2026 Medicare Advantage Plans in Shelby County, OH
Last update: . Enrollment data updated: June 13, 2026
In Shelby County, OH, there are 56 Medicare Advantage plans available for 2026. Of these, 38 offer a $0 monthly premium, and about 51% 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 Shelby County, OH. Or explore all Medicare Options available in Shelby County, OH.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Shelby?
Shelby County has 30 PPO plans for 2026, with 1,096 enrolled.
How much do PPO plans cost in Shelby?
The typical PPO premium in Shelby is $18.15, and 20 plans have no monthly premium.
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
- 13
- Average Monthly Premium
- $11.69/mo
- Total HMO Enrollment
- 150
- $0 Premium HMO Plans
- 10
- Average MOOP
- $5,331
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 48 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 | H3668-019-2 | |
| 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 | |
| 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 | |
| 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 Shelby cost $11.69 per month on average.
- Which HMO plan is most popular in Shelby?
- The most popular HMO plan in Shelby is HealthSpring Preferred (HMO), with 48 enrollees.
- How many HMO plans in Shelby do not include drug coverage?
- There are 2 HMO plans in Shelby 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 $12.71/mo
- Total HMO-POS Enrollment 1,098
- $0 Premium HMO-POS Plans 8
- Average MOOP $5,758
- Top HMO-POS by Enrollment Anthem Medicare Advantage (HMO-POS) — 530 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC OH-7 | $0 | $3,900 | $520 | H5253-125-2 | |
| AARP Medicare Advantage Extras from UHC OH-12 | $0 | $6,700 | $520 | H5253-133-0 | |
| AARP Medicare Advantage from UHC OH-0003 | $35 | $3,400 | $440 | H5253-109-4 | |
| 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 | $0 | $5,500 | $615 | H0628-021-0 | |
| Anthem Extra Help | $31 | $7,350 | $390 | H3655-041-0 | |
| Anthem Medicare Advantage | $0 | $9,250 | $275 | H3655-045-1 | |
| Humana Gold Plus H6622-021 | $0 | $5,250 | $250 | H6622-021-2 | |
| 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 total number of HMO-POS plans in Shelby?
There are 12 HMO-POS plans in 2026, covering 1,098 enrollees.
How much do HMO-POS plans cost in Shelby?
The average HMO-POS premium in Shelby is $12.71 per month, with 8 plans offering $0 premiums.
What is the leading HMO-POS plan in Shelby?
Anthem Medicare Advantage (HMO-POS) is the top HMO-POS in Shelby, with 530 enrollees.
What is the number of HMO-POS plans without Part D coverage in Shelby?
0 HMO-POS plans in Shelby 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
- 0
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $3,950
- Top PFFS by Enrollment
- — 0 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 average monthly premium for PFFS plans?
PFFS plans in Shelby cost $37.00 per month on average.
Which PFFS plan is most popular in Shelby?
The most popular PFFS plan in Shelby is , with 0 enrollees.
How many PFFS plans in Shelby do not include drug coverage?
There are 0 PFFS plans in Shelby without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Shelby 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) | 28 | 51% |
| 3 Stars | 27 | 49% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.81 | |
* 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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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.