2026 Medicare Advantage Plans in Saint Joseph County, MI
Last update: . Enrollment data updated: June 13, 2026
In Saint Joseph County, MI, there are 38 Medicare Advantage plans available for 2026. Of these, 20 offer a $0 monthly premium, and about 55% 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 Saint Joseph County, MI. Or explore all Medicare Options available in Saint Joseph 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 27
- Average Monthly Premium $30.17/mo
- Total PPO Enrollment 3,235
- $0 Premium PPO Plans 16
- Average MOOP $6,494
- Top PPO by Enrollment Humana Full Access Giveback H7617-058 (PPO) — 425 enrollees
- PPO Plans Without Drug Coverage 5
What is the total number of PPO plans offered in Saint Joseph?
There are 27 PPO plans in 2026, covering 3,235 beneficiaries.
How much do PPO plans cost in Saint Joseph?
The average PPO premium in Saint Joseph is $30.17 per month, with 16 plans offering $0 premiums.
What is the most popular PPO plan in Saint Joseph?
Humana Full Access Giveback H7617-058 (PPO) is the top PPO in Saint Joseph, with 425 enrollees.
What is the number of PPO plans without Part D coverage in Saint Joseph?
There are 5 PPO plans in Saint Joseph without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| BCN Advantage Classic | $114 | $4,400 | $0 | H5883-002-2 | |
| BCN Advantage Elements | $0 | $4,500 | N/A | H5883-001-2 | |
| BCN Advantage Prestige | $240 | $4,000 | $0 | H5883-003-2 | |
| BCN Advantage Prime Value | $35 | $5,000 | $150 | H5883-014-2 | |
| Priority Health Medicare PriorityMedicare | $110 | $4,500 | $0 | H2320-028-4 | |
| PriorityMedicare Key | $0 | $5,800 | $200 | H2320-022-4 | |
| PriorityMedicare Value | $55 | $5,100 | $100 | H2320-029-4 | |
| 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 leading HMO-POS plan in Saint Joseph?
PriorityMedicare Key (HMO-POS) is the top HMO-POS in Saint Joseph, with 1,273 enrollees.
What is the number of HMO-POS plans without Part D coverage in Saint Joseph?
1 HMO-POS plans in Saint Joseph do not include prescription drug coverage.
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
- 0
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,800
- Top PFFS by Enrollment
- — 0 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 typical premium for PFFS plans in Saint Joseph?
PFFS plans in Saint Joseph cost $37.00 per month on average.
Which PFFS plan has the most enrollment in Saint Joseph?
The most popular PFFS plan in Saint Joseph is , with 0 enrollees.
How many PFFS options are available without prescription drug coverage in Saint Joseph?
There are 0 PFFS plans in Saint Joseph without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Saint Joseph 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) | 21 | 55% |
| 3 Stars | 17 | 45% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.95 | |
* 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 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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