- Entity
- county:massachusetts-middlesex-25017
- 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/massachusetts/middlesex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 33
- PPO Plans
- 14
- HMO Plans
- 14
- HMO-POS Plans
- 5
- PFFS Plans
- 0
- Average Monthly Premium
- 73.21
- Average MOOP
- 5315.15
- Average Part D Deductible
- 309.82
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 4.05
- $0 Premium Plan Share
- 48.48
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 77
- 3-Star Plan Share
- 23
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 9
- PPO Average Monthly Premium
- 73.57
- PPO Average MOOP
- 5742.86
- PPO Enrollment
- 25153
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 2
- HMO Average Monthly Premium
- 86.14
- HMO Average MOOP
- 4635.71
- HMO Enrollment
- 34673
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 3
- HMO-POS Average Monthly Premium
- 36
- HMO-POS Average MOOP
- 6020
- HMO-POS Enrollment
- 15660
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:massachusetts-middlesex-25017
- 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/massachusetts/middlesex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-massachusetts-middlesex-25017-landscape-stats
- Plans Indexed
- 33
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-296-0 -
Aetna Medicare Signature
H5521-451-0 -
Aetna Medicare Signature Extra
H5521-159-0 -
Medicare HMO Blue FlexRx
H2261-023-1 -
Medicare HMO Blue PlusRx
H2261-005-0 -
Medicare HMO Blue SaverRx
H2261-024-0 -
Medicare HMO Blue ValueRx
H2261-022-1 -
Medicare PPO Blue EssentialRx
H2230-019-0 -
Medicare PPO Blue PlusRx
H2230-002-0 -
Medicare PPO Blue ValueRx
H2230-018-1 -
AARP Medicare Advantage from UHC MA-0003
H5253-157-2 -
Fallon Medicare Plus Blue
H9001-031-18 -
Fallon Medicare Plus Green
H9001-030-18 -
Fallon Medicare Plus Orange
H9001-038-0 -
Fallon Medicare Plus Saver No Rx
H9001-039-0 -
Tufts Medicare Preferred HMO Basic Rx
H2256-026-2 -
Tufts Medicare Preferred HMO Prime No Rx
H2256-016-2 -
Tufts Medicare Preferred HMO Prime Rx
H2256-015-2 -
Tufts Medicare Preferred HMO Prime Rx Plus
H2256-001-2 -
Tufts Medicare Preferred HMO Smart Saver Rx
H2256-046-0 -
Tufts Medicare Preferred HMO Value No Rx
H2256-019-7 -
Tufts Medicare Preferred HMO Value Rx
H2256-018-7 -
Tufts Medicare Preferred PPO RX
H9907-002-3 -
AARP Medicare Advantage from UHC MA-0006
H8768-055-2 -
AARP Medicare Advantage Patriot No Rx MA-MA01
H8768-045-0 -
Aetna Medicare Signature
H5793-018-0 -
Mass General Brigham Advantage
H9485-001-0 -
Mass General Brigham Advantage Premier
H9485-002-0 -
Mass General Brigham Advantage Secure
H6847-001-0 -
Mass General Brigham Advantage Signature
H9485-003-0 -
eternalHealth Forever
H1280-001-0 -
eternalHealth Freedom
H2694-001-0 -
eternalHealth Give Back
H2694-002-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 75486
2026 Medicare Advantage Plans in Middlesex County, MA
Last update: .
For 2026, Middlesex County, MA includes 33 Medicare Advantage plans. Enrollment across these plans totals approximately 75,486, with 16 $0 premium options and 77% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Middlesex County, MA are summarized separately. Visit Medicare Options in Middlesex County, MA 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
- 14
- Average Monthly Premium
- $73.57/mo
- Total PPO Enrollment
- 25,153
- $0 Premium PPO Plans
- 7
- Average MOOP
- $5,743
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC MA-0006 (PPO) — 5,200 enrollees
- PPO Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for PPO plans in Middlesex?
- PPO plans in Middlesex cost $73.57 per month on average.
- Which PPO plan has the highest enrollment in Middlesex?
- The most popular PPO plan in Middlesex is AARP Medicare Advantage from UHC MA-0006 (PPO), with 5,200 enrollees.
- How many PPO plans in Middlesex do not include prescription drug coverage?
- 2 PPO plans in Middlesex do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 total number of HMO plans offered in Middlesex?
There are 14 HMO plans in 2026, covering 34,673 enrollees.
How much do HMO plans cost in Middlesex?
The average HMO premium in Middlesex is $86.14 per month, with 6 plans offering $0 premiums.
What is the top HMO by enrollment in Middlesex?
Tufts Medicare Preferred HMO Smart Saver Rx (HMO) is the top HMO in Middlesex, with 15,935 enrollees.
What is the number of HMO plans without Part D coverage in Middlesex?
3 HMO plans in Middlesex 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
- 5
- Average Monthly Premium
- $36.00/mo
- Total HMO-POS Enrollment
- 15,660
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $6,020
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC MA-0003 (HMO-POS) — 8,088 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Middlesex cost $36.00 per month on average.
Which HMO-POS plan is most popular in Middlesex?
The most popular HMO-POS plan in Middlesex is AARP Medicare Advantage from UHC MA-0003 (HMO-POS), with 8,088 enrollees.
How many HMO-POS plans in Middlesex do not include drug coverage?
There are 0 HMO-POS plans in Middlesex without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Middlesex County, MA (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) | 23 | 77% |
| 3 Stars | 7 | 23% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 9% |
| Average Rating | 4.05 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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 informational resource and has no affiliation with, or endorsement from, 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.