Medicare Advantage · Massachusetts · 2026 plan year

Medicare Advantage in Suffolk, MA

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

64
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$61.18
Avg premium/mo
RSS updates for this county

The short answer

Suffolk has 64 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 32 reach 4★ or higher, and 16 carry a $0 monthly premium.

64
plans to compare
4.5★
highest CMS rating here
16
$0-premium plans
32
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 Suffolk, MA

Suffolk, MA (FIPS 25025): 64 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SENIOR WHOLE HEALTH, LLC. Plan-type mix: 31 HMO, 28 Local PPO, 5 HMO POS. Monthly plan premiums (Part C + D) range $0 – $325.00 (avg $61.18), with 16 $0-premium plans. 43 of 64 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 Suffolk sits on CMS quality

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

4.01★ Top 13% higher than 87% 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 Suffolk, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Senior Whole Health, LLC (SNP)Molina HealthcareHMO$04.5★
2Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO POS$04.5★
3Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
4Senior Whole Health, LLC (SNP)Molina HealthcareHMO$4.504.5★
5Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$59.004.5★
6Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO$65.004.5★
7Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$108.004.5★
8Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO POS$118.004.5★
9Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO$245.004.5★
10Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$300.004.5★
11Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
12Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
13Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
14Fallon Community Health Plan (SNP)Fallon HealthHMO-4.0★
15Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$04.0★
16Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
17Fallon Community Health Plan (SNP)Fallon HealthHMO$04.0★
18Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$04.0★
19Unitedhealthcare Insurance Company (SNP)UnitedHealthcareHMO$14.504.0★
20Unitedhealthcare Insurance Company (SNP)UnitedHealthcareHMO$21.804.0★
21Fallon Community Health Plan (SNP)Fallon HealthHMO$31.204.0★
22Commonwealth Care Alliance, Inc. (SNP)Commonwealth Care Alliance MassachusettsHMO$35.804.0★
23Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanLocal PPO$60.004.0★
24Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanHMO POS$62.004.0★
25Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$68.004.0★
26Fallon Community Health Plan (SNP)Fallon HealthHMO$78.004.0★
27Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$150.004.0★
28Fallon Community Health Plan (SNP)Fallon HealthHMO$174.004.0★
29Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$188.004.0★
30Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$223.004.0★
31Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$255.004.0★
32Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$325.004.0★
33Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
34Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
35Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
36Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
37Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
38Aetna Health Inc. (CT) (SNP)Aetna MedicareHMO POS$03.5★
39Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$03.5★
40Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$6.603.5★
41Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$48.003.5★
42Plan 001-Local PPO-N/R
43Plan 002-Local PPO-N/R
44Plan 001-Local PPO-N/R
45Plan 002-Local PPO-N/R
46Plan 001-Local PPO-N/R
47Plan 002-Local PPO-N/R
48Plan 001-Local PPO-N/R
49Plan 002-Local PPO-N/R
50Plan 002-Local PPO-N/R
51Plan 003-Local PPO-N/R
52Plan 001-Local PPO-N/R
53Plan 002-Local PPO-N/R
54Eternalhealth, Inc. (SNP)eternalHealthHMO$0N/R
55Eternalhealth, Inc. (SNP)eternalHealthLocal PPO$0N/R
56Eternalhealth, Inc. (SNP)eternalHealthLocal PPO$0N/R
57Unitedhealthcare OF NEW England, Inc. (SNP)UnitedHealthcareHMO$0N/R
58Unitedhealthcare OF NEW England, Inc. (SNP)UnitedHealthcareHMO$8.70N/R
59Tufts Health Public Plans, Inc. (SNP)Tufts Health PlanHMO$14.70N/R
60Senior Whole Health, LLC (SNP)Molina HealthcareHMO$17.50N/R
61Commonwealth Care Alliance, Inc. (SNP)Commonwealth Care Alliance, Inc.HMO$25.00N/R
62Mass General Brigham Health Plan, Inc (SNP)Mass General Brigham Health PlanHMO$35.80N/R
63Mass General Brigham Health Plan, Inc (SNP)Mass General Brigham Health PlanHMO$35.80N/R
64Tufts 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 (32 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 Suffolk, MA?

There are 64 Medicare Advantage plans available in Suffolk, MA for the 2026 plan year, including 31 HMO, 28 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 Suffolk?

The highest-rated plan in Suffolk 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 Suffolk?

Monthly plan premiums (Part C + D combined) in Suffolk range from $0 to $325.00, averaging $61.18. 16 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 Suffolk?

Suffolk has 31 HMO, 28 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