2026 Medicare Advantage Plans in Pontotoc County, OK
Last update: . Enrollment data updated: May 2, 2026
For 2026, Pontotoc County, OK includes 26 Medicare Advantage plans. Enrollment across these plans totals approximately 1,424, with 19 $0 premium options and 35% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Pontotoc County, OK are summarized separately. Visit Medicare Options in Pontotoc County, OK 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
- 18
- Average Monthly Premium
- $22.89/mo
- Total PPO Enrollment
- 1,030
- $0 Premium PPO Plans
- 12
- Average MOOP
- $6,022
- Top PPO by Enrollment
- HumanaChoice Giveback H7617-056 (PPO) — 225 enrollees
- PPO Plans Without Drug Coverage
- 4
What is the average monthly premium for PPO plans in Pontotoc?
PPO plans in Pontotoc cost $22.89 per month on average.
Which PPO plan has the highest enrollment in Pontotoc?
The most popular PPO plan in Pontotoc is HumanaChoice Giveback H7617-056 (PPO), with 225 enrollees.
How many PPO plans in Pontotoc do not include prescription drug coverage?
4 PPO plans in Pontotoc 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 4
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 178
- $0 Premium HMO Plans 4
- Average MOOP $3,975
- Top HMO by Enrollment Generations Classic Rewards (HMO) — 130 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Generations Classic Plus | $0 | $3,900 | $0 | H3706-023-0 | |
| Generations Classic Rewards | $0 | $3,900 | $0 | H3706-001-0 | |
| Generations Valor | $0 | $3,900 | N/A | H3706-009-0 | |
| Blue Cross Medicare Advantage Basic | $0 | $4,200 | $450 | H3979-001-0 |
What is the top HMO by enrollment in Pontotoc?
Generations Classic Rewards (HMO) is the top HMO in Pontotoc, with 130 enrollees.
What is the number of HMO plans without Part D coverage in Pontotoc?
1 HMO plans in Pontotoc 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
- 4
- Average Monthly Premium
- $9.00/mo
- Total HMO-POS Enrollment
- 216
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $5,875
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC OK-0001 (HMO-POS) — 133 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC OK-3 | $0 | $5,900 | $355 | H5253-173-0 | |
| AARP Medicare Advantage Extras from UHC OK-8 | $0 | $6,700 | $440 | H5253-204-0 | |
| AARP Medicare Advantage from UHC OK-0001 | $36 | $4,200 | $355 | H5253-171-0 | |
| AARP Medicare Advantage Patriot No Rx OK-MA2 | $0 | $6,700 | N/A | H5253-205-0 |
What is the typical premium for HMO-POS plans in Pontotoc?
HMO-POS plans in Pontotoc cost $9.00 per month on average.
Which HMO-POS plan has the most members in Pontotoc?
The most popular HMO-POS plan in Pontotoc is AARP Medicare Advantage from UHC OK-0001 (HMO-POS), with 133 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Pontotoc?
There are 1 HMO-POS plans in Pontotoc without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Pontotoc County, OK (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) | 9 | 35% |
| 3 Stars | 17 | 65% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.6 | |
* 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.