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  1. 🏠
  2. Medicare Options
  3. Maine
  4. York County

Your Medicare Coverage Options in York County, ME

Explore Medicare choices for residents of York County, Maine, from Original Medicare to Medicare Advantage, Part D drug plans, Medigap coverage, and local assistance programs.

Last update: May 15, 2026. Enrollment data updated: May 2, 2026

Medicare Options at a Glance

Medicare coverage in York County is built around several core options, each serving different needs depending on how you want to receive care, manage costs, and access providers. They include:

  • Original Medicare: Best for broad provider access nationwide.
  • Medicare Advantage: Best for bundled coverage with lower premiums.
  • Part D: Best for prescription drug coverage with Original Medicare.
  • Medigap: Best for predictable out-of-pocket costs.
  • SNPs: Best for specific health or eligibility needs.
  • Other Options: These may include VA benefits, employer or retiree coverage, and local assistance programs.

Each of these options works differently. Understanding how they compare is the key to choosing the right Medicare coverage.

Medicare Advantage Options in York County

Medicare Advantage plans in York County combine hospital and medical coverage into a private plan option, often with prescription drug coverage and extra benefits. Availability, plan type, and out-of-pocket limits vary by county.

Medicare Advantage Snapshot York County
Total Medicare Advantage plans 25
$0 premium plans 17
HMO plans 3
PPO plans 14
Plans with drug coverage 19
Lowest MOOP $4,950
Highest MOOP $9,250
Highest Part B giveback $91.00

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
HumanaChoice Giveback H5216-138 3.5 ★ 24,703
AARP Medicare Advantage from UHC ME-0002 4.5 ★ 20,452
HumanaChoice Giveback H7617-046 4.5 ★ 19,231

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Martin's Point Generations Advantage Alliance 4.0 ★ 6,689
Humana Gold Plus H5619-001 3.0 ★ 2,902
Humana Gold Plus Giveback H5619-066 3.0 ★ 2,484

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Martin's Point Generations Advantage Prime 4.0 ★ 34,899
Martin's Point Generations Advantage Essential 4.0 ★ 15,958
Aetna Medicare Signature 4.0 ★ 13,964

Medicare Advantage plans are primarily defined by their provider networks, whether prescription drug coverage is included, and their annual out-of-pocket limits. For those seeking bundled benefits and lower premiums, these plans are often the starting point, though network access and plan requirements should be considered.

See Medicare Advantage plans in York County

Medicare Part D Options in York County

Medicare Part D plans provide standalone prescription drug coverage for people who stay on Original Medicare. These plans vary by premium, deductible, pharmacy network, and formulary.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Classic $0.00 $615 31,569
HealthSpring Assurance Rx $0.00 $615 29,027
Humana Basic Rx Plan $0.00 $615 27,044

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $0.00 $615 87,913
AARP Medicare Rx Preferred from UHC $104.30 $130 28,720
Humana Value Rx Plan $54.40 $601 7,050

Choosing a Part D plan is less about how many plans are available and more about whether your medications are covered at your preferred pharmacy at an affordable price.

See Medicare Part D plans in Maine

Medicare Supplement (Medigap) Coverage in York County

Medicare Supplement (Medigap) plans are designed to fill gaps in Original Medicare by helping with deductibles, copayments, and coinsurance. These plans work alongside Original Medicare and generally require separate prescription drug coverage through Part D.

Data from 13 insurers indicates premiums beginning around $47 and exceeding $591, depending on plan type and how rates are set. Although coverage is standardized, pricing differences across insurers can be substantial.

Medigap Snapshot York County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

In York, Medigap is commonly chosen by those who want the freedom to see any provider nationwide that accepts Medicare, without being limited to local Medicare Advantage networks.

Sample Plan G Pricing in Maine

Plan G typically ranges from $219 to $582.

Carrier Plan Low High
AARP - UnitedHealthcare G $240 $264
Cigna G $220 $243
Humana G $390 $582
Mutual of Omaha G $219 $251

Sample Plan N Pricing in Maine

Plan N typically ranges from $178 to $366.

Carrier Plan Low High
AARP - UnitedHealthcare N $189 $208
Cigna N $178 $195
Humana N $245 $366

Explore all Medicare Supplement plans in Maine for more details.

Special Needs Plan (SNP) Options in York County

Special Needs Plans are Medicare Advantage plans created for people with specific eligibility profiles, including those with Medicaid, certain chronic conditions, or institutional care needs.

SNP Snapshot York County
Total SNP plans 14
D-SNP plans 11
C-SNP plans 2
I-SNP plans 1

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete ME-S2 4.5 ★ 11,016
Anthem I MaineHealth Advantage Dual Plus 3.5 ★ 9,196
UHC Dual Complete ME-S1 4.5 ★ 6,342

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Complete Care ME-6 4.0 ★ 672
Humana Gold Plus - Diabetes and Heart 3.0 ★ 286

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Nursing Home Plan EX-F003 4.5 ★ 7,345

Availability of SNPs in York is tied to eligibility requirements. These plans are not available to all beneficiaries but can be especially valuable for those with Medicaid or qualifying chronic conditions.

See Special Needs Plans in York County

VA Benefits and Local Medicare Help in York County

Some beneficiaries may have coverage choices or support options outside standard Medicare plan categories, including VA health benefits, retiree coverage, and counseling programs.

Additional Support Options York County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Maine SHIP
Local help resource State Health Insurance Assistance Program

Choosing the Best Medicare Coverage for You in York County

Selecting Medicare coverage depends on how you prefer to receive care, control Medicare costs, and access providers. Most people begin by deciding between Medicare Advantage and Original Medicare.

Medicare Advantage plans bundle hospital, medical, and often prescription drug coverage into one plan. They may offer lower premiums and extra benefits, but usually require you to stay within a provider network.

Original Medicare provides access to providers nationwide who accept Medicare. Many beneficiaries add a Part D drug plan and a Medigap policy to help manage costs and reduce out-of-pocket expenses.

Special Needs Plans (SNPs) are designed for individuals with qualifying health conditions or eligibility, including those with Medicaid. While not available to everyone, they can provide focused coverage when you meet the criteria.

The best option depends on your preferred doctors, medication needs, and how you balance monthly premiums with potential out-of-pocket costs.

To take the next step, review available plans and coverage options in York County.

  • CMS.gov, Medicare Advantage & Special Needs Plan 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

County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "What's Medicare Drug Coverage (Part D)?" — Last accessed May 1, 2026
  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed May 6, 2026
  • Medicare.gov, "Joining a plan" — Last accessed May 7, 2026
  • Medicare.gov, "What Is Medigap and How Does It Work?" — Last accessed May 6, 2026

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.

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