2026 Medicare Advantage Plans in Hamilton County, IN
Last update: . Enrollment data updated: June 13, 2026
In Hamilton County, IN, there are 48 Medicare Advantage plans available for 2026. Of these, 33 offer a $0 monthly premium, and about 33% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Hamilton County, IN. Or explore all Medicare Options available in Hamilton County, IN.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Hamilton?
Hamilton County has 34 PPO plans for 2026, with 11,363 enrolled.
How much do PPO plans cost in Hamilton?
The typical PPO premium in Hamilton is $12.09, and 23 plans have no monthly premium.
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
- 4
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 836
- $0 Premium HMO Plans
- 4
- Average MOOP
- $5,388
- Top HMO by Enrollment
- Anthem Medicare Advantage 4 (HMO) — 409 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Anthem Medicare Advantage 3 | $0 | $9,250 | $300 | H7220-009-2 | |
| Anthem Medicare Advantage 4 | $0 | $4,500 | $300 | H7220-010-0 | |
| MyTruAdvantage Select | $0 | $3,300 | $200 | H6529-004-0 | |
| Zing Select Care IN | $0 | $4,500 | $0 | H4624-003-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Hamilton cost $0.00 per month on average.
- Which HMO plan is most popular in Hamilton?
- The most popular HMO plan in Hamilton is Anthem Medicare Advantage 4 (HMO), with 409 enrollees.
- How many HMO plans in Hamilton do not include drug coverage?
- There are 0 HMO plans in Hamilton 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 9
- Average Monthly Premium $17.10/mo
- Total HMO-POS Enrollment 8,227
- $0 Premium HMO-POS Plans 6
- Average MOOP $5,244
- Top HMO-POS by Enrollment AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS) — 3,134 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC IN-12 | $0 | $3,900 | $440 | H2802-010-0 | |
| AARP Medicare Advantage Extras from UHC IN-17 | $0 | $6,700 | $520 | H2802-056-0 | |
| AARP Medicare Advantage Giveback from UHC IN-20 | $0 | $6,700 | $600 | H2802-059-0 | |
| Anthem Medicare Advantage 2 | $100 | $6,850 | $300 | H7220-004-0 | |
| Anthem Extra Help | $23 | $4,900 | $390 | H3447-024-0 | |
| Anthem Medicare Advantage | $0 | $4,000 | $150 | H3447-042-3 | |
| Humana Gold Plus H5619-049 | $0 | $4,250 | $250 | H5619-049-0 | |
| Wellcare Assist | $31 | $5,700 | $560 | H3499-008-0 | |
| Wellcare Simple | $0 | $4,200 | $615 | H3499-002-0 |
What is the total number of HMO-POS plans in Hamilton?
There are 9 HMO-POS plans in 2026, covering 8,227 enrollees.
How much do HMO-POS plans cost in Hamilton?
The average HMO-POS premium in Hamilton is $17.10 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Hamilton?
AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS) is the top HMO-POS in Hamilton, with 3,134 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hamilton?
0 HMO-POS plans in Hamilton do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $37.00/mo
- Total PFFS Enrollment
- 28
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $3,950
- Top PFFS by Enrollment
- Humana Gold Choice H8145-032 (PFFS) — 28 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-032 | $37 | $3,950 | $300 | H8145-032-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Hamilton cost $37.00 per month on average.
Which PFFS plan is most popular in Hamilton?
The most popular PFFS plan in Hamilton is Humana Gold Choice H8145-032 (PFFS), with 28 enrollees.
How many PFFS plans in Hamilton do not include drug coverage?
There are 0 PFFS plans in Hamilton without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hamilton County, IN for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 15 | 33% |
| 3 Stars | 30 | 65% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 2 | 4% |
| Average Rating | 3.59 | |
* 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 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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 .
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.