Medicare Advantage plans in Monroe, NY, 2027
Monroe, New York has 13 Medicare Advantage plans open to everyone for 2027 (19 in 2026) and 20 special needs plans, according to the CMS landscape files; 6 of the open plans have a $0 premium. 11 plans that served the county in 2026 end or leave it, with 11,506 members living here in September 2026.
What changes in Monroe for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 19 | 13 | ▼down 6 |
| Special needs plans | 24 | 20 | ▼down 4 |
| Plans with a $0 premium | 11 | 6 | ▼down 5 |
| Plans that lower the Part B premium | 4 | 2 | ▼down 2 |
| Median out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
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 Monroe join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Medicare Blue Choice FreedomH3351-007 · HMO-POS | $0 | $6,500 | $26 | 4 of 5 |
| MVP Medicare Preferred Gold without Part DH3305-007 · HMO-POS | $0 | $7,200 | none | 4 of 5 |
| Aetna Medicare Eagle GivebackH5521-323 · PPO | $0 | $9,850 | $100 | 4.5 of 5 |
| Wellcare Fidelis AssistH5599-002 · HMO-POS | $0 | $9,850 | none | 3 of 5 |
| Wellcare Fidelis SimpleH5599-004 · HMO-POS | $0 | $9,850 | none | 3 of 5 |
| Wellcare Fidelis Patriot SimpleH5599-010 · HMO-POS | $0 | $9,850 | none | 3 of 5 |
| Medicare Blue Choice CoreH3351-022 · HMO | $19 | $9,850 | none | 4 of 5 |
| VNS Health EasyCareH5549-012 · HMO | $25 | $9,850 | none | 3.5 of 5 |
| Medicare Blue Choice PrimeH3351-023 · HMO-POS | $89.80 | $8,000 | none | 4 of 5 |
| Aetna Medicare EliteH5521-521 · PPO | $109 | $9,850 | none | 4.5 of 5 |
| MVP Medicare WellValue with Part DH3305-039 · HMO-POS | $217 | $9,850 | none | 4 of 5 |
| Medicare Blue Choice OptimumH3351-006 · HMO-POS | $263 | $6,700 | none | 4 of 5 |
| MVP Medicare Preferred Gold with Part DH3305-015 · HMO-POS | $277 | $6,800 | none | 4 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 Monroe 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 |
|---|---|---|
| HumanaChoice GivebackH5970-030 | 6,094 | Not offered |
| MVP Medicare WellSelect with Part DH9615-021 | 1,516 | Not offered |
| HumanaChoice SNP-DEH5970-020 | 1,290 | Not offered |
| HumanaChoiceH5970-029 | 658 | Leaves the county |
| Humana Gold Plus SNP-DEH3533-002 | 541 | Leaves the county |
| Aetna Medicare EnhancedH5521-522 | 530 | Not offered |
| Humana USAA Honor GivebackH5970-016 | 495 | Leaves the county |
| Aetna Medicare Full DualH3312-087 | 347 | Not offered |
| Wellcare Advantage SimpleH2816-038 | 18 | Not offered |
| Wellcare Advantage EnhancedH2816-037 | 17 | Not offered |
| iCircle Dual AdvantageH7813-001 | not reported | 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 |
|---|---|---|
| Elderplan SelectH3347-018 | Institutional | $0 |
| UHC Dual Complete NY-Q001H3387-015 | Dual-Eligible | $0 |
| Wellcare Fidelis Dual Liberty SyncH5599-014 | Dual-Eligible | $0 |
| Wellcare Fidelis Dual AccessH5599-016 | Dual-Eligible | $0 |
| Medicare Blue Dual SecureH7524-004 | Dual-Eligible | $0 |
| UHC Nursing Home Plan NY-F001H2292-001 | Institutional | $4.20 |
| Aetna Medicare LongevityH5521-461 | Institutional | $10.70 |
| MVP DualAccessH3305-033 | Dual-Eligible | $13.10 |
| UHC Dual Complete NY-S001H2001-063 | Dual-Eligible | $19.40 |
| MVP DualAccess CompleteH3305-034 | Dual-Eligible | $22.20 |
| VNS Health EasyCare PlusH5549-011 | Dual-Eligible | $23.60 |
| Medicare Blue DualH7524-003 | Dual-Eligible | $23.70 |
| Nascentia Skilled Nursing FacilityH9066-002 | Institutional | $25.40 |
| Nascentia Dual AdvantageH9066-003 | Dual-Eligible | $27 |
| Nascentia Medicaid Advantage PlusH9066-001 | Dual-Eligible | $30.30 |
| UHC Dual Complete NY-S002H3387-014 | Dual-Eligible | $31.70 |
| Elderplan Advantage For Nursing Home ResidentsH3347-003 | Institutional | $33.70 |
| VNS Health TotalH5549-003 | Dual-Eligible | $40.50 |
| UHC Dual Complete NY-YLH3387-013 | Dual-Eligible | $40.50 |
| Wellcare Fidelis Dual Align UnityH5599-003 | Dual-Eligible | $40.50 |
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 Monroe use Medicare Advantage?
135,892 of the county's 176,295 people with Medicare were in a Medicare Advantage plan in September 2026, 77.1%; in New York as a whole the share is 53.6%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in New YorkEvery county of the state
- 9 stand-alone drug plans in New YorkIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027