2026 Medicare Advantage Plans in Somerset County, MD
Last update: . Enrollment data updated: August 15, 2026
In Somerset County, MD, there are 15 Medicare Advantage plans available for 2026. Of these, 7 offer a $0 monthly premium, and about 7% 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 Somerset County, MD. Or explore all Medicare Options available in Somerset County, MD.
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 |
|---|---|---|---|---|---|
| HumanaChoice H7617-044 | $9 | $7,550 | $615 | H7617-044-0 | |
| CareFirst BlueCross BlueShield Advantage Complete | $42 | $7,300 | $0 | H7379-002-0 | |
| CareFirst BlueCross BlueShield Advantage Essential | $0 | $8,300 | $0 | H7379-001-0 | |
| CareFirst BlueCross BlueShield Advantage Salute | $0 | $5,900 | N/A | H7379-003-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-386-1 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-379-0 | |
| HumanaChoice H5216-376 | $9 | $7,550 | $615 | H5216-376-0 | |
| Johns Hopkins Advantage MD | $95 | $7,550 | $615 | H3890-001-0 | |
| Johns Hopkins Advantage MD Plus | $155 | $7,550 | $615 | H3890-002-0 |
What is the total number of PPO plans offered in Somerset?
Somerset County has 9 PPO plans for 2026, with 658 enrolled.
How much do PPO plans cost in Somerset?
The typical PPO premium in Somerset is $34.52, and 4 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
- 6
- Average Monthly Premium
- $32.83/mo
- Total HMO Enrollment
- 266
- $0 Premium HMO Plans
- 3
- Average MOOP
- $7,750
- Top HMO by Enrollment
- Johns Hopkins Advantage MD (HMO) — 149 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Alterwood Advantage Choice | $30 | $7,500 | $0 | H9306-008-1 | |
| Alterwood Advantage Choice Plus | $122 | $6,500 | $0 | H9306-002-0 | |
| Alterwood Advantage Freedom | $0 | $9,250 | N/A | H9306-003-0 | |
| Alterwood Advantage Select | $0 | $7,500 | $295 | H9306-009-1 | |
| Johns Hopkins Advantage MD | $45 | $8,950 | $590 | H1225-001-0 | |
| Johns Hopkins Advantage MD Tribute | $0 | $6,800 | N/A | H1225-004-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Somerset cost $32.83 per month on average.
- Which HMO plan is most popular in Somerset?
- The most popular HMO plan in Somerset is Johns Hopkins Advantage MD (HMO), with 149 enrollees.
- How many HMO plans in Somerset do not include drug coverage?
- There are 2 HMO plans in Somerset without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Somerset County, MD for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 1 | 7% |
| 3 Stars | 14 | 93% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* 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 August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 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.