- Entity
- county:ohio-madison-39097
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/ohio/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 53
- PPO Plans
- 27
- HMO Plans
- 14
- HMO-POS Plans
- 12
- PFFS Plans
- 0
- Average Monthly Premium
- 26.7
- Average MOOP
- 6590.57
- Average Part D Deductible
- 461.85
- $0 Premium Plans
- 34
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 64.15
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 0
- 3-Star Plan Share
- 0
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 33.78
- PPO Average MOOP
- 6964.81
- PPO Enrollment
- 823
- PPO $0 Premium Plans
- 16
- PPO Plans Without Part D Coverage
- 9
- HMO Average Monthly Premium
- 27.36
- HMO Average MOOP
- 6021.43
- HMO Enrollment
- 889
- HMO $0 Premium Plans
- 8
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 10
- HMO-POS Average MOOP
- 6412.5
- HMO-POS Enrollment
- 1359
- HMO-POS $0 Premium Plans
- 10
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:ohio-madison-39097
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/ohio/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-ohio-madison-39097-landscape-stats
- Plans Indexed
- 53
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage Essentials from UHC OH-2
H5253-062-0 -
AARP Medicare Advantage Extras from UHC OH-11
H5253-132-0 -
AARP Medicare Advantage from UHC OH-0001
H5253-051-0 -
AARP Medicare Advantage from UHC OH-0014
H8768-007-0 -
AARP Medicare Advantage from UHC OH-19
H5253-260-0 -
AARP Medicare Advantage Giveback from UHC OH-17
H5253-135-0 -
AARP Medicare Advantage Patriot No Rx OH-MA01
H8768-021-0 -
AARP Medicare Advantage Patriot No Rx OH-MA2
H5253-244-0 -
Aetna Medicare Eagle Giveback
H5521-487-0 -
Aetna Medicare Prime Care
H0628-045-0 -
Aetna Medicare Signature
H5521-089-0 -
Aetna Medicare Signature Care
H0628-017-0 -
Anthem Extra Help
H3655-041-0 -
Anthem Medicare Advantage
R5941-014-0 -
Anthem Medicare Advantage
H3655-045-1 -
Anthem Medicare Advantage 3
H4036-025-0 -
Anthem Veteran
R5941-013-0 -
Anthem Veteran
H4036-022-0 -
DEVOTED CHOICE 001 OH
H2526-001-0 -
DEVOTED CHOICE 003 OH
H2526-003-0 -
DEVOTED CHOICE MA ONLY 002 OH
H2526-002-0 -
DEVOTED CORE 007 OH
H2697-007-0 -
DEVOTED CORE 019 OH
H2697-019-0 -
DEVOTED GIVEBACK 009 OH
H2697-009-0 -
DEVOTED GIVEBACK EXTRAS 028 OH
H2697-028-0 -
Humana Essentials Plus Giveback
H7617-144-2 -
Humana Full Access
H5525-042-0 -
Humana Gold Plus H6622-013
H6622-013-0 -
Humana Gold Plus H6622-055
H6622-055-0 -
Humana USAA Honor Giveback
H7617-073-0 -
Humana USAA Honor Giveback
H5216-218-0 -
Humana USAA Honor Giveback
H5216-441-0 -
HumanaChoice Giveback H5216-481
H5216-481-2 -
HumanaChoice H5216-023
H5216-023-0 -
HumanaChoice H5216-285
H5216-285-0 -
HumanaChoice H5525-030
H5525-030-0 -
HumanaChoice H7617-004
H7617-004-0 -
HumanaChoice R0110-015
R0110-015-0 -
HumanaChoice R0110-016
R0110-016-0 -
MedMutual Advantage Choice
H6723-002-3 -
MedMutual Advantage Classic
H6723-001-3 -
MedMutual Advantage Plus
H6723-003-3 -
MedMutual Advantage Preferred
H4497-002-3 -
MedMutual Advantage Premium
H4497-003-3 -
MedMutual Advantage Select
H4497-001-3 -
Mount Carmel MediGold Cash Back
H3668-030-0 -
Mount Carmel MediGold Glory No RX
H3668-013-0 -
Mount Carmel MediGold No Premium
H3668-019-1 -
Mount Carmel MediGold Plus
H3668-022-0 -
Mount Carmel MediGold Premier
H3668-018-1 -
The Health Plan SecureCare - Option II
H3672-013-0 -
The Health Plan SecureCare Integrity Plan 3
H3672-014-0 -
The Health Plan SecureChoice Optimum
H8604-014-1
-
AARP Medicare Advantage Essentials from UHC OH-2
- Total Standard Medicare Advantage Enrollment
- 3071
2027 Medicare Advantage Plans in Madison County, OH
Last update: .
Madison County, OH has 53 Medicare Advantage plans available in 2027. These include 34 plans with no monthly premium, and roughly (2027 Star Ratings Coming Soon) 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 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 27
- Average Monthly Premium $33.78/mo
- Total PPO Enrollment 823
- $0 Premium PPO Plans 16
- Average MOOP $6,965
- Top PPO by Enrollment Aetna Medicare Signature (PPO) — 323 enrollees
- PPO Plans Without Drug Coverage 9
What is the most popular PPO plan in Madison?
Aetna Medicare Signature (PPO) is the top PPO in Madison, with 323 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
- $27.36/mo
- Total HMO Enrollment
- 889
- $0 Premium HMO Plans
- 8
- Average MOOP
- $6,021
- Top HMO by Enrollment
- Mount Carmel MediGold No Premium (HMO) — 398 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| DEVOTED CORE 007 OH | $0 | $5,500 | $650 | H2697-007-0 | |
| DEVOTED CORE 019 OH | $0 | $5,450 | $650 | H2697-019-0 | |
| DEVOTED GIVEBACK 009 OH | $0 | $8,000 | $461 | H2697-009-0 | |
| DEVOTED GIVEBACK EXTRAS 028 OH | $0 | $6,800 | $700 | H2697-028-0 | |
| Humana Gold Plus H6622-055 | $27 | $6,550 | $300 | H6622-055-0 | |
| MedMutual Advantage Choice | $62 | $4,450 | $55 | H6723-002-3 | |
| MedMutual Advantage Plus | $103 | $4,450 | $55 | H6723-003-3 | |
| Mount Carmel MediGold Cash Back | $0 | $8,900 | $350 | H3668-030-0 | |
| Mount Carmel MediGold Glory No RX | $0 | $4,900 | N/A | H3668-013-0 | |
| Mount Carmel MediGold No Premium | $0 | $5,900 | $275 | H3668-019-1 | |
| Mount Carmel MediGold Plus | $49 | $4,500 | $250 | H3668-022-0 | |
| Mount Carmel MediGold Premier | $109 | $3,900 | $0 | H3668-018-1 | |
| The Health Plan SecureCare - Option II | $33 | $7,500 | $395 | H3672-013-0 | |
| The Health Plan SecureCare Integrity Plan 3 | $0 | $7,500 | N/A | H3672-014-0 |
What is the typical premium for HMO plans in Madison?
HMO plans in Madison cost $27.36 per month on average.
Which HMO plan do most beneficiaries choose in Madison?
The most popular HMO plan in Madison is Mount Carmel MediGold No Premium (HMO), with 398 enrollees.
How many HMO options are offered without prescription drug coverage in Madison?
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 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 12
- Average Monthly Premium $10.00/mo
- Total HMO-POS Enrollment 1,359
- $0 Premium HMO-POS Plans 10
- Average MOOP $6,413
- Top HMO-POS by Enrollment Aetna Medicare Signature Care (HMO-POS) — 360 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC OH-2 | $0 | $5,900 | $685 | H5253-062-0 | |
| AARP Medicare Advantage Extras from UHC OH-11 | $0 | $7,150 | $685 | H5253-132-0 | |
| AARP Medicare Advantage from UHC OH-0001 | $85 | $4,200 | $505 | H5253-051-0 | |
| AARP Medicare Advantage from UHC OH-19 | $35 | $3,900 | $685 | H5253-260-0 | |
| AARP Medicare Advantage Giveback from UHC OH-17 | $0 | $8,500 | $685 | H5253-135-0 | |
| AARP Medicare Advantage Patriot No Rx OH-MA2 | $0 | $8,900 | N/A | H5253-244-0 | |
| Aetna Medicare Prime Care | $0 | $5,500 | $400 | H0628-045-0 | |
| Aetna Medicare Signature Care | $0 | $5,900 | $400 | H0628-017-0 | |
| Anthem Extra Help | $0 | $7,350 | $105 | H3655-041-0 | |
| Anthem Medicare Advantage | $0 | $6,500 | $425 | H3655-045-1 | |
| Humana Gold Plus H6622-013 | $0 | $6,000 | $600 | H6622-013-0 | |
| MedMutual Advantage Classic | $0 | $7,150 | $315 | H6723-001-3 |
What is the total number of HMO-POS plans in Madison?
In 2027, Madison has 12 HMO-POS plans with 1,359 enrollees.
How much do HMO-POS plans cost in Madison?
The typical HMO-POS premium in Madison is $10.00, and 10 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Madison County, OH for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 4 Stars (includes 5 Stars) | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Below 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Not Rated | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Average Rating | (2027 Star Ratings Coming Soon) | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| Medicare.gov | Joining a plan | 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.