2026 Medicare Advantage Plans in Orange County, NY
Last update: . Enrollment data updated: May 2, 2026
In Orange County, NY, there are 27 Medicare Advantage plans available for 2026. Of these, 16 offer a $0 monthly premium, and about 30% 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 Orange County, NY. Or explore all Medicare Options available in Orange County, NY.
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 12
- Average Monthly Premium $21.98/mo
- Total PPO Enrollment 11,647
- $0 Premium PPO Plans 7
- Average MOOP $8,688
- Top PPO by Enrollment Aetna Medicare Elite (PPO) — 3,552 enrollees
- PPO Plans Without Drug Coverage 2
| 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 Elite | $0 | $9,250 | $615 | H5521-119-0 | |
| Aetna Medicare Enhanced | $109 | $9,250 | $615 | H5521-669-0 | |
| AARP Medicare Advantage from UHC NY-0013 | $49 | $9,250 | $600 | H3418-002-0 | |
| MVP Medicare Complete Wellness with Part D | $15 | $9,250 | $615 | H9615-023-0 | |
| HealthSpring True Choice | $0 | $6,800 | $250 | H7849-150-0 | |
| 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 Orange?
There are 12 PPO plans in 2026, covering 11,647 beneficiaries.
How much do PPO plans cost in Orange?
The average PPO premium in Orange is $21.98 per month, with 7 plans offering $0 premiums.
What is the most popular PPO plan in Orange?
Aetna Medicare Elite (PPO) is the top PPO in Orange, with 3,552 enrollees.
What is the number of PPO plans without Part D coverage in Orange?
There are 2 PPO plans in Orange 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
- 5
- Average Monthly Premium
- $60.24/mo
- Total HMO Enrollment
- 1,755
- $0 Premium HMO Plans
- 2
- Average MOOP
- $9,250
- Top HMO by Enrollment
- Aetna Medicare Signature (HMO) — 1,203 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Healthfirst Increased Benefits Plan | $24 | $9,250 | $615 | H3359-019-0 | |
| EmblemHealth VIP Gold Plus | $252 | $9,250 | $200 | H3330-038-0 | |
| VNS Health EasyCare | $25 | $9,250 | $500 | H5549-012-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312-062-0 | |
| Healthfirst Signature | $0 | $9,250 | $615 | H1722-002-0 |
What is the average monthly premium for HMO plans?
HMO plans in Orange cost $60.24 per month on average.
Which HMO plan is most popular in Orange?
The most popular HMO plan in Orange is Aetna Medicare Signature (HMO), with 1,203 enrollees.
How many HMO plans in Orange do not include drug coverage?
There are 0 HMO plans in Orange 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| EmblemHealth VIP Value | $0 | $7,500 | $215 | H3330-048-0 | |
| 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-34 | $29 | $8,500 | $600 | H3379-059-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379-060-0 | |
| Anthem Medicare Advantage 2 | $44 | $9,250 | $150 | H8432-016-0 | |
| Anthem Veteran | $0 | $6,800 | N/A | H8432-036-0 | |
| Wellcare Fidelis Patriot Simple | $0 | $9,250 | N/A | H5599-010-0 | |
| 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 Orange?
AARP Medicare Advantage from UHC NY-34 (HMO-POS) is the top HMO-POS in Orange, with 727 enrollees.
What is the number of HMO-POS plans without Part D coverage in Orange?
5 HMO-POS plans in Orange do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Orange 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) | 8 | 30% |
| 3 Stars | 19 | 70% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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
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