2026 Medicare Advantage Plans in Hamilton County, OH
Last update: . Enrollment data updated: June 13, 2026
In Hamilton County, OH, there are 62 Medicare Advantage plans available for 2026. Of these, 37 offer a $0 monthly premium, and about 61% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Hamilton County, OH. Or explore all Medicare Options available in Hamilton County, OH.
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 $24.62/mo
- Total PPO Enrollment 15,603
- $0 Premium PPO Plans 19
- Average MOOP $6,795
- Top PPO by Enrollment Aetna Medicare Signature (PPO) — 4,277 enrollees
- PPO Plans Without Drug Coverage 9
What is the total number of PPO plans offered in Hamilton?
There are 33 PPO plans in 2026, covering 15,603 beneficiaries.
How much do PPO plans cost in Hamilton?
The average PPO premium in Hamilton is $24.62 per month, with 19 plans offering $0 premiums.
What is the most popular PPO plan in Hamilton?
Aetna Medicare Signature (PPO) is the top PPO in Hamilton, with 4,277 enrollees.
What is the number of PPO plans without Part D coverage in Hamilton?
There are 9 PPO plans in Hamilton 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
- 8,292
- $0 Premium HMO Plans
- 9
- Average MOOP
- $5,029
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 2,620 enrollees
- HMO Plans Without Drug Coverage
- 1
| 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 | H3668-019-2 | |
| Mount Carmel MediGold Plus | $34 | $4,400 | $100 | H3668-023-0 | |
| Mount Carmel MediGold Premier | $102 | $3,900 | $0 | H3668-018-2 | |
| DEVOTED CORE 004 OH | $0 | $4,900 | $375 | H2697-004-0 | |
| DEVOTED CORE 015 OH | $0 | $4,900 | $175 | H2697-015-0 | |
| DEVOTED GIVEBACK 006 OH | $0 | $6,750 | $605 | H2697-006-0 | |
| 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 | |
| HealthSpring Preferred | $0 | $2,875 | $200 | H0672-013-0 | |
| HealthSpring Preferred Savings | $0 | $5,825 | $0 | H0672-017-0 |
What is the average monthly premium for HMO plans?
HMO plans in Hamilton cost $20.79 per month on average.
Which HMO plan is most popular in Hamilton?
The most popular HMO plan in Hamilton is HealthSpring Preferred (HMO), with 2,620 enrollees.
How many HMO plans in Hamilton do not include drug coverage?
There are 1 HMO plans in Hamilton without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC OH-7 | $0 | $5,400 | $520 | H5253-125-1 | |
| AARP Medicare Advantage Extras from UHC OH-13 | $0 | $6,700 | $520 | H5253-134-0 | |
| AARP Medicare Advantage from UHC OH-0001 | $76 | $3,900 | $270 | H5253-051-0 | |
| AARP Medicare Advantage from UHC OH-0003 | $49 | $4,200 | $440 | H5253-109-2 | |
| AARP Medicare Advantage Giveback from UHC OH-17 | $0 | $8,500 | $600 | H5253-135-0 | |
| Aetna Medicare Enhanced | $56 | $4,150 | $615 | H0628-027-0 | |
| Aetna Medicare Signature Extra | $0 | $4,700 | $615 | H0628-003-0 | |
| Anthem Extra Help | $31 | $7,350 | $390 | H3655-041-0 | |
| Anthem Medicare Advantage | $0 | $6,750 | $275 | H3655-045-2 | |
| Humana Gold Plus H6622-021 | $0 | $5,250 | $250 | H6622-021-2 | |
| Aetna Medicare Signature | $0 | $7,500 | $500 | H3931-109-0 | |
| 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 leading HMO-POS plan in Hamilton?
Humana Gold Plus H6622-021 (HMO-POS) is the top HMO-POS in Hamilton, with 10,520 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hamilton?
0 HMO-POS plans in Hamilton do not include prescription drug coverage.
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
- 75
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $3,950
- Top PFFS by Enrollment
- Humana Gold Choice H8145-032 (PFFS) — 75 enrollees
- PFFS Plans Without Drug Coverage
- 0
| 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 typical premium for PFFS plans in Hamilton?
PFFS plans in Hamilton cost $37.00 per month on average.
Which PFFS plan has the most enrollment in Hamilton?
The most popular PFFS plan in Hamilton is Humana Gold Choice H8145-032 (PFFS), with 75 enrollees.
How many PFFS options are available without prescription drug coverage in Hamilton?
There are 0 PFFS plans in Hamilton without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hamilton County, OH for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 37 | 61% |
| 3 Stars | 24 | 39% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.88 | |
* 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 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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
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