- Entity
- county:new-york-richmond-36085
- 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/richmond/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 25
- PPO Plans
- 4
- HMO Plans
- 8
- HMO-POS Plans
- 13
- PFFS Plans
- 0
- Average Monthly Premium
- 34.7
- Average MOOP
- 8718
- Average Part D Deductible
- 498.25
- $0 Premium Plans
- 12
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.64
- $0 Premium Plan Share
- 48
- 5-Star Plan Share
- 8
- 4+ Star Plan Share
- 28
- 3-Star Plan Share
- 72
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 13.75
- PPO Average MOOP
- 8637.5
- PPO Enrollment
- 7397
- PPO $0 Premium Plans
- 3
- PPO Plans Without Part D Coverage
- 1
- HMO Average Monthly Premium
- 63.73
- HMO Average MOOP
- 9250
- HMO Enrollment
- 4263
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 23.28
- HMO-POS Average MOOP
- 8415.38
- HMO-POS Enrollment
- 5778
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 4
- Entity
- county:new-york-richmond-36085
- 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/richmond/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-richmond-36085-landscape-stats
- Plans Indexed
- 25
- 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
H5521-536-0 -
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 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
H3312-082-0 -
Healthfirst Signature
H9678-002-0 -
HealthSpring True Choice
H7849-150-0 -
Wellcare Assist
H4868-016-0 -
Wellcare Fidelis Assist
H5599-002-0 -
Wellcare Fidelis Patriot Simple
H5599-010-0 -
Wellcare Fidelis Simple
H5599-004-0 -
Wellcare Simple
H4868-019-0
-
Anthem Medicare Advantage 2
- Total Standard Medicare Advantage Enrollment
- 17438
2026 Medicare Advantage Plans in Richmond County, NY
Last update: .
Richmond County, NY has 25 Medicare Advantage plans available in 2026. These include 12 plans with no monthly premium, and roughly 28% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Richmond County, NY. Or explore all Medicare Options available in Richmond 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 4
- Average Monthly Premium $13.75/mo
- Total PPO Enrollment 7,397
- $0 Premium PPO Plans 3
- Average MOOP $8,638
- Top PPO by Enrollment Aetna Medicare Elite (PPO) — 7,085 enrollees
- PPO Plans Without Drug Coverage 1
| 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 | H5521-536-0 | |
| Healthfirst Signature | $55 | $9,250 | $615 | H9678-002-0 | |
| HealthSpring True Choice | $0 | $6,800 | $250 | H7849-150-0 |
What is the most popular PPO plan in Richmond?
Aetna Medicare Elite (PPO) is the top PPO in Richmond, with 7,085 enrollees.
What is the number of PPO plans without Part D coverage in Richmond?
There are 1 PPO plans in Richmond 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
- 8
- Average Monthly Premium
- $63.73/mo
- Total HMO Enrollment
- 4,263
- $0 Premium HMO Plans
- 2
- Average MOOP
- $9,250
- Top HMO by Enrollment
- Healthfirst 65 Plus Plan (HMO) — 1,946 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 | $91 | $9,250 | $615 | H3312-082-0 |
What is the typical premium for HMO plans in Richmond?
HMO plans in Richmond cost $63.73 per month on average.
Which HMO plan do most beneficiaries choose in Richmond?
The most popular HMO plan in Richmond is Healthfirst 65 Plus Plan (HMO), with 1,946 enrollees.
How many HMO options are offered without prescription drug coverage in Richmond?
There are 0 HMO plans in Richmond 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 13
- Average Monthly Premium $23.28/mo
- Total HMO-POS Enrollment 5,778
- $0 Premium HMO-POS Plans 7
- Average MOOP $8,415
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC NY-0005 (HMO-POS) — 3,641 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 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 Simple | $0 | $9,250 | $615 | H4868-019-0 |
What is the total number of HMO-POS plans in Richmond?
In 2026, Richmond has 13 HMO-POS plans with 5,778 enrollees.
How much do HMO-POS plans cost in Richmond?
The typical HMO-POS premium in Richmond is $23.28, and 7 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Richmond County, NY for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 8% |
| 4 Stars (includes 5 Stars) | 7 | 28% |
| 3 Stars | 18 | 72% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.64 | |
* 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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.
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.