2026 Medicare Advantage Plans in Worcester County, MA
Last update: . Enrollment data updated: May 2, 2026
For 2026, Worcester County, MA includes 43 Medicare Advantage plans. Enrollment across these plans totals approximately 58,394, with 26 $0 premium options and 73% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Worcester County, MA are provided separately. Or you can discover all Medicare Options in Worcester County, MA.
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
- 21
- Average Monthly Premium
- $47.62/mo
- Total PPO Enrollment
- 27,822
- $0 Premium PPO Plans
- 14
- Average MOOP
- $5,860
- Top PPO by Enrollment
- Aetna Medicare Signature Extra (PPO) — 6,151 enrollees
- PPO Plans Without Drug Coverage
- 3
What is the typical premium for PPO plans available in Worcester?
PPO plans in Worcester cost $47.62 per month on average.
Which PPO plan do most beneficiaries choose in Worcester?
The most popular PPO plan in Worcester is Aetna Medicare Signature Extra (PPO), with 6,151 enrollees.
How many PPO options are offered without drug coverage in Worcester?
3 PPO plans in Worcester 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 16
- Average Monthly Premium $72.31/mo
- Total HMO Enrollment 20,524
- $0 Premium HMO Plans 8
- Average MOOP $4,775
- Top HMO by Enrollment Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — 4,881 enrollees
- HMO Plans Without Drug Coverage 4
What is the total number of HMO plans offered in Worcester?
In 2026, Worcester County has 16 HMO plans with 20,524 enrollees.
How much do HMO plans cost in Worcester?
The typical HMO premium in Worcester is $72.31, and 8 plans have no monthly premium.
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
- $31.83/mo
- Total HMO-POS Enrollment
- 10,048
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $6,000
- Top HMO-POS by Enrollment
- Medicare HMO Blue SaverRx (HMO-POS) — 4,274 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Medicare HMO Blue FlexRx | $129 | $4,100 | $260 | H2261-023-2 | |
| Medicare HMO Blue SaverRx | $0 | $9,200 | $0 | H2261-024-0 | |
| AARP Medicare Advantage CareFlex from UHC MA-9 | $0 | $6,700 | $520 | H5253-159-0 | |
| AARP Medicare Advantage from UHC MA-0003 | $0 | $5,900 | $520 | H5253-157-1 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H5793-014-0 | |
| 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 Worcester cost $31.83 per month on average.
- Which HMO-POS plan is most popular in Worcester?
- The most popular HMO-POS plan in Worcester is Medicare HMO Blue SaverRx (HMO-POS), with 4,274 enrollees.
- How many HMO-POS plans in Worcester do not include drug coverage?
- There are 0 HMO-POS plans in Worcester without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Worcester 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) | 29 | 73% |
| 3 Stars | 11 | 28% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 7% |
| Average Rating | 4.03 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.