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Medicare Advantage plans in Madison County, NY for 2027
43 Medicare Advantage plans from 8 companies are available in Madison County for 2027. Plans with a $0 monthly premium (not counting special needs plans): 16. Lowest in-network out-of-pocket limit: $4,950.
Open enrollment for 2027 runs October 15 – December 7, 2026; coverage starts January 1, 2027.
Plans with drug coverage (19)
| Plan | Type | Monthly premium | Drug deductible | Out-of-pocket limit (in network) | Last year's star rating |
|---|---|---|---|---|---|
| Trinity Health Plan New York No Premium (HMO) Trinity Health Plan New York | HMO | $0 | $425 | $7,900 | — |
| Trinity Health Plan New York Cash Back (HMO) Trinity Health Plan New York | HMO | $0 | $450 | $9,250 | — |
| Aetna Medicare Signature (HMO) Aetna Medicare | HMO | $0 | $700 | $9,850 | 3 |
| Aetna Medicare Signature (PPO) Aetna Medicare | PPO | $0 | $700 | $9,850 | 4.5 |
| Wellcare Assist Open (PPO) Wellcare | PPO | $0 | $700 | $9,850 | 3 |
| Wellcare Fidelis Assist (HMO-POS) Wellcare | HMO-POS | $0 | $700 | $9,850 | 3 |
| Wellcare Fidelis Simple (HMO-POS) Wellcare | HMO-POS | $0 | $700 | $9,850 | 3 |
| Wellcare Giveback Open (PPO) Wellcare | PPO | $0 | $700 | $9,850 | 3 |
| Wellcare Simple Open (PPO) Wellcare | PPO | $0 | $700 | $9,850 | 3 |
| Medicare Blue Choice 028 (HMO) Excellus Health Plan, Inc | HMO | $14 | $700 | $9,850 | 4 |
| AARP Medicare Advantage from UHC NY-0006 (HMO-POS) UnitedHealthcare | HMO-POS | $54 | $685 | $8,900 | 3.5 |
| Aetna Medicare Elite (PPO) Aetna Medicare | PPO | $54 | $700 | $9,850 | 4.5 |
| Aetna Medicare Premier (PPO) Aetna Medicare | PPO | $60 | $700 | $9,250 | 4.5 |
| HumanaChoice H5970-029 (PPO) Humana | PPO | $65 | $700 | $9,250 | 3 |
| MVP Medicare WellValue with Part D (HMO-POS) MVP HEALTH CARE | HMO-POS | $71 | $700 | $9,850 | 4 |
| Medicare Blue Choice 029 (HMO-POS) Excellus Health Plan, Inc | HMO-POS | $85.30 | $700 | $8,500 | 4 |
| Medicare Blue Choice 030 (HMO-POS) Excellus Health Plan, Inc | HMO-POS | $125.30 | $325 | $7,500 | 4 |
| MVP Medicare Secure Plus with Part D (HMO-POS) MVP HEALTH CARE | HMO-POS | $165 | $500 | $6,000 | 4 |
| MVP Medicare Secure Plus Choice with Part D (PPO) MVP HEALTH CARE | PPO | $256 | $500 | $7,500 | 3.5 |
Plans without drug coverage (7)
| Plan | Type | Monthly premium | Out-of-pocket limit (in network) | Last year's star rating |
|---|---|---|---|---|
| Humana USAA Honor Giveback (PPO) Humana | PPO | $0 | $4,950 | 3 |
| Trinity Health Plan New York Glory No RX (HMO) Trinity Health Plan New York | HMO | $0 | $6,300 | — |
| Medicare Blue Choice 031 (HMO-POS) Excellus Health Plan, Inc | HMO-POS | $0 | $6,500 | 4 |
| AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $7,150 | 3.5 |
| MVP Medicare Preferred Gold without Part D (HMO-POS) MVP HEALTH CARE | HMO-POS | $0 | $7,200 | 4 |
| Aetna Medicare Eagle Giveback (PPO) Aetna Medicare | PPO | $0 | $9,850 | 4.5 |
| Wellcare Fidelis Patriot Simple (HMO-POS) Wellcare | HMO-POS | $0 | $9,850 | 3 |
Special needs plans (17)
Special needs plans are only for people who also have Medicaid (D-SNP), certain chronic conditions (C-SNP) or who live in an institution such as a nursing home (I-SNP).
| Plan | Type | Monthly premium | Drug deductible | Out-of-pocket limit (in network) | Last year's star rating |
|---|---|---|---|---|---|
| UHC Complete Care NY-31 (HMO-POS C-SNP) UnitedHealthcare | HMO-POS C-SNP | $0 | $685 | $8,900 | 3.5 |
| Aetna Medicare Chronic Care Total (HMO C-SNP) Aetna Medicare | HMO C-SNP | $0 | $700 | $9,850 | 3 |
| Aetna Medicare Full Dual (HMO D-SNP) Aetna Medicare | HMO D-SNP | $0 | $700 | $9,850 | 3 |
| Humana Gold Plus SNP-DE H3533-036 (HMO D-SNP) Humana | HMO D-SNP | $0 | $700 | $9,850 | 3 |
| UHC Dual Complete NY-Q001 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $0 | $700 | $9,850 | 4 |
| Wellcare Dual Access Open (PPO D-SNP) Wellcare | PPO D-SNP | $0 | $700 | $9,850 | 3 |
| Wellcare Fidelis Dual Access (HMO D-SNP) Wellcare | HMO D-SNP | $0 | $700 | $9,850 | 3 |
| Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) Wellcare | HMO D-SNP | $0 | $700 | $9,850 | 3 |
| UHC Nursing Home Plan NY-F001 (PPO I-SNP) UnitedHealthcare | PPO I-SNP | $4.20 | $700 | $9,850 | 4.5 |
| Aetna Medicare Longevity (PPO I-SNP) Aetna Medicare | PPO I-SNP | $10.70 | $700 | $9,850 | 4.5 |
| UHC Dual Complete NY-S001 (PPO D-SNP) UnitedHealthcare | PPO D-SNP | $19.40 | $700 | $9,850 | 4.5 |
| Nascentia Skilled Nursing Facility (HMO I-SNP) Nascentia Health Plus | HMO I-SNP | $25.40 | $700 | $9,850 | — |
| Nascentia Dual Advantage (HMO D-SNP) Nascentia Health Plus | HMO D-SNP | $27 | $700 | $9,850 | — |
| Nascentia Medicaid Advantage Plus (HMO D-SNP) Nascentia Health Plus | HMO D-SNP | $30.30 | $700 | $9,850 | — |
| UHC Dual Complete NY-S002 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $31.70 | $700 | $9,850 | 4 |
| UHC Dual Complete NY-YL (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $40.50 | $700 | $9,850 | 4 |
| Wellcare Fidelis Dual Align Unity (HMO D-SNP) Wellcare | HMO D-SNP | $40.50 | $700 | $9,850 | 3 |
Stand-alone Part D drug plans in New York →
Star ratings for 2027 are published by CMS in October; the stars shown are the contract's 2026 overall rating. We are not connected with or endorsed by the U.S. government or the federal Medicare program, and we do not sell plans. We do not list plan benefits in full; confirm costs and coverage with the plan, Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048) before you enroll. Source: CMS Medicare Advantage and Part D Landscape, 2027 (2026-10 release).