2026 Medicare Advantage Plans in Suffolk County, MA
Last update: . Enrollment data updated: June 13, 2026
In Suffolk County, MA, there are 36 Medicare Advantage plans available for 2026. Of these, 19 offer a $0 monthly premium, and about 67% 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 Suffolk County, MA. Or explore all Medicare Options available in Suffolk County, MA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Suffolk?
Suffolk County has 16 PPO plans for 2026, with 8,307 enrolled.
How much do PPO plans cost in Suffolk?
The typical PPO premium in Suffolk is $65.63, and 9 plans have no monthly premium.
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
- 15
- Average Monthly Premium
- $86.40/mo
- Total HMO Enrollment
- 6,136
- $0 Premium HMO Plans
- 7
- Average MOOP
- $4,583
- Top HMO by Enrollment
- Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — 3,719 enrollees
- HMO Plans Without Drug Coverage
- 4
- What is the average monthly premium for HMO plans?
- HMO plans in Suffolk cost $86.40 per month on average.
- Which HMO plan is most popular in Suffolk?
- The most popular HMO plan in Suffolk is Tufts Medicare Preferred HMO Smart Saver Rx (HMO), with 3,719 enrollees.
- How many HMO plans in Suffolk do not include drug coverage?
- There are 4 HMO plans in Suffolk 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 7,903
- $0 Premium HMO-POS Plans 3
- Average MOOP $6,020
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC MA-0003 (HMO-POS) — 3,644 enrollees
- HMO-POS Plans Without Drug Coverage 0
| 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 Suffolk?
There are 5 HMO-POS plans in 2026, covering 7,903 enrollees.
How much do HMO-POS plans cost in Suffolk?
The average HMO-POS premium in Suffolk is $36.00 per month, with 3 plans offering $0 premiums.
What is the leading HMO-POS plan in Suffolk?
AARP Medicare Advantage from UHC MA-0003 (HMO-POS) is the top HMO-POS in Suffolk, with 3,644 enrollees.
What is the number of HMO-POS plans without Part D coverage in Suffolk?
0 HMO-POS plans in Suffolk do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Suffolk County, MA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 22 | 67% |
| 3 Stars | 11 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 8% |
| Average Rating | 3.95 | |
* 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 June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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.