Medicare Advantage · Massachusetts · 2026 plan year

Medicare Advantage in Worcester, MA

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

60
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$50.29
Avg premium/mo
RSS updates for this county

The short answer

Worcester has 60 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 40 reach 4★ or higher, and 23 carry a $0 monthly premium.

60
plans to compare
4.5★
highest CMS rating here
23
$0-premium plans
40
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 Worcester, MA

Worcester, MA (FIPS 25027): 60 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, 23 Local PPO, 7 HMO POS. Monthly plan premiums (Part C + D) range $0 – $325.00 (avg $50.29), with 23 $0-premium plans. 51 of 60 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 Worcester sits on CMS quality

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

4.06★ Top 9% higher than 91% 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 Worcester, 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★
6Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
7Central Mass Health, LLC (SNP)Mass AdvantageHMO$04.5★
8Senior Whole Health, LLC (SNP)Molina HealthcareHMO$4.504.5★
9Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$59.004.5★
10Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO$79.004.5★
11Central Mass Health, LLC (SNP)Mass AdvantageHMO$95.004.5★
12Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$101.004.5★
13Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO POS$129.004.5★
14Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsHMO$245.004.5★
15Bcbs OF Massachusetts HMO Blue, Inc. (SNP)Blue Cross Blue Shield of MassachusettsLocal PPO$300.004.5★
16Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
17Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
18Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO-4.0★
19Fallon Community Health Plan (SNP)Fallon HealthHMO-4.0★
20Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$04.0★
21Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
22Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
23Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
24Fallon Community Health Plan (SNP)Fallon HealthHMO$04.0★
25Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$04.0★
26Central Mass Health, LLC (SNP)Mass AdvantageLocal PPO$04.0★
27Central Mass Health, LLC (SNP)Mass AdvantageLocal PPO$04.0★
28Unitedhealthcare Insurance Company (SNP)UnitedHealthcareHMO$14.504.0★
29Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanLocal PPO$20.004.0★
30Unitedhealthcare Insurance Company (SNP)UnitedHealthcareHMO$21.804.0★
31Fallon Community Health Plan (SNP)Fallon HealthHMO$31.204.0★
32Commonwealth Care Alliance, Inc. (SNP)Commonwealth Care Alliance MassachusettsHMO$35.804.0★
33Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$55.004.0★
34Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanHMO POS$62.004.0★
35Fallon Community Health Plan (SNP)Fallon HealthHMO$100.004.0★
36Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$150.004.0★
37Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$173.004.0★
38Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$203.004.0★
39Fallon Community Health Plan (SNP)Fallon HealthHMO$207.004.0★
40Mass General Brigham Health Plan, Inc. (SNP)Mass General Brigham Health PlanLocal PPO$325.004.0★
41Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
42Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
43Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
44Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
45Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
46Aetna Health Inc. (CT) (SNP)Aetna MedicareHMO POS$03.5★
47Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$03.5★
48Tufts Associated Health Maintenance Organization (SNP)Tufts Health PlanHMO$6.603.5★
49Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$45.003.5★
50Plan 001-Local PPO-N/R
51Plan 002-Local PPO-N/R
52Eternalhealth, Inc. (SNP)eternalHealthHMO$0N/R
53Eternalhealth, Inc. (SNP)eternalHealthLocal PPO$0N/R
54Eternalhealth, Inc. (SNP)eternalHealthLocal PPO$0N/R
55Unitedhealthcare OF NEW England, Inc. (SNP)UnitedHealthcareHMO$0N/R
56Unitedhealthcare OF NEW England, Inc. (SNP)UnitedHealthcareHMO$8.70N/R
57Tufts Health Public Plans, Inc. (SNP)Tufts Health PlanHMO$14.70N/R
58Senior Whole Health, LLC (SNP)Molina HealthcareHMO$17.50N/R
59Commonwealth Care Alliance, Inc. (SNP)Commonwealth Care Alliance, Inc.HMO$25.00N/R
60Tufts 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 (40 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 Worcester, MA?

There are 60 Medicare Advantage plans available in Worcester, MA for the 2026 plan year, including 30 HMO, 23 Local PPO, 7 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 Worcester?

The highest-rated plan in Worcester 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 Worcester?

Monthly plan premiums (Part C + D combined) in Worcester range from $0 to $325.00, averaging $50.29. 23 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 Worcester?

Worcester has 30 HMO, 23 Local PPO, 7 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