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

2026 Medicare Advantage Plans in Saint Louis County, MO

Last update: September 1, 2026.

In Saint Louis County, MO, there are 46 Medicare Advantage plans available for 2026. Of these, 36 offer a $0 monthly premium, and about 43% are rated 4 stars or higher based on CMS quality ratings.

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Saint Louis County, MO. Or explore all Medicare Options available in Saint Louis 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
Plans with $0 Premium
36
Average MOOP Limit
$4,930 ($9,250 max. in 2026)
Star Ratings (Plan Mix)
4+ Stars: 43% · 3 Stars: 52% · Below 3: 5%
Average Part D Deductible
$484.21
Total MA/MAPD Enrollment
94,937
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Aetna Medicare Signature (HMO-POS) — 15,304 enrollees
2. AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS) — 14,948 enrollees
3. AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS) — 12,102 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 21
  • Average Monthly Premium $27.90/mo
  • Total PPO Enrollment 17,510
  • $0 Premium PPO Plans 15
  • Average MOOP $5,412
  • Top PPO by Enrollment AARP Medicare Advantage from UHC ST-0001 (PPO) — 3,877 enrollees
  • PPO Plans Without Drug Coverage 5

Comparison table of 2026 PPO Medicare Advantage Plans available in Saint Louis 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 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 total number of PPO plans offered in Saint Louis?

There are 21 PPO plans in 2026, covering 17,510 beneficiaries.

How much do PPO plans cost in Saint Louis?

The average PPO premium in Saint Louis is $27.90 per month, with 15 plans offering $0 premiums.

What is the most popular PPO plan in Saint Louis?

AARP Medicare Advantage from UHC ST-0001 (PPO) is the top PPO in Saint Louis, with 3,877 enrollees.

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

There are 5 PPO plans in Saint Louis 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
11
Average Monthly Premium
$5.36/mo
Total HMO Enrollment
28,192
$0 Premium HMO Plans
10
Average MOOP
$3,923
Top HMO by Enrollment
Essence Advantage Select (HMO) — 9,033 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2026 HMO Medicare Advantage Plans available in Saint Louis County, Missouri
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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 average monthly premium for HMO plans?

HMO plans in Saint Louis cost $5.36 per month on average.

Which HMO plan is most popular in Saint Louis?

The most popular HMO plan in Saint Louis is Essence Advantage Select (HMO), with 9,033 enrollees.

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

There are 0 HMO plans in Saint Louis without prescription drug coverage.

Medicare Advantage HMO-POS Plans

HMO Point-of-Service (HMO-POS) plans combine HMO network rules 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
12
Average Monthly Premium
$5.91/mo
Total HMO-POS Enrollment
49,191
$0 Premium HMO-POS Plans
10
Average MOOP
$4,708
Top HMO-POS by Enrollment
Aetna Medicare Signature (HMO-POS) — 15,304 enrollees
HMO-POS Plans Without Drug Coverage
2

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Saint Louis County, Missouri
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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 leading HMO-POS plan in Saint Louis?

Aetna Medicare Signature (HMO-POS) is the top HMO-POS in Saint Louis, with 15,304 enrollees.

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

2 HMO-POS plans in Saint Louis do not include prescription drug coverage.

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
44
$0 Premium PFFS Plans
1
Average MOOP
$6,750
Top PFFS by Enrollment
Humana Gold Choice H8145-006 (PFFS) — 44 enrollees
PFFS Plans Without Drug Coverage
1

Comparison table of 2026 PFFS Medicare Advantage Plans available in Saint Louis 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 typical premium for PFFS plans in Saint Louis?

PFFS plans in Saint Louis cost $18.50 per month on average.

Which PFFS plan has the most enrollment in Saint Louis?

The most popular PFFS plan in Saint Louis is Humana Gold Choice H8145-006 (PFFS), with 44 enrollees.

How many PFFS options are available without prescription drug coverage in Saint Louis?

There are 1 PFFS plans in Saint Louis without prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Saint Louis County, MO for 2026.

CMS Star Ratings for Medicare Advantage Plans in Saint Louis 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 43%
3 Stars 23 52%
Below 3 Stars 2 5%
Not Rated 2 4%
Average Rating 3.65

* 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 .

  • Medicare.gov, "Compare types of Medicare Advantage Plans" — 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.

This page follows data provenance practices aligned with the 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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