- Entity
- county:new-york-erie-36029
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-york/erie/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 46
- PPO Plans
- 16
- HMO Plans
- 12
- HMO-POS Plans
- 14
- PFFS Plans
- 4
- Average Monthly Premium
- 45.81
- Average MOOP
- 7396.74
- Average Part D Deductible
- 517.06
- $0 Premium Plans
- 24
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 3.79
- $0 Premium Plan Share
- 52.17
- 5-Star Plan Share
- 9
- 4+ Star Plan Share
- 52
- 3-Star Plan Share
- 48
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 60.55
- PPO Average MOOP
- 7896.88
- PPO Enrollment
- 23243
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 41.33
- HMO Average MOOP
- 7662.5
- HMO Enrollment
- 56625
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 33.24
- HMO-POS Average MOOP
- 7439.29
- HMO-POS Enrollment
- 20495
- HMO-POS $0 Premium Plans
- 9
- HMO-POS Plans Without Part D Coverage
- 5
- PFFS Average Monthly Premium
- 44.25
- PFFS Average MOOP
- 4450
- PFFS Enrollment
- 20
- PFFS $0 Premium Plans
- 2
- PFFS Plans Without Part D Coverage
- 2
- Entity
- county:new-york-erie-36029
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-york/erie/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-erie-36029-landscape-stats
- Plans Indexed
- 46
- Standard Medicare Advantage Plans
-
-
Independent Health's Encompass 65
H3362-016-0 -
Independent Health's Encompass 65 RED 042
H3362-042-0 -
Independent Health's Encompass 65 RED 043
H3362-043-0 -
Independent Health's Encompass 65 RED 044
H3362-044-0 -
Aetna Medicare Eagle Giveback
H5521-323-0 -
Aetna Medicare Premier
H5521-381-0 -
Aetna Medicare Signature
H5521-215-0 -
Forever Blue 751
H5526-004-0 -
Forever Blue Value
H5526-016-0 -
Freedom Valor
H5526-023-0 -
Independent Health's Medicare Passport Connect
H3344-013-0 -
Community Blue Medicare HMO Distinct
H3384-070-1 -
Community Blue Medicare HMO Merit
H3384-071-0 -
Community Blue Medicare HMO Signature
H3384-069-1 -
MVP Medicare Preferred Gold with Part D
H3305-015-0 -
MVP Medicare Preferred Gold without Part D
H3305-007-0 -
Senior Blue 601
H3384-022-0 -
Senior Blue 651
H3384-019-0 -
Univera Medicare Freedom
H3351-001-0 -
Univera SeniorChoice Advanced
H3351-019-0 -
Univera SeniorChoice Basic
H3351-017-0 -
Univera SeniorChoice Extra
H3351-020-0 -
Univera SeniorChoice Secure
H3351-002-0 -
Univera SeniorChoice Value Plus
H3351-012-0 -
AARP Medicare Advantage from UHC NY-0007
H3379-040-0 -
AARP Medicare Advantage from UHC NY-0019
H3418-008-0 -
AARP Medicare Advantage Patriot No Rx NY-MA3
H3379-060-0 -
MVP Medicare WellSelect with Part D
H9615-021-0 -
Univera SeniorChoice Core
H3335-060-0 -
VNS Health EasyCare
H5549-012-0 -
Wellcare Advantage Enhanced
H2816-037-0 -
Wellcare Advantage Simple
H2816-038-0 -
Wellcare Premium Enhanced
H2816-019-0 -
Wellcare Premium Ultra
H2816-013-0 -
Aetna Medicare Signature
H3312-065-0 -
Humana USAA Honor Giveback
H5970-016-0 -
HumanaChoice Giveback H5970-030
H5970-030-0 -
HumanaChoice H5970-029
H5970-029-0 -
Wellcare Assist Open
H2775-113-0 -
Wellcare Fidelis Assist
H5599-002-0 -
Wellcare Fidelis Patriot Simple
H5599-010-0 -
Wellcare Fidelis Simple
H5599-004-0 -
Wellcare Giveback Open
H2775-111-0 -
Wellcare Patriot Simple
H4868-003-0 -
Wellcare Simple
H4868-019-0 -
Wellcare Simple Open
H2775-106-0
-
Independent Health's Encompass 65
- Total Standard Medicare Advantage Enrollment
- 100383
2026 Medicare Advantage Plans in Erie County, NY
Last update: .
In Erie County, NY, there are 46 Medicare Advantage plans available for 2026. Of these, 24 offer a $0 monthly premium, and about 52% 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 Erie County, NY. Or explore all Medicare Options available in Erie County, NY.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 16
- Average Monthly Premium $60.55/mo
- Total PPO Enrollment 23,243
- $0 Premium PPO Plans 7
- Average MOOP $7,897
- Top PPO by Enrollment Aetna Medicare Premier (PPO) — 11,466 enrollees
- PPO Plans Without Drug Coverage 3
What is the total number of PPO plans offered in Erie?
There are 16 PPO plans in 2026, covering 23,243 beneficiaries.
How much do PPO plans cost in Erie?
The average PPO premium in Erie is $60.55 per month, with 7 plans offering $0 premiums.
What is the most popular PPO plan in Erie?
Aetna Medicare Premier (PPO) is the top PPO in Erie, with 11,466 enrollees.
What is the number of PPO plans without Part D coverage in Erie?
There are 3 PPO plans in Erie without prescription drug coverage.
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
- 12
- Average Monthly Premium
- $41.33/mo
- Total HMO Enrollment
- 56,625
- $0 Premium HMO Plans
- 6
- Average MOOP
- $7,663
- Top HMO by Enrollment
- Univera SeniorChoice Basic (HMO) — 17,877 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Independent Health's Encompass 65 | $0 | $6,750 | N/A | H3362-016-0 | |
| Independent Health's Encompass 65 RED 042 | $40 | $9,250 | $250 | H3362-042-0 | |
| Independent Health's Encompass 65 RED 043 | $190 | $7,000 | $50 | H3362-043-0 | |
| Independent Health's Encompass 65 RED 044 | $95 | $7,500 | $150 | H3362-044-0 | |
| Community Blue Medicare HMO Distinct | $49 | $6,750 | $615 | H3384-070-1 | |
| Community Blue Medicare HMO Merit | $0 | $8,300 | $615 | H3384-071-0 | |
| Community Blue Medicare HMO Signature | $0 | $6,750 | $615 | H3384-069-1 | |
| Senior Blue 601 | $0 | $6,700 | N/A | H3384-022-0 | |
| Senior Blue 651 | $97 | $6,700 | $615 | H3384-019-0 | |
| Univera SeniorChoice Basic | $0 | $8,500 | $615 | H3351-017-0 | |
| Univera SeniorChoice Extra | $0 | $8,500 | $615 | H3351-020-0 | |
| VNS Health EasyCare | $25 | $9,250 | $500 | H5549-012-0 |
What is the average monthly premium for HMO plans?
HMO plans in Erie cost $41.33 per month on average.
Which HMO plan is most popular in Erie?
The most popular HMO plan in Erie is Univera SeniorChoice Basic (HMO), with 17,877 enrollees.
How many HMO plans in Erie do not include drug coverage?
There are 2 HMO plans in Erie without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| MVP Medicare Preferred Gold with Part D | $229 | $6,800 | $300 | H3305-015-0 | |
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-007-0 | |
| Univera Medicare Freedom | $0 | $4,500 | N/A | H3351-001-0 | |
| Univera SeniorChoice Advanced | $51 | $7,500 | $300 | H3351-019-0 | |
| Univera SeniorChoice Secure | $83 | $6,000 | $250 | H3351-002-0 | |
| Univera SeniorChoice Value Plus | $70 | $6,700 | $295 | H3351-012-0 | |
| AARP Medicare Advantage from UHC NY-0007 | $0 | $8,300 | $440 | H3379-040-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379-060-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $500 | H3312-065-0 | |
| 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 Patriot Simple | $0 | $6,700 | N/A | H4868-003-0 | |
| Wellcare Simple | $0 | $9,250 | $615 | H4868-019-0 |
What is the leading HMO-POS plan in Erie?
AARP Medicare Advantage from UHC NY-0007 (HMO-POS) is the top HMO-POS in Erie, with 9,058 enrollees.
What is the number of HMO-POS plans without Part D coverage in Erie?
5 HMO-POS plans in Erie do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 4
- Average Monthly Premium
- $44.25/mo
- Total PFFS Enrollment
- 20
- $0 Premium PFFS Plans
- 2
- Average MOOP
- $4,450
- Top PFFS by Enrollment
- Wellcare Advantage Simple (PFFS) — 20 enrollees
- PFFS Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Wellcare Advantage Enhanced | $0 | $4,300 | N/A | H2816-037-0 | |
| Wellcare Advantage Simple | $0 | $6,700 | N/A | H2816-038-0 | |
| Wellcare Premium Enhanced | $50 | $3,400 | $615 | H2816-019-0 | |
| Wellcare Premium Ultra | $127 | $3,400 | $615 | H2816-013-0 |
What is the typical premium for PFFS plans in Erie?
PFFS plans in Erie cost $44.25 per month on average.
Which PFFS plan has the most enrollment in Erie?
The most popular PFFS plan in Erie is Wellcare Advantage Simple (PFFS), with 20 enrollees.
How many PFFS options are available without prescription drug coverage in Erie?
There are 2 PFFS plans in Erie without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Erie County, NY for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 9% |
| 4 Stars (includes 5 Stars) | 24 | 52% |
| 3 Stars | 22 | 48% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.79 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
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
- Medicare.gov, "Joining a plan" — 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.
This page follows data provenance practices aligned with the 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.