2026 Medicare Advantage Plans in Pondera County, MT
Last update: . Enrollment data updated: June 13, 2026
For 2026, Pondera County, MT includes 14 Medicare Advantage plans. Enrollment across these plans totals approximately 300, with 8 $0 premium options and 0% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Pondera County, MT are summarized separately. Visit Medicare Options in Pondera County, MT to see more options.
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
- 12
- Average Monthly Premium
- $29.42/mo
- Total PPO Enrollment
- 227
- $0 Premium PPO Plans
- 8
- Average MOOP
- $7,058
- Top PPO by Enrollment
- HumanaChoice H5216-457 (PPO) — 158 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Choice Plus | $0 | $9,250 | $615 | H0107-005-0 | |
| Blue Cross Medicare Advantage Classic | $74 | $6,500 | $450 | H0107-003-0 | |
| Blue Cross Medicare Advantage Dental Premier | $0 | $8,100 | $615 | H0107-007-0 | |
| Blue Cross Medicare Advantage Health Choice | $0 | $6,750 | $615 | H0107-010-0 | |
| Blue Cross Medicare Advantage Optimum | $128 | $4,700 | $300 | H0107-004-0 | |
| Blue Cross Medicare Advantage Protect | $0 | $6,500 | N/A | H0107-011-0 | |
| Humana USAA Honor Giveback | $0 | $9,150 | N/A | H5216-427-5 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-278-3 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5525-031-0 | |
| HumanaChoice H5216-048 | $87 | $6,750 | $615 | H5216-048-0 | |
| HumanaChoice H5216-457 | $0 | $6,500 | $400 | H5216-457-2 | |
| HumanaChoice H5525-054 | $64 | $7,000 | $615 | H5525-054-0 |
What is the average monthly premium for PPO plans in Pondera?
PPO plans in Pondera cost $29.42 per month on average.
Which PPO plan has the highest enrollment in Pondera?
The most popular PPO plan in Pondera is HumanaChoice H5216-457 (PPO), with 158 enrollees.
How many PPO plans in Pondera do not include prescription drug coverage?
4 PPO plans in Pondera do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 1
- Average Monthly Premium $18.00/mo
- Total HMO Enrollment 56
- $0 Premium HMO Plans 0
- Average MOOP $5,700
- Top HMO by Enrollment Humana Gold Plus H6622-007 (HMO) — 56 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H6622-007 | $18 | $5,700 | $615 | H6622-007-0 |
What is the top HMO by enrollment in Pondera?
Humana Gold Plus H6622-007 (HMO) is the top HMO in Pondera, with 56 enrollees.
What is the number of HMO plans without Part D coverage in Pondera?
0 HMO plans in Pondera 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.
| 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 Pondera?
In 2026, Pondera has 1 PFFS plans with 17 enrollees.
How much do PFFS plans cost in Pondera?
The typical PFFS premium in Pondera is $37.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Pondera 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 | 14 | 100% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 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, "Compare Original Medicare & Medicare Advantage" — 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.