2026 Medicare Advantage Plans in Madison County, MO
Last update: . Enrollment data updated: May 2, 2026
For 2026, Madison County, MO includes 24 Medicare Advantage plans. Enrollment across these plans totals approximately 905, with 20 $0 premium options and 55% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Madison County, MO are summarized separately. Visit Medicare Options in Madison County, MO 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
- 11
- Average Monthly Premium
- $14.18/mo
- Total PPO Enrollment
- 233
- $0 Premium PPO Plans
- 9
- Average MOOP
- $5,523
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC MO-0002 (PPO) — 83 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Full Access H7617-008 | $0 | $5,000 | $400 | H7617-008-0 | |
| Humana USAA Honor Giveback | $0 | $4,700 | N/A | H7617-012-0 | |
| Humana Value Choice H7617-023 | $0 | $3,500 | $615 | H7617-023-0 | |
| AARP Medicare Advantage from UHC MO-0002 | $0 | $5,400 | $520 | H2406-068-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H1608-051-0 | |
| Humana Full Access H5216-407 | $0 | $5,000 | $400 | H5216-407-0 | |
| Humana USAA Honor Giveback | $0 | $4,700 | N/A | H5216-278-1 | |
| Humana Value Choice H5216-318 | $0 | $3,500 | $615 | H5216-318-1 | |
| UHC Medicare Advantage AM-0002 | $106 | $9,250 | $600 | R3444-012-0 | |
| 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 average monthly premium for PPO plans in Madison?
PPO plans in Madison cost $14.18 per month on average.
Which PPO plan has the highest enrollment in Madison?
The most popular PPO plan in Madison is AARP Medicare Advantage from UHC MO-0002 (PPO), with 83 enrollees.
How many PPO plans in Madison do not include prescription drug coverage?
3 PPO plans in Madison 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 $0.00/mo
- Total HMO Enrollment 163
- $0 Premium HMO Plans 6
- Average MOOP $4,000
- Top HMO by Enrollment Humana Essentials Plus Giveback H4461-045 (HMO) — 53 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Essentials Plus Giveback H4461-045 | $0 | $4,200 | $615 | H4461-045-0 | |
| Humana Total Complete H4461-046 | $0 | $2,700 | $615 | H4461-046-0 | |
| Humana Gold Plus Giveback H0028-065 | $0 | $4,200 | $615 | H0028-065-0 | |
| Humana Gold Plus H0028-014 | $0 | $2,700 | $615 | H0028-014-0 | |
| DEVOTED CORE 009 MO | $0 | $3,200 | $305 | H2041-009-0 | |
| DEVOTED GIVEBACK 010 MO | $0 | $7,000 | $605 | H2041-010-0 |
What is the top HMO by enrollment in Madison?
Humana Essentials Plus Giveback H4461-045 (HMO) is the top HMO in Madison, with 53 enrollees.
What is the number of HMO plans without Part D coverage in Madison?
0 HMO plans in Madison 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
- 6
- Average Monthly Premium
- $11.82/mo
- Total HMO-POS Enrollment
- 509
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $4,683
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC MO-0007 (HMO-POS) — 407 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC MO-0007 | $0 | $4,000 | $440 | H2802-049-0 | |
| AARP Medicare Advantage Patriot No Rx MO-MA01 | $0 | $4,900 | N/A | H2802-050-0 | |
| Aetna Medicare Eagle | $0 | $4,900 | N/A | H2663-069-0 | |
| Aetna Medicare Enhanced Extra | $40 | $5,900 | $615 | H2663-006-0 | |
| Aetna Medicare Signature | $0 | $4,200 | $615 | H2663-041-0 | |
| Aetna Medicare Value Plus | $31 | $4,200 | $615 | H2663-057-0 |
What is the typical premium for HMO-POS plans in Madison?
HMO-POS plans in Madison cost $11.82 per month on average.
Which HMO-POS plan has the most members in Madison?
The most popular HMO-POS plan in Madison is AARP Medicare Advantage from UHC MO-0007 (HMO-POS), with 407 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Madison?
There are 2 HMO-POS plans in Madison without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-126 | $0 | $6,700 | N/A | H8145-126-0 |
What is the total number of PFFS plans in Madison?
In 2026, Madison has 1 PFFS plans with 0 enrollees.
How much do PFFS plans cost in Madison?
The typical PFFS premium in Madison is $0.00, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Madison County, MO (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) | 12 | 55% |
| 3 Stars | 8 | 36% |
| Below 3 Stars | 2 | 9% |
| Not Rated | 2 | 8% |
| Average Rating | 3.73 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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, "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.