2026 Medicare Advantage Plans in Erie County, NY
Last update: . Enrollment data updated: May 2, 2026
For 2026, Erie County, NY includes 46 Medicare Advantage plans. Enrollment across these plans totals approximately 99,395, with 24 $0 premium options and 52% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Erie County, NY are provided separately. Or you can discover all Medicare Options in Erie 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
- 16
- Average Monthly Premium
- $60.55/mo
- Total PPO Enrollment
- 22,571
- $0 Premium PPO Plans
- 7
- Average MOOP
- $7,897
- Top PPO by Enrollment
- Aetna Medicare Premier (PPO) — 10,770 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,250 | N/A | H5521-323-0 | |
| Aetna Medicare Premier | $27 | $6,900 | $500 | H5521-381-0 | |
| Aetna Medicare Signature | $0 | $7,900 | $615 | H5521-215-0 | |
| Forever Blue 751 | $210 | $6,700 | $615 | H5526-004-0 | |
| Forever Blue Value | $152 | $6,700 | $615 | H5526-016-0 | |
| Freedom Valor | $0 | $6,700 | N/A | H5526-023-0 | |
| Independent Health's Medicare Passport Connect | $59 | $9,250 | $615 | H3344-013-0 | |
| AARP Medicare Advantage from UHC NY-0019 | $38 | $8,500 | $600 | H3418-008-0 | |
| MVP Medicare WellSelect with Part D | $160 | $9,250 | $615 | H9615-021-0 | |
| Univera SeniorChoice Core | $232 | $4,000 | $615 | H3335-060-0 | |
| 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 typical premium for PPO plans available in Erie?
PPO plans in Erie cost $60.55 per month on average.
Which PPO plan do most beneficiaries choose in Erie?
The most popular PPO plan in Erie is Aetna Medicare Premier (PPO), with 10,770 enrollees.
How many PPO options are offered without drug coverage in Erie?
3 PPO plans in Erie 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 12
- Average Monthly Premium $41.33/mo
- Total HMO Enrollment 56,284
- $0 Premium HMO Plans 6
- Average MOOP $7,663
- Top HMO by Enrollment Univera SeniorChoice Basic (HMO) — 17,622 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 total number of HMO plans offered in Erie?
In 2026, Erie County has 12 HMO plans with 56,284 enrollees.
How much do HMO plans cost in Erie?
The typical HMO premium in Erie is $41.33, and 6 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
- 14
- Average Monthly Premium
- $33.24/mo
- Total HMO-POS Enrollment
- 20,519
- $0 Premium HMO-POS Plans
- 9
- Average MOOP
- $7,439
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-0007 (HMO-POS) — 9,108 enrollees
- HMO-POS Plans Without Drug Coverage
- 5
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Erie cost $33.24 per month on average.
- Which HMO-POS plan is most popular in Erie?
- The most popular HMO-POS plan in Erie is AARP Medicare Advantage from UHC NY-0007 (HMO-POS), with 9,108 enrollees.
- How many HMO-POS plans in Erie do not include drug coverage?
- There are 5 HMO-POS plans in Erie without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 4
- Average Monthly Premium $44.25/mo
- Total PFFS Enrollment 21
- $0 Premium PFFS Plans 2
- Average MOOP $4,450
- Top PFFS by Enrollment Wellcare Advantage Simple (PFFS) — 21 enrollees
- PFFS Plans Without Drug Coverage 2
| 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 | |
| Wellcare Premium Enhanced | $50 | $3,400 | $615 | H2816-019-0 | |
| Wellcare Premium Ultra | $127 | $3,400 | $615 | H2816-013-0 |
What is the total number of PFFS plans in Erie?
There are 4 PFFS plans in 2026, covering 21 enrollees.
How much do PFFS plans cost in Erie?
The average PFFS premium in Erie is $44.25 per month, with 2 plans offering $0 premiums.
What is the top PFFS plan in Erie?
Wellcare Advantage Simple (PFFS) is the top PFFS in Erie, with 21 enrollees.
What is the number of PFFS plans without Part D coverage in Erie?
2 PFFS plans in Erie do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Erie County, NY (2026) are summarized below.
| 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 | |
* 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.