2026 Medicare Advantage Plans in Madison County, ID
Last update: . Enrollment data updated: May 2, 2026
Madison County, ID has 8 Medicare Advantage plans available in 2026. These include 4 plans with no monthly premium, and roughly 57% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Madison County, ID. Or explore all Medicare Options available in Madison County, ID.
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 3
- Average Monthly Premium $27.67/mo
- Total PPO Enrollment 138
- $0 Premium PPO Plans 1
- Average MOOP $6,300
- Top PPO by Enrollment AARP Medicare Advantage from UHC ID-0011 (PPO) — 80 enrollees
- PPO Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC ID-0011 | $19 | $6,700 | $600 | H2406-113-0 | |
| HumanaChoice H5525-054 | $64 | $7,000 | $615 | H5525-054-0 | |
| Secure Blue Courage | $0 | $5,200 | N/A | H1302-004-0 |
What is the most popular PPO plan in Madison?
AARP Medicare Advantage from UHC ID-0011 (PPO) is the top PPO in Madison, with 80 enrollees.
What is the number of PPO plans without Part D coverage in Madison?
There are 1 PPO plans in Madison 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
- $76.50/mo
- Total HMO Enrollment
- 286
- $0 Premium HMO Plans
- 1
- Average MOOP
- $4,450
- Top HMO by Enrollment
- True Blue Rx 37 (HMO) — 219 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| True Blue Rx 37 | $153 | $5,900 | $150 | H1350-037-0 | |
| True Blue Valor | $0 | $3,000 | N/A | H1350-006-0 |
What is the typical premium for HMO plans in Madison?
HMO plans in Madison cost $76.50 per month on average.
Which HMO plan do most beneficiaries choose in Madison?
The most popular HMO plan in Madison is True Blue Rx 37 (HMO), with 219 enrollees.
How many HMO options are offered without prescription drug coverage in Madison?
There are 1 HMO plans in Madison without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 3
- Average Monthly Premium $24.67/mo
- Total HMO-POS Enrollment 479
- $0 Premium HMO-POS Plans 2
- Average MOOP $6,433
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC ID-0009 (HMO-POS) — 448 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC ID-0007 | $74 | $5,900 | $520 | H4604-014-0 | |
| AARP Medicare Advantage from UHC ID-0009 | $0 | $6,700 | $520 | H4604-022-0 | |
| AARP Medicare Advantage Patriot No Rx ID-MA01 | $0 | $6,700 | N/A | H4604-019-0 |
What is the total number of HMO-POS plans in Madison?
In 2026, Madison has 3 HMO-POS plans with 479 enrollees.
How much do HMO-POS plans cost in Madison?
The typical HMO-POS premium in Madison is $24.67, and 2 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Madison County, ID for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 4 | 57% |
| 3 Stars | 3 | 43% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 13% |
| Average Rating | 3.79 | |
* 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
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