Berkshire County, Massachusetts — 2026 Medicare Advantage plans
12 individual Medicare Advantage plan segments from 3 parent organizations are filed for Berkshire County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| Fallon Medicare Plus Orange (HMO) Fallon Community Health Plan, Inc. · H9001-038-000 · SoB | HMO | $0 | $7,550 | $400 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Transportation |
| Health New England Medicare Value (HMO) Baystate Health, Inc. · H8578-012-000 · SoB | HMO | $0 | $6,750 | $490 | 3.0out of 5 stars, Average | $65 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| CCA One Care (HMO D-SNP) CareSource · H1486-001-000 · SoB | HMO D-SNP | $25 | $8,845 | $615 | Not rated | — | none reported |
| Health New England Medicare Compass (PPO) Baystate Health, Inc. · H2737-001-000 · SoB | PPO | $29 | $6,750 | $490 | 2.5out of 5 stars, Below average | $65 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| NaviCare (HMO D-SNP) Fallon Community Health Plan, Inc. · H8928-001-000 · SoB | HMO D-SNP | $31.20 | $7,550 | $615 | 4.0out of 5 stars, Above average | $375 | Eyewear Transportation OTC allowance |
| Fallon Medicare Plus Green (HMO) Fallon Community Health Plan, Inc. · H9001-030-018 · SoB | HMO | $78 | $5,200 | $300 | 4.0out of 5 stars, Above average | $175 | Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Health New England Medicare Plus (HMO) Baystate Health, Inc. · H8578-004-000 · SoB | HMO | $113 | $5,000 | $350 | 3.0out of 5 stars, Average | $75 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Health New England Medicare Premium (HMO) Baystate Health, Inc. · H8578-001-000 · SoB | HMO | $168 | $4,500 | $350 | 3.0out of 5 stars, Average | $75 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Fallon Medicare Plus Blue (HMO) Fallon Community Health Plan, Inc. · H9001-031-018 · SoB | HMO | $174 | $3,400 | $0 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Transportation |
| Fallon Medicare Plus Saver No Rx (HMO) Fallon Community Health Plan, Inc. · H9001-039-000 · SoB | HMO | — | $6,700 | — | 4.0out of 5 stars, Above average | $175 | Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Health New England Medicare Basic No Rx (HMO) Baystate Health, Inc. · H8578-009-000 · SoB | HMO | — | $5,500 | — | 3.0out of 5 stars, Average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Health New England Medicare Premium No Rx (HMO) Baystate Health, Inc. · H8578-003-000 · SoB | HMO | — | $4,500 | — | 3.0out of 5 stars, Average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Berkshire County?
Download all 12 Berkshire County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.
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