- Entity
- county:florida-madison-12079
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/florida/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 17
- PPO Plans
- 12
- HMO Plans
- 4
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 35.61
- Average MOOP
- 7155.88
- Average Part D Deductible
- 614.17
- $0 Premium Plans
- 10
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.82
- $0 Premium Plan Share
- 58.82
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 59
- 3-Star Plan Share
- 41
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 38.45
- PPO Average MOOP
- 7641.67
- PPO Enrollment
- 260
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 36
- HMO Average MOOP
- 6375
- HMO Enrollment
- 37
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 4450
- HMO-POS Enrollment
- 404
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:florida-madison-12079
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/florida/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-florida-madison-12079-landscape-stats
- Plans Indexed
- 17
- Standard Medicare Advantage Plans
-
-
Capital Health Plan Advantage Plus
H5938-001-0 -
Capital Health Plan Giveback Advantage
H5938-009-0 -
Capital Health Plan Preferred Advantage
H5938-006-0 -
Capital Health Plan Silver Advantage
H5938-008-0 -
AARP Medicare Advantage from UHC FL-0011
H1045-041-0 -
Humana USAA Honor Giveback
H5216-257-0 -
Humana Value Choice
H5216-070-0 -
HumanaChoice R5826-005
R5826-005-0 -
HumanaChoice R5826-018
R5826-018-0 -
HumanaChoice R5826-074
R5826-074-0 -
AARP Medicare Advantage from UHC FL-0031
R0759-001-0 -
AARP Medicare Advantage Patriot No Rx FL-MA01
R0759-002-0 -
Humana Essentials Plus Giveback
H7284-012-0 -
HumanaChoice Florida H7284-009
H7284-009-0 -
BlueMedicare Patriot
H5434-046-0 -
BlueMedicare Patriot Plus
H5434-048-0 -
BlueMedicare Select
H5434-045-0
-
Capital Health Plan Advantage Plus
- Total Standard Medicare Advantage Enrollment
- 701
2027 Medicare Advantage Plans in Madison County, FL
Last update: .
For 2027, Madison County, FL includes 17 Medicare Advantage plans. Enrollment across these plans totals approximately 701, with 10 $0 premium options and 59% rated 4 stars or higher.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 12
- Average Monthly Premium
- $38.45/mo
- Total PPO Enrollment
- 260
- $0 Premium PPO Plans
- 7
- Average MOOP
- $7,642
- Top PPO by Enrollment
- Humana Value Choice (PPO) — 133 enrollees
- PPO Plans Without Drug Coverage
- 5
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-257-0 | |
| Humana Value Choice | $0 | $7,150 | $700 | H5216-070-0 | |
| HumanaChoice R5826-005 | $161 | $6,700 | $700 | R5826-005-0 | |
| HumanaChoice R5826-018 | $0 | $7,550 | N/A | R5826-018-0 | |
| HumanaChoice R5826-074 | $35 | $7,550 | $700 | R5826-074-0 | |
| AARP Medicare Advantage from UHC FL-0031 | $127 | $9,850 | $685 | R0759-001-0 | |
| AARP Medicare Advantage Patriot No Rx FL-MA01 | $0 | $9,250 | N/A | R0759-002-0 | |
| Humana Essentials Plus Giveback | $0 | $7,150 | $700 | H7284-012-0 | |
| HumanaChoice Florida H7284-009 | $39 | $6,750 | $700 | H7284-009-0 | |
| BlueMedicare Patriot | $0 | $9,850 | N/A | H5434-046-0 | |
| BlueMedicare Patriot Plus | $0 | $6,750 | N/A | H5434-048-0 | |
| BlueMedicare Select | $100 | $7,150 | $700 | H5434-045-0 |
What is the typical premium for PPO plans available in Madison?
PPO plans in Madison cost $38.45 per month on average.
Which PPO plan do most beneficiaries choose in Madison?
The most popular PPO plan in Madison is Humana Value Choice (PPO), with 133 enrollees.
How many PPO options are offered without drug coverage in Madison?
5 PPO plans in Madison do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 4
- Average Monthly Premium $36.00/mo
- Total HMO Enrollment 37
- $0 Premium HMO Plans 2
- Average MOOP $6,375
- Top HMO by Enrollment Capital Health Plan Silver Advantage (HMO) — 23 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Capital Health Plan Advantage Plus | $39 | $6,000 | $400 | H5938-001-0 | |
| Capital Health Plan Giveback Advantage | $0 | $7,000 | $550 | H5938-009-0 | |
| Capital Health Plan Preferred Advantage | $105 | $6,000 | $300 | H5938-006-0 | |
| Capital Health Plan Silver Advantage | $0 | $6,500 | $550 | H5938-008-0 |
What is the total number of HMO plans offered in Madison?
In 2027, Madison County has 4 HMO plans with 37 enrollees.
How much do HMO plans cost in Madison?
The typical HMO premium in Madison is $36.00, and 2 plans have no monthly premium.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 404
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $4,450
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC FL-0011 (HMO-POS) — 404 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC FL-0011 | $0 | $4,450 | $685 | H1045-041-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Madison cost $0.00 per month on average.
- Which HMO-POS plan is most popular in Madison?
- The most popular HMO-POS plan in Madison is AARP Medicare Advantage from UHC FL-0011 (HMO-POS), with 404 enrollees.
- How many HMO-POS plans in Madison do not include drug coverage?
- There are 0 HMO-POS plans in Madison without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Madison County, FL (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 10 | 59% |
| 3 Stars | 7 | 41% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.82 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Madison County, Florida, including communities such as Lee, Greenville, Madison, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
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.