2026 Medicare Advantage Plans in Miami-Dade County, FL
Last update: . Enrollment data updated: June 13, 2026
For 2026, Miami-Dade County, FL includes 46 Medicare Advantage plans. Enrollment across these plans totals approximately 167,449, with 40 $0 premium options and 70% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Miami-Dade County, FL are summarized separately. Visit Medicare Options in Miami-Dade County, FL to see more options.
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
- 15
- Average Monthly Premium
- $31.98/mo
- Total PPO Enrollment
- 9,595
- $0 Premium PPO Plans
- 10
- Average MOOP
- $6,503
- Top PPO by Enrollment
- Humana Full Access Giveback H5216-311 (PPO) — 3,532 enrollees
- PPO Plans Without Drug Coverage
- 6
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Full Access Giveback H7617-110 | $0 | $6,700 | $600 | H7617-110-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H7617-108-0 | |
| HumanaChoice Florida H7617-107 | $0 | $3,900 | $615 | H7617-107-0 | |
| AARP Medicare Advantage from UHC FL-0031 | $62 | $9,250 | $600 | R0759-001-0 | |
| AARP Medicare Advantage Patriot No Rx FL-MA01 | $0 | $9,250 | N/A | R0759-002-0 | |
| BlueMedicare Patriot | $0 | $6,750 | N/A | H5434-044-0 | |
| BlueMedicare Select | $154 | $6,750 | $615 | H5434-002-0 | |
| Humana Full Access Giveback H5216-311 | $0 | $6,700 | $600 | H5216-311-0 | |
| Humana USAA Honor Giveback | $0 | $4,900 | N/A | H5216-256-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-467-0 | |
| HumanaChoice Florida H5216-068 | $0 | $3,900 | $615 | H5216-068-0 | |
| HumanaChoice Florida H7284-008 | $39 | $4,150 | $615 | H7284-008-0 | |
| HumanaChoice R5826-005 | $184 | $6,700 | $615 | R5826-005-0 | |
| HumanaChoice R5826-018 | $0 | $7,550 | N/A | R5826-018-0 | |
| HumanaChoice R5826-074 | $41 | $7,550 | $615 | R5826-074-0 |
What is the average monthly premium for PPO plans in Miami-Dade?
PPO plans in Miami-Dade cost $31.98 per month on average.
Which PPO plan has the highest enrollment in Miami-Dade?
The most popular PPO plan in Miami-Dade is Humana Full Access Giveback H5216-311 (PPO), with 3,532 enrollees.
How many PPO plans in Miami-Dade do not include prescription drug coverage?
6 PPO plans in Miami-Dade 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 31
- Average Monthly Premium $0.15/mo
- Total HMO Enrollment 157,854
- $0 Premium HMO Plans 30
- Average MOOP $3,371
- Top HMO by Enrollment UHC MedicareMax Medicare Advantage FL-0028 (HMO) — 35,653 enrollees
- HMO Plans Without Drug Coverage 3
What is the top HMO by enrollment in Miami-Dade?
UHC MedicareMax Medicare Advantage FL-0028 (HMO) is the top HMO in Miami-Dade, with 35,653 enrollees.
What is the number of HMO plans without Part D coverage in Miami-Dade?
3 HMO plans in Miami-Dade do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Miami-Dade County, FL (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 6 | 13% |
| 4 Stars (includes 5 Stars) | 32 | 70% |
| 3 Stars | 14 | 30% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.18 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
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, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.