- Entity
- county:new-york-jefferson-36045
- Digest
- 2027-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
- 23
- PPO Plans
- 10
- HMO Plans
- 2
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 41.29
- Average MOOP
- 8734.78
- Average Part D Deductible
- 653.53
- $0 Premium Plans
- 13
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 3.48
- $0 Premium Plan Share
- 56.52
- 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
- 43.5
- PPO Average MOOP
- 9005
- PPO Enrollment
- 2313
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 2
- HMO Average Monthly Premium
- 7
- HMO Average MOOP
- 9850
- HMO Enrollment
- 297
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 45.51
- HMO-POS Average MOOP
- 8286.36
- HMO-POS Enrollment
- 1481
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 4
- Entity
- county:new-york-jefferson-36045
- Digest
- 2027-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
- 23
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-323-0 -
Aetna Medicare Elite
H5521-740-0 -
Aetna Medicare Premier
H5521-340-0 -
Aetna Medicare Signature
H5521-077-0 -
Medicare Blue Choice 028
H3351-028-0 -
Medicare Blue Choice 029
H3351-029-0 -
Medicare Blue Choice 030
H3351-030-0 -
Medicare Blue Choice 031
H3351-031-0 -
AARP Medicare Advantage from UHC NY-0006
H3379-039-0 -
AARP Medicare Advantage Patriot No Rx NY-MA3
H3379-060-0 -
MVP Medicare Preferred Gold without Part D
H3305-020-0 -
MVP Medicare Secure Plus Choice with Part D
H9615-025-0 -
MVP Medicare Secure Plus with Part D
H3305-022-0 -
MVP Medicare WellValue with Part D
H3305-038-0 -
Aetna Medicare Signature
H3312-048-0 -
Humana USAA Honor Giveback
H5970-016-0 -
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
- 4091
2027 Medicare Advantage Plans in Jefferson County, NY
Last update: .
For 2027, Jefferson County, NY includes 23 Medicare Advantage plans. Enrollment across these plans totals approximately 4,091, with 13 $0 premium options and 35% rated 4 stars or higher.
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
- 10
- Average Monthly Premium
- $43.50/mo
- Total PPO Enrollment
- 2,313
- $0 Premium PPO Plans
- 6
- Average MOOP
- $9,005
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 1,017 enrollees
- PPO Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | |
| MVP Medicare Secure Plus Choice with Part D | $256 | $7,500 | $500 | H9615-025-0 | |
| 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 Jefferson?
- PPO plans in Jefferson cost $43.50 per month on average.
- Which PPO plan has the highest enrollment in Jefferson?
- The most popular PPO plan in Jefferson is Aetna Medicare Signature (PPO), with 1,017 enrollees.
- How many PPO plans in Jefferson do not include prescription drug coverage?
- 2 PPO plans in Jefferson do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Medicare Blue Choice 028 | $14 | $9,850 | $700 | H3351-028-0 | |
| Aetna Medicare Signature | $0 | $9,850 | $700 | H3312-048-0 |
What is the total number of HMO plans offered in Jefferson?
There are 2 HMO plans in 2027, covering 297 enrollees.
How much do HMO plans cost in Jefferson?
The average HMO premium in Jefferson is $7.00 per month, with 1 plans offering $0 premiums.
What is the top HMO by enrollment in Jefferson?
Aetna Medicare Signature (HMO) is the top HMO in Jefferson, with 297 enrollees.
What is the number of HMO plans without Part D coverage in Jefferson?
0 HMO plans in Jefferson 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
- 11
- Average Monthly Premium
- $45.51/mo
- Total HMO-POS Enrollment
- 1,481
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $8,286
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-0006 (HMO-POS) — 1,329 enrollees
- HMO-POS Plans Without Drug Coverage
- 4
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Medicare Blue Choice 029 | $85 | $8,500 | $700 | H3351-029-0 | |
| Medicare Blue Choice 030 | $125 | $7,500 | $325 | H3351-030-0 | |
| Medicare Blue Choice 031 | $0 | $6,500 | N/A | H3351-031-0 | |
| AARP Medicare Advantage from UHC NY-0006 | $54 | $8,900 | $685 | H3379-039-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $7,150 | N/A | H3379-060-0 | |
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-020-0 | |
| MVP Medicare Secure Plus with Part D | $165 | $6,000 | $500 | H3305-022-0 | |
| MVP Medicare WellValue with Part D | $71 | $9,850 | $700 | H3305-038-0 | |
| 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Jefferson cost $45.51 per month on average.
Which HMO-POS plan is most popular in Jefferson?
The most popular HMO-POS plan in Jefferson is AARP Medicare Advantage from UHC NY-0006 (HMO-POS), with 1,329 enrollees.
How many HMO-POS plans in Jefferson do not include drug coverage?
There are 4 HMO-POS plans in Jefferson without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Jefferson County, NY (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 8 | 35% |
| 3 Stars | 15 | 65% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.48 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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, "Compare Original Medicare & Medicare Advantage" — 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 informational resource and has no affiliation with, or endorsement from, 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.