2026 Medicare Advantage Plans in Yates County, NY
Last update: . Enrollment data updated: May 2, 2026
In Yates County, NY, there are 17 Medicare Advantage plans available for 2026. Of these, 10 offer a $0 monthly premium, and about 41% 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 Yates County, NY. Or explore all Medicare Options available in Yates County, NY.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| 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 | |
| MVP Medicare WellSelect with Part D | $160 | $9,250 | $615 | H9615-021-0 | |
| 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 |
What is the total number of PPO plans offered in Yates?
Yates County has 5 PPO plans for 2026, with 355 enrolled.
How much do PPO plans cost in Yates?
The typical PPO premium in Yates is $38.40, and 3 plans have no monthly premium.
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
- 3
- Average Monthly Premium
- $79.67/mo
- Total HMO Enrollment
- 2,441
- $0 Premium HMO Plans
- 1
- Average MOOP
- $8,833
- Top HMO by Enrollment
- Medicare Blue Choice Core (HMO) — 1,938 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Medicare Blue Choice Core | $0 | $9,250 | $615 | H3351-022-0 | |
| Medicare Blue Choice Prime | $55 | $8,000 | $615 | H3351-023-0 | |
| Aetna Medicare Signature | $184 | $9,250 | $615 | H3312-097-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Yates cost $79.67 per month on average.
- Which HMO plan is most popular in Yates?
- The most popular HMO plan in Yates is Medicare Blue Choice Core (HMO), with 1,938 enrollees.
- How many HMO plans in Yates do not include drug coverage?
- There are 0 HMO plans in Yates 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 7
- Average Monthly Premium $69.47/mo
- Total HMO-POS Enrollment 353
- $0 Premium HMO-POS Plans 4
- Average MOOP $7,564
- Top HMO-POS by Enrollment Wellcare Fidelis Simple (HMO-POS) — 153 enrollees
- HMO-POS Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Medicare Blue Choice Freedom | $0 | $4,500 | N/A | H3351-007-0 | |
| Medicare Blue Choice Optimum | $225 | $6,700 | $100 | H3351-006-0 | |
| MVP Medicare Preferred Gold with Part D | $229 | $6,800 | $300 | H3305-015-0 | |
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-007-0 | |
| 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 total number of HMO-POS plans in Yates?
There are 7 HMO-POS plans in 2026, covering 353 enrollees.
How much do HMO-POS plans cost in Yates?
The average HMO-POS premium in Yates is $69.47 per month, with 4 plans offering $0 premiums.
What is the leading HMO-POS plan in Yates?
Wellcare Fidelis Simple (HMO-POS) is the top HMO-POS in Yates, with 153 enrollees.
What is the number of HMO-POS plans without Part D coverage in Yates?
3 HMO-POS plans in Yates 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
- 0
- $0 Premium PFFS Plans
- 2
- Average MOOP
- $5,500
- Top PFFS by Enrollment
- — 0 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 average monthly premium for PFFS plans?
PFFS plans in Yates cost $0.00 per month on average.
Which PFFS plan is most popular in Yates?
The most popular PFFS plan in Yates is , with 0 enrollees.
How many PFFS plans in Yates do not include drug coverage?
There are 2 PFFS plans in Yates without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Yates 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) | 7 | 41% |
| 3 Stars | 10 | 59% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.53 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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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.