- Entity
- county:idaho-madison-16065
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/idaho/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
- 8
- PPO Plans
- 3
- HMO Plans
- 2
- HMO-POS Plans
- 3
- PFFS Plans
- 0
- Average Monthly Premium
- 38.75
- Average MOOP
- 5887.5
- Average Part D Deductible
- 481
- $0 Premium Plans
- 4
- Plans Without Part D Coverage
- 3
- Average CMS Star Rating
- 3.79
- $0 Premium Plan Share
- 50
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 57
- 3-Star Plan Share
- 43
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 13
- PPO Average Monthly Premium
- 27.67
- PPO Average MOOP
- 6300
- PPO Enrollment
- 146
- PPO $0 Premium Plans
- 1
- PPO Plans Without Part D Coverage
- 1
- HMO Average Monthly Premium
- 76.5
- HMO Average MOOP
- 4450
- HMO Enrollment
- 284
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 24.67
- HMO-POS Average MOOP
- 6433.33
- HMO-POS Enrollment
- 472
- HMO-POS $0 Premium Plans
- 2
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:idaho-madison-16065
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/idaho/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-idaho-madison-16065-landscape-stats
- Plans Indexed
- 8
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC ID-0007
H4604-014-0 -
AARP Medicare Advantage from UHC ID-0009
H4604-022-0 -
AARP Medicare Advantage from UHC ID-0011
H2406-113-0 -
AARP Medicare Advantage Patriot No Rx ID-MA01
H4604-019-0 -
HumanaChoice H5525-054
H5525-054-0 -
True Blue Rx 37
H1350-037-0 -
True Blue Valor
H1350-006-0 -
Secure Blue Courage
H1302-004-0
-
AARP Medicare Advantage from UHC ID-0007
- Total Standard Medicare Advantage Enrollment
- 902
2026 Medicare Advantage Plans in Madison County, ID
Last update: .
For 2026, Madison County, ID includes 8 Medicare Advantage plans. Enrollment across these plans totals approximately 902, with 4 $0 premium options and 57% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Madison County, ID are summarized separately. Visit Medicare Options in Madison County, ID 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
- 3
- Average Monthly Premium
- $27.67/mo
- Total PPO Enrollment
- 146
- $0 Premium PPO Plans
- 1
- Average MOOP
- $6,300
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC ID-0011 (PPO) — 88 enrollees
- PPO Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for PPO plans in Madison?
- PPO plans in Madison cost $27.67 per month on average.
- Which PPO plan has the highest enrollment in Madison?
- The most popular PPO plan in Madison is AARP Medicare Advantage from UHC ID-0011 (PPO), with 88 enrollees.
- How many PPO plans in Madison do not include prescription drug coverage?
- 1 PPO plans in Madison do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 total number of HMO plans offered in Madison?
There are 2 HMO plans in 2026, covering 284 enrollees.
How much do HMO plans cost in Madison?
The average HMO premium in Madison is $76.50 per month, with 1 plans offering $0 premiums.
What is the top HMO by enrollment in Madison?
True Blue Rx 37 (HMO) is the top HMO in Madison, with 219 enrollees.
What is the number of HMO plans without Part D coverage in Madison?
1 HMO plans in Madison 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
- 3
- Average Monthly Premium
- $24.67/mo
- Total HMO-POS Enrollment
- 472
- $0 Premium HMO-POS Plans
- 2
- Average MOOP
- $6,433
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC ID-0009 (HMO-POS) — 442 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Madison cost $24.67 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 ID-0009 (HMO-POS), with 442 enrollees.
How many HMO-POS plans in Madison do not include drug coverage?
There are 1 HMO-POS plans in Madison without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Madison County, ID (2026) are summarized below.
| 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 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, 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.