2026 Medicare Advantage Plans in Carbon County, MT
Last update: . Enrollment data updated: May 2, 2026
For 2026, Carbon County, MT includes 8 Medicare Advantage plans. Enrollment across these plans totals approximately 951, with 3 $0 premium options and 0% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Carbon County, MT are provided separately. Or you can discover all Medicare Options in Carbon County, MT.
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
- 7
- Average Monthly Premium
- $43.29/mo
- Total PPO Enrollment
- 791
- $0 Premium PPO Plans
- 3
- Average MOOP
- $6,521
- Top PPO by Enrollment
- HumanaChoice H5216-457 (PPO) — 592 enrollees
- PPO Plans Without Drug Coverage
- 2
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Classic | $74 | $6,500 | $450 | H0107-003-0 | |
| Blue Cross Medicare Advantage Optimum | $128 | $4,700 | $300 | H0107-004-0 | |
| Humana USAA Honor Giveback | $0 | $9,150 | N/A | H5216-427-5 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-278-3 | |
| HumanaChoice H5216-048 | $87 | $6,750 | $615 | H5216-048-0 | |
| HumanaChoice H5216-089 | $14 | $5,300 | $350 | H5216-089-0 | |
| HumanaChoice H5216-457 | $0 | $6,500 | $400 | H5216-457-2 |
What is the typical premium for PPO plans available in Carbon?
PPO plans in Carbon cost $43.29 per month on average.
Which PPO plan do most beneficiaries choose in Carbon?
The most popular PPO plan in Carbon is HumanaChoice H5216-457 (PPO), with 592 enrollees.
How many PPO options are offered without drug coverage in Carbon?
2 PPO plans in Carbon do not include 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 160
- $0 Premium PFFS Plans 0
- Average MOOP $6,800
- Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 160 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
What is the total number of PFFS plans in Carbon?
There are 1 PFFS plans in 2026, covering 160 enrollees.
How much do PFFS plans cost in Carbon?
The average PFFS premium in Carbon is $37.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Carbon?
Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Carbon, with 160 enrollees.
What is the number of PFFS plans without Part D coverage in Carbon?
0 PFFS plans in Carbon do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Carbon County, MT (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) | 0 | 0% |
| 3 Stars | 8 | 100% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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, "Explore your Medicare coverage options" — 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, non-government informational resource and is not affiliated with or endorsed by 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.