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  1. 🏠
  2. Medicare Advantage Plans
  3. New York
  4. Oneida County

2026 Medicare Advantage Plans in Oneida County, NY

Last update: September 1, 2026.

In Oneida County, NY, there are 32 Medicare Advantage plans available for 2026. Of these, 21 offer a $0 monthly premium, and about 17% 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 Oneida County, NY. Or explore all Medicare Options available in Oneida County, NY.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium
$20.93/mo
Plans with $0 Premium
21
Average MOOP Limit
$7,670 ($9,250 max. in 2026)
Star Ratings (Plan Mix)
4+ Stars: 17% · 3 Stars: 83% · Below 3: 0%
Average Part D Deductible
$529.55
Total MA/MAPD Enrollment
19,799
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Medicare BlueEssential (PPO) — 3,973 enrollees
2. Medicare BlueClassic (PPO) — 2,387 enrollees
3. Medicare BlueActive (PPO) — 2,239 enrollees

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 15
  • Average Monthly Premium $20.69/mo
  • Total PPO Enrollment 15,290
  • $0 Premium PPO Plans 9
  • Average MOOP $8,410
  • Top PPO by Enrollment Medicare BlueEssential (PPO) — 3,973 enrollees
  • PPO Plans Without Drug Coverage 3

Comparison table of 2026 PPO Medicare Advantage Plans available in Oneida County, New York
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 BlueActive
☆☆☆☆☆
$0 $8,900 $615 H3335-055-0
Medicare BlueClassic
☆☆☆☆☆
$53 $8,500 $300 H3335-038-0
Medicare BlueEnhanced
☆☆☆☆☆
$101 $7,500 $275 H3335-015-0
Medicare BlueEssential
☆☆☆☆☆
$0 $8,900 $615 H3335-053-0
Medicare BlueSalute
☆☆☆☆☆
$0 $4,500 N/A H3335-043-0
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 Oneida?

There are 15 PPO plans in 2026, covering 15,290 beneficiaries.

How much do PPO plans cost in Oneida?

The average PPO premium in Oneida is $20.69 per month, with 9 plans offering $0 premiums.

What is the most popular PPO plan in Oneida?

Medicare BlueEssential (PPO) is the top PPO in Oneida, with 3,973 enrollees.

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

There are 3 PPO plans in Oneida 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
4
Average Monthly Premium
$0.00/mo
Total HMO Enrollment
921
$0 Premium HMO Plans
4
Average MOOP
$7,500
Top HMO by Enrollment
Aetna Medicare Signature (HMO) — 570 enrollees
HMO Plans Without Drug Coverage
1

Comparison table of 2026 HMO Medicare Advantage Plans available in Oneida County, New York
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Signature
☆☆☆☆☆
$0 $9,250 $615 H3312-048-0
Trinity Health Plan New York Cash Back
☆☆☆☆☆
$0 $8,500 $275 H9827-004-0
Trinity Health Plan New York Glory No RX
☆☆☆☆☆
$0 $5,500 N/A H9827-003-0
Trinity Health Plan New York No Premium
☆☆☆☆☆
$0 $6,750 $125 H9827-001-0

What is the average monthly premium for HMO plans?

HMO plans in Oneida cost $0.00 per month on average.

Which HMO plan is most popular in Oneida?

The most popular HMO plan in Oneida is Aetna Medicare Signature (HMO), with 570 enrollees.

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

There are 1 HMO plans in Oneida 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
9
Average Monthly Premium
$20.28/mo
Total HMO-POS Enrollment
3,468
$0 Premium HMO-POS Plans
6
Average MOOP
$7,944
Top HMO-POS by Enrollment
AARP Medicare Advantage from UHC NY-0006 (HMO-POS) — 2,169 enrollees
HMO-POS Plans Without Drug Coverage
4

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Oneida County, New York
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 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
Wellcare Patriot Simple
☆☆☆☆☆
$0 $6,700 N/A H4868-003-0
Wellcare Simple
☆☆☆☆☆
$0 $9,250 $615 H4868-019-0
What is the leading HMO-POS plan in Oneida?

AARP Medicare Advantage from UHC NY-0006 (HMO-POS) is the top HMO-POS in Oneida, with 2,169 enrollees.

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

4 HMO-POS plans in Oneida 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
4
Average Monthly Premium
$44.25/mo
Total PFFS Enrollment
120
$0 Premium PFFS Plans
2
Average MOOP
$4,450
Top PFFS by Enrollment
Wellcare Advantage Simple (PFFS) — 74 enrollees
PFFS Plans Without Drug Coverage
2

Comparison table of 2026 PFFS Medicare Advantage Plans available in Oneida County, New York
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
Wellcare Premium Enhanced
☆☆☆☆☆
$50 $3,400 $615 H2816-019-0
Wellcare Premium Ultra
☆☆☆☆☆
$127 $3,400 $615 H2816-013-0

What is the typical premium for PFFS plans in Oneida?

PFFS plans in Oneida cost $44.25 per month on average.

Which PFFS plan has the most enrollment in Oneida?

The most popular PFFS plan in Oneida is Wellcare Advantage Simple (PFFS), with 74 enrollees.

How many PFFS options are available without prescription drug coverage in Oneida?

There are 2 PFFS plans in Oneida without prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Oneida County, NY for 2026.

CMS Star Ratings for Medicare Advantage Plans in Oneida County, NY (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 5 17%
3 Stars 24 83%
Below 3 Stars 0 0%
Not Rated 3 9%
Average Rating 3.43

* 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: 2026-08

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 .

  • Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
  • Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
  • Medicare.gov, "Joining a plan" — 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.

This page follows data provenance practices aligned with the 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.

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