Jefferson County, New York: health insurance
What Jefferson County residents should know about Medicare, marketplace plans and Medicaid.
Medicaid is a government program that gives free or low-cost health coverage to people with limited income, such as some adults, children, pregnant women, seniors and people with disabilities. Each state runs its own Medicaid program and decides who qualifies. We are an independent insurance agency, and we cannot enroll you in Medicaid or check your Medicaid.
New York Medicaid: New York State Department of Health · 1-800-541-2831 (Medicaid Helpline) · health.ny.gov/health_care/medicaid
If your income is too high for Medicaid, or you want to compare health plans, call us. We can help with that.
Jefferson County at a glance
| State | New York |
|---|---|
| Population (2023 est.) | 114,787 |
| Population rank in New York | 25 of 62 |
| Land area | 1,268 square miles |
Source: U.S. Census Bureau (Population Estimates 2023; Gazetteer 2023).
Medicare plans leaving Jefferson County for 2027
19 Medicare plans from 6 companies are listed in Jefferson County for 2026 but not for 2027, covering at least 3,495 people enrolled in the plans below today.
- HealthSpring Assurance Rx (PDP) (S5617-013, Cigna HealthSpring (HCSC))
- HealthSpring Extra Rx (PDP) (S5617-353, Cigna HealthSpring (HCSC))
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| Medicare BlueVital (PPO) H3335-061 | Lifetime Healthcare | 1,626 |
| HumanaChoice Giveback H5970-030 (PPO) H5970-030 | Humana | 449 |
| Medicare BlueEnhanced (PPO) H3335-015 | Lifetime Healthcare | 361 |
| Medicare BlueBalanced (PPO) H3335-062 | Lifetime Healthcare | 347 |
| HumanaChoice SNP-DE H5970-020 (PPO D-SNP) H5970-020 | Humana | 237 |
| Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) H3533-002 | Humana | 116 |
| Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013 | Wellcare / Ambetter (Centene) | 100 |
| Wellcare Simple (HMO-POS) H4868-019 | Wellcare / Ambetter (Centene) | 96 |
| CDPHP $0 Medicare Rx (HMO) H3388-014 | Lifetime Healthcare | 54 |
| MVP Medicare Complete Wellness with Part D (PPO) H9615-024 | MVP Health Care | 51 |
| Medicare BlueSalute (PPO) H3335-043 | Lifetime Healthcare | 20 |
| Aetna Medicare Partial Dual (HMO D-SNP) H3312-089 | Aetna (CVS Health) | 14 |
Show 5 more plans
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| CDPHP Choice Rx (HMO) H3388-002 | Lifetime Healthcare | 13 |
| Wellcare Advantage Simple (PFFS) H2816-038 | Wellcare / Ambetter (Centene) | 11 |
| CDPHP Clear Rx (HMO) H3388-020 | Lifetime Healthcare | 10 or fewer |
| CDPHP Core (HMO) H3388-001 | Lifetime Healthcare | 10 or fewer |
| Wellcare Advantage Enhanced (PFFS) H2816-037 | Wellcare / Ambetter (Centene) | 10 or fewer |
See which companies have plans leaving across New York: New York Medicare plans ending for 2027 →
A plan can be listed because it was renumbered or replaced, not only because a company is leaving the county. When the same company keeps other plans there, members are usually moved to a replacement plan. Your plan should send you a notice, and Medicare’s Annual Enrollment Period (October 15 to December 7) is when you can compare and switch. “People enrolled” is the number enrolled in that plan today (CMS hides counts of 10 or fewer). Source: CMS Medicare Advantage and Part D landscape files for 2026 and 2027, and CMS enrollment data from September 2026.
Is your plan on this list? Call 855-367-1095 and we will look at what is available where you live, with no obligation to enroll.
Why your county matters for coverage
In New York, the health plans you can choose depend on where you live. Medicare Advantage and Part D plans are offered by service area, usually county by county, and marketplace premiums and carriers are set by area as well. Living in Jefferson County means the options on this page apply to you, and plans in a neighboring county may differ.
- Medicare: HIICAP (Health Insurance Information, Counseling and Assistance Program) gives free, unbiased counseling at 1-800-701-0501. Ask which plans serve Jefferson County specifically.
- Marketplace plans: shop through NY State of Health; enter your Jefferson County ZIP code to see what is offered.
- Medicaid: apply through New York State Department of Health.
New York note: New York's insurance regulator, the Department of Financial Services, oversees both insurance companies and banks under one agency -- a broader mandate than most states' insurance-only regulators, which is why DFS's consumer complaint process covers insurance alongside other financial products.
Questions about Jefferson County
Are the same Medicare plans offered everywhere in New York?
No. Plans are offered by service area. A plan available in one county may not be offered in Jefferson County, so check by county.
Where do Jefferson County residents get free Medicare counseling?
HIICAP (Health Insurance Information, Counseling and Assistance Program) (1-800-701-0501) is New York's free SHIP program.
Do I have to enroll if I call?
No. Calling is a conversation about your options, and you are never required to enroll.
Jefferson County residents: call 855-367-1095
Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.
Call 855-367-1095 Open 8 AM-10 PM Eastern timeOther large counties
Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.