- Entity
- county:new-york-queens-36081
- 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/queens/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 37
- PPO Plans
- 14
- HMO Plans
- 12
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 29.91
- Average MOOP
- 8678.38
- Average Part D Deductible
- 531.94
- $0 Premium Plans
- 20
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 3.57
- $0 Premium Plan Share
- 54.05
- 5-Star Plan Share
- 5
- 4+ Star Plan Share
- 27
- 3-Star Plan Share
- 73
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 22.99
- PPO Average MOOP
- 8564.29
- PPO Enrollment
- 33494
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 2
- HMO Average Monthly Premium
- 42.9
- HMO Average MOOP
- 9191.67
- HMO Enrollment
- 39772
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 24.56
- HMO-POS Average MOOP
- 8263.64
- HMO-POS Enrollment
- 14180
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 4
- Entity
- county:new-york-queens-36081
- 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/queens/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-queens-36081-landscape-stats
- Plans Indexed
- 37
- Standard Medicare Advantage Plans
-
-
Anthem Medicare Advantage 2
H6988-009-0 -
Anthem Veteran 2
H6988-008-0 -
Aetna Medicare Eagle Giveback
H5521-320-0 -
Aetna Medicare Elite
H5521-120-0 -
Aetna Medicare Elite Extra
H5521-698-0 -
Aetna Medicare Enhanced
H5521-661-0 -
Aetna Medicare Enhanced Extra
H5521-664-0 -
Healthfirst 65 Plus Plan
H3359-001-0 -
Healthfirst Increased Benefits Plan
H3359-019-0 -
EmblemHealth VIP Gold Plus
H3330-038-0 -
AARP Medicare Advantage from UHC NY-0005
H3379-001-0 -
AARP Medicare Advantage from UHC NY-0012
H3418-001-0 -
AARP Medicare Advantage Patriot No Rx NY-MA3
H3379-060-0 -
Anthem Medicare Advantage
H8432-040-0 -
Anthem Veteran
H8432-036-0 -
Elderplan Extra Help
H3347-009-0 -
Elderplan Flex
H3347-016-0 -
Healthfirst Signature
H5989-011-0 -
MetroPlus Platinum Plan
H0423-004-0 -
VillageCareMAX Medicare Select Advantage Plan
H2168-004-0 -
VNS Health EasyCare
H5549-012-0 -
Aetna Medicare Enhanced
H3312-081-0 -
Aetna Medicare Signature Care
H3312-074-0 -
Healthfirst Signature
H9678-002-0 -
HealthSpring True Choice
H7849-150-0 -
Humana Direct Choice Giveback
H5970-031-0 -
Humana Gold Plus Giveback H3533-027
H3533-027-0 -
Humana Gold Plus H3533-033
H3533-033-0 -
Humana Gold Plus H3533-035
H3533-035-0 -
Humana USAA Honor Giveback
H5970-016-0 -
HumanaChoice H5970-028
H5970-028-0 -
Wellcare Assist
H4868-016-0 -
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
-
Anthem Medicare Advantage 2
- Total Standard Medicare Advantage Enrollment
- 87446
2026 Medicare Advantage Plans in Queens County, NY
Last update: .
In Queens County, NY, there are 37 Medicare Advantage plans available for 2026. Of these, 20 offer a $0 monthly premium, and about 27% 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 Queens County, NY. Or explore all Medicare Options available in Queens 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 | H5521-320-0 | |
| Aetna Medicare Elite | $0 | $9,250 | $615 | H5521-120-0 | |
| Aetna Medicare Elite Extra | $44 | $9,250 | $615 | H5521-698-0 | |
| Aetna Medicare Enhanced | $60 | $9,250 | $615 | H5521-661-0 | |
| Aetna Medicare Enhanced Extra | $104 | $6,750 | $615 | H5521-664-0 | |
| AARP Medicare Advantage from UHC NY-0012 | $0 | $8,900 | $600 | H3418-001-0 | |
| Healthfirst Signature | $55 | $9,250 | $615 | H9678-002-0 | |
| HealthSpring True Choice | $0 | $6,800 | $250 | H7849-150-0 | |
| Humana Direct Choice Giveback | $0 | $9,250 | $475 | H5970-031-0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5970-016-0 | |
| HumanaChoice H5970-028 | $0 | $9,250 | $615 | H5970-028-0 | |
| 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 Queens?
Queens County has 14 PPO plans for 2026, with 33,494 enrolled.
How much do PPO plans cost in Queens?
The typical PPO premium in Queens is $22.99, and 9 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
- 12
- Average Monthly Premium
- $42.90/mo
- Total HMO Enrollment
- 39,772
- $0 Premium HMO Plans
- 5
- Average MOOP
- $9,192
- Top HMO by Enrollment
- Healthfirst 65 Plus Plan (HMO) — 19,975 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Healthfirst 65 Plus Plan | $0 | $9,250 | $615 | H3359-001-0 | |
| Healthfirst Increased Benefits Plan | $24 | $9,250 | $615 | H3359-019-0 | |
| EmblemHealth VIP Gold Plus | $252 | $9,250 | $200 | H3330-038-0 | |
| Healthfirst Signature | $0 | $9,250 | $615 | H5989-011-0 | |
| MetroPlus Platinum Plan | $59 | $9,250 | $615 | H0423-004-0 | |
| VillageCareMAX Medicare Select Advantage Plan | $59 | $9,250 | $615 | H2168-004-0 | |
| VNS Health EasyCare | $25 | $9,250 | $500 | H5549-012-0 | |
| Aetna Medicare Enhanced | $74 | $9,250 | $615 | H3312-081-0 | |
| Aetna Medicare Signature Care | $0 | $9,250 | $615 | H3312-074-0 | |
| Humana Gold Plus Giveback H3533-027 | $0 | $9,250 | $615 | H3533-027-0 | |
| Humana Gold Plus H3533-033 | $0 | $8,550 | $615 | H3533-033-0 | |
| Humana Gold Plus H3533-035 | $22 | $9,250 | $615 | H3533-035-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Queens cost $42.90 per month on average.
- Which HMO plan is most popular in Queens?
- The most popular HMO plan in Queens is Healthfirst 65 Plus Plan (HMO), with 19,975 enrollees.
- How many HMO plans in Queens do not include drug coverage?
- There are 0 HMO plans in Queens 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 11
- Average Monthly Premium $24.56/mo
- Total HMO-POS Enrollment 14,180
- $0 Premium HMO-POS Plans 6
- Average MOOP $8,264
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC NY-0005 (HMO-POS) — 4,791 enrollees
- HMO-POS Plans Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Anthem Medicare Advantage 2 | $34 | $9,250 | $240 | H6988-009-0 | |
| Anthem Veteran 2 | $0 | $6,800 | N/A | H6988-008-0 | |
| AARP Medicare Advantage from UHC NY-0005 | $82 | $9,250 | $520 | H3379-001-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379-060-0 | |
| Anthem Medicare Advantage | $44 | $9,250 | $150 | H8432-040-0 | |
| Anthem Veteran | $0 | $6,800 | N/A | H8432-036-0 | |
| Elderplan Extra Help | $59 | $7,550 | $375 | H3347-009-0 | |
| Elderplan Flex | $0 | $7,550 | $375 | H3347-016-0 | |
| Wellcare Assist | $51 | $9,250 | $590 | H4868-016-0 | |
| 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 Queens?
There are 11 HMO-POS plans in 2026, covering 14,180 enrollees.
How much do HMO-POS plans cost in Queens?
The average HMO-POS premium in Queens is $24.56 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Queens?
AARP Medicare Advantage from UHC NY-0005 (HMO-POS) is the top HMO-POS in Queens, with 4,791 enrollees.
What is the number of HMO-POS plans without Part D coverage in Queens?
4 HMO-POS plans in Queens do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Queens County, NY for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 5% |
| 4 Stars (includes 5 Stars) | 10 | 27% |
| 3 Stars | 27 | 73% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.57 | |
* 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.