Medicare Plans

Open Medicare Plan Data.

2027 Medicare Advantage Plans in Madison County, MT

Last update: .

For 2027, Madison County, MT includes 6 Medicare Advantage plans. Enrollment across these plans totals approximately 366, with 3 $0 premium options and 100% rated 4 stars or higher.

At a Glance

  • Average Monthly Premium: $32.50/mo
  • $0 Premium Plans: 3
  • Average MOOP: $6,967 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): 4+ Stars: 100% · 3 Stars: 0% · Below 3: 0%
  • Average Part D Deductible: $633.33
  • Total MA/MAPD Enrollment: 366
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. HumanaChoice H5216-457 (PPO) — 289 enrollees
    2. HumanaChoice H5525-054 (PPO) — 32 enrollees
    3. Humana USAA Honor Giveback (PPO) — 17 enrollees

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Madison County, MT are summarized separately. Visit Medicare Options in Madison 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
6
Average Monthly Premium
$32.50/mo
Total PPO Enrollment
366
$0 Premium PPO Plans
3
Average MOOP
$6,967
Top PPO by Enrollment
HumanaChoice H5216-457 (PPO) — 289 enrollees
PPO Plans Without Drug Coverage
3

2027 PPO Medicare Advantage plans in Madison 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
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 average monthly premium for PPO plans in Madison?

PPO plans in Madison cost $32.50 per month on average.

Which PPO plan has the highest enrollment in Madison?

The most popular PPO plan in Madison is HumanaChoice H5216-457 (PPO), with 289 enrollees.

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

3 PPO plans in Madison do not include prescription drug coverage.

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

Medicare Advantage Plan Ratings in Madison 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 Madison County, Montana, including communities such as Ennis, Sheridan, 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 .

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 .