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Plymouth County, Massachusetts — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

55 individual Medicare Advantage plan segments from 9 parent organizations are filed for Plymouth County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
55plans filed +5 vs prior year
21with a $0 premium −2 vs prior year
$6,600median in-network MOOP +$700 vs prior year
35on 4-star or better contracts
17report comprehensive dental
29report an OTC allowance

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
AARP Medicare Advantage from UHC MA-0003 (HMO-POS)
UnitedHealth Group, Inc. · H5253-157-002 · SoB ✓
HMO-POS$0$6,700$5204.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Signature (HMO-POS)
CVS Health Corporation · H5793-018-000 · SoB ✓
HMO-POS$0$6,750$6153.5out of 5 stars, Average$20Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Signature (PPO)
CVS Health Corporation · H5521-451-000 · SoB ✓
PPO$0$6,750$6154.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids Meals
Aetna Medicare Signature Extra (PPO)
CVS Health Corporation · H5521-159-000 · SoB ✓
PPO$0$5,900$6154.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids Meals
Erickson Advantage Guardian (HMO-POS I-SNP)
UnitedHealth Group, Inc. · H5652-003-000 · SoB ✓
HMO-POS I-SNP$0$1,000$05.0out of 5 stars, ExcellentReportedVision exam Eyewear OTC allowance
Fallon Medicare Plus Orange (HMO)
Fallon Community Health Plan, Inc. · H9001-038-000 · SoB
HMO$0$7,550$4004.0out of 5 stars, Above average—Vision exam Eyewear Hearing aids Transportation
Mass General Brigham Advantage (PPO)
Mass General Brigham Incorporated · H9485-001-000 · SoB
PPO$0$5,500$3503.5out of 5 stars, Average$65Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Medicare HMO Blue SaverRx (HMO-POS)
Blue Cross and Blue Shield of Massachusetts, Inc. · H2261-024-000 · SoB
HMO-POS$0$9,200$04.5out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Senior Whole Health SCO (HMO D-SNP)
Molina Healthcare, Inc. · H2224-001-000 · SoB ✓
HMO D-SNP$0$9,250$1154.5out of 5 stars, Above averageReportedEyewear OTC allowance
Tufts Health Plan Senior Care Options CW (HMO D-SNP)
Point32Health, Inc. · H8330-002-000 · SoB
HMO D-SNP$0$9,250$4003.5out of 5 stars, AverageReportedOTC allowance
Tufts Medicare Preferred HMO Smart Saver Rx (HMO)
Point32Health, Inc. · H2256-046-000 · SoB
HMO$0$6,400$6154.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
UHC One Care MA-Y3 (HMO D-SNP)
UnitedHealth Group, Inc. · H4610-001-000 · SoB ✓
HMO D-SNP$0$9,250$534Not rated—none reported
eternalHealth Forever (HMO)
Eternal Health of Delaware, Inc. · H1280-001-000 · SoB ✓
HMO$0$5,000$250Not rated$60Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
eternalHealth Freedom (PPO)
Eternal Health of Delaware, Inc. · H2694-001-000 · SoB
PPO$0$6,500$185Not rated$60Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
eternalHealth Give Back (PPO)
Eternal Health of Delaware, Inc. · H2694-002-000 · SoB ✓
PPO$0$6,500$350Not rated$45Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Senior Whole Health SCO NHC (HMO D-SNP)
Molina Healthcare, Inc. · H2224-003-000 · SoB
HMO D-SNP$4.50$9,250$6154.5out of 5 stars, Above averageReportedEyewear OTC allowance
Tufts Health Plan Senior Care Options (HMO D-SNP)
Point32Health, Inc. · H8330-001-000 · SoB
HMO D-SNP$6.60$9,250$6153.5out of 5 stars, AverageReportedOTC allowance
UHC One Care MA-Y4 (HMO D-SNP)
UnitedHealth Group, Inc. · H4610-002-000 · SoB ✓
HMO D-SNP$8.70$9,250$615Not rated—none reported
Erickson Advantage Liberty (HMO-POS)
UnitedHealth Group, Inc. · H5652-008-000 · SoB ✓
HMO-POS$14$6,750$6005.0out of 5 stars, Excellent—Vision exam Eyewear
UHC Senior Care Options MA-Y001 (HMO D-SNP)
UnitedHealth Group, Inc. · H2226-001-000 · SoB ✓
HMO D-SNP$14.50$9,250$6154.0out of 5 stars, Above averageReportedOTC allowance
Tufts Health One Care CW (HMO D-SNP)
Point32Health, Inc. · H5314-002-000 · SoB
HMO D-SNP$14.70$9,250$615Not rated—none reported
Molina One Care (HMO D-SNP)
Molina Healthcare, Inc. · H4371-001-000 · SoB
HMO D-SNP$17.50$1,500$615Not rated—none reported
Tufts Medicare Preferred PPO RX (PPO)
Point32Health, Inc. · H9907-002-001 · SoB
PPO$20$6,750$6154.0out of 5 stars, Above averageReportedVision exam Hearing aids OTC allowance
UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)
UnitedHealth Group, Inc. · H2226-003-000 · SoB ✓
HMO D-SNP$21.80$9,250$6154.0out of 5 stars, Above averageReportedTransportation OTC allowance
CCA One Care (HMO D-SNP)
CareSource · H1486-001-000 · SoB
HMO D-SNP$25$8,845$615Not rated—none reported
NaviCare (HMO D-SNP)
Fallon Community Health Plan, Inc. · H8928-001-000 · SoB
HMO D-SNP$31.20$7,550$6154.0out of 5 stars, Above average$375Eyewear Transportation OTC allowance
CCA Senior Care Options (HMO D-SNP)
CareSource · H2225-001-000 · SoB
HMO D-SNP$35.80$8,980$6154.0out of 5 stars, Above average$420Eyewear OTC allowance
Mass General Brigham One Care (HMO D-SNP)
Mass General Brigham Incorporated · H1611-001-000 · SoB
HMO D-SNP$35.80$9,250$615Not rated—none reported
Mass General Brigham SCO (HMO D-SNP)
Mass General Brigham Incorporated · H0777-001-000 · SoB
HMO D-SNP$35.80$9,250$615Not rated$250Vision exam Eyewear OTC allowance
Tufts Health One Care (HMO D-SNP)
Point32Health, Inc. · H5314-001-000 · SoB
HMO D-SNP$36.60$9,250$615Not rated—none reported
AARP Medicare Advantage from UHC MA-0006 (PPO)
UnitedHealth Group, Inc. · H8768-055-002 · SoB ✓
PPO$48$6,700$6003.5out of 5 stars, Average—Vision exam Eyewear Hearing aids Meals
Tufts Medicare Preferred HMO Basic Rx (HMO)
Point32Health, Inc. · H2256-026-002 · SoB
HMO$58$3,850$04.0out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation
Medicare PPO Blue EssentialRx (PPO)
Blue Cross and Blue Shield of Massachusetts, Inc. · H2230-019-000 · SoB
PPO$59$9,250$6154.5out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Mass General Brigham Advantage Secure (HMO-POS)
Mass General Brigham Incorporated · H6847-001-000 · SoB
HMO-POS$62$3,350$3503.5out of 5 stars, Average$95Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Medicare HMO Blue ValueRx (HMO)
Blue Cross and Blue Shield of Massachusetts, Inc. · H2261-022-001 · SoB
HMO$65$3,750$3204.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids Meals
Fallon Medicare Plus Green (HMO)
Fallon Community Health Plan, Inc. · H9001-030-018 · SoB
HMO$78$5,200$3004.0out of 5 stars, Above average$175Vision exam Eyewear Hearing aids Transportation OTC allowance
Erickson Advantage Freedom (HMO-POS)
UnitedHealth Group, Inc. · H5652-006-000 · SoB ✓
HMO-POS$89$4,900$3555.0out of 5 stars, ExcellentReportedVision exam Eyewear OTC allowance
Medicare PPO Blue ValueRx (PPO)
Blue Cross and Blue Shield of Massachusetts, Inc. · H2230-018-001 · SoB
PPO$108$6,600$04.5out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Medicare HMO Blue FlexRx (HMO-POS)
Blue Cross and Blue Shield of Massachusetts, Inc. · H2261-023-001 · SoB
HMO-POS$118$4,100$2604.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids Meals
Mass General Brigham Advantage Premier (PPO)
Mass General Brigham Incorporated · H9485-002-000 · SoB
PPO$150$3,150$3503.5out of 5 stars, Average$120Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Tufts Medicare Preferred HMO Value Rx (HMO)
Point32Health, Inc. · H2256-018-007 · SoB
HMO$166$3,850$04.0out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation
Fallon Medicare Plus Blue (HMO)
Fallon Community Health Plan, Inc. · H9001-031-018 · SoB
HMO$174$3,400$04.0out of 5 stars, Above average—Vision exam Eyewear Hearing aids Transportation
Erickson Advantage Champion (HMO-POS C-SNP)
UnitedHealth Group, Inc. · H5652-004-000 · SoB ✓
HMO-POS C-SNP$182$3,400$2705.0out of 5 stars, ExcellentReportedVision exam Eyewear Hearing aids OTC allowance
Erickson Advantage Signature (HMO-POS)
UnitedHealth Group, Inc. · H5652-001-000 · SoB ✓
HMO-POS$182$2,900$2705.0out of 5 stars, ExcellentReportedVision exam Eyewear Hearing aids OTC allowance
Tufts Medicare Preferred HMO Prime Rx (HMO)
Point32Health, Inc. · H2256-015-002 · SoB
HMO$193$3,850$04.0out of 5 stars, Above average—Vision exam Eyewear Hearing aids Transportation
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
Point32Health, Inc. · H2256-001-002 · SoB
HMO$227$3,850$04.0out of 5 stars, Above average—Vision exam Eyewear Hearing aids Transportation
Medicare HMO Blue PlusRx (HMO)
Blue Cross and Blue Shield of Massachusetts, Inc. · H2261-005-000 · SoB
HMO$245$3,800$2004.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids Meals
Medicare PPO Blue PlusRx (PPO)
Blue Cross and Blue Shield of Massachusetts, Inc. · H2230-002-000 · SoB
PPO$300$4,200$2004.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids Meals
Mass General Brigham Advantage Signature (PPO)
Mass General Brigham Incorporated · H9485-003-000 · SoB
PPO$325$0$3503.5out of 5 stars, Average$130Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
AARP Medicare Advantage Patriot No Rx MA-MA01 (PPO)
UnitedHealth Group, Inc. · H8768-045-000 · SoB ✓
PPO—$6,700—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Eagle Giveback (PPO)
CVS Health Corporation · H5521-296-000 · SoB ✓
PPO—$5,900—4.5out of 5 stars, Above average$90Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Erickson Advantage Liberty no Rx (HMO-POS)
UnitedHealth Group, Inc. · H5652-002-000 · SoB ✓
HMO-POS—$6,750—5.0out of 5 stars, Excellent—Vision exam Eyewear Hearing aids
Fallon Medicare Plus Saver No Rx (HMO)
Fallon Community Health Plan, Inc. · H9001-039-000 · SoB
HMO—$6,700—4.0out of 5 stars, Above average$175Vision exam Eyewear Hearing aids Transportation OTC allowance
Tufts Medicare Preferred HMO Prime No Rx (HMO)
Point32Health, Inc. · H2256-016-002 · SoB
HMO—$3,850—4.0out of 5 stars, Above average—Vision exam Eyewear Hearing aids Transportation
Tufts Medicare Preferred HMO Value No Rx (HMO)
Point32Health, Inc. · H2256-019-007 · SoB
HMO—$3,850—4.0out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

How to read this table

Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.

Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.

Is a drug covered by plans in Plymouth County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 11 stand-alone Part D plans in the Central New England (Connecticut, Massachusetts, Rhode Island, and Vermont) region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 55 Plymouth County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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