2026 Medicare Advantage Plans in Bronx County, NY
Last update: . Enrollment data updated: May 2, 2026
For 2026, Bronx County, NY includes 37 Medicare Advantage plans. Enrollment across these plans totals approximately 37,923, with 20 $0 premium options and 27% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Bronx County, NY are provided separately. Or you can discover all Medicare Options in Bronx County, NY.
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
- 13
- Average Monthly Premium
- $23.06/mo
- Total PPO Enrollment
- 8,233
- $0 Premium PPO Plans
- 8
- Average MOOP
- $8,731
- Top PPO by Enrollment
- Aetna Medicare Elite (PPO) — 2,325 enrollees
- PPO Plans Without Drug Coverage
- 2
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,250 | N/A | H5521-320-0 | |
| Aetna Medicare Elite | $0 | $9,250 | $615 | H5521-120-0 | |
| Aetna Medicare Elite Extra | $44 | $9,250 | $615 | H5521-698-0 | |
| Aetna Medicare Enhanced | $91 | $9,250 | $615 | H5521-121-0 | |
| Aetna Medicare Enhanced Extra | $51 | $9,250 | $615 | H5521-457-0 | |
| Healthfirst Signature | $55 | $9,250 | $615 | H9678-002-0 | |
| HealthSpring True Choice | $0 | $6,800 | $250 | H7849-150-0 | |
| Humana Direct Choice Giveback | $0 | $9,250 | $475 | H5970-031-0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5970-016-0 | |
| HumanaChoice H5970-028 | $0 | $9,250 | $615 | H5970-028-0 | |
| Wellcare Assist Open | $59 | $9,250 | $530 | H2775-113-0 | |
| Wellcare Giveback Open | $0 | $9,250 | $615 | H2775-111-0 | |
| Wellcare Simple Open | $0 | $9,250 | $615 | H2775-106-0 |
What is the typical premium for PPO plans available in Bronx?
PPO plans in Bronx cost $23.06 per month on average.
Which PPO plan do most beneficiaries choose in Bronx?
The most popular PPO plan in Bronx is Aetna Medicare Elite (PPO), with 2,325 enrollees.
How many PPO options are offered without drug coverage in Bronx?
2 PPO plans in Bronx 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 11
- Average Monthly Premium $40.07/mo
- Total HMO Enrollment 23,035
- $0 Premium HMO Plans 5
- Average MOOP $9,250
- Top HMO by Enrollment Healthfirst 65 Plus Plan (HMO) — 8,787 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Healthfirst 65 Plus Plan | $0 | $9,250 | $615 | H3359-001-0 | |
| Healthfirst Increased Benefits Plan | $24 | $9,250 | $615 | H3359-019-0 | |
| EmblemHealth VIP Gold Plus | $252 | $9,250 | $200 | H3330-038-0 | |
| Healthfirst Signature | $0 | $9,250 | $615 | H5989-011-0 | |
| MetroPlus Platinum Plan | $59 | $9,250 | $615 | H0423-004-0 | |
| VillageCareMAX Medicare Select Advantage Plan | $59 | $9,250 | $615 | H2168-004-0 | |
| VNS Health EasyCare | $25 | $9,250 | $500 | H5549-012-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312-002-0 | |
| Aetna Medicare Signature Care | $0 | $9,250 | $615 | H3312-074-0 | |
| Humana Gold Plus Giveback H3533-027 | $0 | $9,250 | $615 | H3533-027-0 | |
| Humana Gold Plus H3533-035 | $22 | $9,250 | $615 | H3533-035-0 |
What is the total number of HMO plans offered in Bronx?
In 2026, Bronx County has 11 HMO plans with 23,035 enrollees.
How much do HMO plans cost in Bronx?
The typical HMO premium in Bronx is $40.07, and 5 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
- 13
- Average Monthly Premium
- $23.28/mo
- Total HMO-POS Enrollment
- 6,655
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $8,415
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-0005 (HMO-POS) — 1,586 enrollees
- HMO-POS Plans Without Drug Coverage
- 4
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Anthem Medicare Advantage 2 | $34 | $9,250 | $240 | H6988-009-0 | |
| Anthem Veteran 2 | $0 | $6,800 | N/A | H6988-008-0 | |
| AARP Medicare Advantage from UHC NY-0005 | $82 | $9,250 | $520 | H3379-001-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379-060-0 | |
| Anthem Medicare Advantage | $44 | $9,250 | $150 | H8432-040-0 | |
| Anthem Veteran | $0 | $6,800 | N/A | H8432-036-0 | |
| Elderplan Extra Help | $59 | $7,550 | $375 | H3347-009-0 | |
| Elderplan Flex | $0 | $7,550 | $375 | H3347-016-0 | |
| Wellcare Assist | $51 | $9,250 | $590 | H4868-016-0 | |
| Wellcare Fidelis Assist | $33 | $9,250 | $615 | H5599-002-0 | |
| Wellcare Fidelis Patriot Simple | $0 | $9,250 | N/A | H5599-010-0 | |
| Wellcare Fidelis Simple | $0 | $9,250 | $615 | H5599-004-0 | |
| Wellcare Simple | $0 | $9,250 | $615 | H4868-019-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Bronx cost $23.28 per month on average.
- Which HMO-POS plan is most popular in Bronx?
- The most popular HMO-POS plan in Bronx is AARP Medicare Advantage from UHC NY-0005 (HMO-POS), with 1,586 enrollees.
- How many HMO-POS plans in Bronx do not include drug coverage?
- There are 4 HMO-POS plans in Bronx without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Bronx County, NY (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 5% |
| 4 Stars (includes 5 Stars) | 10 | 27% |
| 3 Stars | 27 | 73% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.55 | |
* 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.