- Entity
- county:new-york-suffolk-36103
- Digest
- 2027-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/suffolk/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 18
- PPO Plans
- 4
- HMO Plans
- 9
- HMO-POS Plans
- 5
- PFFS Plans
- 0
- Average Monthly Premium
- 56.58
- Average MOOP
- 9647.22
- Average Part D Deductible
- 555
- $0 Premium Plans
- 7
- Plans Without Part D Coverage
- 3
- Average CMS Star Rating
- 3.69
- $0 Premium Plan Share
- 38.89
- 5-Star Plan Share
- 11
- 4+ Star Plan Share
- 56
- 3-Star Plan Share
- 44
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 58.5
- PPO Average MOOP
- 9850
- PPO Enrollment
- 28124
- PPO $0 Premium Plans
- 2
- PPO Plans Without Part D Coverage
- 1
- HMO Average Monthly Premium
- 79.39
- HMO Average MOOP
- 9783.33
- HMO Enrollment
- 6969
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 14
- HMO-POS Average MOOP
- 9240
- HMO-POS Enrollment
- 2774
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:new-york-suffolk-36103
- Digest
- 2027-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/suffolk/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-suffolk-36103-landscape-stats
- Plans Indexed
- 18
- Standard Medicare Advantage Plans
-
-
Anthem Medicare Advantage 3
H6988-007-0 -
Anthem Veteran 2
H6988-008-0 -
Aetna Medicare Eagle Giveback
H5521-320-0 -
Aetna Medicare Elite
H5521-120-0 -
Aetna Medicare Elite Extra
H5521-674-0 -
EmblemHealth VIP Gold
H3330-021-3 -
EmblemHealth VIP Gold Plus
H3330-038-0 -
EmblemHealth VIP Saver
H3330-051-0 -
EmblemHealth VIP Value
H3330-049-0 -
VNS Health EasyCare
H5549-012-0 -
Healthfirst Increased Benefits Plan
H3359-019-0 -
Aetna Medicare Enhanced
H3312-064-0 -
Anthem Medicare Advantage
H8432-011-0 -
Healthfirst Signature
H9678-002-0 -
Humana Gold Plus H3533-037
H3533-037-0 -
Wellcare Fidelis Assist
H5599-002-0 -
Wellcare Fidelis Patriot Simple
H5599-010-0 -
Wellcare Fidelis Simple
H5599-004-0
-
Anthem Medicare Advantage 3
- Total Standard Medicare Advantage Enrollment
- 37867
2027 Medicare Advantage Plans in Suffolk County, NY
Last update: .
In Suffolk County, NY, there are 18 Medicare Advantage plans available for 2027. Of these, 7 offer a $0 monthly premium, and about 56% are rated 4 stars or higher based on CMS quality ratings.
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 $58.50/mo
- Total PPO Enrollment 28,124
- $0 Premium PPO Plans 2
- Average MOOP $9,850
- Top PPO by Enrollment Aetna Medicare Elite (PPO) — 26,063 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 | $9,850 | N/A | H5521-320-0 | |
| Aetna Medicare Elite | $0 | $9,850 | $700 | H5521-120-0 | |
| Aetna Medicare Elite Extra | $79 | $9,850 | $700 | H5521-674-0 | |
| Healthfirst Signature | $155 | $9,850 | $700 | H9678-002-0 |
What is the total number of PPO plans offered in Suffolk?
There are 4 PPO plans in 2027, covering 28,124 beneficiaries.
How much do PPO plans cost in Suffolk?
The average PPO premium in Suffolk is $58.50 per month, with 2 plans offering $0 premiums.
What is the most popular PPO plan in Suffolk?
Aetna Medicare Elite (PPO) is the top PPO in Suffolk, with 26,063 enrollees.
What is the number of PPO plans without Part D coverage in Suffolk?
There are 1 PPO plans in Suffolk 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
- 9
- Average Monthly Premium
- $79.39/mo
- Total HMO Enrollment
- 6,969
- $0 Premium HMO Plans
- 1
- Average MOOP
- $9,783
- Top HMO by Enrollment
- Anthem Medicare Advantage (HMO) — 3,536 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| EmblemHealth VIP Gold | $166 | $9,850 | $200 | H3330-021-3 | |
| EmblemHealth VIP Gold Plus | $216 | $9,850 | $200 | H3330-038-0 | |
| EmblemHealth VIP Saver | $40 | $9,850 | $650 | H3330-051-0 | |
| EmblemHealth VIP Value | $0 | $9,850 | $650 | H3330-049-0 | |
| VNS Health EasyCare | $25 | $9,850 | $650 | H5549-012-0 | |
| Healthfirst Increased Benefits Plan | $17 | $9,850 | $700 | H3359-019-0 | |
| Aetna Medicare Enhanced | $104 | $9,850 | $700 | H3312-064-0 | |
| Anthem Medicare Advantage | $96 | $9,850 | $100 | H8432-011-0 | |
| Humana Gold Plus H3533-037 | $50 | $9,250 | $700 | H3533-037-0 |
What is the average monthly premium for HMO plans?
HMO plans in Suffolk cost $79.39 per month on average.
Which HMO plan is most popular in Suffolk?
The most popular HMO plan in Suffolk is Anthem Medicare Advantage (HMO), with 3,536 enrollees.
How many HMO plans in Suffolk do not include drug coverage?
There are 0 HMO plans in Suffolk 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 |
|---|---|---|---|---|---|
| Anthem Medicare Advantage 3 | $70 | $9,850 | $275 | H6988-007-0 | |
| Anthem Veteran 2 | $0 | $6,800 | N/A | H6988-008-0 | |
| Wellcare Fidelis Assist | $0 | $9,850 | $700 | H5599-002-0 | |
| Wellcare Fidelis Patriot Simple | $0 | $9,850 | N/A | H5599-010-0 | |
| Wellcare Fidelis Simple | $0 | $9,850 | $700 | H5599-004-0 |
What is the leading HMO-POS plan in Suffolk?
Anthem Medicare Advantage 3 (HMO-POS) is the top HMO-POS in Suffolk, with 1,379 enrollees.
What is the number of HMO-POS plans without Part D coverage in Suffolk?
2 HMO-POS plans in Suffolk do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Suffolk County, NY for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 11% |
| 4 Stars (includes 5 Stars) | 10 | 56% |
| 3 Stars | 8 | 44% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.69 | |
* 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: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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.