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Medicare plans in Worcester 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, Worcester County, Massachusetts has 69 Medicare plans (36 Medicare Advantage with drug coverage, 7 without, 11 standalone Part D, 15 Special Needs) from 15 carriers. 23 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $1,500.
Market snapshot
- Residents 65 and older
- 147,690
- Residents 60–64, aging in over the next five years
- 62,326
- Medicare eligibles
- 183,656
- Medicare Advantage penetration
- 44.0%
- Plans per 1,000 residents 65+
- 0.5
Carriers by number of plans
- Tufts Health Plan — 12 plans
- UnitedHealthcare — 11 plans
- Humana — 8 plans
- Blue Cross Blue Shield of Massachusetts — 7 plans
- Aetna Medicare — 5 plans
- Fallon Health — 5 plans
- Mass Advantage — 4 plans
- Mass General Brigham Health Plan — 4 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|
| Aetna Medicare Signature (PPO) (H5521-160-0) | Aetna Medicare | MA-PD | PPO | $0 | $500 | $6,750 | 4.5 |
|---|
| Aetna Medicare Signature Extra (PPO) (H5521-450-0) | Aetna Medicare | MA-PD | PPO | $0 | $500 | $5,900 | 4.5 |
|---|
| HumanaChoice Giveback H7617-046 (PPO) (H7617-046-0) | Humana | MA-PD | PPO | $0 | $395 | $6,500 | 4.5 |
|---|
| Mass Advantage Basic (HMO) (H7670-001-0) | Mass Advantage | MA-PD | HMO | $0 | $200 | $6,750 | 4.5 |
|---|
| Medicare HMO Blue SaverRx (HMO-POS) (H2261-024-0) | Blue Cross Blue Shield of Massachusetts | MA-PD | HMO-POS | $0 | $0 | $9,200 | 4.5 |
|---|
| Senior Whole Health SCO (HMO D-SNP) (H2224-001-0) | Molina Healthcare of Massachusetts | SNP | HMO D-SNP | $0 | $115 | $9,250 | 4.5 |
|---|
| Senior Whole Health SCO NHC (HMO D-SNP) (H2224-003-0) | Molina Healthcare of Massachusetts | SNP | HMO D-SNP | $4.50 | $615 | $9,250 | 4.5 |
|---|
| Medicare PPO Blue EssentialRx (PPO) (H2230-019-0) | Blue Cross Blue Shield of Massachusetts | MA-PD | PPO | $59 | $615 | $9,250 | 4.5 |
|---|
| Medicare HMO Blue ValueRx (HMO) (H2261-022-2) | Blue Cross Blue Shield of Massachusetts | MA-PD | HMO | $79 | $320 | $3,750 | 4.5 |
|---|
| Mass Advantage Plus (HMO) (H7670-002-0) | Mass Advantage | MA-PD | HMO | $95 | $150 | $4,750 | 4.5 |
|---|
Showing 10 of 69 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.