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

2026 Medicare Advantage Plans in Middlesex County, MA

Last update: May 3, 2026. Enrollment data updated: May 2, 2026

Middlesex County, MA has 33 Medicare Advantage plans available in 2026. These include 16 plans with no monthly premium, and roughly 77% are rated at least 4 stars based on CMS data.

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Middlesex County, MA. Or explore all Medicare Options available in Middlesex 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: $73.21/mo
$0 Premium Plans: 16
Average MOOP: $5,315 ($9,250 max. in 2026)
Star Ratings (Plan Mix): 4+ Stars: 77% · 3 Stars: 23% · Below 3: 0%
Average Part D Deductible: $309.82
Total MA/MAPD Enrollment: 75,201
Plans with the Highest Enrollment
(as of May 2, 2026)
1. Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — 15,831 enrollees
2. AARP Medicare Advantage from UHC MA-0003 (HMO-POS) — 7,982 enrollees
3. Tufts Medicare Preferred HMO Basic Rx (HMO) — 6,280 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 14
  • Average Monthly Premium $73.57/mo
  • Total PPO Enrollment 25,109
  • $0 Premium PPO Plans 7
  • Average MOOP $5,743
  • Top PPO by Enrollment AARP Medicare Advantage from UHC MA-0006 (PPO) — 5,355 enrollees
  • PPO Plans Without Drug Coverage 2

Comparison table of 2026 PPO Medicare Advantage Plans available in Middlesex 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
☆☆☆☆☆
$40 $6,750 $615 H9907-002-3
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
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
EternalHealth Freedom
☆☆☆☆☆
$0 $6,500 $185 H2694-001-0
EternalHealth Give Back
☆☆☆☆☆
$0 $6,500 $350 H2694-002-0
What is the most popular PPO plan in Middlesex?

AARP Medicare Advantage from UHC MA-0006 (PPO) is the top PPO in Middlesex, with 5,355 enrollees.

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

There are 2 PPO plans in Middlesex 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
$86.14/mo
Total HMO Enrollment
34,736
$0 Premium HMO Plans
6
Average MOOP
$4,636
Top HMO by Enrollment
Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — 15,831 enrollees
HMO Plans Without Drug Coverage
3

Comparison table of 2026 HMO Medicare Advantage Plans available in Middlesex 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 Rx
☆☆☆☆☆
$58 $3,850 $0 H2256-026-2
Tufts Medicare Preferred HMO Prime No Rx
☆☆☆☆☆
$0 $3,850 N/A H2256-016-2
Tufts Medicare Preferred HMO Prime Rx
☆☆☆☆☆
$193 $3,850 $0 H2256-015-2
Tufts Medicare Preferred HMO Prime Rx Plus
☆☆☆☆☆
$227 $3,850 $0 H2256-001-2
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 H2256-019-7
Tufts Medicare Preferred HMO Value Rx
☆☆☆☆☆
$166 $3,850 $0 H2256-018-7
EternalHealth Forever
☆☆☆☆☆
$0 $5,000 $250 H1280-001-0

What is the typical premium for HMO plans in Middlesex?

HMO plans in Middlesex cost $86.14 per month on average.

Which HMO plan do most beneficiaries choose in Middlesex?

The most popular HMO plan in Middlesex is Tufts Medicare Preferred HMO Smart Saver Rx (HMO), with 15,831 enrollees.

How many HMO options are offered without prescription drug coverage in Middlesex?

There are 3 HMO plans in Middlesex without prescription drug coverage.

Medicare Advantage HMO-POS Plans

HMO Point-of-Service (HMO-POS) plans combine HMO network requirements 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 5
  • Average Monthly Premium $36.00/mo
  • Total HMO-POS Enrollment 15,356
  • $0 Premium HMO-POS Plans 3
  • Average MOOP $6,020
  • Top HMO-POS by Enrollment AARP Medicare Advantage from UHC MA-0003 (HMO-POS) — 7,982 enrollees
  • HMO-POS Plans Without Drug Coverage 0

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Middlesex County, Massachusetts
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
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 total number of HMO-POS plans in Middlesex?

In 2026, Middlesex has 5 HMO-POS plans with 15,356 enrollees.

How much do HMO-POS plans cost in Middlesex?

The typical HMO-POS premium in Middlesex is $36.00, and 3 plans have no monthly premium.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Middlesex County, MA for 2026.

CMS Star Ratings for Medicare Advantage Plans in Middlesex County, MA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 23 77%
3 Stars 7 23%
Below 3 Stars 0 0%
Not Rated 3 9%
Average Rating 4.05

* 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 .

  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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.

Data provenance documentation is maintained in alignment 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.

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