Medicare Plans

Open Medicare Plan Data.

2027 Medicare Advantage Plans in Hamilton County, NY

Last update: .

For 2027, Hamilton County, NY includes 19 Medicare Advantage plans. Enrollment across these plans totals approximately 187, with 12 $0 premium options and 38% rated 4 stars or higher.

At a Glance

  • Average Monthly Premium: $20.89/mo
  • $0 Premium Plans: 12
  • Average MOOP: $9,094 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): 4+ Stars: 38% · 3 Stars: 63% · Below 3: 0%
  • Average Part D Deductible: $700.00
  • Total MA/MAPD Enrollment: 187
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. Aetna Medicare Signature (PPO) — 101 enrollees
    2. Aetna Medicare Premier (PPO) — 40 enrollees
    3. Aetna Medicare Signature (HMO) — 18 enrollees

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Hamilton County, NY are summarized separately. Visit Medicare Options in Hamilton County, NY to see more options. For a broader perspective, explore New York Medicare Advantage plans, including statewide premiums, out-of-pocket costs, CMS ratings, and enrollment comparisons.

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
9
Average Monthly Premium
$19.89/mo
Total PPO Enrollment
153
$0 Premium PPO Plans
6
Average MOOP
$9,172
Top PPO by Enrollment
Aetna Medicare Signature (PPO) — 101 enrollees
PPO Plans Without Drug Coverage
2

2027 PPO Medicare Advantage plans in Hamilton County, New York (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Aetna Medicare Eagle Giveback
☆☆☆☆☆
 $0 $9,850 N/A H5521-323-0
Aetna Medicare Elite
☆☆☆☆☆
 $54 $9,850 $700 H5521-740-0
Aetna Medicare Premier
☆☆☆☆☆
 $60 $9,250 $700 H5521-340-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $9,850 $700 H5521-077-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $4,950 N/A H5970-016-0
HumanaChoice H5970-029
☆☆☆☆☆
 $65 $9,250 $700 H5970-029-0
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 average monthly premium for PPO plans in Hamilton?

PPO plans in Hamilton cost $19.89 per month on average.

Which PPO plan has the highest enrollment in Hamilton?

The most popular PPO plan in Hamilton is Aetna Medicare Signature (PPO), with 101 enrollees.

How many PPO plans in Hamilton do not include prescription drug coverage?

2 PPO plans in Hamilton 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 1
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 18
  • $0 Premium HMO Plans 1
  • Average MOOP $9,850
  • Top HMO by Enrollment Aetna Medicare Signature (HMO) — 18 enrollees
  • HMO Plans Without Drug Coverage 0

2027 HMO Medicare Advantage plans in Hamilton County, New York (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Aetna Medicare Signature
☆☆☆☆☆
 $0 $9,850 $700 H3312-048-0
What is the top HMO by enrollment in Hamilton?

Aetna Medicare Signature (HMO) is the top HMO in Hamilton, with 18 enrollees.

What is the number of HMO plans without Part D coverage in Hamilton?

0 HMO plans in Hamilton 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
6
Average Monthly Premium
$25.88/mo
Total HMO-POS Enrollment
16
$0 Premium HMO-POS Plans
5
Average MOOP
$8,850
Top HMO-POS by Enrollment
Wellcare Fidelis Simple (HMO-POS) — 16 enrollees
HMO-POS Plans Without Drug Coverage
3

2027 HMO-POS Medicare Advantage plans in Hamilton County, New York (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 typical premium for HMO-POS plans in Hamilton?

HMO-POS plans in Hamilton cost $25.88 per month on average.

Which HMO-POS plan has the most members in Hamilton?

The most popular HMO-POS plan in Hamilton is Wellcare Fidelis Simple (HMO-POS), with 16 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Hamilton?

There are 3 HMO-POS plans in Hamilton without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Hamilton County, NY (2027) are summarized below.

Medicare Advantage Plan Ratings in Hamilton County, NY (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 6 38%
3 Stars 10 63%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.41

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Hamilton County, New York, including communities such as , and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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 .