2026 Medicare Advantage Plans in Queens County, NY
Last update: . Enrollment data updated: May 2, 2026
For 2026, Queens County, NY includes 37 Medicare Advantage plans. Enrollment across these plans totals approximately 86,500, with 20 $0 premium options and 27% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Queens County, NY are summarized separately. Visit Medicare Options in Queens 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
- 14
- Average Monthly Premium
- $22.99/mo
- Total PPO Enrollment
- 33,712
- $0 Premium PPO Plans
- 9
- Average MOOP
- $8,564
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC NY-0012 (PPO) — 11,218 enrollees
- PPO Plans Without Drug Coverage
- 2
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 average monthly premium for PPO plans in Queens?
PPO plans in Queens cost $22.99 per month on average.
Which PPO plan has the highest enrollment in Queens?
The most popular PPO plan in Queens is AARP Medicare Advantage from UHC NY-0012 (PPO), with 11,218 enrollees.
How many PPO plans in Queens do not include prescription drug coverage?
2 PPO plans in Queens do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 12
- Average Monthly Premium $42.90/mo
- Total HMO Enrollment 38,630
- $0 Premium HMO Plans 5
- Average MOOP $9,192
- Top HMO by Enrollment Healthfirst 65 Plus Plan (HMO) — 18,957 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 top HMO by enrollment in Queens?
Healthfirst 65 Plus Plan (HMO) is the top HMO in Queens, with 18,957 enrollees.
What is the number of HMO plans without Part D coverage in Queens?
0 HMO plans in Queens 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
- $24.56/mo
- Total HMO-POS Enrollment
- 14,158
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $8,264
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-0005 (HMO-POS) — 4,861 enrollees
- HMO-POS Plans Without Drug Coverage
- 4
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for HMO-POS plans in Queens?
HMO-POS plans in Queens cost $24.56 per month on average.
Which HMO-POS plan has the most members in Queens?
The most popular HMO-POS plan in Queens is AARP Medicare Advantage from UHC NY-0005 (HMO-POS), with 4,861 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Queens?
There are 4 HMO-POS plans in Queens without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Queens County, NY (2026) are summarized below.
| 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 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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
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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.