Medicare Advantage plans in Middlesex County, Massachusetts (2027)

Same number of open plans as in 2026, but not the same plans: 11 IDs left Middlesex County and 11 new ones replaced them.

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Middlesex, Massachusetts: plans open to everyone on Parts A and B

30 plans

8 with a $0 premium and drug coverage · out-of-pocket limits $3,400 to $9,850 · best rating 4.5★ · 11 plan IDs of 2026 not renewed here

Full page for Middlesex

How this is computed

30 plans shown · monthly premium = Part C + Part D, before your Part B premium · stars: 2027 ratings published October 8, 2026

Medicare Advantage plans: premium, drug deductible, maximum out of pocket and stars
PlanPremiumDrug deductibleMax out of pocketStars
Fallon Medicare Plus Saver No Rx (HMO)Fallon Health · HMO · H9001-039-0$0no drugs$6,7004.0★
AARP Medicare Advantage from UHC MA-0003 (HMO-POS)UnitedHealthcare · HMO-POS · H5253-157-2$0$685$7,1504.0★
AARP Medicare Advantage Patriot No Rx MA-MA01 (PPO)UnitedHealthcare · PPO · H8768-045-0$0no drugs$7,1503.5★
AARP Medicare Advantage Patriot No Rx MA-MA2 (HMO-POS)UnitedHealthcare · HMO-POS · H5253-225-0$0no drugs$7,1503.5★
Aetna Medicare Eagle Giveback (PPO)Aetna Medicare · PPO · H5521-296-0$0no drugs$7,1504.5★
Aetna Medicare Elite (PPO)Aetna Medicare · PPO · H5521-451-0$0$400$7,1504.0★
Aetna Medicare Signature (HMO-POS)Aetna Medicare · HMO-POS · H5793-018-0$0$700$7,1503.0★
Aetna Medicare Signature Extra (PPO)Aetna Medicare · PPO · H5521-159-0$0$700$7,1504.0★
Mass General Brigham Advantage Core (HMO-POS)Mass General Brigham Health Plan · HMO-POS · H6847-002-0$0$700$7,1503.5★
Tufts Medicare Preferred HMO Smart Saver Rx (HMO)Tufts Health Plan · HMO · H2256-047-1$0$700$7,1504.0★
Medicare HMO Blue SaverRx (HMO-POS)Blue Cross Blue Shield of Massachusetts · HMO-POS · H2261-024-0$0$500$9,2004.5★
Fallon Medicare Plus Orange (HMO)Fallon Health · HMO · H9001-041-19$0$595$9,8504.0★
Mass General Brigham Advantage Secure (HMO-POS)Mass General Brigham Health Plan · HMO-POS · H6847-001-0 · was $62 in 2026$60$700$5,0003.5★
Medicare HMO Blue ValueRx (HMO)Blue Cross Blue Shield of Massachusetts · HMO · H2261-026-0$68$500$3,7504.5★
Medicare PPO Blue EssentialRx (PPO)Blue Cross Blue Shield of Massachusetts · PPO · H2230-019-0 · was $59 in 2026$69$700$9,8504.0★
AARP Medicare Advantage from UHC MA-0006 (PPO)UnitedHealthcare · PPO · H8768-055-2 · was $48 in 2026$75$685$7,1504.0★
Aetna Medicare Enhanced (PPO)Aetna Medicare · PPO · H5521-761-0$79$500$6,7504.0★
Tufts Medicare Preferred HMO Basic Rx (HMO)Tufts Health Plan · HMO · H2256-026-2 · was $58 in 2026$82$200$4,5004.0★
Fallon Medicare Plus Green (HMO)Fallon Health · HMO · H9001-030-19$83$300$6,0004.0★
Medicare HMO Blue FlexRx (HMO-POS)Blue Cross Blue Shield of Massachusetts · HMO-POS · H2261-025-0$119$500$4,1004.5★
Tufts Medicare Preferred HMO Value No Rx (HMO)Tufts Health Plan · HMO · H2256-019-7 · was $123 in 2026$133no drugs$4,2004.0★
Tufts Medicare Preferred HMO Prime No Rx (HMO)Tufts Health Plan · HMO · H2256-016-2 · was $153 in 2026$163no drugs$3,8504.0★
Mass General Brigham Advantage Plus (HMO-POS)Mass General Brigham Health Plan · HMO-POS · H6847-003-0$180$700$4,5003.5★
Fallon Medicare Plus Blue (HMO)Fallon Health · HMO · H9001-031-19$185$0$3,4004.0★
Tufts Medicare Preferred HMO Value Rx (HMO)Tufts Health Plan · HMO · H2256-018-7 · was $166 in 2026$185$200$4,2004.0★
Tufts Medicare Preferred HMO Prime Rx (HMO)Tufts Health Plan · HMO · H2256-015-2 · was $193 in 2026$214$0$3,8504.0★
Tufts Medicare Preferred PPO RX (PPO)Tufts Health Plan · PPO · H9907-003-0$220$700$7,1503.5★
Medicare HMO Blue PlusRx (HMO)Blue Cross Blue Shield of Massachusetts · HMO · H2261-005-0$245$500$3,8004.5★
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)Tufts Health Plan · HMO · H2256-001-2 · was $227 in 2026$252$0$3,8504.0★
Medicare PPO Blue PlusRx (PPO)Blue Cross Blue Shield of Massachusetts · PPO · H2230-002-0$300$500$4,2004.0★

Compiled by Radif Partners from the CMS landscape file of September 2026 · all Massachusetts counties and drug plans

Middlesex County, from Cambridge and Somerville to Lowell and Framingham, has 30 Medicare Advantage plans open to anyone with Parts A and B for 2027, exactly as many as in 2026, yet 11 of the 2026 plan IDs are not filed again here and 11 new IDs appear. 8 drug-covering plans charge a $0 premium. Caps run from $3,400, for Fallon Medicare Plus Blue (HMO) at $185 a month, to $9,850, with a median of $6,725. Quality is high: 23 plans carry four stars or more for 2027. HMOs dominate with 21 plans against 9 PPOs. Point32Health, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., CVS Health Corporation, Fallon Community Health Plan, Inc. file the most. The county also lists 20 special needs plans, 17 of them for people with MassHealth. The list above shows every open plan with its premium, drug deductible and cap.

A renamed menu

The 2026 plan IDs not filed again in Middlesex include plans from Blue Cross Blue Shield of Massachusetts, Tufts and Fallon, some of which reappear under a new ID; the full list is at the bottom of this page. Many of their members were moved by the insurer to another plan of the same family, with a different premium or cap. If you were in one of them, compare the plan you were moved to with the alternatives before December 7, rather than assuming it is the same plan under a new name.

Low cap, high premium; $0 premium, high cap

The two ends of the list are far apart. Fallon Medicare Plus Blue (HMO) limits in-network spending to $3,400 but costs $185 a month. The best-rated plan, Medicare HMO Blue SaverRx (HMO-POS), costs $0 but caps spending at $9,200. Over a calm year the second wins; in a year with surgery the first does.

What an out-of-pocket cap is worth in a bad year

The cap saves

$4,822

Original Medicare alone (20%, 1 admission)$14,022
With the plan’s cap$9,200
Whole-year cost calculator →

Boston hospitals and network lines

Many Middlesex residents use hospitals in Boston, in Suffolk County, which lists 30 open plans of its own, and Essex County to the north lists 35. You join plans filed for the county where you live, but the network decides which hospitals you can use: an HMO built around a community hospital system may not include the Boston teaching hospitals. Check your specialists before choosing. The Massachusetts page compares all counties.

2026 plans not filed again here for 2027

These plan IDs were offered in Middlesex County in 2026 and do not appear for the county in the 2027 file. A plan can be closed, moved out of the county or merged into another ID; the insurer must tell its members in the Annual Notice of Change sent by September 30.

  • Medicare PPO Blue ValueRx (PPO) (Blue Cross Blue Shield of Massachusetts, H2230-018-1, insurer still present)
  • Tufts Medicare Preferred HMO Smart Saver Rx (HMO) (Tufts Health Plan, H2256-046-0, insurer still present)
  • Medicare HMO Blue ValueRx (HMO) (Blue Cross Blue Shield of Massachusetts, H2261-022-1, insurer still present)
  • Medicare HMO Blue FlexRx (HMO-POS) (Blue Cross Blue Shield of Massachusetts, H2261-023-1, insurer still present)
  • Fallon Medicare Plus Green (HMO) (Fallon Health, H9001-030-18, insurer still present)
  • Fallon Medicare Plus Blue (HMO) (Fallon Health, H9001-031-18, insurer still present)
  • Fallon Medicare Plus Orange (HMO) (Fallon Health, H9001-038-0, insurer still present)
  • Mass General Brigham Advantage (PPO) (Mass General Brigham Health Plan, H9485-001-0)
  • Mass General Brigham Advantage Premier (PPO) (Mass General Brigham Health Plan, H9485-002-0)
  • Mass General Brigham Advantage Signature (PPO) (Mass General Brigham Health Plan, H9485-003-0)
  • Tufts Medicare Preferred PPO RX (PPO) (Tufts Health Plan, H9907-002-3, insurer still present)

Questions people ask

How many Medicare Advantage plans are there in Middlesex County, Massachusetts for 2027?

30 plans open to anyone with Parts A and B, the same number as in 2026, plus 20 special needs plans, according to the CMS landscape file of September 2026. 8 of the open plans include drug coverage for a $0 premium, and 23 carry four stars or more.

Which Middlesex County Medicare Advantage plan has the lowest out-of-pocket cap in 2027?

Fallon Medicare Plus Blue (HMO), from Fallon Health, with an in-network cap of $3,400 and a premium of $185 a month. The median cap among the county's 30 open plans is $6,725. Premiums and Part D drug costs are not counted in that cap.

Why did my Middlesex County plan change its name for 2027?

11 plan IDs offered in Middlesex in 2026 are not filed for the county in 2027, and 11 new IDs appear. Insurers often merge plans and move members to a new ID, with new premiums and caps. Your Annual Notice of Change, mailed by September 30, 2026, says which plan you are in for 2027.

Keep comparing

Official files behind this page

Compiled by

Independent publisher of county-level plan tables and cost calculators for people turning 65

Plan data read on · Editorial policy · Contact

Plan figures are read from public CMS and SSA files; costs are estimates only and do not replace a plan’s Evidence of Coverage, which can change its network, drug list or copays. This is not financial or professional advice, and we receive nothing from any plan.

Plans for 2027, CMS landscape and star files checked on