2026 Medicare Advantage Plans in Pike County, MO
Last update: . Enrollment data updated: June 13, 2026
For 2026, Pike County, MO includes 27 Medicare Advantage plans. Enrollment across these plans totals approximately 812, with 19 $0 premium options and 44% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Pike County, MO are summarized separately. Visit Medicare Options in Pike 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
- 14
- Average Monthly Premium
- $19.93/mo
- Total PPO Enrollment
- 519
- $0 Premium PPO Plans
- 10
- Average MOOP
- $5,682
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC MO-0008 (PPO) — 282 enrollees
- PPO Plans Without Drug Coverage
- 3
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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-0008 | $0 | $5,500 | $600 | H8768-026-0 | |
| Aetna Medicare Elite | $0 | $4,500 | $615 | H1608-050-0 | |
| Aetna Medicare Enhanced | $60 | $7,500 | $615 | H1608-013-0 | |
| Aetna Medicare Signature | $0 | $4,200 | $615 | H1608-067-0 | |
| 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 | |
| HumanaChoice H5216-032 | $63 | $9,250 | $615 | H5216-032-0 | |
| 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 Pike?
- PPO plans in Pike cost $19.93 per month on average.
- Which PPO plan has the highest enrollment in Pike?
- The most popular PPO plan in Pike is AARP Medicare Advantage from UHC MO-0008 (PPO), with 282 enrollees.
- How many PPO plans in Pike do not include prescription drug coverage?
- 3 PPO plans in Pike do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 |
What is the total number of HMO plans offered in Pike?
There are 4 HMO plans in 2026, covering 120 enrollees.
How much do HMO plans cost in Pike?
The average HMO premium in Pike is $0.00 per month, with 4 plans offering $0 premiums.
What is the top HMO by enrollment in Pike?
Humana Total Complete H4461-046 (HMO) is the top HMO in Pike, with 55 enrollees.
What is the number of HMO plans without Part D coverage in Pike?
0 HMO plans in Pike 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
- 7
- Average Monthly Premium
- $17.99/mo
- Total HMO-POS Enrollment
- 173
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $4,543
- Top HMO-POS by Enrollment
- Aetna Medicare Signature (HMO-POS) — 67 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC MO-0003 | $55 | $3,200 | $440 | H2802-029-0 | |
| AARP Medicare Advantage from UHC MO-0006 | $0 | $4,500 | $520 | H2802-048-0 | |
| 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Pike cost $17.99 per month on average.
Which HMO-POS plan is most popular in Pike?
The most popular HMO-POS plan in Pike is Aetna Medicare Signature (HMO-POS), with 67 enrollees.
How many HMO-POS plans in Pike do not include drug coverage?
There are 2 HMO-POS plans in Pike 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 2
- Average Monthly Premium $18.50/mo
- Total PFFS Enrollment 0
- $0 Premium PFFS Plans 1
- Average MOOP $6,750
- Top PFFS by Enrollment — 0 enrollees
- PFFS Plans Without Drug Coverage 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 | |
| Humana Gold Choice H8145-126 | $0 | $6,700 | N/A | H8145-126-0 |
What is the top PFFS plan in Pike?
is the top PFFS in Pike, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Pike?
1 PFFS plans in Pike do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Pike 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 | 44% |
| 3 Stars | 13 | 48% |
| Below 3 Stars | 2 | 7% |
| Not Rated | 0 | 0% |
| Average Rating | 3.69 | |
* 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
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, 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.