2026 Medicare Advantage Plans in Knox County, OH
Last update: . Enrollment data updated: May 2, 2026
For 2026, Knox County, OH includes 48 Medicare Advantage plans. Enrollment across these plans totals approximately 5,423, with 28 $0 premium options and 48% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Knox County, OH are summarized separately. Visit Medicare Options in Knox County, OH 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
- 27
- Average Monthly Premium
- $20.94/mo
- Total PPO Enrollment
- 2,544
- $0 Premium PPO Plans
- 16
- Average MOOP
- $6,878
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 407 enrollees
- PPO Plans Without Drug Coverage
- 8
What is the average monthly premium for PPO plans in Knox?
PPO plans in Knox cost $20.94 per month on average.
Which PPO plan has the highest enrollment in Knox?
The most popular PPO plan in Knox is Aetna Medicare Signature (PPO), with 407 enrollees.
How many PPO plans in Knox do not include prescription drug coverage?
8 PPO plans in Knox 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 8
- Average Monthly Premium $19.00/mo
- Total HMO Enrollment 1,099
- $0 Premium HMO Plans 5
- Average MOOP $5,506
- Top HMO by Enrollment Mount Carmel MediGold No Premium (HMO) — 622 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | |
| 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 top HMO by enrollment in Knox?
Mount Carmel MediGold No Premium (HMO) is the top HMO in Knox, with 622 enrollees.
What is the number of HMO plans without Part D coverage in Knox?
2 HMO plans in Knox do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 12
- Average Monthly Premium
- $19.88/mo
- Total HMO-POS Enrollment
- 1,780
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,904
- Top HMO-POS by Enrollment
- Aetna Medicare Signature Care (HMO-POS) — 822 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | $6,500 | $275 | H3655-045-3 | |
| 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 |
What is the typical premium for HMO-POS plans in Knox?
HMO-POS plans in Knox cost $19.88 per month on average.
Which HMO-POS plan has the most members in Knox?
The most popular HMO-POS plan in Knox is Aetna Medicare Signature Care (HMO-POS), with 822 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Knox?
There are 0 HMO-POS plans in Knox without 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 H8145-032 | $37 | $3,950 | $300 | H8145-032-0 |
What is the total number of PFFS plans in Knox?
In 2026, Knox has 1 PFFS plans with 0 enrollees.
How much do PFFS plans cost in Knox?
The typical PFFS premium in Knox is $37.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Knox County, OH (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) | 23 | 48% |
| 3 Stars | 25 | 52% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.83 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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
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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.