• Skip to main content
  • Skip to secondary menu
  • Skip to footer
Medicare Plans

Medicare Plans

Open Medicare Plan Data.

  • Medicare Options
  • Costs
  • Answers
    • Eligibility
    • Options
    • Enrollment
    • Costs
    • Coverage
  • Medicare Advantage
  • Special Needs
  • Medicare Supplement
  • Prescription Drugs
  1. 🏠
  2. Medicare Advantage Plans
  3. Missouri
  4. Clay County

2026 Medicare Advantage Plans in Clay County, MO

Last update: May 10, 2026. Enrollment data updated: May 2, 2026

For 2026, Clay County, MO includes 35 Medicare Advantage plans. Enrollment across these plans totals approximately 16,480, with 28 $0 premium options and 36% rated 4 stars or higher.

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Clay County, MO are provided separately. Or you can discover all Medicare Options in Clay County, MO.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $10.27/mo
  • $0 Premium Plans: 28
  • Average MOOP: $5,475 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 36% · 3 Stars: 58% · Below 3: 6%
  • Average Part D Deductible: $529.29
  • Total MA/MAPD Enrollment: 16,480
  • Plans with the Highest Enrollment
    (as of May 2, 2026)
    1. Humana Value Choice H7617-010 (PPO) — 3,406 enrollees
    2. Humana Total Complete Giveback H4461-047 (HMO-POS) — 2,346 enrollees
    3. Humana Value Choice H5216-318 (PPO) — 1,433 enrollees

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
17
Average Monthly Premium
$12.88/mo
Total PPO Enrollment
9,891
$0 Premium PPO Plans
14
Average MOOP
$5,831
Top PPO by Enrollment
Humana Value Choice H7617-010 (PPO) — 3,406 enrollees
PPO Plans Without Drug Coverage
5

2026 PPO Medicare Advantage plans in Clay County, Missouri (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Essentials Plus Giveback H7617-017
☆☆☆☆☆
$0 $5,000 $615 H7617-017-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $4,700 N/A H7617-012-0
Humana Value Choice H7617-010
☆☆☆☆☆
$0 $3,400 $615 H7617-010-0
AARP Medicare Advantage Essentials from UHC KC-4
☆☆☆☆☆
$0 $4,900 $600 H8768-023-0
AARP Medicare Advantage Extras from UHC KC-5
☆☆☆☆☆
$0 $6,700 $600 H8768-039-0
AARP Medicare Advantage Patriot No Rx KS-MA01
☆☆☆☆☆
$0 $6,700 N/A H8768-025-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $6,750 $615 H1608-016-0
Humana Essentials Plus Giveback H5216-405
☆☆☆☆☆
$0 $5,000 $615 H5216-405-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $4,700 N/A H5216-278-1
Humana Value Choice H5216-318
☆☆☆☆☆
$0 $3,400 $615 H5216-318-2
HumanaChoice H5216-032
☆☆☆☆☆
$63 $9,250 $615 H5216-032-0
HealthSpring True Choice
☆☆☆☆☆
$0 $6,425 $200 H7849-024-0
UHC Medicare Advantage AM-0002
☆☆☆☆☆
$106 $9,250 $600 R3444-012-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
$0 $4,000 N/A H7518-002-0
Wellcare Simple Open
☆☆☆☆☆
$0 $6,000 $615 H7518-001-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $5,500 N/A R1532-001-0
HumanaChoice R1532-002
☆☆☆☆☆
$50 $7,450 $615 R1532-002-0

What is the typical premium for PPO plans available in Clay?

PPO plans in Clay cost $12.88 per month on average.

Which PPO plan do most beneficiaries choose in Clay?

The most popular PPO plan in Clay is Humana Value Choice H7617-010 (PPO), with 3,406 enrollees.

How many PPO options are offered without drug coverage in Clay?

5 PPO plans in Clay 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 6
  • Average Monthly Premium $9.07/mo
  • Total HMO Enrollment 843
  • $0 Premium HMO Plans 4
  • Average MOOP $5,550
  • Top HMO by Enrollment Humana Gold Plus H0028-017 (HMO) — 410 enrollees
  • HMO Plans Without Drug Coverage 0

2026 HMO Medicare Advantage plans in Clay County, Missouri (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Aetna Medicare Value Plus
☆☆☆☆☆
$36 $4,900 $615 H2663-052-0
Humana Gold Plus H0028-017
☆☆☆☆☆
$18 $6,800 $615 H0028-017-0
HealthSpring Preferred
☆☆☆☆☆
$0 $4,250 $200 H9460-001-0
HealthSpring Preferred Savings
☆☆☆☆☆
$0 $6,750 $0 H9460-003-0
DEVOTED CORE 003 MO
☆☆☆☆☆
$0 $3,600 $375 H2041-003-0
DEVOTED GIVEBACK 004 MO
☆☆☆☆☆
$0 $7,000 $605 H2041-004-0
What is the total number of HMO plans offered in Clay?

In 2026, Clay County has 6 HMO plans with 843 enrollees.

How much do HMO plans cost in Clay?

The typical HMO premium in Clay is $9.07, and 4 plans have no monthly premium.

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
11
Average Monthly Premium
$4.45/mo
Total HMO-POS Enrollment
5,729
$0 Premium HMO-POS Plans
10
Average MOOP
$4,764
Top HMO-POS by Enrollment
Humana Total Complete Giveback H4461-047 (HMO-POS) — 2,346 enrollees
HMO-POS Plans Without Drug Coverage
2

2026 HMO-POS Medicare Advantage plans in Clay County, Missouri (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage Essentials from UHC KC-6
☆☆☆☆☆
$0 $3,900 $440 H2802-076-0
AARP Medicare Advantage Extras from UHC KC-2
☆☆☆☆☆
$0 $5,900 $520 H2802-032-0
AARP Medicare Advantage from UHC KC-0003
☆☆☆☆☆
$49 $3,800 $440 H2802-033-0
AARP Medicare Advantage Patriot No Rx KS-MA2
☆☆☆☆☆
$0 $6,700 N/A H2802-077-0
Aetna Medicare Eagle
☆☆☆☆☆
$0 $5,500 N/A H2663-025-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $4,200 $615 H2663-026-0
Aetna Medicare Signature Extra
☆☆☆☆☆
$0 $5,200 $615 H2663-061-0
Humana Total Complete Giveback H4461-047
☆☆☆☆☆
$0 $4,200 $615 H4461-047-0
Humana Gold Plus Giveback H0028-066
☆☆☆☆☆
$0 $4,200 $615 H0028-066-0
Humana Gold Plus H0028-054
☆☆☆☆☆
$0 $2,800 $400 H0028-054-1
Wellcare Simple
☆☆☆☆☆
$0 $6,000 $615 H1664-001-0
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Clay cost $4.45 per month on average.
Which HMO-POS plan is most popular in Clay?
The most popular HMO-POS plan in Clay is Humana Total Complete Giveback H4461-047 (HMO-POS), with 2,346 enrollees.
How many HMO-POS plans in Clay do not include drug coverage?
There are 2 HMO-POS plans in Clay without prescription drug coverage.

Medicare Advantage PFFS Plans

Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.

  • Total PFFS Plans 1
  • Average Monthly Premium $37.00/mo
  • Total PFFS Enrollment 17
  • $0 Premium PFFS Plans 0
  • Average MOOP $6,800
  • Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 17 enrollees
  • PFFS Plans Without Drug Coverage 0

2026 PFFS Medicare Advantage plans in Clay County, Missouri (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Choice H8145-006
☆☆☆☆☆
$37 $6,800 $615 H8145-006-0
What is the total number of PFFS plans in Clay?

There are 1 PFFS plans in 2026, covering 17 enrollees.

How much do PFFS plans cost in Clay?

The average PFFS premium in Clay is $37.00 per month, with 0 plans offering $0 premiums.

What is the top PFFS plan in Clay?

Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Clay, with 17 enrollees.

What is the number of PFFS plans without Part D coverage in Clay?

0 PFFS plans in Clay do not include prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Clay County, MO (2026) are summarized below.

Quality Ratings for Medicare Advantage Plans in Clay County, MO (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 12 36%
3 Stars 19 58%
Below 3 Stars 2 6%
Not Rated 2 6%
Average Rating 3.56

* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.

  • 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

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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — 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 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.

Footer

About This Site

  • About MedicarePlans.com
  • How We Use CMS Data
  • How We Make Money
  • Editorial Policy
  • Why We Exist

Site Policies

    • Privacy Policy
    • Contact Us
    • Terms of Use

 

Trademark Notice

MedicarePlans.com uses U.S. trademarks, service marks, and registered trademarks solely for purposes of identification, description, and factual reference. All such use constitutes nominative fair use and does not imply affiliation, endorsement, or sponsorship by any trademark holder.

© 2026 MedicarePlans.com. All Rights Reserved
MedicarePlans.com is an independent, non-commercial Medicare data platform.
Editorial stewardship: David W. Bynon