Medicare Advantage Plans in Hampden County, MA:
Your Complete 2025 Guide
For 2025, residents of Hampden County, MA can choose from 38 Medicare Advantage plan options. Of these, 20 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 29,742, with 45% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in Hampden County, MA.
Last update: . Enrollment data last updated: September 16, 2025
* CMS rates Medicare Advantage plans annually using a 5-star system. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. While using out-of-network doctors or hospitals usually means higher costs, PPOs may appeal to people who want more flexibility in how they access their healthcare.
- Total PPO Plans
- 16
- Average Premium
- $32.41/mo
- Beneficiaries Enrolled
- 17,083
- $0 Premium PPOs
- 11
- Average MOOP
- $5,953
- Most Popular PPO
- Medicare PPO Blue SaverRx (PPO) with 4,633 enrollees
- PPOs Without Drug Coverage
- 3
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| Aetna Medicare Discover | $0 | $5,900 | $250 | |
| Aetna Medicare Eagle | $0 | $5,900 | N/A | |
| Aetna Medicare Enhanced Select | $157 | $7,500 | $450 | |
| Aetna Medicare Explorer | $0 | $5,900 | $0 | |
| Health New England Medicare Compass | $19 | $6,750 | $490 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | |
| HumanaChoice Giveback H5216-138 | $0 | $5,200 | $395 | |
| HumanaChoice Giveback H5216-424 | $0 | $5,200 | $395 | |
| HumanaChoice H5216-249 | $0 | $6,750 | $350 | |
| HumanaChoice H5216-250 | $6 | $6,400 | $450 | |
| Medicare PPO Blue PlusRx | $250 | $3,800 | $200 | |
| Medicare PPO Blue SaverRx | $0 | $5,600 | $0 | |
| Medicare PPO Blue ValueRx | $87 | $6,600 | $0 | |
| Tufts Medicare Preferred Access Rx | $0 | $5,400 | $0 | |
| AARP Medicare Advantage from UHC MA-0006 | $0 | $6,700 | $420 | |
| AARP Medicare Advantage Patriot No Rx MA-MA01 | $0 | $6,700 | N/A |
- What is the average monthly premium for PPO plans in Hampden?
- On average, PPO plans in Hampden cost $32.41 per month.
- Which PPO plan has the highest enrollment in Hampden?
- The most popular PPO in Hampden is Medicare PPO Blue SaverRx (PPO), covering 4,633 beneficiaries.
- How many PPO plans in Hampden do not include prescription drug coverage?
- 3 PPO plans available in Hampden do not include Part D benefits.
Medicare Advantage HMO Plans
HMO plans are designed around a set network of doctors and hospitals. Staying within that network is usually required for coverage, but this arrangement often results in lower overall costs, including both premiums and out-of-pocket expenses, for plan members.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| Fallon Medicare Plus Blue | $101 | $3,400 | $0 | |
| Fallon Medicare Plus Green | $57 | $5,200 | $175 | |
| Fallon Medicare Plus Orange | $0 | $7,550 | $200 | |
| Fallon Medicare Plus Saver No Rx | $35 | $6,700 | N/A | |
| Tufts Medicare Preferred HMO Basic Rx | $37 | $3,650 | $0 | |
| Tufts Medicare Preferred HMO Prime Rx | $106 | $3,650 | $0 | |
| Tufts Medicare Preferred HMO Prime Rx Plus | $122 | $3,650 | $0 | |
| Tufts Medicare Preferred HMO Saver Rx | $0 | $7,550 | $0 | |
| Tufts Medicare Preferred HMO Smart Saver Rx | $0 | $5,200 | $0 | |
| Tufts Medicare Preferred HMO Value Rx | $83 | $3,650 | $0 | |
| Health New England Medicare Basic No Rx | $0 | $5,500 | N/A | |
| Health New England Medicare Plus | $113 | $5,000 | $350 | |
| Health New England Medicare Premium | $168 | $4,500 | $350 | |
| Health New England Medicare Premium No Rx | $44 | $4,500 | N/A | |
| Health New England Medicare Value | $0 | $6,750 | $490 | |
| Medicare HMO Blue PlusRx | $194 | $3,800 | $200 | |
| Medicare HMO Blue ValueRx | $23 | $3,750 | $320 |
What is the total number of HMO plans offered in Hampden?
There are 17 HMO plans in 2025, covering 9,081 beneficiaries.
How much do HMO plans cost on average in Hampden?
The average HMO premium is $63.71, with 5 costing $0.
What is the top HMO by enrollment in Hampden?
Health New England Medicare Value (HMO) is the most popular HMO plan in Hampden, with 2,083 enrollees.
What is the number of HMO plans without Part D coverage in Hampden?
3 HMO plans in Hampden 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, but they also permit some use of out-of-network doctors and hospitals. Those services are generally more expensive, but the added access can be valuable for people who don’t want to be fully limited to a single network.
- Total HMO-POS Plans
- 5
- Average Premium
- $14.60/mo
- Beneficiaries Enrolled
- 3,578
- $0 Premium HMO-POS
- 4
- Average MOOP
- $5,790
- Most Popular HMO-POS
- AARP Medicare Advantage from UHC MA-0003 (HMO-POS) with 2,424 enrollees
- HMO-POS Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC MA-9 | $0 | $6,700 | $495 | |
| AARP Medicare Advantage from UHC MA-0003 | $0 | $5,200 | $340 | |
| Aetna Medicare Value | $0 | $6,750 | $590 | |
| Medicare HMO Blue FlexRx | $73 | $4,100 | $260 | |
| Medicare HMO Blue SaverRx | $0 | $6,200 | $0 |
What is the average monthly premium for HMO-POS plans?
On average, HMO-POS plans in Hampden cost $14.60 per month.
Which HMO-POS plan is most popular in Hampden?
The leading HMO-POS in Hampden is AARP Medicare Advantage from UHC MA-0003 (HMO-POS), with 2,424 members.
How many HMO-POS plans in Hampden do not include drug coverage?
There are 0 HMO-POS plans in Hampden without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Hampden County, MA for 2025.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 17 | 45% |
| 3 Stars | 21 | 55% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.75 | |
Medicare Advantage comes with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Outside the standard enrollment dates, you may qualify for a Special Enrollment Period if specific circumstances apply, including relocation or coverage loss. Learn more
Enrollment Options Explained
- Talk with a Licensed Agent: Licensed agents at HealthCompare can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Monday–Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: Enrollment can also be completed by calling the plan provider’s customer service line or visiting their official website.
- Use Medicare.gov: The official Medicare website, Medicare.gov, lets you review available plans and complete enrollment online.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Agawam, Blandford, Brimfield, Chester, Chicopee, East Longmeadow, Feeding Hills, Granville, Hampden, Holyoke, Ludlow, Monson, Palmer, Russell, Southwick, Three Rivers, Wales, Westfield, West Springfield, Wilbraham, Springfield, Longmeadow, Indian Orchard, Holland, and all other areas of Hampden County, Massachusetts.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
CMS Plan IDs Presented
The Medicare Advantage plan pages listed in the tables above include localization to assist beneficiaries with plans available in their service area. However, most Part C plans are available in more than one service area, which can lead to confusion. The following list of CMS IDs links to our master plan pages without localization.
- CMS.gov, Landscape Source Files — Last accessed September 13, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed September 13, 2025
- CMS.gov, Plan Benefits Package — Last accessed September 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed September 16, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- 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
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected 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 managed by David Bynon, Medicare Analyst.