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Medicare plans in Fulton County, NY — 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, Fulton County, New York has 55 Medicare plans (22 Medicare Advantage with drug coverage, 9 without, 10 standalone Part D, 14 Special Needs) from 9 carriers. 10 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,400.
Market snapshot
- Residents 65 and older
- 10,934
- Residents 60–64, aging in over the next five years
- 4,242
- Medicare eligibles
- 14,146
- Medicare Advantage penetration
- 67.5%
- Plans per 1,000 residents 65+
- 5
Carriers by number of plans
- Wellcare — 15 plans
- UnitedHealthcare — 10 plans
- Aetna Medicare — 8 plans
- Humana — 8 plans
- CDPHP Medicare Advantage — 4 plans
- MVP HEALTH CARE — 4 plans
- Excellus Health Plan, Inc — 2 plans
- HealthSpring — 2 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) (H5521-077-0) | Aetna Medicare | MA-PD | PPO | $0 | $615 | $9,250 | 4.5 |
|---|
| CDPHP $0 Medicare Rx (HMO) (H3388-014-0) | CDPHP Medicare Advantage | MA-PD | HMO | $0 | $500 | $6,750 | 4.5 |
|---|
| Aetna Medicare Premier (PPO) (H5521-340-0) | Aetna Medicare | MA-PD | PPO | $50 | $615 | $8,900 | 4.5 |
|---|
| Aetna Medicare Longevity (PPO I-SNP) (H5521-461-0) | Aetna Medicare | SNP | PPO I-SNP | $58.80 | $615 | $9,250 | 4.5 |
|---|
| UHC Nursing Home Plan NY-F001 (PPO I-SNP) (H2292-001-0) | UnitedHealthcare | SNP | PPO I-SNP | $58.80 | $615 | $9,250 | 4.5 |
|---|
| CDPHP Clear Rx (HMO) (H3388-020-0) | CDPHP Medicare Advantage | MA-PD | HMO | $100 | $250 | $6,400 | 4.5 |
|---|
| CDPHP Choice Rx (HMO) (H3388-002-0) | CDPHP Medicare Advantage | MA-PD | HMO | $135 | $0 | $6,000 | 4.5 |
|---|
| Forever Blue 770 (PPO) (H5526-018-0) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | MA-PD | PPO | $220 | $615 | $6,700 | 4.5 |
|---|
| Aetna Medicare Eagle Giveback (PPO) (H5521-323-0) | Aetna Medicare | MA | PPO | | | $9,250 | 4.5 |
|---|
| CDPHP Core (HMO) (H3388-001-0) | CDPHP Medicare Advantage | MA | HMO | | | $6,100 | 4.5 |
|---|
Showing 10 of 55 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.