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2027 Medicare Advantage Plans in Essex County, NY

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In Essex County, NY, there are 11 Medicare Advantage plans available for 2027. Of these, 9 offer a $0 monthly premium, and about 27% are rated 4 stars or higher based on CMS quality ratings.

At a Glance

Average Monthly Premium
$19.48/mo
Plans with $0 Premium
9
Average MOOP Limit
$9,305 ($9,250 max. in 2027)
Star Ratings (Plan Mix)
4+ Stars: 27% · 3 Stars: 73% · Below 3: 0%
Average Part D Deductible
$700.00
Total MA/MAPD Enrollment
500
Plans with the Highest Enrollment
(as of October 5, 2026)
1. Wellcare Fidelis Simple (HMO-POS) — 208 enrollees
2. Wellcare Simple Open (PPO) — 80 enrollees
3. Aetna Medicare Eagle Giveback (PPO) — 79 enrollees

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Essex County, NY. Or explore all Medicare Options available in Essex County, NY. To understand how local plans fit into the broader market, visit our New York Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

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 4
  • Average Monthly Premium $0.00/mo
  • Total PPO Enrollment 230
  • $0 Premium PPO Plans 4
  • Average MOOP $9,850
  • Top PPO by Enrollment Wellcare Simple Open (PPO) — 80 enrollees
  • PPO Plans Without Drug Coverage 1

Comparison table of 2027 PPO Medicare Advantage Plans available in Essex County, New York
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Eagle Giveback
☆☆☆☆☆
 $0 $9,850 N/A H5521-323-0
Wellcare Assist Open
☆☆☆☆☆
 $0 $9,850 $700 H2775-113-0
Wellcare Giveback Open
☆☆☆☆☆
 $0 $9,850 $700 H2775-111-0
Wellcare Simple Open
☆☆☆☆☆
 $0 $9,850 $700 H2775-106-0
What is the total number of PPO plans offered in Essex?

There are 4 PPO plans in 2027, covering 230 beneficiaries.

How much do PPO plans cost in Essex?

The average PPO premium in Essex is $0.00 per month, with 4 plans offering $0 premiums.

What is the most popular PPO plan in Essex?

Wellcare Simple Open (PPO) is the top PPO in Essex, with 80 enrollees.

What is the number of PPO plans without Part D coverage in Essex?

There are 1 PPO plans in Essex 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
1
Average Monthly Premium
$59.00/mo
Total HMO Enrollment
0
$0 Premium HMO Plans
0
Average MOOP
$9,850
Top HMO by Enrollment
— 0 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2027 HMO Medicare Advantage Plans available in Essex County, New York
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Elite
☆☆☆☆☆
 $59 $9,850 $700 H3312-107-0

What is the average monthly premium for HMO plans?

HMO plans in Essex cost $59.00 per month on average.

Which HMO plan is most popular in Essex?

The most popular HMO plan in Essex is , with 0 enrollees.

How many HMO plans in Essex do not include drug coverage?

There are 0 HMO plans in Essex 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.

Total HMO-POS Plans
6
Average Monthly Premium
$25.88/mo
Total HMO-POS Enrollment
270
$0 Premium HMO-POS Plans
5
Average MOOP
$8,850
Top HMO-POS by Enrollment
Wellcare Fidelis Simple (HMO-POS) — 208 enrollees
HMO-POS Plans Without Drug Coverage
3

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Essex County, New York
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Medicare Blue Choice 032
☆☆☆☆☆
 $155 $9,850 $700 H3351-032-0
Medicare Blue Choice 033
☆☆☆☆☆
 $0 $6,500 N/A H3351-033-0
MVP Medicare Preferred Gold without Part D
☆☆☆☆☆
 $0 $7,200 N/A H3305-020-0
Wellcare Fidelis Assist
☆☆☆☆☆
 $0 $9,850 $700 H5599-002-0
Wellcare Fidelis Patriot Simple
☆☆☆☆☆
 $0 $9,850 N/A H5599-010-0
Wellcare Fidelis Simple
☆☆☆☆☆
 $0 $9,850 $700 H5599-004-0
What is the leading HMO-POS plan in Essex?

Wellcare Fidelis Simple (HMO-POS) is the top HMO-POS in Essex, with 208 enrollees.

What is the number of HMO-POS plans without Part D coverage in Essex?

3 HMO-POS plans in Essex do not include prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Essex County, NY for 2027.

CMS Star Ratings for Medicare Advantage Plans in Essex County, NY (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 3 27%
3 Stars 8 73%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.32

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

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 .

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