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  1. 🏠
  2. Medicare Advantage Plans
  3. Montana
  4. Jefferson County

2027 Medicare Advantage Plans in Jefferson County, MT

Last update: October 6, 2026.

Jefferson County, MT has 9 Medicare Advantage plans available in 2027. These include 3 plans with no monthly premium, and roughly 100% are rated at least 4 stars based on CMS data.

  • PPO Plans
  • HMO Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium: $30.86/mo
$0 Premium Plans: 3
Average MOOP: $6,807 ($9,250 max. in 2027)
Star Ratings (Plan Mix): 4+ Stars: 100% · 3 Stars: 0% · Below 3: 0%
Average Part D Deductible: $650.00
Total MA/MAPD Enrollment: 919
Plans with the Highest Enrollment
(as of October 5, 2026)
1. HumanaChoice H5216-457 (PPO) — 574 enrollees
2. Humana Gold Plus H6622-007 (HMO) — 214 enrollees
3. Humana USAA Honor Giveback (PPO) — 43 enrollees

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Jefferson County, MT. Or explore all Medicare Options available in Jefferson County, MT. To understand how local plans fit into the broader market, visit our Montana Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

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 6
  • Average Monthly Premium $32.50/mo
  • Total PPO Enrollment 705
  • $0 Premium PPO Plans 3
  • Average MOOP $6,967
  • Top PPO by Enrollment HumanaChoice H5216-457 (PPO) — 574 enrollees
  • PPO Plans Without Drug Coverage 3

Comparison table of 2027 PPO Medicare Advantage Plans available in Jefferson County, Montana
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $6,750 N/A H5525-031-0
HumanaChoice H5216-048
☆☆☆☆☆
$97 $7,000 $700 H5216-048-0
HumanaChoice H5216-457
☆☆☆☆☆
$28 $5,000 $500 H5216-457-2
HumanaChoice H5525-054
☆☆☆☆☆
$70 $7,150 $700 H5525-054-0
What is the most popular PPO plan in Jefferson?

HumanaChoice H5216-457 (PPO) is the top PPO in Jefferson, with 574 enrollees.

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

There are 3 PPO plans in Jefferson 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
1
Average Monthly Premium
$21.00/mo
Total HMO Enrollment
214
$0 Premium HMO Plans
0
Average MOOP
$5,850
Top HMO by Enrollment
Humana Gold Plus H6622-007 (HMO) — 214 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2027 HMO Medicare Advantage Plans available in Jefferson County, Montana
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Plus H6622-007
☆☆☆☆☆
$21 $5,850 $700 H6622-007-0

What is the typical premium for HMO plans in Jefferson?

HMO plans in Jefferson cost $21.00 per month on average.

Which HMO plan do most beneficiaries choose in Jefferson?

The most popular HMO plan in Jefferson is Humana Gold Plus H6622-007 (HMO), with 214 enrollees.

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

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

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Jefferson County, MT for 2027.

CMS Star Ratings for Medicare Advantage Plans in Jefferson County, MT (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 7 100%
3 Stars 0 0%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4

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

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

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09

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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