- Entity
- county:new-york-saint-lawrence-36089
- 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/saint-lawrence/
- 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
- 14
- HMO Plans
- 5
- HMO-POS Plans
- 4
- PFFS Plans
- 2
- Average Monthly Premium
- 29.54
- Average MOOP
- 7902
- Average Part D Deductible
- 525.59
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.6
- $0 Premium Plan Share
- 64
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 32
- 3-Star Plan Share
- 68
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 33.65
- PPO Average MOOP
- 8364.29
- PPO Enrollment
- 5776
- PPO $0 Premium Plans
- 8
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 47
- HMO Average MOOP
- 6900
- HMO Enrollment
- 685
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 8.13
- HMO-POS Average MOOP
- 8737.5
- HMO-POS Enrollment
- 338
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 5500
- PFFS Enrollment
- 26
- PFFS $0 Premium Plans
- 2
- PFFS Plans Without Part D Coverage
- 2
- Entity
- county:new-york-saint-lawrence-36089
- 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/saint-lawrence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-saint-lawrence-36089-landscape-stats
- Plans Indexed
- 25
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-323-0 -
Aetna Medicare Premier
H5521-340-0 -
Aetna Medicare Signature
H5521-077-0 -
CDPHP $0 Medicare Rx
H3388-014-0 -
CDPHP Choice Rx
H3388-002-0 -
CDPHP Clear Rx
H3388-020-0 -
CDPHP Core
H3388-001-0 -
MVP Medicare Preferred Gold without Part D
H3305-020-0 -
Medicare BlueBalanced
H3335-062-0 -
Medicare BlueEnhanced
H3335-015-0 -
Medicare BlueSalute
H3335-043-0 -
Medicare BlueVital
H3335-061-0 -
MVP Medicare Complete Wellness with Part D
H9615-022-0 -
Wellcare Advantage Enhanced
H2816-037-0 -
Wellcare Advantage Simple
H2816-038-0 -
Aetna Medicare Signature
H3312-048-0 -
Humana USAA Honor Giveback
H5970-016-0 -
HumanaChoice Giveback H5970-030
H5970-030-0 -
HumanaChoice H5970-029
H5970-029-0 -
Wellcare Assist Open
H2775-113-0 -
Wellcare Fidelis Assist
H5599-002-0 -
Wellcare Fidelis Patriot Simple
H5599-010-0 -
Wellcare Fidelis Simple
H5599-004-0 -
Wellcare Giveback Open
H2775-111-0 -
Wellcare Simple Open
H2775-106-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 6825
2026 Medicare Advantage Plans in Saint Lawrence County, NY
Last update: .
In Saint Lawrence County, NY, there are 25 Medicare Advantage plans available for 2026. Of these, 16 offer a $0 monthly premium, and about 32% 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 Saint Lawrence County, NY. Or explore all Medicare Options available in Saint Lawrence 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 14
- Average Monthly Premium $33.65/mo
- Total PPO Enrollment 5,776
- $0 Premium PPO Plans 8
- Average MOOP $8,364
- Top PPO by Enrollment Medicare BlueVital (PPO) — 1,331 enrollees
- PPO Plans Without Drug Coverage 3
| 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 Premier | $50 | $8,900 | $615 | H5521-340-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H5521-077-0 | |
| Medicare BlueBalanced | $55 | $8,000 | $615 | H3335-062-0 | |
| Medicare BlueEnhanced | $101 | $7,500 | $275 | H3335-015-0 | |
| Medicare BlueSalute | $0 | $4,500 | N/A | H3335-043-0 | |
| Medicare BlueVital | $0 | $9,250 | $615 | H3335-061-0 | |
| MVP Medicare Complete Wellness with Part D | $174 | $9,250 | $615 | H9615-022-0 | |
| 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 Saint Lawrence?
There are 14 PPO plans in 2026, covering 5,776 beneficiaries.
How much do PPO plans cost in Saint Lawrence?
The average PPO premium in Saint Lawrence is $33.65 per month, with 8 plans offering $0 premiums.
What is the most popular PPO plan in Saint Lawrence?
Medicare BlueVital (PPO) is the top PPO in Saint Lawrence, with 1,331 enrollees.
What is the number of PPO plans without Part D coverage in Saint Lawrence?
There are 3 PPO plans in Saint Lawrence 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
- $47.00/mo
- Total HMO Enrollment
- 685
- $0 Premium HMO Plans
- 3
- Average MOOP
- $6,900
- Top HMO by Enrollment
- Aetna Medicare Signature (HMO) — 509 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| CDPHP $0 Medicare Rx | $0 | $6,750 | $500 | H3388-014-0 | |
| CDPHP Choice Rx | $135 | $6,000 | $0 | H3388-002-0 | |
| CDPHP Clear Rx | $100 | $6,400 | $250 | H3388-020-0 | |
| CDPHP Core | $0 | $6,100 | N/A | H3388-001-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312-048-0 |
What is the average monthly premium for HMO plans?
HMO plans in Saint Lawrence cost $47.00 per month on average.
Which HMO plan is most popular in Saint Lawrence?
The most popular HMO plan in Saint Lawrence is Aetna Medicare Signature (HMO), with 509 enrollees.
How many HMO plans in Saint Lawrence do not include drug coverage?
There are 1 HMO plans in Saint Lawrence 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 |
|---|---|---|---|---|---|
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-020-0 | |
| 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 leading HMO-POS plan in Saint Lawrence?
Wellcare Fidelis Simple (HMO-POS) is the top HMO-POS in Saint Lawrence, with 184 enrollees.
What is the number of HMO-POS plans without Part D coverage in Saint Lawrence?
2 HMO-POS plans in Saint Lawrence do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 2
- Average Monthly Premium
- $0.00/mo
- Total PFFS Enrollment
- 26
- $0 Premium PFFS Plans
- 2
- Average MOOP
- $5,500
- Top PFFS by Enrollment
- Wellcare Advantage Simple (PFFS) — 26 enrollees
- PFFS Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Wellcare Advantage Enhanced | $0 | $4,300 | N/A | H2816-037-0 | |
| Wellcare Advantage Simple | $0 | $6,700 | N/A | H2816-038-0 |
What is the typical premium for PFFS plans in Saint Lawrence?
PFFS plans in Saint Lawrence cost $0.00 per month on average.
Which PFFS plan has the most enrollment in Saint Lawrence?
The most popular PFFS plan in Saint Lawrence is Wellcare Advantage Simple (PFFS), with 26 enrollees.
How many PFFS options are available without prescription drug coverage in Saint Lawrence?
There are 2 PFFS plans in Saint Lawrence without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Saint Lawrence 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 | 32% |
| 3 Stars | 17 | 68% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.6 | |
* 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 .
- 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
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.
This page follows data provenance practices aligned with the 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.