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  1. 🏠
  2. Medicare Advantage Plans
  3. Missouri
  4. Saint Louis City County

2026 Medicare Advantage Plans in Saint Louis City County, MO

Last update: September 2, 2026.

For 2026, Saint Louis City County, MO includes 45 Medicare Advantage plans. Enrollment across these plans totals approximately 18,119, with 35 $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 Saint Louis City County, MO are summarized separately. Visit Medicare Options in Saint Louis City County, MO to see more options.

  • 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: $16.73/mo
  • $0 Premium Plans: 35
  • Average MOOP: $4,891 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 44% · 3 Stars: 51% · Below 3: 5%
  • Average Part D Deductible: $484.21
  • Total MA/MAPD Enrollment: 18,119
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS) — 2,504 enrollees
    2. AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS) — 2,297 enrollees
    3. Aetna Medicare Signature (HMO-POS) — 2,193 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
21
Average Monthly Premium
$27.90/mo
Total PPO Enrollment
2,759
$0 Premium PPO Plans
15
Average MOOP
$5,412
Top PPO by Enrollment
Essence Advantage Choice (PPO) — 543 enrollees
PPO Plans Without Drug Coverage
5

2026 PPO Medicare Advantage plans in Saint Louis City County, Missouri (comparison chart)
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 ST-0001
☆☆☆☆☆
$53 $4,500 $520 H2406-043-0
AARP Medicare Advantage from UHC ST-2
☆☆☆☆☆
$0 $6,700 $600 H2406-069-0
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
Anthem Veteran
☆☆☆☆☆
$0 $6,751 N/A H4909-021-0
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
Essence Advantage Choice
☆☆☆☆☆
$0 $5,400 $340 H6200-001-0
Essence Advantage Premier Plus
☆☆☆☆☆
$254 $2,000 $615 H6200-008-0
HealthSpring True Choice Savings
☆☆☆☆☆
$0 $4,250 $200 H7849-077-0
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 average monthly premium for PPO plans in Saint Louis City?
PPO plans in Saint Louis City cost $27.90 per month on average.
Which PPO plan has the highest enrollment in Saint Louis City?
The most popular PPO plan in Saint Louis City is Essence Advantage Choice (PPO), with 543 enrollees.
How many PPO plans in Saint Louis City do not include prescription drug coverage?
5 PPO plans in Saint Louis City 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.

Total HMO Plans
11
Average Monthly Premium
$5.36/mo
Total HMO Enrollment
6,116
$0 Premium HMO Plans
10
Average MOOP
$3,923
Top HMO by Enrollment
Essence Advantage (HMO) — 1,839 enrollees
HMO Plans Without Drug Coverage
0

2026 HMO Medicare Advantage plans in Saint Louis City County, Missouri (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Essence Advantage
☆☆☆☆☆
$0 $3,400 $0 H2610-005-0
Essence Advantage Plus
☆☆☆☆☆
$59 $2,900 $0 H2610-006-0
Essence Advantage Select
☆☆☆☆☆
$0 $3,900 $340 H2610-016-0
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
HealthSpring Preferred
☆☆☆☆☆
$0 $2,300 $200 H0439-020-0
HealthSpring Preferred Savings
☆☆☆☆☆
$0 $6,750 $0 H0439-021-0
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 001 MO
☆☆☆☆☆
$0 $3,100 $385 H2041-001-0
DEVOTED GIVEBACK 002 MO
☆☆☆☆☆
$0 $7,000 $605 H2041-002-0
What is the total number of HMO plans offered in Saint Louis City?

There are 11 HMO plans in 2026, covering 6,116 enrollees.

How much do HMO plans cost in Saint Louis City?

The average HMO premium in Saint Louis City is $5.36 per month, with 10 plans offering $0 premiums.

What is the top HMO by enrollment in Saint Louis City?

Essence Advantage (HMO) is the top HMO in Saint Louis City, with 1,839 enrollees.

What is the number of HMO plans without Part D coverage in Saint Louis City?

0 HMO plans in Saint Louis City 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
12
Average Monthly Premium
$5.91/mo
Total HMO-POS Enrollment
9,244
$0 Premium HMO-POS Plans
10
Average MOOP
$4,708
Top HMO-POS by Enrollment
AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS) — 2,504 enrollees
HMO-POS Plans Without Drug Coverage
2

2026 HMO-POS Medicare Advantage plans in Saint Louis City County, Missouri (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
AARP Medicare Advantage CareFlex from UHC ST-6
☆☆☆☆☆
$0 $6,700 $600 H2802-073-0
AARP Medicare Advantage Essentials from UHC ST-3
☆☆☆☆☆
$0 $3,200 $440 H2802-028-0
AARP Medicare Advantage Extras from UHC ST-4
☆☆☆☆☆
$0 $3,900 $520 H2802-052-0
AARP Medicare Advantage from UHC ST-1P
☆☆☆☆☆
$0 $2,900 $355 H2802-071-0
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 $3,400 $615 H2663-005-0
Aetna Medicare Value Plus
☆☆☆☆☆
$31 $4,200 $615 H2663-057-0
Anthem Medicare Advantage
☆☆☆☆☆
$0 $3,500 $210 H3447-038-2
Wellcare Giveback
☆☆☆☆☆
$0 $7,000 $615 H1664-006-0
Wellcare Simple
☆☆☆☆☆
$0 $6,000 $615 H1664-001-0

What is the average monthly premium for HMO-POS plans?

HMO-POS plans in Saint Louis City cost $5.91 per month on average.

Which HMO-POS plan is most popular in Saint Louis City?

The most popular HMO-POS plan in Saint Louis City is AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS), with 2,504 enrollees.

How many HMO-POS plans in Saint Louis City do not include drug coverage?

There are 2 HMO-POS plans in Saint Louis City 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 0
  • $0 Premium PFFS Plans 0
  • Average MOOP $6,800
  • Top PFFS by Enrollment — 0 enrollees
  • PFFS Plans Without Drug Coverage 0

2026 PFFS Medicare Advantage plans in Saint Louis City County, Missouri (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Humana Gold Choice H8145-006
☆☆☆☆☆
$37 $6,800 $615 H8145-006-0
What is the top PFFS plan in Saint Louis City?

is the top PFFS in Saint Louis City, with 0 enrollees.

What is the number of PFFS plans without Part D coverage in Saint Louis City?

0 PFFS plans in Saint Louis City do not include prescription drug coverage.

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

Medicare Advantage Plan Ratings in Saint Louis City County, MO (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 19 44%
3 Stars 22 51%
Below 3 Stars 2 5%
Not Rated 2 4%
Average Rating 3.65

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

  • 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

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.

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