Medicare Advantage · Massachusetts · 2026 plan year

Medicare Advantage in Middlesex, MA

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Middlesex, MA for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

61
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$61.47
Avg premium/mo
RSS updates for this county

The short answer

Middlesex has 61 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 33 reach 4★ or higher, and 14 carry a $0 monthly premium.

61
plans to compare
4.5★
highest CMS rating here
14
$0-premium plans
33
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Middlesex, MA

Middlesex, MA (FIPS 25017): 61 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SENIOR WHOLE HEALTH, LLC. Plan-type mix: 30 HMO, 26 Local PPO, 5 HMO POS. Monthly plan premiums (Part C + D) range $0 – $325.00 (avg $61.47), with 14 $0-premium plans. 40 of 61 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Middlesex sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

4.09★ Top 6% higher than 94% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). Below this entry. 4★–4.25★: 351 US counties (11%). This entry sits in this band. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Middlesex, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
2Senior Whole Health, LLC (SNP)Molina HealthcareHMO$04.5★
3Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO POS$04.5★
4Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
5Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
6Senior Whole Health, LLC (SNP)Molina HealthcareHMO$4.504.5★
7Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$59.004.5★
8Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO$65.004.5★
9Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$108.004.5★
10Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO POS$118.004.5★
11Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO$245.004.5★
12Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$300.004.5★
13Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
14Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
15Fallon Community Health Plan (SNP)Fallon HealthHMO-4.0★
16Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$04.0★
17Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
18Fallon Community Health Plan (SNP)Fallon HealthHMO$04.0★
19Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$04.0★
20Unitedhealthcare Insurance Company (SNP)UnitedHealthcareHMO$14.504.0★
21Unitedhealthcare Insurance Company (SNP)UnitedHealthcareHMO$21.804.0★
22Fallon Community Health Plan (SNP)Fallon HealthHMO$31.204.0★
23Commonwealth Care Alliance, Inc. (SNP)Commonwealth Care Alliance MassachusettsHMO$35.804.0★
24Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanLocal PPO$40.004.0★
25Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$58.004.0★
26Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanHMO POS$62.004.0★
27Fallon Community Health Plan (SNP)Fallon HealthHMO$78.004.0★
28Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$150.004.0★
29Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$166.004.0★
30Fallon Community Health Plan (SNP)Fallon HealthHMO$174.004.0★
31Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$193.004.0★
32Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$227.004.0★
33Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$325.004.0★
34Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
35Aetna Health Inc. (CT) (SNP)Aetna MedicareHMO POS$03.5★
36Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$03.5★
37Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$6.603.5★
38Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$48.003.5★
39Plan 001-Local PPO-N/R
40Plan 002-Local PPO-N/R
41Plan 001-Local PPO-N/R
42Plan 002-Local PPO-N/R
43Plan 001-Local PPO-N/R
44Plan 002-Local PPO-N/R
45Plan 001-Local PPO-N/R
46Plan 002-Local PPO-N/R
47Plan 002-Local PPO-N/R
48Plan 003-Local PPO-N/R
49Plan 001-Local PPO-N/R
50Plan 002-Local PPO-N/R
51Eternalhealth, Inc. (SNP)eternalHealthHMO$0N/R
52Eternalhealth, Inc. (SNP)eternalHealthLocal PPO$0N/R
53Eternalhealth, Inc. (SNP)eternalHealthLocal PPO$0N/R
54Unitedhealthcare OF NEW England, Inc. (SNP)UnitedHealthcareHMO$0N/R
55Unitedhealthcare OF NEW England, Inc. (SNP)UnitedHealthcareHMO$8.70N/R
56Tufts Health Public Plans, Inc. (SNP)Tufts Health PlanHMO$14.70N/R
57Senior Whole Health, LLC (SNP)Molina HealthcareHMO$17.50N/R
58Commonwealth Care Alliance, Inc. (SNP)Commonwealth Care Alliance, Inc.HMO$25.00N/R
59Mass General Brigham Health Plan, Inc (SNP)Mass General Brigham Health PlanHMO$35.80N/R
60Mass General Brigham Health Plan, Inc (SNP)Mass General Brigham Health PlanHMO$35.80N/R
61Tufts Health Public Plans, Inc. (SNP)Tufts Health PlanHMO$36.60N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (33 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Middlesex, MA?

There are 61 Medicare Advantage plans available in Middlesex, MA for the 2026 plan year, including 30 HMO, 26 Local PPO, 5 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Middlesex?

The highest-rated plan in Middlesex has a CMS star rating of 4.5 out of 5 - SENIOR WHOLE HEALTH, LLC. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Middlesex?

Monthly plan premiums (Part C + D combined) in Middlesex range from $0 to $325.00, averaging $61.47. 14 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Middlesex?

Middlesex has 30 HMO, 26 Local PPO, 5 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare