Medicare Advantage Plans in Worcester County, MA:
Your Complete 2027 Guide
For 2027, residents of Worcester County, MA can choose from 34 Medicare Advantage plan options. Of these, 22 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 28,981, with 79% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in Worcester County, MA. To understand how Medicare Advantage fits with your other coverage choices, explore all Medicare coverage options in Worcester County.
Last update: . Enrollment data last updated: October 5, 2026
* 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
- 15
- Average Premium
- $43.13/mo
- Beneficiaries Enrolled
- 15,761
- $0 Premium PPOs
- 11
- Average MOOP
- $6,667
- Most Popular PPO
- Aetna Medicare Signature Extra (PPO) with 6,921 enrollees
- PPOs Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| HumanaChoice Giveback H7617-046 | $0 | $7,150 | $700 | H7617 046 0 | |
| AARP Medicare Advantage from UHC MA-0006 | $67 | $7,150 | $685 | H8768 055 1 | |
| AARP Medicare Advantage Patriot No Rx MA-MA01 | $0 | $7,150 | N/A | H8768 045 0 | |
| Aetna Medicare Eagle Giveback | $0 | $7,150 | N/A | H5521 296 0 | |
| Aetna Medicare Elite | $0 | $7,150 | $700 | H5521 160 0 | |
| Aetna Medicare Enhanced | $60 | $6,750 | $700 | H5521 760 0 | |
| Aetna Medicare Signature Extra | $0 | $7,150 | $400 | H5521 450 0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5216 059 0 | |
| HumanaChoice Giveback H5216-138 | $0 | $7,150 | $700 | H5216 138 0 | |
| HumanaChoice Giveback H5216-477 | $0 | $7,150 | $700 | H5216 477 0 | |
| HumanaChoice H5216-249 | $0 | $6,750 | $350 | H5216 249 0 | |
| Medicare PPO Blue PlusRx | $300 | $4,200 | $500 | H2230 002 0 | |
| Tufts Medicare Preferred PPO RX | $220 | $7,150 | $700 | H9907 003 0 | |
| EternalHealth Freedom | $0 | $6,500 | $275 | H2694 001 0 | |
| EternalHealth Give Back | $0 | $6,500 | $400 | H2694 002 0 |
What is the average monthly premium for PPO plans in Worcester?
On average, PPO plans in Worcester cost $43.13 per month.
Which PPO plan has the highest enrollment in Worcester?
The most popular PPO in Worcester is Aetna Medicare Signature Extra (PPO), covering 6,921 beneficiaries.
How many PPO plans in Worcester do not include prescription drug coverage?
3 PPO plans available in Worcester do not include Part D benefits.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use doctors, hospitals, and other providers within the plan’s network, except in emergencies. Because of this structure, HMOs often come with lower premiums and out-of-pocket costs compared with other plan types.
- Total HMO Plans 13
- Average Premium $82.00/mo
- Beneficiaries Enrolled 8,013
- $0 Premium HMOs 7
- Average MOOP $5,231
- Most Popular HMO Tufts Medicare Preferred HMO Basic Rx (HMO) with 2,986 enrollees
- HMOs Without Drug Coverage 4
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Medicare HMO Blue PlusRx | $245 | $3,800 | $500 | H2261 005 0 | |
| Fallon Medicare Plus Blue | $217 | $3,400 | $0 | H9001 031 15 | |
| Fallon Medicare Plus Green | $105 | $6,000 | $300 | H9001 030 15 | |
| Fallon Medicare Plus Orange | $0 | $9,850 | $595 | H9001 041 15 | |
| Fallon Medicare Plus Saver No Rx | $0 | $6,700 | N/A | H9001 039 0 | |
| Tufts Medicare Preferred HMO Basic No Rx | $0 | $4,500 | N/A | H2256 041 0 | |
| Tufts Medicare Preferred HMO Basic Rx | $85 | $4,500 | $200 | H2256 036 0 | |
| Tufts Medicare Preferred HMO Prime No Rx | $0 | $3,850 | N/A | H2256 039 0 | |
| Tufts Medicare Preferred HMO Prime Rx | $224 | $3,850 | $0 | H2256 033 0 | |
| Tufts Medicare Preferred HMO Smart Saver Rx | $0 | $7,150 | $700 | H2256 047 1 | |
| Tufts Medicare Preferred HMO Value No Rx | $0 | $4,200 | N/A | H2256 040 0 | |
| Tufts Medicare Preferred HMO Value Rx | $190 | $4,200 | $200 | H2256 034 0 | |
| EternalHealth Forever | $0 | $6,000 | $250 | H1280 001 0 |
What is the top HMO by enrollment in Worcester?
Tufts Medicare Preferred HMO Basic Rx (HMO) is the most popular HMO plan in Worcester, with 2,986 enrollees.
What is the number of HMO plans without Part D coverage in Worcester?
4 HMO plans in Worcester 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
- 6
- Average Premium
- $40.00/mo
- Beneficiaries Enrolled
- 5,207
- $0 Premium HMO-POS
- 4
- Average MOOP
- $6,350
- Most Popular HMO-POS
- AARP Medicare Advantage from UHC MA-0003 (HMO-POS) with 3,379 enrollees
- HMO-POS Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC MA-0003 | $0 | $7,150 | $685 | H5253 157 1 | |
| AARP Medicare Advantage Patriot No Rx MA-MA2 | $0 | $7,150 | N/A | H5253 225 0 | |
| Mass General Brigham Advantage Core | $0 | $7,150 | $700 | H6847 002 0 | |
| Mass General Brigham Advantage Plus | $180 | $4,500 | $700 | H6847 003 0 | |
| Mass General Brigham Advantage Secure | $60 | $5,000 | $700 | H6847 001 0 | |
| Aetna Medicare Signature | $0 | $7,150 | $400 | H5793 014 0 |
What is the typical premium for HMO-POS plans in Worcester?
On average, HMO-POS plans in Worcester cost $40.00 per month.
Which HMO-POS plan has the most members in Worcester?
The leading HMO-POS in Worcester is AARP Medicare Advantage from UHC MA-0003 (HMO-POS), with 3,379 members.
How many HMO-POS options are offered without prescription drug coverage in Worcester?
There are 1 HMO-POS plans in Worcester without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Worcester County, MA for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 26 | 79% |
| 3 Stars | 5 | 15% |
| Below 3 Stars | 2 | 6% |
| Not Rated | 1 | 3% |
| Average Rating | 3.85 | |
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): Certain qualifying events, such as a change in residence or loss of existing coverage, may allow you to enroll in or change Medicare Advantage plans outside of the usual enrollment windows. 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), Mon-Fri 8AM-10PM, Sat 9AM-8PM EST.
- Contact the Plan Provider Directly: You may enroll through a plan provider’s website or speak with their customer support staff to complete your application.
- Use Medicare.gov: Visit Medicare.gov to shop for plans, review benefits, and submit your enrollment electronically.
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 Barre, Gilbertville, Oakham, Warren, West Warren, Athol, Petersham, Royalston, Fitchburg, Ashburnham, Baldwinville, Gardner, Harvard, Hubbardston, Leominster, Lunenburg, Templeton, Westminster, Winchendon, Auburn, Berlin, Blackstone, Boylston, Brookfield, Charlton, Clinton, East Brookfield, Douglas, Fiskdale, Grafton, Holden, Jefferson, Lancaster, Leicester, Millbury, Millville, Northborough, Northbridge, North Brookfield, North Grafton, North Oxford, Oxford, Princeton, Rochdale, Rutland, Shrewsbury, Southbridge, South Grafton, Spencer, Sterling, Sturbridge, Upton, Uxbridge, Webster, Dudley, Westborough, West Boylston, West Brookfield, Whitinsville, Sutton, Worcester, Cherry Valley, Paxton, Bolton, Hopedale, Mendon, Milford, Southborough, and all other areas of Worcester County, Massachusetts. For a broader view of coverage choices across the state, see Medicare plan options in Massachusetts.
Plans Offered through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare®, Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: CY2027 Landscape (202609.1)
- CMS.gov, Medicare Part C & D Performance — Version: 2027 Star Ratings Data Tables
- CMS.gov, Plan Benefits Package — Version: PBP Benefits-2027
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-09
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
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 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.
To explore how 2027 Medicare Advantage plans available in Worcester County compare with plans offered elsewhere, you can search the Medicare Advantage plan directory to review options nationwide using the same authoritative data sources.
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 independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.