2026 Medicare Advantage Plans in Sullivan County, NY
Last update: . Enrollment data updated: May 2, 2026
For 2026, Sullivan County, NY includes 25 Medicare Advantage plans. Enrollment across these plans totals approximately 3,799, with 14 $0 premium options and 28% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Sullivan County, NY are summarized separately. Visit Medicare Options in Sullivan 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
- 11
- Average Monthly Premium
- $23.98/mo
- Total PPO Enrollment
- 3,072
- $0 Premium PPO Plans
- 6
- Average MOOP
- $8,859
- Top PPO by Enrollment
- Aetna Medicare Elite (PPO) — 826 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 | H5521-323-0 | |
| Aetna Medicare Elite | $0 | $9,250 | $615 | H5521-119-0 | |
| Aetna Medicare Enhanced | $109 | $9,250 | $615 | H5521-669-0 | |
| AARP Medicare Advantage from UHC NY-0013 | $49 | $9,250 | $600 | H3418-002-0 | |
| MVP Medicare Complete Wellness with Part D | $15 | $9,250 | $615 | H9615-023-0 | |
| 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 average monthly premium for PPO plans in Sullivan?
PPO plans in Sullivan cost $23.98 per month on average.
Which PPO plan has the highest enrollment in Sullivan?
The most popular PPO plan in Sullivan is Aetna Medicare Elite (PPO), with 826 enrollees.
How many PPO plans in Sullivan do not include prescription drug coverage?
2 PPO plans in Sullivan 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 5
- Average Monthly Premium $60.24/mo
- Total HMO Enrollment 385
- $0 Premium HMO Plans 2
- Average MOOP $9,250
- Top HMO by Enrollment Aetna Medicare Signature (HMO) — 279 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Healthfirst Increased Benefits Plan | $24 | $9,250 | $615 | H3359-019-0 | |
| EmblemHealth VIP Gold Plus | $252 | $9,250 | $200 | H3330-038-0 | |
| VNS Health EasyCare | $25 | $9,250 | $500 | H5549-012-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312-062-0 | |
| Healthfirst Signature | $0 | $9,250 | $615 | H1722-002-0 |
What is the top HMO by enrollment in Sullivan?
Aetna Medicare Signature (HMO) is the top HMO in Sullivan, with 279 enrollees.
What is the number of HMO plans without Part D coverage in Sullivan?
0 HMO plans in Sullivan 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
- 7
- Average Monthly Premium
- $25.36/mo
- Total HMO-POS Enrollment
- 342
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $8,021
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NY-34 (HMO-POS) — 169 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-020-0 | |
| MVP Medicare Secure Plus with Part D | $116 | $6,000 | $400 | H3305-022-0 | |
| AARP Medicare Advantage from UHC NY-34 | $29 | $8,500 | $600 | H3379-059-0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379-060-0 | |
| 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 typical premium for HMO-POS plans in Sullivan?
HMO-POS plans in Sullivan cost $25.36 per month on average.
Which HMO-POS plan has the most members in Sullivan?
The most popular HMO-POS plan in Sullivan is AARP Medicare Advantage from UHC NY-34 (HMO-POS), with 169 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Sullivan?
There are 3 HMO-POS plans in Sullivan without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 total number of PFFS plans in Sullivan?
In 2026, Sullivan has 2 PFFS plans with 0 enrollees.
How much do PFFS plans cost in Sullivan?
The typical PFFS premium in Sullivan is $0.00, and 2 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Sullivan County, NY (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 7 | 28% |
| 3 Stars | 18 | 72% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* 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.