2026 Medicare Advantage Plans in Saint Clair County, MI
Last update: . Enrollment data updated: June 13, 2026
For 2026, Saint Clair County, MI includes 58 Medicare Advantage plans. Enrollment across these plans totals approximately 14,140, with 33 $0 premium options and 67% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Saint Clair County, MI are summarized separately. Visit Medicare Options in Saint Clair County, MI to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 35
- Average Monthly Premium
- $27.59/mo
- Total PPO Enrollment
- 10,738
- $0 Premium PPO Plans
- 21
- Average MOOP
- $6,167
- Top PPO by Enrollment
- HAP Medicare Prime (PPO) — 1,921 enrollees
- PPO Plans Without Drug Coverage
- 5
What is the average monthly premium for PPO plans in Saint Clair?
PPO plans in Saint Clair cost $27.59 per month on average.
Which PPO plan has the highest enrollment in Saint Clair?
The most popular PPO plan in Saint Clair is HAP Medicare Prime (PPO), with 1,921 enrollees.
How many PPO plans in Saint Clair do not include prescription drug coverage?
5 PPO plans in Saint Clair do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 7
- Average Monthly Premium $7.11/mo
- Total HMO Enrollment 1,030
- $0 Premium HMO Plans 5
- Average MOOP $5,421
- Top HMO by Enrollment HAP Medicare Superior (HMO) — 572 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| BCN Advantage ConnectedCare | $41 | $4,400 | $125 | H5883-007-0 | |
| 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 | |
| McLaren Medicare Inspire | $0 | $6,300 | $615 | H6322-001-0 | |
| McLaren Medicare Inspire Plus | $9 | $5,900 | $500 | H6322-002-0 | |
| McLaren Medicare Inspire Select | $0 | $6,750 | $615 | H6322-008-0 |
What is the top HMO by enrollment in Saint Clair?
HAP Medicare Superior (HMO) is the top HMO in Saint Clair, with 572 enrollees.
What is the number of HMO plans without Part D coverage in Saint Clair?
1 HMO plans in Saint Clair do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 16
- Average Monthly Premium
- $39.73/mo
- Total HMO-POS Enrollment
- 2,372
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,325
- Top HMO-POS by Enrollment
- BCN Advantage Prime Value (HMO-POS) — 556 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| BCN Advantage Classic | $103 | $4,400 | $0 | H5883-002-4 | |
| BCN Advantage Elements | $0 | $4,500 | N/A | H5883-001-4 | |
| BCN Advantage Prestige | $225 | $4,000 | $0 | H5883-003-4 | |
| BCN Advantage Prime Value | $35 | $5,000 | $150 | H5883-014-4 | |
| 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 | |
| HAP Senior Plus | $105 | $4,550 | $0 | H2354-021-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H3192-003-0 | |
| Humana Gold Plus H8908-001 | $35 | $3,950 | $200 | H8908-001-0 | |
| Humana Gold Plus H8908-004 | $0 | $4,250 | $250 | H8908-004-0 | |
| 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 typical premium for HMO-POS plans in Saint Clair?
HMO-POS plans in Saint Clair cost $39.73 per month on average.
Which HMO-POS plan has the most members in Saint Clair?
The most popular HMO-POS plan in Saint Clair is BCN Advantage Prime Value (HMO-POS), with 556 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Saint Clair?
There are 1 HMO-POS plans in Saint Clair without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Saint Clair County, MI (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 39 | 67% |
| 3 Stars | 19 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.97 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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Data provenance is documented in accordance 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.