2026 Medicare Advantage Plans in Madison County, OH
Last update: . Enrollment data updated: June 13, 2026
In Madison County, OH, there are 58 Medicare Advantage plans available for 2026. Of these, 35 offer a $0 monthly premium, and about 60% 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 Madison County, OH. Or explore all Medicare Options available in Madison 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 32
- Average Monthly Premium $25.95/mo
- Total PPO Enrollment 1,233
- $0 Premium PPO Plans 19
- Average MOOP $6,766
- Top PPO by Enrollment Aetna Medicare Signature (PPO) — 325 enrollees
- PPO Plans Without Drug Coverage 9
What is the total number of PPO plans offered in Madison?
There are 32 PPO plans in 2026, covering 1,233 beneficiaries.
How much do PPO plans cost in Madison?
The average PPO premium in Madison is $25.95 per month, with 19 plans offering $0 premiums.
What is the most popular PPO plan in Madison?
Aetna Medicare Signature (PPO) is the top PPO in Madison, with 325 enrollees.
What is the number of PPO plans without Part D coverage in Madison?
There are 9 PPO plans in Madison 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
- 1,060
- $0 Premium HMO Plans
- 9
- Average MOOP
- $5,229
- Top HMO by Enrollment
- Mount Carmel MediGold No Premium (HMO) — 401 enrollees
- HMO Plans Without Drug Coverage
- 2
| 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 average monthly premium for HMO plans?
HMO plans in Madison cost $20.79 per month on average.
Which HMO plan is most popular in Madison?
The most popular HMO plan in Madison is Mount Carmel MediGold No Premium (HMO), with 401 enrollees.
How many HMO plans in Madison do not include drug coverage?
There are 2 HMO plans in Madison 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-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 |
What is the leading HMO-POS plan in Madison?
Aetna Medicare Signature Care (HMO-POS) is the top HMO-POS in Madison, with 339 enrollees.
What is the number of HMO-POS plans without Part D coverage in Madison?
0 HMO-POS plans in Madison do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Madison 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) | 35 | 60% |
| 3 Stars | 23 | 40% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| 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 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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