- Entity
- county:massachusetts-worcester-25027
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/massachusetts/worcester/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 34
- PPO Plans
- 15
- HMO Plans
- 13
- HMO-POS Plans
- 6
- PFFS Plans
- 0
- Average Monthly Premium
- 57.44
- Average MOOP
- 6061.76
- Average Part D Deductible
- 490
- $0 Premium Plans
- 22
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.85
- $0 Premium Plan Share
- 64.71
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 79
- 3-Star Plan Share
- 15
- Below 3-Star Plan Share
- 6
- Not-Rated Plan Share
- 3
- PPO Average Monthly Premium
- 43.13
- PPO Average MOOP
- 6666.67
- PPO Enrollment
- 15767
- PPO $0 Premium Plans
- 11
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 82
- HMO Average MOOP
- 5230.77
- HMO Enrollment
- 7955
- HMO $0 Premium Plans
- 7
- HMO Plans Without Part D Coverage
- 4
- HMO-POS Average Monthly Premium
- 40
- HMO-POS Average MOOP
- 6350
- HMO-POS Enrollment
- 5264
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:massachusetts-worcester-25027
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/massachusetts/worcester/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-massachusetts-worcester-25027-landscape-stats
- Plans Indexed
- 34
- Standard Medicare Advantage Plans
-
-
HumanaChoice Giveback H7617-046
H7617-046-0 -
Medicare HMO Blue PlusRx
H2261-005-0 -
AARP Medicare Advantage from UHC MA-0003
H5253-157-1 -
AARP Medicare Advantage from UHC MA-0006
H8768-055-1 -
AARP Medicare Advantage Patriot No Rx MA-MA01
H8768-045-0 -
AARP Medicare Advantage Patriot No Rx MA-MA2
H5253-225-0 -
Aetna Medicare Eagle Giveback
H5521-296-0 -
Aetna Medicare Elite
H5521-160-0 -
Aetna Medicare Enhanced
H5521-760-0 -
Aetna Medicare Signature Extra
H5521-450-0 -
Fallon Medicare Plus Blue
H9001-031-15 -
Fallon Medicare Plus Green
H9001-030-15 -
Fallon Medicare Plus Orange
H9001-041-15 -
Fallon Medicare Plus Saver No Rx
H9001-039-0 -
Humana USAA Honor Giveback
H5216-059-0 -
HumanaChoice Giveback H5216-138
H5216-138-0 -
HumanaChoice Giveback H5216-477
H5216-477-0 -
HumanaChoice H5216-249
H5216-249-0 -
Medicare PPO Blue PlusRx
H2230-002-0 -
Tufts Medicare Preferred HMO Basic No Rx
H2256-041-0 -
Tufts Medicare Preferred HMO Basic Rx
H2256-036-0 -
Tufts Medicare Preferred HMO Prime No Rx
H2256-039-0 -
Tufts Medicare Preferred HMO Prime Rx
H2256-033-0 -
Tufts Medicare Preferred HMO Smart Saver Rx
H2256-047-1 -
Tufts Medicare Preferred HMO Value No Rx
H2256-040-0 -
Tufts Medicare Preferred HMO Value Rx
H2256-034-0 -
Mass General Brigham Advantage Core
H6847-002-0 -
Mass General Brigham Advantage Plus
H6847-003-0 -
Mass General Brigham Advantage Secure
H6847-001-0 -
Tufts Medicare Preferred PPO RX
H9907-003-0 -
Aetna Medicare Signature
H5793-014-0 -
eternalHealth Freedom
H2694-001-0 -
eternalHealth Give Back
H2694-002-0 -
eternalHealth Forever
H1280-001-0
-
HumanaChoice Giveback H7617-046
- Total Standard Medicare Advantage Enrollment
- 28986
2027 Medicare Advantage Plans in Worcester County, MA
Last update: .
For 2027, Worcester County, MA includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 28,986, with 22 $0 premium options and 79% rated 4 stars or higher.
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
- 15
- Average Monthly Premium
- $43.13/mo
- Total PPO Enrollment
- 15,767
- $0 Premium PPO Plans
- 11
- Average MOOP
- $6,667
- Top PPO by Enrollment
- Aetna Medicare Signature Extra (PPO) — 6,971 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| HumanaChoice Giveback H7617-046 | $0 | $7,150 | $700 | H7617-046-0 | |
| AARP Medicare Advantage from UHC MA-0006 | $67 | $7,150 | $685 | H8768-055-1 | |
| AARP Medicare Advantage Patriot No Rx MA-MA01 | $0 | $7,150 | N/A | H8768-045-0 | |
| Aetna Medicare Eagle Giveback | $0 | $7,150 | N/A | H5521-296-0 | |
| Aetna Medicare Elite | $0 | $7,150 | $700 | H5521-160-0 | |
| Aetna Medicare Enhanced | $60 | $6,750 | $700 | H5521-760-0 | |
| Aetna Medicare Signature Extra | $0 | $7,150 | $400 | H5521-450-0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5216-059-0 | |
| HumanaChoice Giveback H5216-138 | $0 | $7,150 | $700 | H5216-138-0 | |
| HumanaChoice Giveback H5216-477 | $0 | $7,150 | $700 | H5216-477-0 | |
| HumanaChoice H5216-249 | $0 | $6,750 | $350 | H5216-249-0 | |
| Medicare PPO Blue PlusRx | $300 | $4,200 | $500 | H2230-002-0 | |
| Tufts Medicare Preferred PPO RX | $220 | $7,150 | $700 | H9907-003-0 | |
| EternalHealth Freedom | $0 | $6,500 | $275 | H2694-001-0 | |
| EternalHealth Give Back | $0 | $6,500 | $400 | H2694-002-0 |
What is the average monthly premium for PPO plans in Worcester?
PPO plans in Worcester cost $43.13 per month on average.
Which PPO plan has the highest enrollment in Worcester?
The most popular PPO plan in Worcester is Aetna Medicare Signature Extra (PPO), with 6,971 enrollees.
How many PPO plans in Worcester do not include prescription drug coverage?
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 13
- Average Monthly Premium $82.00/mo
- Total HMO Enrollment 7,955
- $0 Premium HMO Plans 7
- Average MOOP $5,231
- Top HMO by Enrollment Tufts Medicare Preferred HMO Basic Rx (HMO) — 2,975 enrollees
- HMO Plans Without Drug Coverage 4
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Medicare HMO Blue PlusRx | $245 | $3,800 | $500 | H2261-005-0 | |
| Fallon Medicare Plus Blue | $217 | $3,400 | $0 | H9001-031-15 | |
| Fallon Medicare Plus Green | $105 | $6,000 | $300 | H9001-030-15 | |
| Fallon Medicare Plus Orange | $0 | $9,850 | $595 | H9001-041-15 | |
| Fallon Medicare Plus Saver No Rx | $0 | $6,700 | N/A | H9001-039-0 | |
| Tufts Medicare Preferred HMO Basic No Rx | $0 | $4,500 | N/A | H2256-041-0 | |
| Tufts Medicare Preferred HMO Basic Rx | $85 | $4,500 | $200 | H2256-036-0 | |
| Tufts Medicare Preferred HMO Prime No Rx | $0 | $3,850 | N/A | H2256-039-0 | |
| Tufts Medicare Preferred HMO Prime Rx | $224 | $3,850 | $0 | H2256-033-0 | |
| Tufts Medicare Preferred HMO Smart Saver Rx | $0 | $7,150 | $700 | H2256-047-1 | |
| Tufts Medicare Preferred HMO Value No Rx | $0 | $4,200 | N/A | H2256-040-0 | |
| Tufts Medicare Preferred HMO Value Rx | $190 | $4,200 | $200 | H2256-034-0 | |
| EternalHealth Forever | $0 | $6,000 | $250 | H1280-001-0 |
What is the top HMO by enrollment in Worcester?
Tufts Medicare Preferred HMO Basic Rx (HMO) is the top HMO in Worcester, with 2,975 enrollees.
What is the number of HMO plans without Part D coverage in Worcester?
4 HMO plans in Worcester 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
- 6
- Average Monthly Premium
- $40.00/mo
- Total HMO-POS Enrollment
- 5,264
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $6,350
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC MA-0003 (HMO-POS) — 3,406 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC MA-0003 | $0 | $7,150 | $685 | H5253-157-1 | |
| AARP Medicare Advantage Patriot No Rx MA-MA2 | $0 | $7,150 | N/A | H5253-225-0 | |
| Mass General Brigham Advantage Core | $0 | $7,150 | $700 | H6847-002-0 | |
| Mass General Brigham Advantage Plus | $180 | $4,500 | $700 | H6847-003-0 | |
| Mass General Brigham Advantage Secure | $60 | $5,000 | $700 | H6847-001-0 | |
| Aetna Medicare Signature | $0 | $7,150 | $400 | H5793-014-0 |
What is the typical premium for HMO-POS plans in Worcester?
HMO-POS plans in Worcester cost $40.00 per month on average.
Which HMO-POS plan has the most members in Worcester?
The most popular HMO-POS plan in Worcester is AARP Medicare Advantage from UHC MA-0003 (HMO-POS), with 3,406 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Worcester?
There are 1 HMO-POS plans in Worcester without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Worcester County, MA (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 26 | 79% |
| 3 Stars | 5 | 15% |
| Below 3 Stars | 2 | 6% |
| Not Rated | 1 | 3% |
| Average Rating | 3.85 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Worcester County, Massachusetts, including communities such as Barre, Oakham, Warren, Athol, Fitchburg, Ashburnham, Baldwinville, Gardner, Harvard, Hubbardston, Leominster, Lunenburg, Templeton, Westminster, Winchendon, Auburn, Berlin, Blackstone, Boylston, Brookfield, Charlton, Clinton, East Brookfield, Douglas, Fiskdale, Grafton, Holden, Jefferson, Lancaster, Leicester, Millbury, Millville, Northborough, Northbridge, North Brookfield, North Grafton, North Oxford, Oxford, Princeton, Rochdale, Rutland, Shrewsbury, Southbridge, South Grafton, Spencer, Sterling, Sturbridge, Upton, Uxbridge, Webster, Dudley, Westborough, West Boylston, West Brookfield, Whitinsville, Sutton, Worcester, Cherry Valley, Paxton, Bolton, Hopedale, Mendon, Milford, Southborough, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10
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, non-government informational resource and is not affiliated with or endorsed by 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.