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  1. 🏠
  2. Medicare Options
  3. Montana
  4. Jefferson County

Your Medicare Coverage Options in Jefferson County, MT

Learn about Medicare coverage options available in Jefferson County, Montana, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.

Last update: May15, 2026. Enrollment data updated: May 2, 2026

Medicare Options at a Glance

Medicare coverage options in Jefferson County, Montana center on a few primary paths, each designed for different priorities like provider flexibility, cost control, and care coordination. These include:

  • Original Medicare: Ideal for nationwide provider access without network restrictions.
  • Medicare Advantage: Combines coverage into one plan, often with lower premiums and added benefits.
  • Part D: Adds prescription drug coverage to Original Medicare.
  • Medigap: Helps reduce out-of-pocket costs and improve predictability.
  • SNPs: Designed for people with specific health conditions or eligibility requirements.
  • Other Options: May include VA benefits, employer or retiree plans, and local assistance programs.

Each option operates differently. Comparing how they work is essential to selecting the right Medicare coverage in Jefferson County.

The various Medicare plans and other available options work differently. Understanding how they compare is the key to choosing the right Medicare coverage.

Medicare Advantage Options in Jefferson County

Medicare Advantage plans in Jefferson County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.

Medicare Advantage Snapshot Jefferson County
Total Medicare Advantage plans 9
$0 premium plans 4
HMO plans 1
PPO plans 8
Plans with drug coverage 6
Lowest MOOP $4,700
Highest MOOP $9,150
Highest Part B giveback $87.40

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
Humana USAA Honor Giveback 3.5 ★ 27,112
HumanaChoice H5216-457 3.5 ★ 25,200
Humana USAA Honor Giveback 3.5 ★ 11,478

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus H6622-007 3.5 ★ 8,188

Medicare Advantage options are shaped mainly by provider network type, prescription drug inclusion, and annual out-of-pocket exposure. Beneficiaries who want bundled coverage and extra benefits often start here, but network access and plan rules matter.

See Medicare Advantage plans in Jefferson County

Medicare Part D Plans in Jefferson County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
SilverScript Choice $29.70 $615 170,190
Humana Basic Rx Plan $4.70 $615 121,170
AARP Medicare Rx Saver from UHC $5.30 $615 98,200

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $9.60 $615 473,004
Humana Value Rx Plan $20.80 $601 121,278
Humana Premier Rx Plan $103.70 $0 43,258

The right Part D plan depends more on drug coverage and pharmacy access than the total number of plans, with cost at your preferred pharmacy being a key factor.

See Medicare Part D plans in Montana

Medigap Plans in Jefferson County

Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.

Across 29 insurers, sample data shows monthly premiums starting near $35 and rising above $1,689 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.

Medigap Snapshot Jefferson County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

For residents of Jefferson, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.

Sample Plan G Pricing in Montana

Plan G typically ranges from $113 to $1,118.

Carrier Plan Low High
AARP - UnitedHealthcare G $151 $699
Allstate G $113 $709
Cigna G $129 $1,078
Humana G $157 $971
Mutual of Omaha G $143 $658

Sample Plan N Pricing in Montana

Plan N typically ranges from $86 to $877.

Carrier Plan Low High
AARP - UnitedHealthcare N $131 $520
Allstate N $86 $537
Cigna N $91 $756
Humana N $122 $746
Mutual of Omaha N $115 $531

Explore all Medicare Supplement plans in Montana for more details.

Special Needs Plans (SNPs) in Jefferson County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Jefferson County
Total SNP plans 3
D-SNP plans 3
C-SNP plans 0
I-SNP plans 0

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus SNP-DE H6622-008 3.5 ★ 2,801
HumanaChoice SNP-DE H7617-036 4.5 ★ 1,588
HumanaChoice SNP-DE H7617-037 4.5 ★ 0

SNP availability in Jefferson depends on eligibility. These plans are not general Medicare options for everyone, but they can be important for beneficiaries with Medicaid or qualifying chronic health conditions.

See Special Needs Plans in Jefferson County

VA Coverage and Local Medicare Help in Jefferson County

Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.

Additional Support Options Jefferson County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Montana SHIP
Local help resource State Health Insurance Assistance Program

Finding the Right Medicare Plan for You in Jefferson County

Choosing the right Medicare coverage is based on how you want to access care, manage Medicare expenses, and select providers. Most decisions start with a choice between Medicare Advantage and Original Medicare.

Medicare Advantage plans offer all-in-one coverage that typically includes hospital, medical, and prescription drug benefits. These plans may have lower premiums and added services, but they generally operate within provider networks.

Original Medicare gives you the flexibility to see any provider nationwide who accepts Medicare. Many people pair it with a Part D plan and a Medigap policy to help control costs and improve coverage predictability.

Special Needs Plans (SNPs) may be an option for those with specific health or eligibility requirements, including Medicaid. These plans are specialized and only available to qualifying individuals.

Your ideal coverage will depend on your doctors, prescriptions, and how you prefer to balance premiums and out-of-pocket spending.

For a closer look, explore the plans and coverage types available in Jefferson County.

  • CMS.gov, Medicare Advantage & Special Needs Plan 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

County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
  • Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed May 7, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
  • Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?" — Last accessed May 6, 2026

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.

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