- Entity
- county:new-york-fulton-36035
- 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/fulton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 31
- PPO Plans
- 14
- HMO Plans
- 6
- HMO-POS Plans
- 7
- PFFS Plans
- 4
- Average Monthly Premium
- 39.62
- Average MOOP
- 7361.29
- Average Part D Deductible
- 550.23
- $0 Premium Plans
- 17
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 3.65
- $0 Premium Plan Share
- 54.84
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 35
- 3-Star Plan Share
- 65
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 40.27
- PPO Average MOOP
- 8203.57
- PPO Enrollment
- 1532
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 56.5
- HMO Average MOOP
- 6866.67
- HMO Enrollment
- 2390
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 21.21
- HMO-POS Average MOOP
- 7764.29
- HMO-POS Enrollment
- 1190
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 3
- PFFS Average Monthly Premium
- 44.25
- PFFS Average MOOP
- 4450
- PFFS Enrollment
- 23
- PFFS $0 Premium Plans
- 2
- PFFS Plans Without Part D Coverage
- 2
- Entity
- county:new-york-fulton-36035
- 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/fulton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-fulton-36035-landscape-stats
- Plans Indexed
- 31
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-323-0 -
Aetna Medicare Premier
H5521-340-0 -
Aetna Medicare Signature
H5521-077-0 -
CDPHP $0 Medicare Rx
H3388-014-0 -
CDPHP Choice Rx
H3388-002-0 -
CDPHP Clear Rx
H3388-020-0 -
CDPHP Core
H3388-001-0 -
Forever Blue 770
H5526-018-0 -
MVP Medicare Preferred Gold without Part D
H3305-020-0 -
MVP Medicare Secure Plus with Part D
H3305-022-0 -
Senior Blue 652
H3384-013-0 -
AARP Medicare Advantage from UHC NY-0015
H3418-004-0 -
AARP Medicare Advantage from UHC NY-29
H3379-052-0 -
AARP Medicare Advantage Patriot No Rx NY-MA3
H3379-060-0 -
Medicare BluePlus
H3335-018-0 -
Medicare BlueSalute
H3335-044-0 -
MVP Medicare Complete Wellness with Part D
H9615-024-0 -
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
H3312-048-0 -
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 Simple Open
H2775-106-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 5135
2026 Medicare Advantage Plans in Fulton County, NY
Last update: .
For 2026, Fulton County, NY includes 31 Medicare Advantage plans. Enrollment across these plans totals approximately 5,135, with 17 $0 premium options and 35% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Fulton County, NY are provided separately. Or you can discover all Medicare Options in Fulton 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
- 14
- Average Monthly Premium
- $40.27/mo
- Total PPO Enrollment
- 1,532
- $0 Premium PPO Plans
- 7
- Average MOOP
- $8,204
- Top PPO by Enrollment
- MVP Medicare Complete Wellness with Part D (PPO) — 381 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 | $50 | $8,900 | $615 | H5521-340-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H5521-077-0 | |
| Forever Blue 770 | $220 | $6,700 | $615 | H5526-018-0 | |
| AARP Medicare Advantage from UHC NY-0015 | $48 | $7,900 | $600 | H3418-004-0 | |
| Medicare BluePlus | $140 | $7,900 | $615 | H3335-018-0 | |
| Medicare BlueSalute | $0 | $4,500 | N/A | H3335-044-0 | |
| 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 typical premium for PPO plans available in Fulton?
PPO plans in Fulton cost $40.27 per month on average.
Which PPO plan do most beneficiaries choose in Fulton?
The most popular PPO plan in Fulton is MVP Medicare Complete Wellness with Part D (PPO), with 381 enrollees.
How many PPO options are offered without drug coverage in Fulton?
3 PPO plans in Fulton 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 2,390
- $0 Premium HMO Plans 3
- Average MOOP $6,867
- Top HMO by Enrollment CDPHP $0 Medicare Rx (HMO) — 1,635 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 | H3312-048-0 |
What is the total number of HMO plans offered in Fulton?
In 2026, Fulton County has 6 HMO plans with 2,390 enrollees.
How much do HMO plans cost in Fulton?
The typical HMO premium in Fulton is $56.50, and 3 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
- 7
- Average Monthly Premium
- $21.21/mo
- Total HMO-POS Enrollment
- 1,190
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $7,764
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-29 (HMO-POS) — 800 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| 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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Fulton cost $21.21 per month on average.
- Which HMO-POS plan is most popular in Fulton?
- The most popular HMO-POS plan in Fulton is AARP Medicare Advantage from UHC NY-29 (HMO-POS), with 800 enrollees.
- How many HMO-POS plans in Fulton do not include drug coverage?
- There are 3 HMO-POS plans in Fulton 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 23
- $0 Premium PFFS Plans 2
- Average MOOP $4,450
- Top PFFS by Enrollment Wellcare Advantage Simple (PFFS) — 23 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 Fulton?
There are 4 PFFS plans in 2026, covering 23 enrollees.
How much do PFFS plans cost in Fulton?
The average PFFS premium in Fulton is $44.25 per month, with 2 plans offering $0 premiums.
What is the top PFFS plan in Fulton?
Wellcare Advantage Simple (PFFS) is the top PFFS in Fulton, with 23 enrollees.
What is the number of PFFS plans without Part D coverage in Fulton?
2 PFFS plans in Fulton do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Fulton 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) | 11 | 35% |
| 3 Stars | 20 | 65% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.65 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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
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
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.
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.