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Medicare plans in Berkshire County, MA — 2026
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2026, Berkshire County, Massachusetts has 23 Medicare plans (7 Medicare Advantage with drug coverage, 3 without, 11 standalone Part D, 2 Special Needs) from 9 carriers. 2 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,400.
Market snapshot
- Residents 65 and older
- 32,417
- Residents 60–64, aging in over the next five years
- 11,138
- Medicare eligibles
- 38,446
- Medicare Advantage penetration
- 16.8%
- Plans per 1,000 residents 65+
- 0.7
Carriers by number of plans
- Health New England Medicare Advantage Plans — 6 plans
- Fallon Health — 5 plans
- Humana — 3 plans
- Blue MedicareRx — 2 plans
- UnitedHealthcare — 2 plans
- Wellcare — 2 plans
- Aetna Medicare — 1 plan
- Commonwealth Care Alliance, Inc. — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|
| Fallon Medicare Plus Orange (HMO) (H9001-038-0) | Fallon Health | MA-PD | HMO | $0 | $400 | $7,550 | 4.0 |
|---|
| NaviCare (HMO D-SNP) (H8928-001-0) | Fallon Health | SNP | HMO D-SNP | $31.20 | $615 | $7,550 | 4.0 |
|---|
| Fallon Medicare Plus Green (HMO) (H9001-030-18) | Fallon Health | MA-PD | HMO | $78 | $300 | $5,200 | 4.0 |
|---|
| Fallon Medicare Plus Blue (HMO) (H9001-031-18) | Fallon Health | MA-PD | HMO | $174 | $0 | $3,400 | 4.0 |
|---|
| Fallon Medicare Plus Saver No Rx (HMO) (H9001-039-0) | Fallon Health | MA | HMO | | | $6,700 | 4.0 |
|---|
| Health New England Medicare Value (HMO) (H8578-012-0) | Health New England Medicare Advantage Plans | MA-PD | HMO | $0 | $490 | $6,750 | 3.0 |
|---|
| Health New England Medicare Plus (HMO) (H8578-004-0) | Health New England Medicare Advantage Plans | MA-PD | HMO | $113 | $350 | $5,000 | 3.0 |
|---|
| Health New England Medicare Premium (HMO) (H8578-001-0) | Health New England Medicare Advantage Plans | MA-PD | HMO | $168 | $350 | $4,500 | 3.0 |
|---|
| Health New England Medicare Basic No Rx (HMO) (H8578-009-0) | Health New England Medicare Advantage Plans | MA | HMO | | | $5,500 | 3.0 |
|---|
| Health New England Medicare Premium No Rx (HMO) (H8578-003-0) | Health New England Medicare Advantage Plans | MA | HMO | | | $4,500 | 3.0 |
|---|
Showing 10 of 23 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.