2026 Medicare Advantage Plans in Gila County, AZ
Last update: . Enrollment data updated: May 2, 2026
In Gila County, AZ, there are 11 Medicare Advantage plans available for 2026. Of these, 7 offer a $0 monthly premium, and about 36% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Gila County, AZ. Or explore all Medicare Options available in Gila County, AZ.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 9
- Average Monthly Premium $43.10/mo
- Total PPO Enrollment 4,378
- $0 Premium PPO Plans 5
- Average MOOP $5,806
- Top PPO by Enrollment Humana Essentials Plus Giveback H5216-435 (PPO) — 1,512 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Access from UHC AZ-15 | $295 | $3,000 | $600 | H2406-129-0 | |
| AARP Medicare Advantage from UHC AZ-0008 | $45 | $5,900 | $600 | H2406-063-0 | |
| AARP Medicare Advantage from UHC AZ-0010 | $0 | $6,700 | $600 | H2406-076-0 | |
| AARP Medicare Advantage Patriot No Rx AZ-MA01 | $0 | $6,700 | N/A | H2406-077-0 | |
| Humana Essentials Plus Giveback H5216-435 | $0 | $7,850 | $0 | H5216-435-1 | |
| Humana USAA Honor Giveback | $0 | $5,150 | N/A | H5216-436-1 | |
| HumanaChoice H5216-224 | $11 | $4,150 | $400 | H5216-224-0 | |
| HumanaChoice R7220-001 | $0 | $6,000 | N/A | R7220-001-0 | |
| HumanaChoice R7220-002 | $37 | $6,800 | $615 | R7220-002-0 |
What is the total number of PPO plans offered in Gila?
There are 9 PPO plans in 2026, covering 4,378 beneficiaries.
How much do PPO plans cost in Gila?
The average PPO premium in Gila is $43.10 per month, with 5 plans offering $0 premiums.
What is the most popular PPO plan in Gila?
Humana Essentials Plus Giveback H5216-435 (PPO) is the top PPO in Gila, with 1,512 enrollees.
What is the number of PPO plans without Part D coverage in Gila?
There are 3 PPO plans in Gila without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 285
- $0 Premium HMO Plans
- 2
- Average MOOP
- $8,125
- Top HMO by Enrollment
- Wellcare Simple (HMO) — 243 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Wellcare Giveback | $0 | $9,250 | $615 | H0351-054-0 | |
| Wellcare Simple | $0 | $7,000 | $615 | H0351-053-0 |
What is the average monthly premium for HMO plans?
HMO plans in Gila cost $0.00 per month on average.
Which HMO plan is most popular in Gila?
The most popular HMO plan in Gila is Wellcare Simple (HMO), with 243 enrollees.
How many HMO plans in Gila do not include drug coverage?
There are 0 HMO plans in Gila without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Gila County, AZ for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 4 | 36% |
| 3 Stars | 5 | 45% |
| Below 3 Stars | 2 | 18% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.