Medicare Advantage Plans in Jefferson County, NY:
Your Complete 2027 Guide
For 2027, residents of Jefferson County, NY can choose from 23 Medicare Advantage plan options. Of these, 13 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 4,091, with 35% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in Jefferson County, NY. To understand how Medicare Advantage fits with your other coverage choices, explore all Medicare coverage options in Jefferson 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
- 10
- Average Premium
- $43.50/mo
- Beneficiaries Enrolled
- 2,313
- $0 Premium PPOs
- 6
- Average MOOP
- $9,005
- Most Popular PPO
- Aetna Medicare Signature (PPO) with 1,017 enrollees
- PPOs Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,850 | N/A | H5521 323 0 | |
| Aetna Medicare Elite | $54 | $9,850 | $700 | H5521 740 0 | |
| Aetna Medicare Premier | $60 | $9,250 | $700 | H5521 340 0 | |
| Aetna Medicare Signature | $0 | $9,850 | $700 | H5521 077 0 | |
| MVP Medicare Secure Plus Choice with Part D | $256 | $7,500 | $500 | H9615 025 0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5970 016 0 | |
| HumanaChoice H5970-029 | $65 | $9,250 | $700 | H5970 029 0 | |
| Wellcare Assist Open | $0 | $9,850 | $700 | H2775 113 0 | |
| Wellcare Giveback Open | $0 | $9,850 | $700 | H2775 111 0 | |
| Wellcare Simple Open | $0 | $9,850 | $700 | H2775 106 0 |
- What is the average monthly premium for PPO plans in Jefferson?
- On average, PPO plans in Jefferson cost $43.50 per month.
- Which PPO plan has the highest enrollment in Jefferson?
- The most popular PPO in Jefferson is Aetna Medicare Signature (PPO), covering 1,017 beneficiaries.
- How many PPO plans in Jefferson do not include prescription drug coverage?
- 2 PPO plans available in Jefferson 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. | CMS ID |
|---|---|---|---|---|---|
| Medicare Blue Choice 028 | $14 | $9,850 | $700 | H3351 028 0 | |
| Aetna Medicare Signature | $0 | $9,850 | $700 | H3312 048 0 |
What is the total number of HMO plans offered in Jefferson?
There are 2 HMO plans in 2027, covering 297 beneficiaries.
How much do HMO plans cost on average in Jefferson?
The average HMO premium is $7.00, with 1 costing $0.
What is the top HMO by enrollment in Jefferson?
Aetna Medicare Signature (HMO) is the most popular HMO plan in Jefferson, with 297 enrollees.
What is the number of HMO plans without Part D coverage in Jefferson?
0 HMO plans in Jefferson 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
- 11
- Average Premium
- $45.51/mo
- Beneficiaries Enrolled
- 1,481
- $0 Premium HMO-POS
- 6
- Average MOOP
- $8,286
- Most Popular HMO-POS
- AARP Medicare Advantage from UHC NY-0006 (HMO-POS) with 1,329 enrollees
- HMO-POS Without Drug Coverage
- 4
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Medicare Blue Choice 029 | $85 | $8,500 | $700 | H3351 029 0 | |
| Medicare Blue Choice 030 | $125 | $7,500 | $325 | H3351 030 0 | |
| Medicare Blue Choice 031 | $0 | $6,500 | N/A | H3351 031 0 | |
| AARP Medicare Advantage from UHC NY-0006 | $54 | $8,900 | $685 | H3379 039 0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $7,150 | N/A | H3379 060 0 | |
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305 020 0 | |
| MVP Medicare Secure Plus with Part D | $165 | $6,000 | $500 | H3305 022 0 | |
| MVP Medicare WellValue with Part D | $71 | $9,850 | $700 | H3305 038 0 | |
| Wellcare Fidelis Assist | $0 | $9,850 | $700 | H5599 002 0 | |
| Wellcare Fidelis Patriot Simple | $0 | $9,850 | N/A | H5599 010 0 | |
| Wellcare Fidelis Simple | $0 | $9,850 | $700 | H5599 004 0 |
What is the average monthly premium for HMO-POS plans?
On average, HMO-POS plans in Jefferson cost $45.51 per month.
Which HMO-POS plan is most popular in Jefferson?
The leading HMO-POS in Jefferson is AARP Medicare Advantage from UHC NY-0006 (HMO-POS), with 1,329 members.
How many HMO-POS plans in Jefferson do not include drug coverage?
There are 4 HMO-POS plans in Jefferson without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Jefferson County, NY for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 8 | 35% |
| 3 Stars | 15 | 65% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.48 | |
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), Mon-Fri 8AM-10PM, Sat 9AM-8PM EST.
- 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 Watertown, Fort Drum, Adams, Adams Center, Alexandria Bay, Antwerp, Black River, Brownville, Calcium, Cape Vincent, Carthage, Chaumont, Clayton, Dexter, Evans Mills, Henderson, La Fargeville, Mannsville, Philadelphia, Redwood, Sackets Harbor, Theresa, and all other areas of Jefferson County, New York. For a broader view of coverage choices across the state, see Medicare plan options in New York.
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 Jefferson 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.