2026 Medicare Advantage Plans in Saint Johns County, FL
Last update: . Enrollment data updated: May 2, 2026
For 2026, Saint Johns County, FL includes 44 Medicare Advantage plans. Enrollment across these plans totals approximately 22,580, with 38 $0 premium options and 73% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Saint Johns County, FL are summarized separately. Visit Medicare Options in Saint Johns 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
- 22
- Average Monthly Premium
- $18.18/mo
- Total PPO Enrollment
- 14,173
- $0 Premium PPO Plans
- 17
- Average MOOP
- $7,184
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC FL-0021 (PPO) — 3,961 enrollees
- PPO Plans Without Drug Coverage
- 8
What is the average monthly premium for PPO plans in Saint Johns?
PPO plans in Saint Johns cost $18.18 per month on average.
Which PPO plan has the highest enrollment in Saint Johns?
The most popular PPO plan in Saint Johns is AARP Medicare Advantage from UHC FL-0021 (PPO), with 3,961 enrollees.
How many PPO plans in Saint Johns do not include prescription drug coverage?
8 PPO plans in Saint Johns 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 18
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 4,569
- $0 Premium HMO Plans 18
- Average MOOP $4,800
- Top HMO by Enrollment Humana Gold Plus H1036-068 (HMO) — 1,719 enrollees
- HMO Plans Without Drug Coverage 3
What is the top HMO by enrollment in Saint Johns?
Humana Gold Plus H1036-068 (HMO) is the top HMO in Saint Johns, with 1,719 enrollees.
What is the number of HMO plans without Part D coverage in Saint Johns?
3 HMO plans in Saint Johns do not include prescription drug coverage.
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
- 4
- Average Monthly Premium
- $12.25/mo
- Total HMO-POS Enrollment
- 3,838
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $6,025
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC FL-0005 (HMO-POS) — 3,539 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC FL-37 | $0 | $6,700 | $600 | H1045-067-0 | |
| AARP Medicare Advantage from UHC FL-0005 | $0 | $3,900 | $270 | H1045-026-0 | |
| Aetna Medicare Select Extra | $0 | $6,750 | $615 | H1609-028-0 | |
| FHCP Medicare Rx Plus | $49 | $6,750 | $615 | H1035-002-0 |
What is the typical premium for HMO-POS plans in Saint Johns?
HMO-POS plans in Saint Johns cost $12.25 per month on average.
Which HMO-POS plan has the most members in Saint Johns?
The most popular HMO-POS plan in Saint Johns is AARP Medicare Advantage from UHC FL-0005 (HMO-POS), with 3,539 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Saint Johns?
There are 0 HMO-POS plans in Saint Johns without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Saint Johns County, FL (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 3 | 7% |
| 4 Stars (includes 5 Stars) | 32 | 73% |
| 3 Stars | 12 | 27% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.17 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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.