In Essex County, MA, there are 39 Medicare Advantage plans available for 2026. Of these, 19 offer a $0 monthly premium, and about 72% 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 Essex County, MA. Or explore all Medicare Options available in Essex County, MA.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium
$71.05/mo
Plans with $0 Premium
19
Average MOOP Limit
$5,281 ($9,250 max. in 2026)
Star Ratings (Plan Mix)
4+ Stars: 72% · 3 Stars: 28% · Below 3: 0%
Average Part D Deductible
$330.81
Total MA/MAPD Enrollment
42,322
Plans with the Highest Enrollment
(as of May 2, 2026)
1. Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — 7,041 enrollees
2. AARP Medicare Advantage from UHC MA-0003 (HMO-POS) — 5,733 enrollees
3. AARP Medicare Advantage from UHC MA-0006 (PPO) — 3,732 enrollees

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 16
  • Average Monthly Premium $63.13/mo
  • Total PPO Enrollment 18,778
  • $0 Premium PPO Plans 9
  • Average MOOP $5,675
  • Top PPO by Enrollment AARP Medicare Advantage from UHC MA-0006 (PPO) — 3,732 enrollees
  • PPO Plans Without Drug Coverage 3

Comparison table of 2026 PPO Medicare Advantage Plans available in Essex County, Massachusetts
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $5,900 N/A H5521-296-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $6,750 $615 H5521-451-0
Aetna Medicare Signature Extra
☆☆☆☆☆
$0 $5,900 $615 H5521-159-0
Medicare PPO Blue EssentialRx
☆☆☆☆☆
$59 $9,250 $615 H2230-019-0
Medicare PPO Blue PlusRx
☆☆☆☆☆
$300 $4,200 $200 H2230-002-0
Medicare PPO Blue ValueRx
☆☆☆☆☆
$108 $6,600 $0 H2230-018-1
Tufts Medicare Preferred PPO RX
☆☆☆☆☆
$20 $6,750 $615 H9907-002-1
AARP Medicare Advantage from UHC MA-0006
☆☆☆☆☆
$48 $6,700 $600 H8768-055-2
AARP Medicare Advantage Patriot No Rx MA-MA01
☆☆☆☆☆
$0 $6,700 N/A H8768-045-0
Humana Direct Choice Giveback
☆☆☆☆☆
$0 $5,200 $395 H5216-424-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $4,950 N/A H5216-059-0
HumanaChoice Giveback H5216-138
☆☆☆☆☆
$0 $6,500 $395 H5216-138-0
HumanaChoice H5216-249
☆☆☆☆☆
$0 $6,750 $350 H5216-249-0
Mass General Brigham Advantage
☆☆☆☆☆
$0 $5,500 $350 H9485-001-0
Mass General Brigham Advantage Premier
☆☆☆☆☆
$150 $3,150 $350 H9485-002-0
Mass General Brigham Advantage Signature
☆☆☆☆☆
$325 $0 $350 H9485-003-0
What is the total number of PPO plans offered in Essex?

There are 16 PPO plans in 2026, covering 18,778 beneficiaries.

How much do PPO plans cost in Essex?

The average PPO premium in Essex is $63.13 per month, with 9 plans offering $0 premiums.

What is the most popular PPO plan in Essex?

AARP Medicare Advantage from UHC MA-0006 (PPO) is the top PPO in Essex, with 3,732 enrollees.

What is the number of PPO plans without Part D coverage in Essex?

There are 3 PPO plans in Essex 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
14
Average Monthly Premium
$92.57/mo
Total HMO Enrollment
13,338
$0 Premium HMO Plans
6
Average MOOP
$4,554
Top HMO by Enrollment
Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — 7,041 enrollees
HMO Plans Without Drug Coverage
4

Comparison table of 2026 HMO Medicare Advantage Plans available in Essex County, Massachusetts
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Medicare HMO Blue PlusRx
☆☆☆☆☆
$245 $3,800 $200 H2261-005-0
Medicare HMO Blue ValueRx
☆☆☆☆☆
$65 $3,750 $320 H2261-022-1
Fallon Medicare Plus Blue
☆☆☆☆☆
$174 $3,400 $0 H9001-031-18
Fallon Medicare Plus Green
☆☆☆☆☆
$78 $5,200 $300 H9001-030-18
Fallon Medicare Plus Orange
☆☆☆☆☆
$0 $7,550 $400 H9001-038-0
Fallon Medicare Plus Saver No Rx
☆☆☆☆☆
$0 $6,700 N/A H9001-039-0
Tufts Medicare Preferred HMO Basic No Rx
☆☆☆☆☆
$0 $3,850 N/A H2256-042-0
Tufts Medicare Preferred HMO Basic Rx
☆☆☆☆☆
$68 $3,850 $0 H2256-026-1
Tufts Medicare Preferred HMO Prime No Rx
☆☆☆☆☆
$0 $3,850 N/A H2256-016-1
Tufts Medicare Preferred HMO Prime Rx
☆☆☆☆☆
$223 $3,850 $0 H2256-015-1
Tufts Medicare Preferred HMO Prime Rx Plus
☆☆☆☆☆
$255 $3,850 $0 H2256-001-1
Tufts Medicare Preferred HMO Smart Saver Rx
☆☆☆☆☆
$0 $6,400 $615 H2256-046-0
Tufts Medicare Preferred HMO Value No Rx
☆☆☆☆☆
$0 $3,850 N/A H2256-019-1
Tufts Medicare Preferred HMO Value Rx
☆☆☆☆☆
$188 $3,850 $0 H2256-018-1

What is the average monthly premium for HMO plans?

HMO plans in Essex cost $92.57 per month on average.

Which HMO plan is most popular in Essex?

The most popular HMO plan in Essex is Tufts Medicare Preferred HMO Smart Saver Rx (HMO), with 7,041 enrollees.

How many HMO plans in Essex do not include drug coverage?

There are 4 HMO plans in Essex 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.

Total HMO-POS Plans
9
Average Monthly Premium
$51.67/mo
Total HMO-POS Enrollment
10,206
$0 Premium HMO-POS Plans
4
Average MOOP
$5,711
Top HMO-POS by Enrollment
AARP Medicare Advantage from UHC MA-0003 (HMO-POS) — 5,733 enrollees
HMO-POS Plans Without Drug Coverage
1

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Essex County, Massachusetts
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Erickson Advantage Freedom
☆☆☆☆☆
$89 $4,900 $355 H5652-006-0
Erickson Advantage Liberty
☆☆☆☆☆
$14 $6,750 $600 H5652-008-0
Erickson Advantage Liberty no Rx
☆☆☆☆☆
$0 $6,750 N/A H5652-002-0
Erickson Advantage Signature
☆☆☆☆☆
$182 $2,900 $270 H5652-001-0
Medicare HMO Blue FlexRx
☆☆☆☆☆
$118 $4,100 $260 H2261-023-1
Medicare HMO Blue SaverRx
☆☆☆☆☆
$0 $9,200 $0 H2261-024-0
AARP Medicare Advantage from UHC MA-0003
☆☆☆☆☆
$0 $6,700 $520 H5253-157-2
Aetna Medicare Signature
☆☆☆☆☆
$0 $6,750 $615 H5793-018-0
Mass General Brigham Advantage Secure
☆☆☆☆☆
$62 $3,350 $350 H6847-001-0
What is the leading HMO-POS plan in Essex?

AARP Medicare Advantage from UHC MA-0003 (HMO-POS) is the top HMO-POS in Essex, with 5,733 enrollees.

What is the number of HMO-POS plans without Part D coverage in Essex?

1 HMO-POS plans in Essex do not include prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Essex County, MA for 2026.

CMS Star Ratings for Medicare Advantage Plans in Essex County, MA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars 4 10%
4 Stars (includes 5 Stars) 28 72%
3 Stars 11 28%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4.09

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

  • 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

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.

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