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  1. 🏠
  2. Medicare Advantage Plans
  3. Ohio
  4. Fairfield County

2026 Medicare Advantage Plans in Fairfield County, OH

Last update: May 11, 2026. Enrollment data updated: May 2, 2026

Fairfield County, OH has 61 Medicare Advantage plans available in 2026. These include 36 plans with no monthly premium, and roughly 60% are rated at least 4 stars based on CMS data.

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Fairfield County, OH. Or explore all Medicare Options available in Fairfield County, OH.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

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

Average Monthly Premium: $24.46/mo
$0 Premium Plans: 36
Average MOOP: $6,165 ($9,250 max. in 2026)
Star Ratings (Plan Mix): 4+ Stars: 60% · 3 Stars: 40% · Below 3: 0%
Average Part D Deductible: $323.40
Total MA/MAPD Enrollment: 13,048
Plans with the Highest Enrollment
(as of May 2, 2026)
1. Mount Carmel MediGold No Premium (HMO) — 1,969 enrollees
2. Mount Carmel MediGold Premier (HMO) — 1,893 enrollees
3. Anthem Medicare Advantage (HMO-POS) — 1,140 enrollees

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 33
  • Average Monthly Premium $28.04/mo
  • Total PPO Enrollment 3,548
  • $0 Premium PPO Plans 19
  • Average MOOP $6,710
  • Top PPO by Enrollment Aetna Medicare Signature (PPO) — 1,065 enrollees
  • PPO Plans Without Drug Coverage 9

Comparison table of 2026 PPO Medicare Advantage Plans available in Fairfield County, Ohio
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $6,900 N/A H5521-487-0
Aetna Medicare Premier
☆☆☆☆☆
$95 $4,900 $500 H5521-020-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $5,500 $615 H5521-089-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H7617-073-0
Humana USAA Honor Giveback with Rx
☆☆☆☆☆
$0 $7,900 $350 H7617-060-0
HumanaChoice Giveback H7617-003
☆☆☆☆☆
$0 $9,150 $0 H7617-003-0
HumanaChoice H7617-004
☆☆☆☆☆
$0 $5,500 $250 H7617-004-0
MedMutual Advantage Preferred
☆☆☆☆☆
$73 $5,800 $55 H4497-002-3
MedMutual Advantage Premium
☆☆☆☆☆
$149 $3,450 $55 H4497-003-3
MedMutual Advantage Select
☆☆☆☆☆
$44 $6,775 $95 H4497-001-3
Anthem Medicare Advantage 3
☆☆☆☆☆
$51 $6,750 $200 H4036-025-0
Anthem Veteran
☆☆☆☆☆
$0 $5,900 N/A H4036-022-0
DEVOTED CHOICE 001 OH
☆☆☆☆☆
$0 $5,300 $395 H2526-001-0
DEVOTED CHOICE 003 OH
☆☆☆☆☆
$0 $5,300 $375 H2526-003-0
DEVOTED CHOICE MA ONLY 002 OH
☆☆☆☆☆
$0 $9,250 N/A H2526-002-0
Mount Carmel MediGold Premium Choice
☆☆☆☆☆
$14 $5,700 $200 H1846-005-0
AARP Medicare Advantage from UHC OH-0014
☆☆☆☆☆
$59 $6,700 $520 H8768-007-0
AARP Medicare Advantage Patriot No Rx OH-MA01
☆☆☆☆☆
$0 $8,500 N/A H8768-021-0
Anthem Medicare Advantage
☆☆☆☆☆
$87 $6,750 $250 R5941-014-0
Anthem Veteran
☆☆☆☆☆
$0 $4,900 N/A R5941-013-0
Humana Full Access H5525-042
☆☆☆☆☆
$27 $9,150 $615 H5525-042-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H5216-218-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H5216-441-0
Humana USAA Honor Giveback with Rx
☆☆☆☆☆
$0 $7,900 $350 H5216-307-0
Humana Value Plus H5525-041
☆☆☆☆☆
$31 $9,250 $615 H5525-041-0
HumanaChoice Giveback H5216-309
☆☆☆☆☆
$0 $9,150 $0 H5216-309-0
HumanaChoice H5216-023
☆☆☆☆☆
$21 $6,550 $350 H5216-023-0
HumanaChoice H5216-285
☆☆☆☆☆
$0 $5,500 $250 H5216-285-0
HumanaChoice H5525-030
☆☆☆☆☆
$85 $3,950 $350 H5525-030-0
HumanaChoice R0110-015
☆☆☆☆☆
$0 $5,700 N/A R0110-015-0
HumanaChoice R0110-016
☆☆☆☆☆
$80 $7,050 $615 R0110-016-0
The Health Plan SecureChoice - Option II
☆☆☆☆☆
$109 $6,700 $275 H8604-011-0
The Health Plan SecureChoice Optimum
☆☆☆☆☆
$0 $5,900 $150 H8604-014-1
What is the most popular PPO plan in Fairfield?

Aetna Medicare Signature (PPO) is the top PPO in Fairfield, with 1,065 enrollees.

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

There are 9 PPO plans in Fairfield 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
14
Average Monthly Premium
$20.79/mo
Total HMO Enrollment
5,558
$0 Premium HMO Plans
9
Average MOOP
$5,229
Top HMO by Enrollment
Mount Carmel MediGold No Premium (HMO) — 1,969 enrollees
HMO Plans Without Drug Coverage
2

Comparison table of 2026 HMO Medicare Advantage Plans available in Fairfield County, Ohio
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Mount Carmel MediGold Cash Back
☆☆☆☆☆
$0 $7,900 $250 H3668-030-0
Mount Carmel MediGold Glory No RX
☆☆☆☆☆
$0 $4,900 N/A H3668-013-0
Mount Carmel MediGold No Premium
☆☆☆☆☆
$0 $4,900 $150 H3668-019-1
Mount Carmel MediGold Plus
☆☆☆☆☆
$34 $4,400 $100 H3668-022-0
Mount Carmel MediGold Premier
☆☆☆☆☆
$102 $3,900 $0 H3668-018-1
DEVOTED CORE 007 OH
☆☆☆☆☆
$0 $4,900 $375 H2697-007-0
DEVOTED CORE 019 OH
☆☆☆☆☆
$0 $4,900 $175 H2697-019-0
DEVOTED GIVEBACK 009 OH
☆☆☆☆☆
$0 $6,750 $605 H2697-009-0
MedMutual Advantage Choice
☆☆☆☆☆
$45 $3,800 $55 H6723-002-3
MedMutual Advantage Classic
☆☆☆☆☆
$0 $5,200 $300 H6723-001-3
MedMutual Advantage Plus
☆☆☆☆☆
$94 $3,600 $55 H6723-003-3
Humana Gold Plus H6622-055
☆☆☆☆☆
$16 $6,550 $200 H6622-055-0
The Health Plan SecureCare - Option II
☆☆☆☆☆
$0 $5,000 $395 H3672-013-0
The Health Plan SecureCare Integrity Plan 3
☆☆☆☆☆
$0 $6,500 N/A H3672-014-0

What is the typical premium for HMO plans in Fairfield?

HMO plans in Fairfield cost $20.79 per month on average.

Which HMO plan do most beneficiaries choose in Fairfield?

The most popular HMO plan in Fairfield is Mount Carmel MediGold No Premium (HMO), with 1,969 enrollees.

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

There are 2 HMO plans in Fairfield without prescription drug coverage.

Medicare Advantage HMO-POS Plans

HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.

  • Total HMO-POS Plans 13
  • Average Monthly Premium $18.35/mo
  • Total HMO-POS Enrollment 3,912
  • $0 Premium HMO-POS Plans 8
  • Average MOOP $5,962
  • Top HMO-POS by Enrollment Anthem Medicare Advantage (HMO-POS) — 1,140 enrollees
  • HMO-POS Plans Without Drug Coverage 0

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Fairfield County, Ohio
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage Essentials from UHC OH-2
☆☆☆☆☆
$0 $5,400 $520 H5253-062-0
AARP Medicare Advantage Extras from UHC OH-11
☆☆☆☆☆
$0 $6,700 $600 H5253-132-0
AARP Medicare Advantage from UHC OH-0001
☆☆☆☆☆
$76 $3,900 $270 H5253-051-0
AARP Medicare Advantage from UHC OH-0003
☆☆☆☆☆
$49 $4,900 $440 H5253-109-1
AARP Medicare Advantage Giveback from UHC OH-17
☆☆☆☆☆
$0 $8,500 $600 H5253-135-0
Aetna Medicare Enhanced
☆☆☆☆☆
$52 $5,900 $615 H0628-019-0
Aetna Medicare Signature Care
☆☆☆☆☆
$0 $5,500 $500 H0628-017-0
Anthem Extra Help
☆☆☆☆☆
$31 $7,350 $390 H3655-041-0
Anthem Medicare Advantage
☆☆☆☆☆
$0 $9,250 $275 H3655-045-1
Humana Gold Plus H6622-013
☆☆☆☆☆
$0 $5,000 $250 H6622-013-0
Wellcare Assist
☆☆☆☆☆
$30 $4,700 $615 H0908-004-0
Wellcare Simple
☆☆☆☆☆
$0 $6,500 $615 H0908-003-0
Perennial Advantage Freedom
☆☆☆☆☆
$0 $3,900 $90 H8797-003-0
What is the total number of HMO-POS plans in Fairfield?

In 2026, Fairfield has 13 HMO-POS plans with 3,912 enrollees.

How much do HMO-POS plans cost in Fairfield?

The typical HMO-POS premium in Fairfield is $18.35, and 8 plans have no monthly premium.

Medicare Advantage PFFS Plans

PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.

Total PFFS Plans
1
Average Monthly Premium
$37.00/mo
Total PFFS Enrollment
30
$0 Premium PFFS Plans
0
Average MOOP
$3,950
Top PFFS by Enrollment
Humana Gold Choice H8145-032 (PFFS) — 30 enrollees
PFFS Plans Without Drug Coverage
0

Comparison table of 2026 PFFS Medicare Advantage Plans available in Fairfield County, Ohio
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-032
☆☆☆☆☆
$37 $3,950 $300 H8145-032-0
What is the average monthly premium for PFFS plans?
PFFS plans in Fairfield cost $37.00 per month on average.
Which PFFS plan is most popular in Fairfield?
The most popular PFFS plan in Fairfield is Humana Gold Choice H8145-032 (PFFS), with 30 enrollees.
How many PFFS plans in Fairfield do not include drug coverage?
There are 0 PFFS plans in Fairfield without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Fairfield County, OH for 2026.

CMS Star Ratings for Medicare Advantage Plans in Fairfield County, OH (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 36 60%
3 Stars 24 40%
Below 3 Stars 0 0%
Not Rated 1 2%
Average Rating 3.91

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

  • 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

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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