Medicare Advantage Plans in Oneida County, NY:
Your Complete 2026 Guide
For 2026, residents of Oneida County, NY can choose from 32 Medicare Advantage plan options. Of these, 21 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 19,652, with 17% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in Oneida County, NY.
Last update: . Enrollment data last updated: May 2, 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
- $20.69/mo
- Beneficiaries Enrolled
- 15,149
- $0 Premium PPOs
- 9
- Average MOOP
- $8,410
- Most Popular PPO
- Medicare BlueEssential (PPO) with 3,988 enrollees
- PPOs Without Drug Coverage
- 3
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,250 | N/A | H5521 323 0 | |
| Aetna Medicare Premier | $50 | $8,900 | $615 | H5521 340 0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H5521 077 0 | |
| Medicare BlueActive | $0 | $8,900 | $615 | H3335 055 0 | |
| Medicare BlueClassic | $53 | $8,500 | $300 | H3335 038 0 | |
| Medicare BlueEnhanced | $101 | $7,500 | $275 | H3335 015 0 | |
| Medicare BlueEssential | $0 | $8,900 | $615 | H3335 053 0 | |
| Medicare BlueSalute | $0 | $4,500 | N/A | H3335 043 0 | |
| MVP Medicare Complete Wellness with Part D | $15 | $9,250 | $615 | H9615 024 0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5970 016 0 | |
| HumanaChoice Giveback H5970-030 | $0 | $9,250 | $615 | H5970 030 0 | |
| HumanaChoice H5970-029 | $32 | $9,250 | $615 | H5970 029 0 | |
| Wellcare Assist Open | $59 | $9,250 | $530 | H2775 113 0 | |
| Wellcare Giveback Open | $0 | $9,250 | $615 | H2775 111 0 | |
| Wellcare Simple Open | $0 | $9,250 | $615 | H2775 106 0 |
- What is the average monthly premium for PPO plans in Oneida?
- On average, PPO plans in Oneida cost $20.69 per month.
- Which PPO plan has the highest enrollment in Oneida?
- The most popular PPO in Oneida is Medicare BlueEssential (PPO), covering 3,988 beneficiaries.
- How many PPO plans in Oneida do not include prescription drug coverage?
- 3 PPO plans available in Oneida 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 |
|---|---|---|---|---|---|
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312 048 0 | |
| Trinity Health Plan New York Cash Back | $0 | $8,500 | $275 | H9827 004 0 | |
| Trinity Health Plan New York Glory No RX | $0 | $5,500 | N/A | H9827 003 0 | |
| Trinity Health Plan New York No Premium | $0 | $6,750 | $125 | H9827 001 0 |
What is the total number of HMO plans offered in Oneida?
There are 4 HMO plans in 2026, covering 946 beneficiaries.
How much do HMO plans cost on average in Oneida?
The average HMO premium is $0.00, with 4 costing $0.
What is the top HMO by enrollment in Oneida?
Aetna Medicare Signature (HMO) is the most popular HMO plan in Oneida, with 591 enrollees.
What is the number of HMO plans without Part D coverage in Oneida?
1 HMO plans in Oneida 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
- 9
- Average Premium
- $20.28/mo
- Beneficiaries Enrolled
- 3,436
- $0 Premium HMO-POS
- 6
- Average MOOP
- $7,944
- Most Popular HMO-POS
- AARP Medicare Advantage from UHC NY-0006 (HMO-POS) with 2,199 enrollees
- HMO-POS Without Drug Coverage
- 4
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305 020 0 | |
| MVP Medicare Secure Plus with Part D | $116 | $6,000 | $400 | H3305 022 0 | |
| AARP Medicare Advantage from UHC NY-0006 | $34 | $7,900 | $520 | H3379 039 0 | |
| AARP Medicare Advantage Patriot No Rx NY-MA3 | $0 | $6,700 | N/A | H3379 060 0 | |
| Wellcare Fidelis Assist | $33 | $9,250 | $615 | H5599 002 0 | |
| Wellcare Fidelis Patriot Simple | $0 | $9,250 | N/A | H5599 010 0 | |
| Wellcare Fidelis Simple | $0 | $9,250 | $615 | H5599 004 0 | |
| Wellcare Patriot Simple | $0 | $6,700 | N/A | H4868 003 0 | |
| Wellcare Simple | $0 | $9,250 | $615 | H4868 019 0 |
What is the average monthly premium for HMO-POS plans?
On average, HMO-POS plans in Oneida cost $20.28 per month.
Which HMO-POS plan is most popular in Oneida?
The leading HMO-POS in Oneida is AARP Medicare Advantage from UHC NY-0006 (HMO-POS), with 2,199 members.
How many HMO-POS plans in Oneida do not include drug coverage?
There are 4 HMO-POS plans in Oneida without Part D benefits.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans let members visit any Medicare-approved provider that accepts the plan’s payment rules and terms. This structure gives you more flexibility in selecting doctors and hospitals, but it’s important to check provider acceptance before receiving care.
- Total PFFS Plans 4
- Average Premium $44.25/mo
- Beneficiaries Enrolled 121
- $0 Premium PFFS 2
- Average MOOP $4,450
- Most Popular PFFS Wellcare Advantage Simple (PFFS) with 72 enrollees
- PFFS Without Drug Coverage 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Wellcare Advantage Enhanced | $0 | $4,300 | N/A | H2816 037 0 | |
| Wellcare Advantage Simple | $0 | $6,700 | N/A | H2816 038 0 | |
| Wellcare Premium Enhanced | $50 | $3,400 | $615 | H2816 019 0 | |
| Wellcare Premium Ultra | $127 | $3,400 | $615 | H2816 013 0 |
What is the top PFFS plan in Oneida?
Wellcare Advantage Simple (PFFS) is the most popular PFFS plan in Oneida, with 72 enrollees.
What is the number of PFFS plans without Part D coverage in Oneida?
2 PFFS plans in Oneida do not include prescription drug coverage.
The table below shows the quality ratings for Medicare Advantage plans offered in Oneida County, NY for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 5 | 17% |
| 3 Stars | 24 | 83% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 9% |
| Average Rating | 3.43 | |
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 Durhamville, Ava, Barneveld, Blossvale, Boonville, Camden, Cassville, Chadwicks, Clark Mills, Clayville, Clinton, Deansboro, Forestport, Holland Patent, Lee Center, Marcy, New Hartford, New York Mills, Oriskany, Oriskany Falls, Remsen, Rome, Sauquoit, Sherrill, Taberg, Vernon, Vernon Center, Verona, Waterville, Westmoreland, Whitesboro, Yorkville, Utica, and all other areas of Oneida County, New York.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: 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, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, 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(R), Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed May 2, 2026
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 2026 Medicare Advantage plans available in Oneida 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, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.