Medicare Advantage Plans in Schoharie County, NY:
Your Complete 2026 Guide
Schoharie County, NY offers 24 Medicare Advantage plans in 2026. This includes 14 with $0 monthly premiums. Currently, about 2,675 beneficiaries in the County are enrolled, and 38% of available plans have a 4-star rating or higher. Special Needs Plans are not included in the figures shown above. Explore SNP options for Schoharie County, NY here.
Page last revised:
Enrollment data refreshed: May 2, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans offer flexibility by allowing you to see both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs may appeal to people who want more choice in doctors and hospitals.
- Total PPO Plans 10
- Average Premium $21.48/mo
- Beneficiaries Enrolled 855
- $0 Premium PPOs 6
- Average MOOP $8,820
- Most Popular PPO MVP Medicare Complete Wellness with Part D (PPO) with 205 enrollees
- PPOs Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,250 | N/A | H5521 323 0 | |
| Aetna Medicare Elite | $0 | $9,250 | $615 | H5521 119 0 | |
| Aetna Medicare Enhanced | $109 | $9,250 | $615 | H5521 669 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 most popular PPO plan in Schoharie?
MVP Medicare Complete Wellness with Part D (PPO) is the top PPO in Schoharie, with 205 enrollees.
What is the number of PPO plans without Part D coverage in Schoharie?
There are 2 PPO plans in Schoharie without prescription drug coverage.
Medicare Advantage HMO Plans
With an HMO, you’ll typically get care from providers and facilities in the plan’s network. In exchange for this limitation, HMO plans usually feature lower monthly premiums and reduced cost-sharing, which can help enrollees better manage their healthcare expenses.
- Total HMO Plans
- 5
- Average Premium
- $47.00/mo
- Beneficiaries Enrolled
- 1,589
- $0 Premium HMOs
- 3
- Average MOOP
- $6,900
- Most Popular HMO
- CDPHP $0 Medicare Rx (HMO) with 976 enrollees
- HMOs Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| CDPHP $0 Medicare Rx | $0 | $6,750 | $500 | H3388 014 0 | |
| CDPHP Choice Rx | $135 | $6,000 | $0 | H3388 002 0 | |
| CDPHP Clear Rx | $100 | $6,400 | $250 | H3388 020 0 | |
| CDPHP Core | $0 | $6,100 | N/A | H3388 001 0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H3312 062 0 |
What is the typical premium for HMO plans in Schoharie?
On average, HMO plans in Schoharie cost $47.00 per month.
Which HMO plan do most beneficiaries choose in Schoharie?
The leading HMO in Schoharie is CDPHP $0 Medicare Rx (HMO), with 976 members.
How many HMO options are offered without prescription drug coverage in Schoharie?
There are 1 HMO plans available in Schoharie without Part D benefits.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans blend elements of HMO and PPO coverage. You can see providers outside the network, but out-of-network services typically cost more. This type of plan may appeal to people who like the lower costs of an HMO but also want occasional flexibility to go out of network.
- Total HMO-POS Plans 5
- Average Premium $29.70/mo
- Beneficiaries Enrolled 210
- $0 Premium HMO-POS 3
- Average MOOP $8,190
- Most Popular HMO-POS MVP Medicare Secure Plus with Part D (HMO-POS) with 112 enrollees
- HMO-POS Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 | |
| 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 |
What is the total number of HMO-POS plans in Schoharie?
In 2026, Schoharie has 5 HMO-POS plans, with 210 enrollees.
How much do HMO-POS plans cost on average in Schoharie?
The mean monthly HMO-POS premium is $29.70, and 3 have no premium.
Medicare Advantage PFFS Plans
With a PFFS plan, you can see any Medicare-approved provider who agrees to the plan’s conditions and payment structure. These plans offer broader choice compared to network-based options, but coverage depends on provider participation, so always confirm acceptance in advance.
- Total PFFS Plans
- 4
- Average Premium
- $44.25/mo
- Beneficiaries Enrolled
- 21
- $0 Premium PFFS
- 2
- Average MOOP
- $4,450
- Most Popular PFFS
- Wellcare Advantage Simple (PFFS) with 21 enrollees
- PFFS Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 average monthly premium for PFFS plans?
- On average, PFFS plans in Schoharie cost $44.25 per month.
- Which PFFS plan is most popular in Schoharie?
- The leading PFFS plan in Schoharie is Wellcare Advantage Simple (PFFS), with 21 members.
- How many PFFS plans in Schoharie do not include drug coverage?
- There are 2 PFFS plans in Schoharie without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Schoharie 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) | 9 | 38% |
| 3 Stars | 15 | 63% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.63 | |
For residents of Schoharie County, signing up for a Medicare Advantage plan isn’t just about benefits—it’s about timing. Learning the key enrollment periods ensures you don’t lose access to the coverage that works best for you.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
Ways to Enroll in Medicare Advantage
- Consult a Licensed Agent: Call a licensed insurance agent at HealthCompare 1-833-748-3201 (TTY 711), available Monday through Friday 5am–6pm and Saturday 6am–5pm PST, for help reviewing your Medicare options.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely 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 Cobleskill, Gilboa, Howes Cave, Jefferson, Middleburgh, Richmondville, Schoharie, Sharon Springs, and all other areas of Schoharie 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.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — 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 Schoharie 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.