2026 Medicare Advantage Plans in Muskegon County, MI
Last update: . Enrollment data updated: May 2, 2026
Muskegon County, MI has 53 Medicare Advantage plans available in 2026. These include 30 plans with no monthly premium, and roughly 68% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Muskegon County, MI. Or explore all Medicare Options available in Muskegon County, MI.
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 34
- Average Monthly Premium $27.48/mo
- Total PPO Enrollment 8,823
- $0 Premium PPO Plans 19
- Average MOOP $6,004
- Top PPO by Enrollment PriorityMedicare Edge (PPO) — 1,534 enrollees
- PPO Plans Without Drug Coverage 5
What is the most popular PPO plan in Muskegon?
PriorityMedicare Edge (PPO) is the top PPO in Muskegon, with 1,534 enrollees.
What is the number of PPO plans without Part D coverage in Muskegon?
There are 5 PPO plans in Muskegon 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
- 6
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 4,791
- $0 Premium HMO Plans
- 6
- Average MOOP
- $5,517
- Top HMO by Enrollment
- Trinity Health Plan of Michigan Cash Back (HMO) — 1,523 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| HAP Medicare Connect | $0 | $5,000 | $150 | H2354-015-0 | |
| HAP Medicare MedicalAccess | $0 | $4,500 | N/A | H2354-019-0 | |
| HAP Medicare Superior | $0 | $5,100 | $150 | H2354-028-0 | |
| Trinity Health Plan of Michigan Cash Back | $0 | $7,500 | $275 | H9179-002-0 | |
| Trinity Health Plan of Michigan Glory No RX | $0 | $6,500 | N/A | H9179-003-0 | |
| Trinity Health Plan of Michigan No Premium | $0 | $4,500 | $100 | H9179-001-0 |
What is the typical premium for HMO plans in Muskegon?
HMO plans in Muskegon cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Muskegon?
The most popular HMO plan in Muskegon is Trinity Health Plan of Michigan Cash Back (HMO), with 1,523 enrollees.
How many HMO options are offered without prescription drug coverage in Muskegon?
There are 2 HMO plans in Muskegon 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 12
- Average Monthly Premium $36.55/mo
- Total HMO-POS Enrollment 8,367
- $0 Premium HMO-POS Plans 5
- Average MOOP $5,475
- Top HMO-POS by Enrollment PriorityMedicare Key (HMO-POS) — 5,313 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| BCN Advantage Classic | $93 | $4,400 | $0 | H5883-002-1 | |
| BCN Advantage Elements | $0 | $4,500 | N/A | H5883-001-1 | |
| BCN Advantage Prestige | $178 | $4,000 | $0 | H5883-003-1 | |
| BCN Advantage Prime Value | $35 | $5,000 | $150 | H5883-014-1 | |
| Priority Health Medicare PriorityMedicare | $72 | $4,500 | $0 | H2320-028-2 | |
| PriorityMedicare Key | $0 | $5,800 | $200 | H2320-022-2 | |
| PriorityMedicare Smart Savings | $0 | $9,250 | $500 | H2320-032-2 | |
| PriorityMedicare Value | $43 | $5,100 | $100 | H2320-029-2 | |
| PriorityMedicare Vintage | $9 | $5,600 | $615 | H2320-031-0 | |
| Wellcare Assist | $9 | $5,000 | $580 | H5475-038-0 | |
| Wellcare Giveback | $0 | $7,550 | $615 | H5475-031-0 | |
| Wellcare Simple | $0 | $5,000 | $615 | H5475-026-0 |
What is the total number of HMO-POS plans in Muskegon?
In 2026, Muskegon has 12 HMO-POS plans with 8,367 enrollees.
How much do HMO-POS plans cost in Muskegon?
The typical HMO-POS premium in Muskegon is $36.55, and 5 plans have no monthly premium.
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
- 11
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,800
- Top PFFS by Enrollment
- Humana Gold Choice H8145-006 (PFFS) — 11 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
- What is the average monthly premium for PFFS plans?
- PFFS plans in Muskegon cost $37.00 per month on average.
- Which PFFS plan is most popular in Muskegon?
- The most popular PFFS plan in Muskegon is Humana Gold Choice H8145-006 (PFFS), with 11 enrollees.
- How many PFFS plans in Muskegon do not include drug coverage?
- There are 0 PFFS plans in Muskegon without prescription drug coverage.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Muskegon County, MI for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 36 | 68% |
| 3 Stars | 17 | 32% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.99 | |
* 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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
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