Medicare Advantage plans in Worcester, MA, 2027
Worcester, Massachusetts has 34 Medicare Advantage plans open to everyone for 2027 (43 in 2026) and 16 special needs plans, according to the CMS landscape files; 19 of the open plans have a $0 premium. 15 plans that served the county in 2026 end or leave it, with 22,052 members living here in September 2026.
What changes in Worcester for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 43 | 34 | ▼down 9 |
| Special needs plans | 15 | 16 | ▲up 1 |
| Plans with a $0 premium | 23 | 19 | ▼down 4 |
| Plans that lower the Part B premium | 8 | 9 | ▲up 1 |
| Median out-of-pocket limit | $5,900 | $6,725 | ▲up $825 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Worcester join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Humana USAA Honor GivebackH5216-059 · PPO | $0 | $4,950 | $123 | 3.5 of 5 |
| eternalHealth ForeverH1280-001 · HMO | $0 | $6,000 | none | not rated (too little data) |
| eternalHealth FreedomH2694-001 · PPO | $0 | $6,500 | none | not rated (too little data) |
| eternalHealth Give BackH2694-002 · PPO | $0 | $6,500 | $48 | not rated (too little data) |
| Fallon Medicare Plus Saver No RxH9001-039 · HMO | $0 | $6,700 | $75 | 4 of 5 |
| HumanaChoiceH5216-249 · PPO | $0 | $6,750 | none | 3.5 of 5 |
| Tufts Medicare Preferred HMO Smart Saver RxH2256-047 · HMO | $0 | $7,150 | none | 4 of 5 |
| HumanaChoice GivebackH5216-138 · PPO | $0 | $7,150 | $40 | 3.5 of 5 |
| HumanaChoice GivebackH5216-477 · PPO | $0 | $7,150 | $48 | 3.5 of 5 |
| AARP Medicare Advantage from UHC MA-0003H5253-157 · HMO-POS | $0 | $7,150 | none | 4 of 5 |
| AARP Medicare Advantage Patriot No Rx MA-MA2H5253-225 · HMO-POS | $0 | $7,150 | $110 | 4 of 5 |
| Aetna Medicare EliteH5521-160 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| Aetna Medicare Eagle GivebackH5521-296 · PPO | $0 | $7,150 | $90 | 4.5 of 5 |
| Aetna Medicare Signature ExtraH5521-450 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| Aetna Medicare SignatureH5793-014 · HMO-POS | $0 | $7,150 | none | 3.5 of 5 |
| Mass General Brigham Advantage CoreH6847-002 · HMO-POS | $0 | $7,150 | none | 4 of 5 |
| HumanaChoice GivebackH7617-046 · PPO | $0 | $7,150 | $40 | 4.5 of 5 |
| AARP Medicare Advantage Patriot No Rx MA-MA01H8768-045 · PPO | $0 | $7,150 | $60 | 3.5 of 5 |
| Fallon Medicare Plus OrangeH9001-041 · HMO | $0 | $9,850 | none | 4 of 5 |
| Tufts Medicare Preferred HMO Basic No RxH2256-041 · HMO | $50 | $4,500 | none | 4 of 5 |
Show the other 14 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Mass General Brigham Advantage SecureH6847-001 · HMO-POS | $60 | $5,000 | none | 4 of 5 |
| Aetna Medicare EnhancedH5521-760 · PPO | $60 | $6,750 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC MA-0006H8768-055 · PPO | $67 | $7,150 | none | 3.5 of 5 |
| Tufts Medicare Preferred HMO Basic RxH2256-036 · HMO | $85 | $4,500 | none | 4 of 5 |
| Fallon Medicare Plus GreenH9001-030 · HMO | $105 | $6,000 | none | 4 of 5 |
| Tufts Medicare Preferred HMO Value No RxH2256-040 · HMO | $142 | $4,200 | none | 4 of 5 |
| Mass General Brigham Advantage PlusH6847-003 · HMO-POS | $180 | $4,500 | none | 4 of 5 |
| Tufts Medicare Preferred HMO Prime No RxH2256-039 · HMO | $182 | $3,850 | none | 4 of 5 |
| Tufts Medicare Preferred HMO Value RxH2256-034 · HMO | $190 | $4,200 | none | 4 of 5 |
| Fallon Medicare Plus BlueH9001-031 · HMO | $217 | $3,400 | none | 4 of 5 |
| Tufts Medicare Preferred PPO RXH9907-003 · PPO | $220 | $7,150 | none | 4 of 5 |
| Tufts Medicare Preferred HMO Prime RxH2256-033 · HMO | $224 | $3,850 | none | 4 of 5 |
| Medicare HMO Blue PlusRxH2261-005 · HMO | $245 | $3,800 | none | 4.5 of 5 |
| Medicare PPO Blue PlusRxH2230-002 · PPO | $300 | $4,200 | none | 4.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Worcester in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| Medicare PPO Blue ValueRxH2230-018 | 6,063 | Leaves the county |
| Medicare HMO Blue SaverRxH2261-024 | 4,352 | Leaves the county |
| Mass Advantage PremiereH9904-001 | 4,065 | Not offered |
| Mass Advantage BasicH7670-001 | 2,099 | Not offered |
| Medicare HMO Blue ValueRxH2261-022 | 1,264 | Leaves the county |
| Medicare PPO Blue EssentialRxH2230-019 | 1,119 | Leaves the county |
| Mass Advantage ExtraH9904-002 | 811 | Not offered |
| Mass Advantage PlusH7670-002 | 783 | Not offered |
| Medicare HMO Blue FlexRxH2261-023 | 584 | Leaves the county |
| Mass General Brigham AdvantageH9485-001 | 289 | Not offered |
| AARP Medicare Advantage CareFlex from UHC MA-9H5253-159 | 194 | Not offered |
| Tufts Medicare Preferred PPO RXH9907-002 | 158 | Not offered |
| Humana Direct Choice GivebackH5216-424 | 142 | Not offered |
| Mass General Brigham Advantage PremierH9485-002 | 69 | Not offered |
| Mass General Brigham Advantage SignatureH9485-003 | 60 | Not offered |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| UHC Complete Care MA-7H5253-155 | Chronic or Disabling Condition | $0 |
| Molina One CareH4371-001 | Dual-Eligible | $0 |
| Senior Whole Health SCOH2224-001 | Dual-Eligible | $0 |
| UHC Senior Care Options MA-Y001H2226-001 | Dual-Eligible | $0 |
| UHC One Care MA-YLH4610-002 | Dual-Eligible | $0 |
| UHC Senior Care Options MA-YLH2226-003 | Dual-Eligible | $17.20 |
| Tufts Health One CareH5314-001 | Dual-Eligible | $18.50 |
| UHC One Care MA-Y3H4610-001 | Dual-Eligible | $20.20 |
| Tufts Health Plan Senior Care Options CWH8330-002 | Dual-Eligible | $22.10 |
| NaviCareH8928-002 | Dual-Eligible | $22.70 |
| NaviCare NHCH8928-001 | Dual-Eligible | $25.20 |
| Tufts Health One Care CWH5314-002 | Dual-Eligible | $25.30 |
| Tufts Health Plan Senior Care OptionsH8330-001 | Dual-Eligible | $30.30 |
| CCA One CareH1486-001 | Dual-Eligible | $33.80 |
| Senior Whole Health SCO NHCH2224-003 | Dual-Eligible | $33.80 |
| CCA Senior Care OptionsH2225-001 | Dual-Eligible | $33.80 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Worcester use Medicare Advantage?
80,880 of the county's 183,656 people with Medicare were in a Medicare Advantage plan in September 2026, 44.0%; in Massachusetts as a whole the share is 35.6%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in MassachusettsEvery county of the state
- 10 stand-alone drug plans in MassachusettsIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027