- Entity
- county:new-york-jefferson-36045
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 27
- PPO Plans
- 14
- HMO Plans
- 5
- HMO-POS Plans
- 6
- PFFS Plans
- 2
- Average Monthly Premium
- 25.82
- Average MOOP
- 7737.04
- Average Part D Deductible
- 513.33
- $0 Premium Plans
- 17
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 3.63
- $0 Premium Plan Share
- 62.96
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 33
- 3-Star Plan Share
- 67
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 22.29
- PPO Average MOOP
- 8364.29
- PPO Enrollment
- 5144
- PPO $0 Premium Plans
- 8
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 47
- HMO Average MOOP
- 6900
- HMO Enrollment
- 373
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 25
- HMO-POS Average MOOP
- 7716.67
- HMO-POS Enrollment
- 1568
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 3
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 5500
- PFFS Enrollment
- 11
- PFFS $0 Premium Plans
- 2
- PFFS Plans Without Part D Coverage
- 2
- Entity
- county:new-york-jefferson-36045
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-jefferson-36045-landscape-stats
- Plans Indexed
- 27
- 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 -
MVP Medicare Preferred Gold without Part D
H3305-020-0 -
MVP Medicare Secure Plus with Part D
H3305-022-0 -
AARP Medicare Advantage from UHC NY-0006
H3379-039-0 -
AARP Medicare Advantage Patriot No Rx NY-MA3
H3379-060-0 -
Medicare BlueBalanced
H3335-062-0 -
Medicare BlueEnhanced
H3335-015-0 -
Medicare BlueSalute
H3335-043-0 -
Medicare BlueVital
H3335-061-0 -
MVP Medicare Complete Wellness with Part D
H9615-024-0 -
Wellcare Advantage Enhanced
H2816-037-0 -
Wellcare Advantage Simple
H2816-038-0 -
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 Patriot Simple
H5599-010-0 -
Wellcare Giveback Open
H2775-111-0 -
Wellcare Simple
H4868-019-0 -
Wellcare Simple Open
H2775-106-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 7096
2026 Medicare Advantage Plans in Jefferson County, NY
Last update: .
In Jefferson County, NY, there are 27 Medicare Advantage plans available for 2026. Of these, 17 offer a $0 monthly premium, and about 33% 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 Jefferson County, NY. Or explore all Medicare Options available in Jefferson County, NY.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 | |
| Medicare BlueBalanced | $55 | $8,000 | $615 | H3335-062-0 | |
| Medicare BlueEnhanced | $101 | $7,500 | $275 | H3335-015-0 | |
| Medicare BlueSalute | $0 | $4,500 | N/A | H3335-043-0 | |
| Medicare BlueVital | $0 | $9,250 | $615 | H3335-061-0 | |
| 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 total number of PPO plans offered in Jefferson?
Jefferson County has 14 PPO plans for 2026, with 5,144 enrolled.
How much do PPO plans cost in Jefferson?
The typical PPO premium in Jefferson is $22.29, and 8 plans have no monthly premium.
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
- 5
- Average Monthly Premium
- $47.00/mo
- Total HMO Enrollment
- 373
- $0 Premium HMO Plans
- 3
- Average MOOP
- $6,900
- Top HMO by Enrollment
- Aetna Medicare Signature (HMO) — 305 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312-048-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Jefferson cost $47.00 per month on average.
- Which HMO plan is most popular in Jefferson?
- The most popular HMO plan in Jefferson is Aetna Medicare Signature (HMO), with 305 enrollees.
- How many HMO plans in Jefferson do not include drug coverage?
- There are 1 HMO plans in Jefferson without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements 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 $25.00/mo
- Total HMO-POS Enrollment 1,568
- $0 Premium HMO-POS Plans 4
- Average MOOP $7,717
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC NY-0006 (HMO-POS) — 1,328 enrollees
- HMO-POS Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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-0006 | $34 | $7,900 | $520 | H3379-039-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379-060-0 | |
| Wellcare Fidelis Patriot Simple | $0 | $9,250 | N/A | H5599-010-0 | |
| Wellcare Simple | $0 | $9,250 | $615 | H4868-019-0 |
What is the total number of HMO-POS plans in Jefferson?
There are 6 HMO-POS plans in 2026, covering 1,568 enrollees.
How much do HMO-POS plans cost in Jefferson?
The average HMO-POS premium in Jefferson is $25.00 per month, with 4 plans offering $0 premiums.
What is the leading HMO-POS plan in Jefferson?
AARP Medicare Advantage from UHC NY-0006 (HMO-POS) is the top HMO-POS in Jefferson, with 1,328 enrollees.
What is the number of HMO-POS plans without Part D coverage in Jefferson?
3 HMO-POS plans in Jefferson 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
- 2
- Average Monthly Premium
- $0.00/mo
- Total PFFS Enrollment
- 11
- $0 Premium PFFS Plans
- 2
- Average MOOP
- $5,500
- Top PFFS by Enrollment
- Wellcare Advantage Simple (PFFS) — 11 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 |
What is the average monthly premium for PFFS plans?
PFFS plans in Jefferson cost $0.00 per month on average.
Which PFFS plan is most popular in Jefferson?
The most popular PFFS plan in Jefferson is Wellcare Advantage Simple (PFFS), with 11 enrollees.
How many PFFS plans in Jefferson do not include drug coverage?
There are 2 PFFS plans in Jefferson without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Jefferson County, NY for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 9 | 33% |
| 3 Stars | 18 | 67% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.63 | |
* 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: 2026-07
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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 documentation is maintained in alignment 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.