Medicare Advantage Plans in Suffolk County, NY:
Your Complete 2027 Guide
In Suffolk County, NY, Medicare beneficiaries have 18 Medicare Advantage plans to consider for 2027. Among them, 7 are offered at a $0 premium. About 37,867 people in the County are currently enrolled, and 56% of plans are rated 4 stars or higher. Special Needs Plans are not included in the figures shown above. Explore SNP options for Suffolk County, NY here. For a broader view beyond Medicare Advantage, see all Medicare coverage options in Suffolk County.
Page last revised:
Enrollment data refreshed: October 5, 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 4
- Average Premium $58.50/mo
- Beneficiaries Enrolled 28,124
- $0 Premium PPOs 2
- Average MOOP $9,850
- Most Popular PPO Aetna Medicare Elite (PPO) with 26,063 enrollees
- PPOs Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,850 | N/A | H5521 320 0 | |
| Aetna Medicare Elite | $0 | $9,850 | $700 | H5521 120 0 | |
| Aetna Medicare Elite Extra | $79 | $9,850 | $700 | H5521 674 0 | |
| Healthfirst Signature | $155 | $9,850 | $700 | H9678 002 0 |
What is the total number of PPO plans offered in Suffolk?
There are 4 PPO plans in 2027, covering 28,124 beneficiaries.
How much do PPO plans cost on average in Suffolk?
The average PPO premium is $58.50, with 2 costing $0.
What is the most popular PPO plan in Suffolk?
Aetna Medicare Elite (PPO) is the top PPO in Suffolk, with 26,063 enrollees.
What is the number of PPO plans without Part D coverage in Suffolk?
There are 1 PPO plans in Suffolk 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
- 9
- Average Premium
- $79.39/mo
- Beneficiaries Enrolled
- 6,969
- $0 Premium HMOs
- 1
- Average MOOP
- $9,783
- Most Popular HMO
- Anthem Medicare Advantage (HMO) with 3,536 enrollees
- HMOs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| EmblemHealth VIP Gold | $166 | $9,850 | $200 | H3330 021 3 | |
| EmblemHealth VIP Gold Plus | $216 | $9,850 | $200 | H3330 038 0 | |
| EmblemHealth VIP Saver | $40 | $9,850 | $650 | H3330 051 0 | |
| EmblemHealth VIP Value | $0 | $9,850 | $650 | H3330 049 0 | |
| VNS Health EasyCare | $25 | $9,850 | $650 | H5549 012 0 | |
| Healthfirst Increased Benefits Plan | $17 | $9,850 | $700 | H3359 019 0 | |
| Aetna Medicare Enhanced | $104 | $9,850 | $700 | H3312 064 0 | |
| Anthem Medicare Advantage | $96 | $9,850 | $100 | H8432 011 0 | |
| Humana Gold Plus H3533-037 | $50 | $9,250 | $700 | H3533 037 0 |
What is the average monthly premium for HMO plans?
On average, HMO plans in Suffolk cost $79.39 per month.
Which HMO plan is most popular in Suffolk?
The leading HMO in Suffolk is Anthem Medicare Advantage (HMO), with 3,536 members.
How many HMO plans in Suffolk do not include drug coverage?
There are 0 HMO plans available in Suffolk without Part D benefits.
Medicare Advantage HMO-POS Plans
With HMO Point-of-Service (HMO-POS) plans, you can enjoy the cost savings of an HMO while still having the flexibility to see out-of-network providers when necessary. Though out-of-network care typically costs more, this type of plan offers a good middle ground for those who want some freedom in their provider choices.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Anthem Medicare Advantage 3 | $70 | $9,850 | $275 | H6988 007 0 | |
| Anthem Veteran 2 | $0 | $6,800 | N/A | H6988 008 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 leading HMO-POS plan in Suffolk?
Anthem Medicare Advantage 3 (HMO-POS) is the most popular HMO-POS plan in Suffolk, with 1,379 enrollees.
What is the number of HMO-POS plans without Part D coverage in Suffolk?
2 HMO-POS plans in Suffolk do not include drug coverage.
The table below shows the quality ratings for Medicare Advantage plans offered in Suffolk County, NY for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 11% |
| 4 Stars (includes 5 Stars) | 10 | 56% |
| 3 Stars | 8 | 44% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.69 | |
In Suffolk County, Medicare Advantage enrollment follows specific timelines. Understanding these options—whether it’s your first time enrolling or switching plans—helps you choose coverage that matches your health and budget.
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
How to Sign Up for a Medicare Advantage Plan
- Licensed Agent Assistance: For one-on-one guidance, contact HealthCompare at 1-833-748-3201 (TTY 711). Agents are available Monday through Friday 5am–6pm and Saturday 6am–5pm PST.
- 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 Amityville, Babylon, North Babylon, West Babylon, Bayport, Bay Shore, Bellport, Blue Point, Bohemia, Brentwood, Brightwaters, Brookhaven, Centereach, Centerport, Central Islip, Cold Spring Harbor, Commack, Copiague, Coram, Deer Park, East Islip, East Northport, East Setauket, Farmingville, Great River, Greenlawn, Holbrook, Holtsville, Huntington, Huntington Station, Melville, Islandia, Islip, Islip Terrace, Kings Park, Lake Grove, Lindenhurst, Medford, Miller Place, Mount Sinai, Nesconset, Northport, Oakdale, Patchogue, Port Jefferson Station, Port Jefferson, Rocky Point, Ronkonkoma, Saint James, Sayville, Selden, Shoreham, Smithtown, Hauppauge, Sound Beach, Stony Brook, Wading River, West Islip, West Sayville, Wyandanch, Riverhead, Amagansett, Bridgehampton, Calverton, Center Moriches, Cutchogue, East Hampton, East Moriches, Eastport, East Quogue, Greenport, Hampton Bays, Laurel, Manorville, Mastic, Mastic Beach, Mattituck, Middle Island, Montauk, Moriches, Remsenburg, Ridge, Sag Harbor, Shelter Island, Shirley, Southampton, Southold, Speonk, Water Mill, Westhampton, Westhampton Beach, Yaphank, and all other areas of Suffolk 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, "Compare types of Medicare Advantage Plans" — 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 2027 Medicare Advantage plans available in Suffolk 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.