2026 Medicare Advantage Plans in Columbia County, NY
Last update: . Enrollment data updated: June 13, 2026
For 2026, Columbia County, NY includes 26 Medicare Advantage plans. Enrollment across these plans totals approximately 4,840, with 16 $0 premium options and 38% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Columbia County, NY are summarized separately. Visit Medicare Options in Columbia County, NY 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
- 10
- Average Monthly Premium
- $37.38/mo
- Total PPO Enrollment
- 1,279
- $0 Premium PPO Plans
- 5
- Average MOOP
- $8,430
- Top PPO by Enrollment
- MVP Medicare Complete Wellness with Part D (PPO) — 523 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 | H5521-323-0 | |
| Forever Blue 770 | $220 | $6,700 | $615 | H5526-018-0 | |
| AARP Medicare Advantage from UHC NY-0015 | $48 | $7,900 | $600 | H3418-004-0 | |
| MVP Medicare Complete Wellness with Part D | $15 | $9,250 | $615 | H9615-024-0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5970-016-0 | |
| HumanaChoice Giveback H5970-030 | $0 | $9,250 | $615 | H5970-030-0 | |
| HumanaChoice H5970-029 | $32 | $9,250 | $615 | H5970-029-0 | |
| 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 average monthly premium for PPO plans in Columbia?
PPO plans in Columbia cost $37.38 per month on average.
Which PPO plan has the highest enrollment in Columbia?
The most popular PPO plan in Columbia is MVP Medicare Complete Wellness with Part D (PPO), with 523 enrollees.
How many PPO plans in Columbia do not include prescription drug coverage?
2 PPO plans in Columbia 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 6
- Average Monthly Premium $56.50/mo
- Total HMO Enrollment 2,675
- $0 Premium HMO Plans 3
- Average MOOP $6,867
- Top HMO by Enrollment CDPHP $0 Medicare Rx (HMO) — 1,296 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| CDPHP $0 Medicare Rx | $0 | $6,750 | $500 | H3388-014-0 | |
| CDPHP Choice Rx | $135 | $6,000 | $0 | H3388-002-0 | |
| CDPHP Clear Rx | $100 | $6,400 | $250 | H3388-020-0 | |
| CDPHP Core | $0 | $6,100 | N/A | H3388-001-0 | |
| Senior Blue 652 | $104 | $6,700 | $615 | H3384-013-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312-062-0 |
What is the top HMO by enrollment in Columbia?
CDPHP $0 Medicare Rx (HMO) is the top HMO in Columbia, with 1,296 enrollees.
What is the number of HMO plans without Part D coverage in Columbia?
1 HMO plans in Columbia 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
- 8
- Average Monthly Premium
- $18.56/mo
- Total HMO-POS Enrollment
- 886
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $7,731
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-29 (HMO-POS) — 564 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| EmblemHealth VIP Value | $0 | $7,500 | $215 | H3330-048-0 | |
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-020-0 | |
| MVP Medicare Secure Plus with Part D | $116 | $6,000 | $400 | H3305-022-0 | |
| AARP Medicare Advantage from UHC NY-29 | $0 | $6,700 | $600 | H3379-052-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379-060-0 | |
| 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 |
What is the typical premium for HMO-POS plans in Columbia?
HMO-POS plans in Columbia cost $18.56 per month on average.
Which HMO-POS plan has the most members in Columbia?
The most popular HMO-POS plan in Columbia is AARP Medicare Advantage from UHC NY-29 (HMO-POS), with 564 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Columbia?
There are 3 HMO-POS plans in Columbia without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellcare Advantage Enhanced | $0 | $4,300 | N/A | H2816-037-0 | |
| Wellcare Advantage Simple | $0 | $6,700 | N/A | H2816-038-0 |
What is the total number of PFFS plans in Columbia?
In 2026, Columbia has 2 PFFS plans with 0 enrollees.
How much do PFFS plans cost in Columbia?
The typical PFFS premium in Columbia is $0.00, and 2 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Columbia County, NY (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) | 10 | 38% |
| 3 Stars | 16 | 62% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.62 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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
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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.