- Entity
- county:kentucky-mercer-21167
- 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/kentucky/mercer/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 32
- PPO Plans
- 23
- HMO Plans
- 1
- HMO-POS Plans
- 8
- PFFS Plans
- 0
- Average Monthly Premium
- 10.95
- Average MOOP
- 6957.81
- Average Part D Deductible
- 434.2
- $0 Premium Plans
- 23
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.67
- $0 Premium Plan Share
- 71.88
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 31
- 3-Star Plan Share
- 69
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 11.9
- PPO Average MOOP
- 7239.13
- PPO Enrollment
- 1136
- PPO $0 Premium Plans
- 16
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 3350
- HMO Enrollment
- 0
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 9.58
- HMO-POS Average MOOP
- 6600
- HMO-POS Enrollment
- 673
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:kentucky-mercer-21167
- 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/kentucky/mercer/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-kentucky-mercer-21167-landscape-stats
- Plans Indexed
- 32
- Standard Medicare Advantage Plans
-
-
Essence Advantage
H2610-021-0 -
Humana USAA Honor Giveback with Rx
H7617-005-0 -
HumanaChoice Giveback H7617-049
H7617-049-0 -
HumanaChoice H7617-050
H7617-050-0 -
AARP Medicare Advantage Essentials from UHC KY-1
H5253-099-0 -
AARP Medicare Advantage Extras from UHC KY-5
H5253-128-0 -
AARP Medicare Advantage from UHC KY-0002
H5253-100-0 -
AARP Medicare Advantage Giveback from UHC KY-4
H5253-127-0 -
Anthem Medicare Advantage
H4036-036-0 -
Anthem Medicare Advantage 3
H4036-034-0 -
AARP Medicare Advantage from UHC KY-0003
H8768-013-0 -
AARP Medicare Advantage Patriot No Rx KY-MA01
H8768-020-0 -
Anthem Medicare Advantage
H9525-013-1 -
Anthem Medicare Advantage
R5941-016-0 -
Anthem Veteran
H4909-023-0 -
Humana USAA Honor Giveback
H5216-442-0 -
Humana USAA Honor Giveback
H5216-105-0 -
Humana USAA Honor Giveback
H5216-225-0 -
Humana USAA Honor Giveback with Rx
H5216-396-0 -
HumanaChoice Giveback H5216-226
H5216-226-0 -
HumanaChoice Giveback H5216-322
H5216-322-0 -
HumanaChoice H5216-188
H5216-188-0 -
HumanaChoice H5216-317
H5216-317-0 -
HumanaChoice H5525-008
H5525-008-0 -
HumanaChoice R0110-011
R0110-011-0 -
HumanaChoice R0110-012
R0110-012-0 -
Wellcare Assist
H9730-010-0 -
Wellcare Giveback
H9730-007-0 -
Wellcare Simple
H9730-009-0 -
Essence Advantage Choice
H6200-006-0 -
Wellcare Patriot Giveback Open
H3975-002-0 -
Wellcare Simple Open
H3975-001-0
-
Essence Advantage
- Total Standard Medicare Advantage Enrollment
- 1809
2026 Medicare Advantage Plans in Mercer County, KY
Last update: .
In Mercer County, KY, there are 32 Medicare Advantage plans available for 2026. Of these, 23 offer a $0 monthly premium, and about 31% 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 Mercer County, KY. Or explore all Medicare Options available in Mercer County, KY.
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 Mercer?
Mercer County has 23 PPO plans for 2026, with 1,136 enrolled.
How much do PPO plans cost in Mercer?
The typical PPO premium in Mercer is $11.90, and 16 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 0
- $0 Premium HMO Plans
- 1
- Average MOOP
- $3,350
- Top HMO by Enrollment
- — 0 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Essence Advantage | $0 | $3,350 | $340 | H2610-021-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Mercer cost $0.00 per month on average.
- Which HMO plan is most popular in Mercer?
- The most popular HMO plan in Mercer is , with 0 enrollees.
- How many HMO plans in Mercer do not include drug coverage?
- There are 0 HMO plans in Mercer 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 8
- Average Monthly Premium $9.58/mo
- Total HMO-POS Enrollment 673
- $0 Premium HMO-POS Plans 6
- Average MOOP $6,600
- Top HMO-POS by Enrollment Anthem Medicare Advantage (HMO-POS) — 409 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 KY-1 | $0 | $6,700 | $520 | H5253-099-0 | |
| AARP Medicare Advantage Extras from UHC KY-5 | $0 | $6,700 | $600 | H5253-128-0 | |
| AARP Medicare Advantage from UHC KY-0002 | $45 | $5,400 | $520 | H5253-100-0 | |
| AARP Medicare Advantage Giveback from UHC KY-4 | $0 | $6,700 | $600 | H5253-127-0 | |
| Anthem Medicare Advantage | $0 | $6,300 | $230 | H9525-013-1 | |
| Wellcare Assist | $32 | $5,000 | $550 | H9730-010-0 | |
| Wellcare Giveback | $0 | $9,000 | $615 | H9730-007-0 | |
| Wellcare Simple | $0 | $7,000 | $615 | H9730-009-0 |
What is the total number of HMO-POS plans in Mercer?
There are 8 HMO-POS plans in 2026, covering 673 enrollees.
How much do HMO-POS plans cost in Mercer?
The average HMO-POS premium in Mercer is $9.58 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Mercer?
Anthem Medicare Advantage (HMO-POS) is the top HMO-POS in Mercer, with 409 enrollees.
What is the number of HMO-POS plans without Part D coverage in Mercer?
0 HMO-POS plans in Mercer do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Mercer County, KY for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 10 | 31% |
| 3 Stars | 22 | 69% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.67 | |
* 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
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
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.
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.