2026 Medicare Advantage Plans in Pike County, OH
Last update: . Enrollment data updated: May 2, 2026
For 2026, Pike County, OH includes 39 Medicare Advantage plans. Enrollment across these plans totals approximately 1,749, with 26 $0 premium options and 55% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Pike County, OH are summarized separately. Visit Medicare Options in Pike 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
- 20
- Average Monthly Premium
- $22.57/mo
- Total PPO Enrollment
- 865
- $0 Premium PPO Plans
- 13
- Average MOOP
- $6,818
- Top PPO by Enrollment
- Humana USAA Honor Giveback with Rx (PPO) — 319 enrollees
- PPO Plans Without Drug Coverage
- 8
What is the average monthly premium for PPO plans in Pike?
PPO plans in Pike cost $22.57 per month on average.
Which PPO plan has the highest enrollment in Pike?
The most popular PPO plan in Pike is Humana USAA Honor Giveback with Rx (PPO), with 319 enrollees.
How many PPO plans in Pike do not include prescription drug coverage?
8 PPO plans in Pike 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 10
- Average Monthly Premium $13.60/mo
- Total HMO Enrollment 497
- $0 Premium HMO Plans 8
- Average MOOP $5,405
- Top HMO by Enrollment Mount Carmel MediGold No Premium (HMO) — 197 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 | |
| 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 | |
| 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 Pike?
Mount Carmel MediGold No Premium (HMO) is the top HMO in Pike, with 197 enrollees.
What is the number of HMO plans without Part D coverage in Pike?
2 HMO plans in Pike 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
- 9
- Average Monthly Premium
- $20.72/mo
- Total HMO-POS Enrollment
- 387
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $5,683
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS) — 104 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | |
| Anthem Extra Help | $31 | $7,350 | $390 | H3655-041-0 | |
| 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 typical premium for HMO-POS plans in Pike?
HMO-POS plans in Pike cost $20.72 per month on average.
Which HMO-POS plan has the most members in Pike?
The most popular HMO-POS plan in Pike is AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS), with 104 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Pike?
There are 0 HMO-POS plans in Pike without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Pike 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) | 21 | 55% |
| 3 Stars | 17 | 45% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.84 | |
* 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.