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Founder, CFP®

UPDATED: Oct 29, 2021

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The Highlights

  • You can choose from Massachusetts HMO and PPO Medicare Advantage plans
  • There are 13 Medicare Avantage companies in Massachusetts
  • Standalone Medicare Part D Plans in Massachusetts are meant to help cover prescription drug costs

There are several options in Massachusetts for Medicare Advantage plans. Medicare Advantage (Medicare Part C) is offered by 13 companies in Massachusetts; and options such as HMO, PPO, and POS may be available depending on which county you live in.

To make sure you’re getting the best MA Medicare provider and plan for your needs, compare rates and out-of-pocket costs to find the ideal coverage and cost combination for you.

If you’re ready to compare Medicare plans from the top companies in your county or across Massachusetts, enter your ZIP code for fast, free MA Medicare quotes today.

The Complete List of Massachusetts Medicare Advantage Companies

There are many companies offering Part C Medicare Advantage in MA. Below, you’ll find a complete listing of health insurance companies that offer Medicare Advantage plans in Massachusetts, the counties those plans are offered in, and the number of plans each company offers.

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Medicare Advantage Companies in Massachusetts

Company Number of Plans Counties
Aetna Medicare 4 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex
BMC HealthNet 1 Barnstable, Bristol, Suffolk, Plymouth, Hampden
Blue Cross Blue Shield of Massachusetts 7 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex
Commonwealth Care Alliance 1 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex
Erickson Advantage 2 Plymouth, Essex
Fallon Health 9 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex
Harvard Pilgrim Health Care of New England, Inc 3 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex
Health New England Medicare Advantage Plans 7 Franklin, Hampshire, Berkshire, Hampden
Humana 4 Bristol, Worcester
Lasso Healthcare 2 Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex
Senior Whole Health 2 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Hampden, Middlesex
Tufts Health Plan 9 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex
UnitedHealthcare 11 Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex

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Massachusetts Medicare Advantage Plans by Company

We’ve put together a list of all of plans available from each MA Medicare company to help you compare Medicare Advantage plans by company in Massachusetts. Take a look at the plans here.

Medicare Plans in Massachusetts Offered by Tufts Health Plan

Though plans can vary from county to county, Tufts Health Plan offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Tufts Medicare Preferred HMO Saver Rx (HMO) H2256-028 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00
Tufts Medicare Preferred HMO Prime Rx (HMO) H2256-015 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $180.00
Tufts Medicare Preferred HMO Value No Rx (HMO) H2256-019 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex Local HMO * $0.00
Tufts Medicare Preferred HMO Basic Rx (HMO) H2256-026 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $46.00
Tufts Medicare Preferred HMO Value Rx (HMO) H2256-018 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $150.00
Tufts Medicare Preferred HMO Prime No Rx (HMO) H2256-016 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex Local HMO * $0.00
Tufts Medicare Preferred HMO Prime Rx Plus (HMO) H2256-001 Barnstable, Bristol, Norfolk, Suffolk, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $214.00
Tufts Health Plan Senior Care Options (HMO D-SNP) H2256-029 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Tufts Medicare Preferred HMO Basic No Rx (HMO) H2256-042 Suffolk, Worcester, Essex Local HMO * $0.00

Medicare Plans in Massachusetts Offered by BMC HealthNet

Though plans can vary from county to county, BMC HealthNet offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
BMC HealthNet Plan Senior Care Options (HMO D-SNP) H9585-001 Barnstable, Bristol, Suffolk, Plymouth, Hampden Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Medicare Plans in Massachusetts Offered by Fallon Health

Though plans can vary from county to county, Fallon Health offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Fallon Medicare Plus Super Saver HMO (HMO) H9001-032 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex Local HMO $60.00
Fallon Medicare Plus Orange HMO (HMO) H9001-034 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex Local HMO $29.00
NaviCare (HMO D-SNP) H9001-019 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Fallon Medicare Plus Saver No Rx HMO (HMO) H9001-029 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex Local HMO * $96.00
Fallon Medicare Plus Blue HMO (HMO) H9001-031 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex Local HMO $227.00
Fallon Medicare Plus Green HMO (HMO) H9001-030 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex Local HMO $114.00
Fallon Medicare Plus Central Green HMO (HMO) H9001-036 Worcester Local HMO $34.00
Fallon Medicare Plus Central Orange HMO (HMO) H9001-037 Worcester Local HMO $0.00
Fallon Medicare Plus Central Blue HMO (HMO) H9001-035 Worcester Local HMO $129.00

Medicare Plans in Massachusetts Offered by UnitedHealthcare

Though plans can vary from county to county, UnitedHealthcare offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AARP Medicare Advantage Choice (Regional PPO) R7444-001 Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex Regional PPO $49.00
AARP Medicare Advantage Plan 1 (HMO) H1944-005 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00
AARP Medicare Advantage Plan 2 (HMO) H1944-006 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $49.00
UnitedHealthcare Senior Care Options (HMO D-SNP) H2226-001 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AARP Medicare Advantage Walgreens (PPO) H3442-004 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO $0.00
AARP Medicare Advantage Patriot (PPO) H3442-005 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO* $0.00
UnitedHealthcare Senior Care Options NHC (HMO D-SNP) H2226-003 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Erickson Advantage Signature with Drugs (HMO-POS) H5652-001 Plymouth, Essex Local HMO $199.00
Erickson Advantage Liberty without Drugs (HMO-POS) H5652-002 Plymouth, Essex Local HMO * $0.00
Erickson Advantage Liberty with Drugs (HMO-POS) H5652-008 Plymouth, Essex Local HMO $0.00
Erickson Advantage Freedom (HMO-POS) H5652-006 Plymouth, Essex Local HMO $70.00

Medicare Plans in Massachusetts Offered by Harvard Pilgrim Health Care of New England, Inc

Though plans can vary from county to county, Harvard Pilgrim Health Care of New England, Inc offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Harvard Pilgrim Stride Basic Rx (HMO) H6750-006 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex Local HMO $0.00
Harvard Pilgrim Stride Value Rx Plus (HMO) H6750-008 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex Local HMO $168.00
Harvard Pilgrim Stride Value Rx (HMO) H6750-007 Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex Local HMO $67.00

Medicare Plans in Massachusetts Offered by Lasso Healthcare

Though plans can vary from county to county, Lasso Healthcare offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Lasso Healthcare Growth (MSA) H1924-001 Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex MSA* MSAs do not have a monthly premium.
Lasso Healthcare Growth Plus (MSA) H1924-004 Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex MSA* MSAs do not have a monthly premium.

Medicare Plans in Massachusetts Offered by Blue Cross Blue Shield of Massachusetts

Though plans can vary from county to county, Blue Cross Blue Shield of Massachusetts offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Medicare PPO Blue ValueRx (PPO) H2230-018 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO $76.00
Medicare HMO Blue FlexRx (HMO-POS) H2261-023 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $96.00
Medicare PPO Blue PlusRx (PPO) H2230-002 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO $263.00
Medicare PPO Blue SaverRx (PPO) H2230-017 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO $0.00
Medicare HMO Blue ValueRx (HMO) H2261-022 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $36.00
Medicare HMO Blue SaverRx (HMO) H2261-024 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00
Medicare HMO Blue PlusRx (HMO) H2261-005 Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $267.00

Medicare Plans in Massachusetts Offered by Health New England Medicare Advantage Plans

Though plans can vary from county to county, Health New England Medicare Advantage Plans offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Health New England Medicare Premium No Rx (HMO) H8578-003 Franklin, Hampshire, Berkshire, Hampden Local HMO * $0.00
Health New England Medicare Plus (HMO) H8578-004 Franklin, Hampshire, Berkshire, Hampden Local HMO $109.00
Health New England Medicare Value (HMO) H8578-012 Franklin, Hampshire, Berkshire, Hampden Local HMO $0.00
Health New England Medicare Premium (HMO) H8578-001 Franklin, Hampshire, Berkshire, Hampden Local HMO $166.00
Health New England Medicare Basic No Rx (HMO) H8578-009 Franklin, Hampshire, Berkshire, Hampden Local HMO * $0.00
Health New England Medicare Choice (HMO) H8578-017 Franklin, Hampshire, Berkshire, Hampden Local HMO $45.00
Health New England Medicare Select (HMO-POS) H8578-016 Franklin, Hampshire, Berkshire, Hampden Local HMO $75.00

Medicare Plans in Massachusetts Offered by Commonwealth Care Alliance

Though plans can vary from county to county, Commonwealth Care Alliance offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Senior Care Options Program (HMO D-SNP) H2225-001 Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Medicare Plans in Massachusetts Offered by Humana

Though plans can vary from county to county, Humana offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
HumanaChoice H5216-249 (PPO) H5216-249 Bristol, Worcester Local PPO $0.00
HumanaChoice H5216-138 (PPO) H5216-138 Bristol, Worcester Local PPO $0.00
HumanaChoice H5216-250 (PPO) H5216-250 Bristol, Worcester Local PPO $20.00
Humana Honor (PPO) H5216-059 Bristol, Worcester Local PPO* $0.00

Medicare Plans in Massachusetts Offered by Aetna Medicare

Though plans can vary from county to county, Aetna Medicare offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Value Plan (HMO) H5793-018 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local HMO $0.00
Aetna Medicare Explorer Plan (PPO) H5521-159 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO $0.00
Aetna Medicare Explorer Premier Plan (PPO) H5521-221 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO $99.00
Aetna Medicare Eagle Plan (PPO) H5521-296 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex Local PPO* $0.00

Medicare Plans in Massachusetts Offered by Senior Whole Health

Though plans can vary from county to county, Senior Whole Health offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Senior Whole Health NHC (HMO D-SNP) H2224-003 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Hampden, Middlesex Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Senior Whole Health (HMO D-SNP) H2224-001 Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Hampden, Middlesex Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Medicare Plans in Massachusetts Offered by Erickson Advantage

Though plans can vary from county to county, Erickson Advantage offers these Medicare plans in Massachusetts.

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Erickson Advantage Champion (HMO-POS C-SNP) H5652-004 Plymouth, Essex Local HMO $199.00
Erickson Advantage Guardian (HMO-POS I-SNP) H5652-003 Plymouth, Essex Local HMO $28.80

Massachusetts Medicare Advantage Plans With No Additional Cost

If you decide to get Medicare Advantage in Massachusetts, you still have to pay your original Medicare Part B premium. Many MA Medicare companies offer Advantage plans that don’t cost any more than your original Medicare premium. Take a look at your options.

Zero-Cost {?{?state}} Medicare Advantage Plans

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
Lasso Healthcare Growth (MSA) – H1924-001-0 Nantucket, Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Dukes, Norfolk, Bristol, Berkshire, Barnstable, Franklin This Plan does NOT include prescription drug coverage. N/A
Lasso Healthcare Growth Plus (MSA) – H1924-004-0 Nantucket, Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Dukes, Norfolk, Bristol, Berkshire, Barnstable, Franklin This Plan does NOT include prescription drug coverage. N/A
AARP Medicare Advantage Patriot (PPO) – H3442-005-0 Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Franklin This Plan does NOT include prescription drug coverage. $6,700
AARP Medicare Advantage Plan 1 (HMO) – H1944-005-0 Barnstable Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $5,700
AARP Medicare Advantage Walgreens (PPO) – H3442-004-0 Middlesex, Suffolk Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700
Aetna Medicare Eagle Plan (PPO) – H5521-296-0 Berkshire, Barnstable This Plan does NOT include prescription drug coverage. $6,700
Aetna Medicare Explorer Plan (PPO) – H5521-160-0 Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,700
Aetna Medicare Value Plan (HMO) – H5793-014-0 Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Commonwealth Care Alliance (Medicare-Medicaid Plan) – H0137-001-0 Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Berkshire, Barnstable, Franklin Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0%, Tier 5: 0% N/A
Fallon Medicare Plus Central Orange HMO (HMO) – H9001-037-0 Berkshire, Barnstable Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 $7,550
Fallon Medicare Plus Orange HMO (HMO) – H9001-034-15 Hampshire, Hampden, Berkshire, Franklin Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 $7,550
Harvard Pilgrim Stride Basic Rx (HMO) – H1660-014-0 Hampshire, Hampden, Berkshire, Franklin Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% $4,500
Humana Honor (PPO) – H5216-059-0 Berkshire, Barnstable This Plan does NOT include prescription drug coverage. $4,500
HumanaChoice H5216-138 (PPO) – H5216-138-0 Worcester, Bristol Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $7,550
HumanaChoice H5216-249 (PPO) – H5216-249-0 Berkshire, Barnstable Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Medicare HMO Blue SaverRx (HMO) – H2261-024-0 Barnstable Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 27%, Select Care Drugs: $0.00 $7,550
Medicare PPO Blue SaverRx (PPO) – H2230-017-0 Berkshire, Barnstable Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $7,550
Tufts Health Unify (Medicare-Medicaid Plan) – H7419-001-0 Worcester, Middlesex, Suffolk Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% N/A
Tufts Medicare Preferred HMO Saver Rx (HMO) – H2256-028-0 Hampshire, Hampden, Franklin Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28%, Vaccines: $0.00 $7,550
UnitedHealthcare Senior Care Options NHC (HMO D-SNP) – H2226-003-0 Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Franklin Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 N/A
UnitedHealthcare Senior Care Options (HMO D-SNP) – H2226-001-0 Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Franklin Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 N/A
NaviCare (HMO D-SNP) – H9001-019-0 Hampshire, Hampden, Berkshire, Franklin Tier 1: $0.00 N/A
Senior Care Options Program (HMO D-SNP) – H2225-001-0 Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Barnstable, Franklin Preferred Generic: 25%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Brand: 25%, Specialty Tier: 25% N/A
Senior Whole Health (HMO D-SNP) – H2224-001-0 Plymouth, Middlesex, Norfolk, Bristol, Barnstable Tier 1: 15% N/A
Senior Whole Health NHC (HMO D-SNP) – H2224-003-0 Hampshire, Hampden, Franklin Tier 1: 15% N/A
Tufts Health Plan Senior Care Options (HMO D-SNP) – H2256-029-0 Hampshire, Hampden Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00, Tier 6: $0.00 N/A
Aetna Medicare Explorer Plan (PPO) – H5521-159-0 Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol Preferred Generic: $5.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $6,700
Aetna Medicare Value Plan (HMO) – H5793-018-0 Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Erickson Advantage Liberty with Drugs (HMO-POS) – H5652-008-0 Berkshire, Barnstable Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $6,700
Erickson Advantage Liberty without Drugs (HMO-POS) – H5652-002-0 Hampshire, Hampden, Berkshire, Franklin This Plan does NOT include prescription drug coverage. $6,700
Fallon Medicare Plus Orange HMO (HMO) – H9001-034-17 Hampshire, Hampden, Berkshire, Franklin Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 $7,550
BMC HealthNet Plan Senior Care Options (HMO D-SNP) – H9585-001-0 Hampshire, Hampden Tier 1: $0.00 N/A
AARP Medicare Advantage Plan 1 (HMO) – H1944-001-0 Barnstable Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $5,700
AARP Medicare Advantage Walgreens (PPO) – H3442-003-0 Middlesex, Suffolk Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700
Fallon Medicare Plus Orange HMO (HMO) – H9001-034-16 Berkshire, Barnstable Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 $7,550
Health New England Medicare Basic No Rx (HMO) – H8578-009-0 Hampshire, Hampden, Berkshire, Franklin This Plan does NOT include prescription drug coverage. $4,900
Health New England Medicare Value (HMO) – H8578-012-0 Hampshire, Hampden, Berkshire, Franklin Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 26% $6,700
Harvard Pilgrim Stride Basic Rx (HMO) – H6750-006-0 Barnstable Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% $4,500

Standalone Medicare Part D Plans in Massachusetts

There is a wide variety of Medicare Part D plans available in every state, and Massachusetts is no exception. Keep in mind that plans vary by county, and don’t forget to check that your MA Medicare Advantage plan doesn’t already include Part D prescription drug coverage.

Standalone Medicare Part D Plans in Massachusetts

Plan Details Tiers
AARP MedicareRx Preferred (PDP)
S5820 – 002 – 0
by UnitedHealthcare
Monthly Premium: $86.00
Annual Deductible: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $5.00
Tier 2: $10.00
Tier 3: $45.00
Tier 4: 40%
Tier 5: 33%
AARP MedicareRx Saver Plus (PDP)
S5921 – 348 – 0
by UnitedHealthcare
Monthly Premium: $31.90
Annual Deductible: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $5.00
Tier 3: $31.00
Tier 4: 40%
Tier 5: 25%
AARP MedicareRx Walgreens (PDP)
S5921 – 385 – 0
by UnitedHealthcare
Monthly Premium: $37.90
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Blue MedicareRx Premier (PDP)
S2893 – 003 – 0
by Anthem Blue Cross and Blue Shield
Monthly Premium: $135.00
Annual Deductible: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $1.00
Tier 2: $7.00
Tier 3: $30.00
Tier 4: 35%
Tier 5: 33%
Blue MedicareRx Value Plus (PDP)
S2893 – 001 – 0
by Anthem Blue Cross and Blue Shield
Monthly Premium: $50.50
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $36.00
Tier 4: 40%
Tier 5: 25%
Cigna Secure Rx (PDP)
S5617 – 008 – 0
by Cigna
Monthly Premium: $36.50
Annual Deductible: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $41.00
Tier 4: 50%
Tier 5: 25%
Cigna Secure-Essential Rx (PDP)
S5617 – 281 – 0
by Cigna
Monthly Premium: $24.00
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 49%
Tier 5: 25%
Cigna Secure-Extra Rx (PDP)
S5617 – 247 – 0
by Cigna
Monthly Premium: $40.90
Annual Deductible: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $4.00
Tier 2: $10.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
Elixir RxPlus (PDP)
S7694 – 125 – 0
by Elixir Insurance
Monthly Premium: $14.30
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 25%
Elixir RxSecure (PDP)
S7694 – 002 – 0
by Elixir Insurance
Monthly Premium: $34.40
Annual Deductible: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: 15%
Tier 4: 32%
Tier 5: 25%
Express Scripts Medicare – Choice (PDP)
S5660 – 206 – 0
by Express Scripts Medicare
Monthly Premium: $76.40
Annual Deductible: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
Express Scripts Medicare – Saver (PDP)
S5660 – 219 – 0
by Express Scripts Medicare
Monthly Premium: $27.40
Annual Deductible: $285
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $35.00
Tier 4: 50%
Tier 5: 28%
Express Scripts Medicare – Value (PDP)
S5660 – 105 – 0
by Express Scripts Medicare
Monthly Premium: $32.80
Annual Deductible: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $30.00
Tier 4: 50%
Tier 5: 25%
Humana Basic Rx Plan (PDP)
S5884 – 102 – 0
by Humana
Monthly Premium: $35.10
Annual Deductible: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
Humana Premier Rx Plan (PDP)
S5884 – 149 – 0
by Humana
Monthly Premium: $65.40
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $45.00
Tier 4: 49%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5884 – 182 – 0
by Humana
Monthly Premium: $17.20
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: 17%
Tier 4: 35%
Tier 5: 25%
Mutual of Omaha Rx Plus (PDP)
S7126 – 002 – 0
by Mutual of Omaha Rx
Monthly Premium: $87.10
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 20%
Tier 4: 39%
Tier 5: 25%
Mutual of Omaha Rx Premier (PDP)
S7126 – 072 – 0
by Mutual of Omaha Rx
Monthly Premium: $25.10
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 23%
Tier 4: 45%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 004 – 0
by Aetna Medicare
Monthly Premium: $32.90
Annual Deductible: $225
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 41%
Tier 5: 29%
SilverScript Plus (PDP)
S5601 – 005 – 0
by Aetna Medicare
Monthly Premium: $72.00
Annual Deductible: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $47.00
Tier 4: 45%
Tier 5: 33%
SilverScript SmartRx (PDP)
S5601 – 177 – 0
by Aetna Medicare
Monthly Premium: $7.20
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $19.00
Tier 3: $46.00
Tier 4: 49%
Tier 5: 25%
WellCare Classic (PDP)
S4802 – 076 – 0
by WellCare
Monthly Premium: $31.00
Annual Deductible: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $30.00
Tier 4: 34%
Tier 5: 25%
WellCare Medicare Rx Saver (PDP)
S5810 – 036 – 0
by WellCare
Monthly Premium: $35.70
Annual Deductible: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $42.00
Tier 4: 37%
Tier 5: 25%
WellCare Medicare Rx Select (PDP)
S5810 – 276 – 0
by WellCare
Monthly Premium: $26.40
Annual Deductible: $400
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $47.00
Tier 4: 42%
Tier 5: 25%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 126 – 0
by WellCare
Monthly Premium: $74.40
Annual Deductible: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $47.00
Tier 4: 47%
Tier 5: 33%
WellCare Value Script (PDP)
S4802 – 137 – 0
by WellCare
Monthly Premium: $16.20
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $8.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 171 – 0
by WellCare
Monthly Premium: $14.40
Annual Deductible: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $8.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%

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