2026 Medicare Advantage Plans in Orleans County, NY
Last update: . Enrollment data updated: June 13, 2026
For 2026, Orleans County, NY includes 35 Medicare Advantage plans. Enrollment across these plans totals approximately 4,675, with 16 $0 premium options and 69% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Orleans County, NY are summarized separately. Visit Medicare Options in Orleans County, NY to see more options.
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
- 13
- Average Monthly Premium
- $84.46/mo
- Total PPO Enrollment
- 469
- $0 Premium PPO Plans
- 4
- Average MOOP
- $7,869
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC NY-0019 (PPO) — 135 enrollees
- PPO Plans Without Drug Coverage
- 3
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,250 | N/A | H5521-323-0 | |
| Aetna Medicare Elite | $84 | $9,250 | $615 | H5521-521-0 | |
| Aetna Medicare Enhanced | $131 | $9,250 | $615 | H5521-522-0 | |
| Forever Blue 751 | $210 | $6,700 | $615 | H5526-004-0 | |
| Forever Blue Value | $152 | $6,700 | $615 | H5526-016-0 | |
| Freedom Valor | $0 | $6,700 | N/A | H5526-023-0 | |
| Independent Health's Medicare Passport Connect | $59 | $9,250 | $615 | H3344-013-0 | |
| AARP Medicare Advantage from UHC NY-0019 | $38 | $8,500 | $600 | H3418-008-0 | |
| MVP Medicare WellSelect with Part D | $160 | $9,250 | $615 | H9615-021-0 | |
| Univera SeniorChoice Core | $232 | $4,000 | $615 | H3335-060-0 | |
| 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 |
- What is the average monthly premium for PPO plans in Orleans?
- PPO plans in Orleans cost $84.46 per month on average.
- Which PPO plan has the highest enrollment in Orleans?
- The most popular PPO plan in Orleans is AARP Medicare Advantage from UHC NY-0019 (PPO), with 135 enrollees.
- How many PPO plans in Orleans do not include prescription drug coverage?
- 3 PPO plans in Orleans 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 |
|---|---|---|---|---|---|
| Independent Health's Encompass 65 | $0 | $6,750 | N/A | H3362-016-0 | |
| Independent Health's Encompass 65 RED 042 | $40 | $9,250 | $250 | H3362-042-0 | |
| Independent Health's Encompass 65 RED 043 | $190 | $7,000 | $50 | H3362-043-0 | |
| Independent Health's Encompass 65 RED 044 | $95 | $7,500 | $150 | H3362-044-0 | |
| Community Blue Medicare HMO Distinct | $59 | $6,750 | $615 | H3384-070-3 | |
| Community Blue Medicare HMO Merit | $0 | $8,300 | $615 | H3384-071-0 | |
| Community Blue Medicare HMO Signature | $0 | $6,750 | $615 | H3384-069-3 | |
| Senior Blue 601 | $0 | $6,700 | N/A | H3384-022-0 | |
| Senior Blue 651 | $97 | $6,700 | $615 | H3384-019-0 | |
| Univera SeniorChoice Basic | $0 | $8,500 | $615 | H3351-017-0 | |
| Univera SeniorChoice Extra | $0 | $8,500 | $615 | H3351-020-0 |
What is the total number of HMO plans offered in Orleans?
There are 11 HMO plans in 2026, covering 1,557 enrollees.
How much do HMO plans cost in Orleans?
The average HMO premium in Orleans is $43.73 per month, with 6 plans offering $0 premiums.
What is the top HMO by enrollment in Orleans?
Univera SeniorChoice Basic (HMO) is the top HMO in Orleans, with 707 enrollees.
What is the number of HMO plans without Part D coverage in Orleans?
2 HMO plans in Orleans 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
- $42.30/mo
- Total HMO-POS Enrollment
- 2,649
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $7,405
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-0007 (HMO-POS) — 1,892 enrollees
- HMO-POS Plans Without Drug Coverage
- 4
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| MVP Medicare Preferred Gold with Part D | $229 | $6,800 | $300 | H3305-015-0 | |
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-007-0 | |
| Univera Medicare Freedom | $0 | $4,500 | N/A | H3351-001-0 | |
| Univera SeniorChoice Advanced | $51 | $7,500 | $300 | H3351-019-0 | |
| Univera SeniorChoice Secure | $83 | $6,000 | $250 | H3351-002-0 | |
| Univera SeniorChoice Value Plus | $70 | $6,700 | $295 | H3351-012-0 | |
| AARP Medicare Advantage from UHC NY-0007 | $0 | $8,300 | $440 | H3379-040-0 | |
| 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 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Orleans cost $42.30 per month on average.
Which HMO-POS plan is most popular in Orleans?
The most popular HMO-POS plan in Orleans is AARP Medicare Advantage from UHC NY-0007 (HMO-POS), with 1,892 enrollees.
How many HMO-POS plans in Orleans do not include drug coverage?
There are 4 HMO-POS plans in Orleans without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Orleans County, NY (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 11% |
| 4 Stars (includes 5 Stars) | 24 | 69% |
| 3 Stars | 11 | 31% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.97 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
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.