- Entity
- county:iowa-hamilton-19079
- 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/iowa/hamilton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 23
- PPO Plans
- 12
- HMO Plans
- 5
- HMO-POS Plans
- 6
- PFFS Plans
- 0
- Average Monthly Premium
- 10.9
- Average MOOP
- 5376.09
- Average Part D Deductible
- 480.83
- $0 Premium Plans
- 17
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.91
- $0 Premium Plan Share
- 73.91
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 45
- 3-Star Plan Share
- 55
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 4
- PPO Average Monthly Premium
- 11
- PPO Average MOOP
- 5691.67
- PPO Enrollment
- 379
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 4.56
- HMO Average MOOP
- 5020
- HMO Enrollment
- 80
- HMO $0 Premium Plans
- 4
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 16
- HMO-POS Average MOOP
- 5041.67
- HMO-POS Enrollment
- 223
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:iowa-hamilton-19079
- 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/iowa/hamilton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-iowa-hamilton-19079-landscape-stats
- Plans Indexed
- 23
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle
H1609-058-0 -
Aetna Medicare Signature
H1609-001-0 -
Aetna Medicare Signature Extra
H1609-069-0 -
Aetna Medicare Value Care
H1609-068-0 -
MercyOne Health Plan Cash Back
H3668-031-0 -
MercyOne Health Plan Glory No RX
H3668-029-0 -
MercyOne Health Plan No Premium
H3668-025-0 -
MercyOne Health Plan Plus
H3668-026-0 -
AARP Medicare Advantage from UHC IA-0002
H5253-108-2 -
MercyOne Health Plan Choice
H1846-007-0 -
AARP Medicare Advantage from UHC IA-0003
H8768-017-2 -
AARP Medicare Advantage Patriot No Rx IA-MA01
H8768-018-0 -
Aetna Medicare Elite
H1608-037-0 -
Aetna Medicare Enhanced Extra
H1608-117-0 -
Aetna Medicare Signature
H1608-001-0 -
Blue Medicare Advantage PPO
H5900-001-0 -
Blue Medicare Advantage Valor PPO
H5900-006-0 -
Humana Full Access H5216-411
H5216-411-0 -
Humana Gold Plus H0028-053
H0028-053-1 -
Humana USAA Honor Giveback
H5216-278-1 -
HumanaChoice Giveback H5216-340
H5216-340-0 -
HumanaChoice H5216-014
H5216-014-0 -
Wellcare Simple
H1862-005-0
-
Aetna Medicare Eagle
- Total Standard Medicare Advantage Enrollment
- 682
2026 Medicare Advantage Plans in Hamilton County, IA
Last update: .
In Hamilton County, IA, there are 23 Medicare Advantage plans available for 2026. Of these, 17 offer a $0 monthly premium, and about 45% 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, IA. Or explore all Medicare Options available in Hamilton County, IA.
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 12
- Average Monthly Premium $11.00/mo
- Total PPO Enrollment 379
- $0 Premium PPO Plans 9
- Average MOOP $5,692
- Top PPO by Enrollment Blue Medicare Advantage PPO (PPO) — 145 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| MercyOne Health Plan Choice | $0 | $4,400 | $200 | H1846-007-0 | |
| AARP Medicare Advantage from UHC IA-0003 | $37 | $5,900 | $600 | H8768-017-2 | |
| AARP Medicare Advantage Patriot No Rx IA-MA01 | $0 | $8,900 | N/A | H8768-018-0 | |
| Aetna Medicare Elite | $0 | $5,500 | $615 | H1608-037-0 | |
| Aetna Medicare Enhanced Extra | $57 | $4,500 | $615 | H1608-117-0 | |
| Aetna Medicare Signature | $0 | $5,000 | $615 | H1608-001-0 | |
| Blue Medicare Advantage PPO | $0 | $4,150 | $300 | H5900-001-0 | |
| Blue Medicare Advantage Valor PPO | $0 | $6,750 | N/A | H5900-006-0 | |
| Humana Full Access H5216-411 | $0 | $4,250 | $400 | H5216-411-0 | |
| Humana USAA Honor Giveback | $0 | $4,700 | N/A | H5216-278-1 | |
| HumanaChoice Giveback H5216-340 | $0 | $5,000 | $600 | H5216-340-0 | |
| HumanaChoice H5216-014 | $38 | $9,250 | $615 | H5216-014-0 |
What is the total number of PPO plans offered in Hamilton?
There are 12 PPO plans in 2026, covering 379 beneficiaries.
How much do PPO plans cost in Hamilton?
The average PPO premium in Hamilton is $11.00 per month, with 9 plans offering $0 premiums.
What is the most popular PPO plan in Hamilton?
Blue Medicare Advantage PPO (PPO) is the top PPO in Hamilton, with 145 enrollees.
What is the number of PPO plans without Part D coverage in Hamilton?
There are 3 PPO plans in Hamilton 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
- 5
- Average Monthly Premium
- $4.56/mo
- Total HMO Enrollment
- 80
- $0 Premium HMO Plans
- 4
- Average MOOP
- $5,020
- Top HMO by Enrollment
- Humana Gold Plus H0028-053 (HMO) — 69 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| MercyOne Health Plan Cash Back | $0 | $6,900 | $250 | H3668-031-0 | |
| MercyOne Health Plan Glory No RX | $0 | $5,900 | N/A | H3668-029-0 | |
| MercyOne Health Plan No Premium | $0 | $4,200 | $150 | H3668-025-0 | |
| MercyOne Health Plan Plus | $23 | $3,900 | $100 | H3668-026-0 | |
| Humana Gold Plus H0028-053 | $0 | $4,200 | $615 | H0028-053-1 |
What is the average monthly premium for HMO plans?
HMO plans in Hamilton cost $4.56 per month on average.
Which HMO plan is most popular in Hamilton?
The most popular HMO plan in Hamilton is Humana Gold Plus H0028-053 (HMO), with 69 enrollees.
How many HMO plans in Hamilton do not include drug coverage?
There are 1 HMO plans in Hamilton without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle | $0 | $6,750 | N/A | H1609-058-0 | |
| Aetna Medicare Signature | $0 | $4,300 | $615 | H1609-001-0 | |
| Aetna Medicare Signature Extra | $0 | $5,000 | $615 | H1609-069-0 | |
| Aetna Medicare Value Care | $41 | $3,900 | $615 | H1609-068-0 | |
| AARP Medicare Advantage from UHC IA-0002 | $55 | $5,900 | $520 | H5253-108-2 | |
| Wellcare Simple | $0 | $4,400 | $615 | H1862-005-0 |
What is the leading HMO-POS plan in Hamilton?
Aetna Medicare Signature (HMO-POS) is the top HMO-POS in Hamilton, with 125 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hamilton?
1 HMO-POS plans in Hamilton do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hamilton County, IA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 10 | 45% |
| 3 Stars | 12 | 55% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 4% |
| Average Rating | 3.91 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
This page follows data provenance practices aligned with the 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.