2026 Medicare Advantage Plans in Jefferson County, IA
Last update: . Enrollment data updated: May 2, 2026
In Jefferson County, IA, there are 16 Medicare Advantage plans available for 2026. Of these, 12 offer a $0 monthly premium, and about 47% 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 Jefferson County, IA. Or explore all Medicare Options available in Jefferson County, IA.
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.
| 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 | |
| Aetna Medicare Enhanced Extra | $57 | $4,500 | $615 | H1608-117-0 | |
| 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 Jefferson?
Jefferson County has 8 PPO plans for 2026, with 1,019 enrolled.
How much do PPO plans cost in Jefferson?
The typical PPO premium in Jefferson is $11.88, and 6 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
- 5
- Average Monthly Premium
- $4.56/mo
- Total HMO Enrollment
- 148
- $0 Premium HMO Plans
- 4
- Average MOOP
- $5,020
- Top HMO by Enrollment
- Humana Gold Plus H0028-053 (HMO) — 148 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 Jefferson cost $4.56 per month on average.
- Which HMO plan is most popular in Jefferson?
- The most popular HMO plan in Jefferson is Humana Gold Plus H0028-053 (HMO), with 148 enrollees.
- How many HMO plans in Jefferson do not include drug coverage?
- There are 1 HMO plans in Jefferson 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 $13.67/mo
- Total HMO-POS Enrollment 592
- $0 Premium HMO-POS Plans 2
- Average MOOP $5,017
- Top HMO-POS by Enrollment Wellcare Simple (HMO-POS) — 379 enrollees
- HMO-POS Plans Without Drug Coverage 1
| 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 Value Care | $41 | $3,900 | $615 | H1609-068-0 | |
| Wellcare Simple | $0 | $4,400 | $615 | H1862-005-0 |
What is the total number of HMO-POS plans in Jefferson?
There are 3 HMO-POS plans in 2026, covering 592 enrollees.
How much do HMO-POS plans cost in Jefferson?
The average HMO-POS premium in Jefferson is $13.67 per month, with 2 plans offering $0 premiums.
What is the leading HMO-POS plan in Jefferson?
Wellcare Simple (HMO-POS) is the top HMO-POS in Jefferson, with 379 enrollees.
What is the number of HMO-POS plans without Part D coverage in Jefferson?
1 HMO-POS plans in Jefferson do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Jefferson 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) | 7 | 47% |
| 3 Stars | 8 | 53% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 6% |
| Average Rating | 3.93 | |
* 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
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.