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2027 Medicare Advantage Plans in Carbon County, MT

Last update: .

For 2027, Carbon County, MT includes 6 Medicare Advantage plans. Enrollment across these plans totals approximately 877, with 2 $0 premium options and 100% rated 4 stars or higher.

At a Glance

  • Average Monthly Premium: $33.33/mo
  • $0 Premium Plans: 2
  • Average MOOP: $6,817 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): 4+ Stars: 100% · 3 Stars: 0% · Below 3: 0%
  • Average Part D Deductible: $587.50
  • Total MA/MAPD Enrollment: 877
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. HumanaChoice H5216-457 (PPO) — 575 enrollees
    2. Humana Gold Choice H8145-006 (PFFS) — 162 enrollees
    3. HumanaChoice H5216-089 (PPO) — 61 enrollees

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Carbon County, MT are summarized separately. Visit Medicare Options in Carbon County, MT to see more options. For a broader perspective, explore Montana Medicare Advantage plans, including statewide premiums, out-of-pocket costs, CMS ratings, and enrollment comparisons.

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
5
Average Monthly Premium
$28.00/mo
Total PPO Enrollment
715
$0 Premium PPO Plans
2
Average MOOP
$6,620
Top PPO by Enrollment
HumanaChoice H5216-457 (PPO) — 575 enrollees
PPO Plans Without Drug Coverage
2

2027 PPO Medicare Advantage plans in Carbon County, Montana (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
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
☆☆☆☆☆
 $97 $7,000 $700 H5216-048-0
HumanaChoice H5216-089
☆☆☆☆☆
 $15 $5,200 $450 H5216-089-0
HumanaChoice H5216-457
☆☆☆☆☆
 $28 $5,000 $500 H5216-457-2

What is the average monthly premium for PPO plans in Carbon?

PPO plans in Carbon cost $28.00 per month on average.

Which PPO plan has the highest enrollment in Carbon?

The most popular PPO plan in Carbon is HumanaChoice H5216-457 (PPO), with 575 enrollees.

How many PPO plans in Carbon do not include prescription drug coverage?

2 PPO plans in Carbon do not include prescription drug coverage.

Medicare Advantage PFFS Plans

PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.

Total PFFS Plans
1
Average Monthly Premium
$60.00/mo
Beneficiaries Enrolled
162
$0 Premium PFFS
0
Average MOOP
$7,800
PFFS with the Highest Enrollment
Humana Gold Choice H8145-006 (PFFS) with 162 enrollees
PFFS Without Drug Coverage
0

2027 PFFS Medicare Advantage plans in Carbon County, Montana (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Choice H8145-006
☆☆☆☆☆
 $60 $7,800 $700 H8145-006-0
What is the total number of PFFS plans in Carbon?

In 2027, Carbon has 1 PFFS plans with 162 enrollees.

How much do PFFS plans cost in Carbon?

The typical PFFS premium in Carbon is $60.00, and 0 plans have no monthly premium.

CMS quality ratings for Medicare Advantage plans in Carbon County, MT (2027) are summarized below.

Medicare Advantage Plan Ratings in Carbon County, MT (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 6 100%
3 Stars 0 0%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4

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

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Carbon County, Montana, including communities such as Joliet, Red Lodge, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .