Medicare Advantage PPO plans in Massachusetts
There are 22 Medicare Advantage PPO plans in Massachusetts from 7 carriers, averaging 3.82 out of 5 stars across the 22 plans CMS has rated. 59% of those with a published premium charge $0 a month (13 of 22); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 22 PPO plans in Massachusetts that publish one, the in-network out-of-pocket maximum has a median of $7,150 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $6,945, which sits below the median — the spread is not symmetric, so the median is the better guide.
Most PPO plans in Massachusetts rate 4 stars or better.
18 of 22 plans here carry an overall rating of at least 4 stars. Where ratings cluster this high they stop being a useful way to sort plans — network, drug coverage and out-of-pocket limits will separate these more than the star count will.
Massachusetts PPO plans rank 43rd of 51 on star rating.
Across the 22 rated plans here the average overall rating is 3.82 stars, 43rd highest of the 51 states with PPO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in Massachusetts
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| HumanaChoice Giveback H7617-046 (PPO)Humana | 4.5★ | $7,150 | $0 |
| Medicare PPO Blue PlusRx (PPO)Blue Cross Blue Shield of Massachusetts | 4★ | $4,200 | $300 |
| Humana USAA Honor Giveback (PPO)Humana | 4★ | $4,950 | $0 |
| Medicare PPO Blue ValueRx (PPO)Blue Cross Blue Shield of Massachusetts | 4★ | $6,600 | $108 |
| Aetna Medicare Enhanced (PPO)Aetna Medicare | 4★ | $6,750 | $60 |
Showing 5 of 22. See all MassachusettsMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Aetna MedicareCVS Health Corporation | 7 | 4.0 | — |
| HumanaHumana Inc. | 5 | 4.1 | — |
| Blue Cross Blue Shield of MassachusettsBlue Cross and Blue Shield of Massachusetts, Inc. | 3 | 4.0 | — |
| UnitedHealthcareUnitedHealth Group, Inc. | 3 | 4.0 | — |
| eternalHealthEternal Health of Delaware, Inc. | 2 | 2.5 | — |
| Health New England Medicare Advantage PlansBaystate Health, Inc. | 1 | 3.0 | — |
| Tufts Health PlanPoint32Health, Inc. | 1 | 3.5 | — |
How PPO compares
States with similar PPO star ratings
Massachusetts Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in Massachusetts?
What are the star ratings for Massachusetts PPO plans?
How many Medicare Advantage PPO plans are available in Massachusetts?
Do Massachusetts PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in Massachusetts?
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