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  1. 🏠
  2. Medicare Advantage Plans
  3. Missouri
  4. Pike County

2026 Medicare Advantage Plans in Pike County, MO

Last update: September 3, 2026.

Pike County, MO has 27 Medicare Advantage plans available in 2026. These include 19 plans with no monthly premium, and roughly 44% are rated at least 4 stars based on CMS data.

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Pike County, MO. Or explore all Medicare Options available in Pike 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: $16.37/mo
$0 Premium Plans: 19
Average MOOP: $5,135 ($9,250 max. in 2026)
Star Ratings (Plan Mix): 4+ Stars: 44% · 3 Stars: 48% · Below 3: 7%
Average Part D Deductible: $580.24
Total MA/MAPD Enrollment: 817
Plans with the Highest Enrollment
(as of September 8, 2026)
1. AARP Medicare Advantage from UHC MO-0008 (PPO) — 277 enrollees
2. Aetna Medicare Signature (HMO-POS) — 70 enrollees
3. Humana Total Complete H4461-046 (HMO) — 59 enrollees

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 14
  • Average Monthly Premium $19.93/mo
  • Total PPO Enrollment 513
  • $0 Premium PPO Plans 10
  • Average MOOP $5,682
  • Top PPO by Enrollment AARP Medicare Advantage from UHC MO-0008 (PPO) — 277 enrollees
  • PPO Plans Without Drug Coverage 3

Comparison table of 2026 PPO Medicare Advantage Plans available in Pike County, Missouri
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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-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 most popular PPO plan in Pike?

AARP Medicare Advantage from UHC MO-0008 (PPO) is the top PPO in Pike, with 277 enrollees.

What is the number of PPO plans without Part D coverage in Pike?

There are 3 PPO plans in Pike without prescription drug coverage.

Medicare Advantage HMO Plans

HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.

Total HMO Plans
4
Average Monthly Premium
$0.00/mo
Total HMO Enrollment
124
$0 Premium HMO Plans
4
Average MOOP
$3,450
Top HMO by Enrollment
Humana Total Complete H4461-046 (HMO) — 59 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2026 HMO Medicare Advantage Plans available in Pike County, Missouri
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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

What is the typical premium for HMO plans in Pike?

HMO plans in Pike cost $0.00 per month on average.

Which HMO plan do most beneficiaries choose in Pike?

The most popular HMO plan in Pike is Humana Total Complete H4461-046 (HMO), with 59 enrollees.

How many HMO options are offered without prescription drug coverage in Pike?

There are 0 HMO plans in Pike without prescription drug coverage.

Medicare Advantage HMO-POS Plans

HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.

  • Total HMO-POS Plans 7
  • Average Monthly Premium $17.99/mo
  • Total HMO-POS Enrollment 180
  • $0 Premium HMO-POS Plans 4
  • Average MOOP $4,543
  • Top HMO-POS by Enrollment Aetna Medicare Signature (HMO-POS) — 70 enrollees
  • HMO-POS Plans Without Drug Coverage 2

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Pike County, Missouri
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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 total number of HMO-POS plans in Pike?

In 2026, Pike has 7 HMO-POS plans with 180 enrollees.

How much do HMO-POS plans cost in Pike?

The typical HMO-POS premium in Pike is $17.99, and 4 plans have no monthly premium.

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
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

Comparison table of 2026 PFFS Medicare Advantage Plans available in Pike County, Missouri
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
Humana Gold Choice H8145-126
☆☆☆☆☆
$0 $6,700 N/A H8145-126-0
What is the average monthly premium for PFFS plans?
PFFS plans in Pike cost $18.50 per month on average.
Which PFFS plan is most popular in Pike?
The most popular PFFS plan in Pike is , with 0 enrollees.
How many PFFS plans in Pike do not include drug coverage?
There are 1 PFFS plans in Pike without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Pike County, MO for 2026.

CMS Star Ratings for Medicare Advantage Plans in Pike 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 44%
3 Stars 13 48%
Below 3 Stars 2 7%
Not Rated 0 0%
Average Rating 3.69

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08

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 .

  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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

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 documentation is maintained in alignment 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.

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