2026 Medicare Advantage Plans in Washington County, OH
Last update: . Enrollment data updated: May 2, 2026
For 2026, Washington County, OH includes 42 Medicare Advantage plans. Enrollment across these plans totals approximately 3,618, with 25 $0 premium options and 50% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Washington County, OH are summarized separately. Visit Medicare Options in Washington 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
- 25
- Average Monthly Premium
- $22.42/mo
- Total PPO Enrollment
- 1,970
- $0 Premium PPO Plans
- 14
- Average MOOP
- $7,000
- Top PPO by Enrollment
- HumanaChoice H5216-285 (PPO) — 367 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the average monthly premium for PPO plans in Washington?
PPO plans in Washington cost $22.42 per month on average.
Which PPO plan has the highest enrollment in Washington?
The most popular PPO plan in Washington is HumanaChoice H5216-285 (PPO), with 367 enrollees.
How many PPO plans in Washington do not include prescription drug coverage?
7 PPO plans in Washington 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 7
- Average Monthly Premium $19.43/mo
- Total HMO Enrollment 314
- $0 Premium HMO Plans 5
- Average MOOP $5,657
- Top HMO by Enrollment Mount Carmel MediGold No Premium (HMO) — 167 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 | |
| The Health Plan SecureCare - Option II | $0 | $6,700 | $395 | H3672-020-0 | |
| The Health Plan SecureCare Integrity Plan 1 | $0 | $6,900 | N/A | H3672-021-0 |
What is the top HMO by enrollment in Washington?
Mount Carmel MediGold No Premium (HMO) is the top HMO in Washington, with 167 enrollees.
What is the number of HMO plans without Part D coverage in Washington?
2 HMO plans in Washington 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
- 10
- Average Monthly Premium
- $16.25/mo
- Total HMO-POS Enrollment
- 1,334
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $6,400
- Top HMO-POS by Enrollment
- Anthem Medicare Advantage (HMO-POS) — 578 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-0003 | $49 | $4,200 | $440 | H5253-109-2 | |
| 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 | |
| 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 Washington?
HMO-POS plans in Washington cost $16.25 per month on average.
Which HMO-POS plan has the most members in Washington?
The most popular HMO-POS plan in Washington is Anthem Medicare Advantage (HMO-POS), with 578 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Washington?
There are 0 HMO-POS plans in Washington without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Washington 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 | 50% |
| 3 Stars | 21 | 50% |
| 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.