Medicare Advantage ยท New York ยท 2026 plan year

Medicare Advantage in Essex, NY

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

28
Plans available
4.5โ˜…
Best plan: Top-rated
$0
Lowest premium/mo
$55.33
Avg premium/mo
RSS updates for this county

The short answer

Essex has 28 Medicare Advantage plans for 2026, the best earns 4.5โ˜… from CMS, 12 reach 4โ˜… or higher, and 4 carry a $0 monthly premium.

28
plans to compare
4.5โ˜…
highest CMS rating here
4
$0-premium plans
12
plans rated 4โ˜… 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 Essex, NY

Essex, NY (FIPS 36031): 28 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Plan-type mix: 11 Local PPO, 8 HMO, 7 HMO POS, 2 PFFS. Monthly plan premiums (Part C + D) range $0 โ€“ $174.00 (avg $55.33), with 4 $0-premium plans. 28 of 28 plans include Part D drug coverage. CMS Star Ratings methodology โ†’

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 Essex sits on CMS quality

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

3.66โ˜… Top 70% higher than 30% of 3,121 US counties

2.5โ˜…โ€“2.75โ˜…: 19 US counties (1%). Below this entry. 2.75โ˜…โ€“3โ˜…: 5 US counties (0%). Below this entry. 3โ˜…โ€“3.25โ˜…: 31 US counties (1%). Below this entry. 3.25โ˜…โ€“3.5โ˜…: 164 US counties (5%). Below this entry. 3.5โ˜…โ€“3.75โ˜…: 1,089 US counties (35%). This entry sits in this band. 3.75โ˜…โ€“4โ˜…: 1,344 US counties (43%). Above this entry. 4โ˜…โ€“4.25โ˜…: 351 US counties (11%). Above this entry. 4.25โ˜…โ€“4.5โ˜…: 37 US counties (1%). Above this entry. 4.5โ˜…โ€“4.75โ˜…: 3 US counties (0%). Above this entry. 4.75โ˜…โ€“5โ˜…: 78 US counties (2%). Above this entry. This county 2.5โ˜… 5โ˜… 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 ยท 2026-09-01

All plans in Essex, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Capital District Physicians' Health Plan, Inc. (SNP)CDPHP Medicare AdvantageHMO-4.5โ˜…
2Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5โ˜…
3Capital District Physicians' Health Plan, Inc. (SNP)CDPHP Medicare AdvantageHMO$04.5โ˜…
4Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$52.804.5โ˜…
5Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$56.004.5โ˜…
6Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$58.804.5โ˜…
7Capital District Physicians' Health Plan, Inc. (SNP)CDPHP Medicare AdvantageHMO$100.004.5โ˜…
8Capital District Physicians' Health Plan, Inc. (SNP)CDPHP Medicare AdvantageHMO$135.004.5โ˜…
9MVP Health Plan, Inc. (SNP)MVP Health CareHMO POS-4.0โ˜…
10Unitedhealthcare OF NEW York, Inc. (SNP)UnitedHealthcareHMO POS$31.004.0โ˜…
11Unitedhealthcare OF NEW York, Inc. (SNP)UnitedHealthcareHMO POS$58.804.0โ˜…
12Unitedhealthcare OF NEW York, Inc. (SNP)UnitedHealthcareHMO POS$58.804.0โ˜…
13American Progressive Life & Hlth INS Company OF NY (SNP)WellcarePFFS-3.5โ˜…
14American Progressive Life & Hlth INS Company OF NY (SNP)WellcarePFFS-3.5โ˜…
15Excellus Health Plan, Inc. (SNP)Excellus Health Plan, IncLocal PPO-3.5โ˜…
16Excellus Health Plan, Inc. (SNP)Excellus Health Plan, IncLocal PPO$140.003.5โ˜…
17MVP Health Plan, Inc. (SNP)MVP Health CareLocal PPO$174.003.5โ˜…
18NEW York Quality Healthcare Corporation (SNP)Wellcare By Fidelis CareHMO POS-3.0โ˜…
19American Progressive Life & Hlth INS Company OF NY (SNP)WellcareLocal PPO$03.0โ˜…
20American Progressive Life & Hlth INS Company OF NY (SNP)WellcareLocal PPO$03.0โ˜…
21NEW York Quality Healthcare Corporation (SNP)Wellcare By Fidelis CareHMO POS$03.0โ˜…
22Aetna Health Inc. (NY) (SNP)Aetna MedicareHMO$5.903.0โ˜…
23Aetna Health Inc. (NY) (SNP)Aetna MedicareHMO$23.103.0โ˜…
24NEW York Quality Healthcare Corporation (SNP)Wellcare By Fidelis CareHMO POS$32.503.0โ˜…
25American Progressive Life & Hlth INS Company OF NY (SNP)WellcareLocal PPO$58.803.0โ˜…
26American Progressive Life & Hlth INS Company OF NY (SNP)WellcareLocal PPO$58.803.0โ˜…
27NEW York Quality Healthcare Corporation (SNP)Wellcare By Fidelis CareHMO$58.803.0โ˜…
28NEW York Quality Healthcare Corporation (SNP)Wellcare By Fidelis CareHMO$58.803.0โ˜…

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.

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 Essex, NY?

There are 28 Medicare Advantage plans available in Essex, NY for the 2026 plan year, including 11 Local PPO, 8 HMO, 7 HMO POS, 2 PFFS. 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 Essex?

The highest-rated plan in Essex has a CMS star rating of 4.5 out of 5 - SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Essex?

Monthly plan premiums (Part C + D combined) in Essex range from $0 to $174.00, averaging $55.33. 4 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 Essex?

Essex has 11 Local PPO, 8 HMO, 7 HMO POS, 2 PFFS. 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