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Medicare Advantage Plans in Worcester County, Massachusetts

Below are Medicare Advantage plans available to residents of Worcester county, Massachusetts. 7 carriers offer 23 plans throughout the county of Worcester. Residents may choose plans from carriers such as Fallon Community Health Plan - Summit ElderCare, Senior Whole Health and UnitedHealthcare Community Plan. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Worcester county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Worcester

Carrier	Plan Title	Plan Type
Fallon Community Health Plan - Summit ElderCare	Summit ElderCare (PACE) (H2219-001)	National PACE
Fallon Community Health Plan - Summit ElderCare	Summit ElderCare (PACE) (H2219-002)	National PACE
Senior Whole Health	Senior Whole Health (HMO SNP) (H2224-001)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits Authorization rules may apply. $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
UnitedHealthcare Community Plan	UnitedHealthcare Senior Care Options (HMO SNP) (H2226-001)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
UnitedHealthcare	UnitedHealthcare Nursing Home Plan (PPO SNP) (H2228-001)	Local Preferred Provider Organization
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $10 000 out-of-pocket limit for Medicare-covered services. $32 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 0% to 20% of the cost for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Blue Cross Blue Shield of Massachusetts	Medicare PPO Blue PlusRx (PPO) (H2230-002)	Local Preferred Provider Organization
Premium and Other Important Information $250 annual deductible. Contact the plan for services that apply. $3 400 out-of-pocket limit for Medicare-covered services. $5 100 out-of-pocket limit for Medicare-covered services. $134 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits Authorization rules may apply. $0 to $30 copay for each primary care doctor visit for Medicare-covered benefits. $15 to $30 copay for each in-area network urgent care Medicare-covered visit $0 to $30 copay for each specialist visit for Medicare-covered benefits. $40 copay for each primary care doctor visit $40 copay for each specialist visit
Tufts Health Plan Medicare Preferred	Tufts Medicare Preferred HMO Prime Rx Plus (HMO) (H2256-001)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $184.4 monthly plan premium in addition to your monthly Medicare Part B premium. $160.4 monthly plan premium in addition to your monthly Medicare Part B premium. $112.4 monthly plan premium in addition to your monthly Medicare Part B premium. $170.4 monthly plan premium in addition to your monthly Medicare Part B premium. $140.4 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 to $15 copay for each in-area network urgent care Medicare-covered visit $15 copay for each specialist visit for Medicare-covered benefits.
Tufts Health Plan Medicare Preferred	Tufts Medicare Preferred HMO Prime Rx (HMO) (H2256-015)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $153.9 monthly plan premium in addition to your monthly Medicare Part B premium. $129.9 monthly plan premium in addition to your monthly Medicare Part B premium. $81.9 monthly plan premium in addition to your monthly Medicare Part B premium. $139.9 monthly plan premium in addition to your monthly Medicare Part B premium. $109.9 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 to $15 copay for each in-area network urgent care Medicare-covered visit $15 copay for each specialist visit for Medicare-covered benefits.
Tufts Health Plan Medicare Preferred	Tufts Medicare Preferred HMO Prime (HMO) (H2256-016)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $126.00 monthly plan premium in addition to your monthly Medicare Part B premium. $102.00 monthly plan premium in addition to your monthly Medicare Part B premium. $54.00 monthly plan premium in addition to your monthly Medicare Part B premium. $112.00 monthly plan premium in addition to your monthly Medicare Part B premium. $82.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 to $15 copay for each in-area network urgent care Medicare-covered visit $15 copay for each specialist visit for Medicare-covered benefits.
Tufts Health Plan Medicare Preferred	Tufts Medicare Preferred HMO Value Rx (HMO) (H2256-018)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $120.9 monthly plan premium in addition to your monthly Medicare Part B premium. $99.9 monthly plan premium in addition to your monthly Medicare Part B premium. $51.9 monthly plan premium in addition to your monthly Medicare Part B premium. $79.9 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 to $20 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
Tufts Health Plan Medicare Preferred	Tufts Medicare Preferred HMO Value (HMO) (H2256-019)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $93.00 monthly plan premium in addition to your monthly Medicare Part B premium. $72.00 monthly plan premium in addition to your monthly Medicare Part B premium. $24.00 monthly plan premium in addition to your monthly Medicare Part B premium. $52.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 to $20 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
Tufts Health Plan Medicare Preferred	Tufts Medicare Preferred HMO Basic Rx (HMO) (H2256-026)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $47.9 monthly plan premium in addition to your monthly Medicare Part B premium. $27.9 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $20 to $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Tufts Health Plan Medicare Preferred	Tufts Medicare Preferred HMO Basic (HMO) (H2256-027)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $20.00 monthly plan premium in addition to your monthly Medicare Part B premium. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $20 to $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Blue Cross Blue Shield of Massachusetts	Medicare HMO Blue PlusRx (HMO) (H2261-005)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $181 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $0 to $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 to $30 copay for each in-area network urgent care Medicare-covered visit $0 to $30 copay for each specialist visit for Medicare-covered benefits.
Blue Cross Blue Shield of Massachusetts	Medicare HMO Blue ValueRx (HMO) (H2261-019)	HMO
Premium and Other Important Information $1 000 annual deductible. Contact the plan for services that apply. $3 400 out-of-pocket limit for Medicare-covered services. $87 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $0 to $20 copay for each primary care doctor visit for Medicare-covered benefits. $20 to $40 copay for each in-area network urgent care Medicare-covered visit $0 to $40 copay for each specialist visit for Medicare-covered benefits.
Fallon Community Health Plan	Fallon Senior Plan Standard (HMO) (H9001-001)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $96.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits Authorization rules may apply. $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Fallon Community Health Plan	Fallon Senior Plan Saver (HMO) (H9001-010)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $28.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits Authorization rules may apply. $25 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Fallon Community Health Plan	Fallon Senior Plan Saver Rx (HMO) (H9001-011)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $54 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $25 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Fallon Community Health Plan	Fallon Senior Plan Saver Enhanced Rx (HMO) (H9001-013)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $65 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $25 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Fallon Community Health Plan	Fallon Senior Plan Standard Enhanced Rx (HMO) (H9001-015)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $138 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Fallon Community Health Plan	Fallon Senior Plan Plus Enhanced Rx (HMO) (H9001-017)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $198 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $15 copay for each specialist visit for Medicare-covered benefits.
Fallon Community Health Plan	NaviCare (HMO SNP) (H9001-019)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $3 400 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $33.8 monthly plan premium* Doctor Office Visits Authorization rules may apply. $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
Fallon Community Health Plan	Fallon Senior Plan Super Saver Rx (HMO) (H9001-027)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $25 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.

Massachusetts Plan Data by County

• Barnstable, MA Medicare Advantage Plans
• Berkshire, MA Medicare Advantage Plans
• Bristol, MA Medicare Advantage Plans
• Dukes, MA Medicare Advantage Plans
• Essex, MA Medicare Advantage Plans
• Franklin, MA Medicare Advantage Plans
• Hampden, MA Medicare Advantage Plans

• Hampshire, MA Medicare Advantage Plans
• Middlesex, MA Medicare Advantage Plans
• Nantucket, MA Medicare Advantage Plans
• Norfolk, MA Medicare Advantage Plans
• Plymouth, MA Medicare Advantage Plans
• Suffolk, MA Medicare Advantage Plans
• Worcester, MA Medicare Advantage Plans

Massachusetts Plan Data by City

• Boston, MA Medicare Advantage Plans
• Cambridge, MA Medicare Advantage Plans

• Lowell, MA Medicare Advantage Plans
• Springfield, MA Medicare Advantage Plans