Medicare Plans in
Delaware County, OH
61 Medicare Advantage Plans Found in Delaware County. See Plans
Delaware County, OH
Medicare Information
For Delaware County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 61 MA plans are available in Delaware County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about Medicare Advantage plans in Delaware County, Ohio, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Delaware County
Average Cost of Medicare Advantage Plans in Delaware County, Ohio | |
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Average Monthly Premium | $83.79 |
Average in-network out-of-pocket spending limit | $5,070.00 |
Average drug deductible in 2022 (weighted) | $178.47 |
Percentage of plans rated 4 stars or higher | 65.6% |
Average Cost of Medicare Advantage Plans in Delaware County, Ohio |
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Average Monthly Premium $83.79 |
Average in-network out-of-pocket spending limit $5,070.00 |
Average drug deductible in 2021 (weighted) $178.47 |
Percentage of plans rated 4 stars or higher 65.6% |
Learn More About Medicare Advantage
Prescription Drug Plans
Plan Type | Description |
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HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
Plan Type and Description |
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HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans

Aetna Inc. Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Premier (HMO-POS) | H0628: 017 | $0 | $0 | $5,200 | Yes | Plan too new to be measured |
Aetna Medicare Value Plan (HMO) | H3931: 108 | $0 | $150 | $7,550 | Yes | 3.5 out of 5 |
Aetna Medicare Value Plan (PPO) | H5521: 089 | $0 | $0 | $5,500 | Yes | 4 out of 5 |
Aetna Medicare Premier 2 (PPO) | H5521: 020 | $118 | $0 | $4,800 | Yes | 4 out of 5 |
Aetna Medicare Premier 1 (PPO) | H5521: 134 | $149 | $150 | $5,500 | Yes | 4 out of 5 |
Aetna Medicare Premier Plus 2 (Regional PPO) | R6694: 005 | $179 | $260 | $5,100 | Yes | 3.5 out of 5 |
Aetna Medicare Premier Plus 1 (Regional PPO) | R6694: 003 | $217 | $0 | $4,900 | Yes | 3.5 out of 5 |
Anthem Blue Cross and Blue Shield Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for Anthem Blue Cross and Blue Shield Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Anthem MediBlue Access Core (Regional PPO) | R5941: 013 | $0 | N/A | $4,900 | No | 3.5 out of 5 |
Anthem MediBlue Preferred (HMO) | H3655: 045 | $0 | $0 | $4,200 | Yes | 4 out of 5 |
Anthem MediBlue Service (PPO) | H4036: 022 | $0 | N/A | $6,700 | No | 4 out of 5 |
Anthem MediBlue Preferred Plus (HMO) | H3655: 042 | $19 | $0 | $3,650 | Yes | 4 out of 5 |
Anthem MediBlue Extra (HMO) | H3655: 041 | $22 | $480 | $7,550 | Yes | 4 out of 5 |
Anthem MediBlue Plus (HMO) | H3655: 034 | $55 | $0 | $4,100 | Yes | 4 out of 5 |
Anthem MediBlue Access (PPO) | H4036: 025 | $56 | $0 | $5,500 | Yes | 4 out of 5 |
Anthem MediBlue Access Basic (Regional PPO) | R5941: 014 | $83 | $200 | $6,000 | Yes | 3.5 out of 5 |
Anthem MediBlue Access Plus (PPO) | H4036: 017 | $89 | $40 | $4,300 | Yes | 4 out of 5 |
Health Plan of the Upper Ohio Valley
Health Plan of the Upper Ohio Valley Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for Health Plan of the Upper Ohio Valley Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
The Health Plan SecureCare - Option I, MA Only (HMO) | H3672: 014 | $0 | N/A | $3,900 | No | 4 out of 5 |
The Health Plan SecureCare - Option II (HMO) | H3672: 013 | $0 | $100 | $3,900 | Yes | 4 out of 5 |
The Health Plan SecureChoice - Option II (PPO) | H8604: 010 | $100 | $100 | $6,700 | Yes | 3.5 out of 5 |

Humana Inc. Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Humana Gold Plus H6622-013 (HMO) | H6622: 013 | $0 | $0 | $4,500 | Yes | 4 out of 5 |
Humana Honor (PPO) | H5216: 218 | $0 | N/A | $5,900 | No | 4 out of 5 |
HumanaChoice H5216-285 (PPO) | H5216: 285 | $0 | $200 | $5,300 | Yes | 4 out of 5 |
HumanaChoice H5525-042 (PPO) | H5525: 042 | $0 | $250 | $7,550 | Yes | 4 out of 5 |
HumanaChoice R5495-001 (Regional PPO) | R5495: 001 | $0 | N/A | $7,550 | No | 3 out of 5 |
HumanaChoice H5216-109 (PPO) | H5216: 109 | $19 | $150 | $5,700 | Yes | 4 out of 5 |
Humana Gold Plus H6622-069 (HMO) | H6622: 069 | $21 | $0 | $4,500 | Yes | 4 out of 5 |
HumanaChoice H5216-023 (PPO) | H5216: 023 | $58 | $100 | $6,200 | Yes | 4 out of 5 |
Humana Gold Choice H8145-032 (PFFS) | H8145: 032 | $83 | $225 | N/A | Yes | 3.5 out of 5 |
Humana Gold Plus H6622-019 (HMO) | H6622: 019 | $91 | $125 | $3,900 | Yes | 4 out of 5 |
HumanaChoice R5495-002 (Regional PPO) | R5495: 002 | $114 | $480 | $6,700 | Yes | 3 out of 5 |
HumanaChoice H5525-030 (PPO) | H5525: 030 | $151 | $100 | $3,400 | Yes | 4 out of 5 |
MEDICAL MUTUAL OF OHIO
MEDICAL MUTUAL OF OHIO Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for MEDICAL MUTUAL OF OHIO Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
MedMutual Advantage Access (PPO) | H4497: 005 | $0 | $0 | $5,400 | Yes | 4.5 out of 5 |
MedMutual Advantage Classic (HMO) | H6723: 001 | $0 | $95 | $5,850 | Yes | 4 out of 5 |
MedMutual Advantage Signature (HMO) | H6723: 006 | $0 | $0 | $4,200 | Yes | 4 out of 5 |
MedMutual Advantage Secure (HMO) | H6723: 005 | $22 | $95 | $3,500 | Yes | 4 out of 5 |
MedMutual Advantage Preferred (PPO) | H4497: 002 | $80 | $55 | $5,900 | Yes | 4.5 out of 5 |
MedMutual Advantage Choice (HMO) | H6723: 002 | $100 | $55 | $4,800 | Yes | 4 out of 5 |
MedMutual Advantage Select (PPO) | H4497: 001 | $100 | $95 | $6,900 | Yes | 4.5 out of 5 |
MedMutual Advantage Plus (HMO) | H6723: 003 | $134 | $55 | $3,450 | Yes | 4 out of 5 |
MedMutual Advantage Premium (PPO) | H4497: 003 | $200 | $55 | $3,450 | Yes | 4.5 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Molina Medicare Choice Care (HMO) | H9955: 002 | $0 | $125 | $7,550 | Yes | Plan too new to be measured |
Trinity Health
Trinity Health Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for Trinity Health Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
MediGold Essential Care (HMO) | H3668: 019 | $0 | $0 | $4,500 | Yes | 4 out of 5 |
MediGold Medical Only (HMO) | H3668: 013 | $0 | N/A | $3,900 | No | 4 out of 5 |
MediGold Prime Choice (PPO) | H1846: 005 | $0 | $150 | $5,700 | Yes | 3.5 out of 5 |
MediGold True Advantage (HMO) | H3668: 022 | $49 | $0 | $4,200 | Yes | 4 out of 5 |
MediGold Flexible Choice (PPO) | H1846: 004 | $57 | $150 | $5,000 | Yes | 3.5 out of 5 |
MediGold Classic Preferred (HMO) | H3668: 018 | $120 | $0 | $3,900 | Yes | 4 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage Choice Plan 4 (PPO) | H8768: 033 | $0 | $195 | $5,900 | Yes | 4 out of 5 |
AARP Medicare Advantage Patriot (PPO) | H8768: 021 | $0 | N/A | $4,500 | No | 4 out of 5 |
AARP Medicare Advantage Plan 5 (HMO) | H5253: 062 | $0 | $195 | $4,900 | Yes | 4 out of 5 |
AARP Medicare Advantage Plan 2 (HMO) | H5253: 109 | $20 | $0 | $4,200 | Yes | 4 out of 5 |
AARP Medicare Advantage Choice (PPO) | H8768: 007 | $30 | $170 | $4,500 | Yes | 4 out of 5 |
AARP Medicare Advantage Plan 3 (HMO) | H5253: 051 | $111 | $0 | $3,400 | Yes | 4 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Delaware County, OH
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Ohio in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare No Premium Open (PPO) | H7169: 001 | $0 | $160 | $5,900 | Yes | na |
Wellcare Giveback (HMO) | H0908: 005 | $0 | $480 | $5,500 | Yes | 3.5 out of 5 |
Wellcare Giveback Boost (HMO) | H0724: 007 | $0 | $75 | $7,550 | Yes | 3 out of 5 |
Wellcare No Premium (HMO) | H0908: 003 | $0 | $75 | $3,450 | Yes | 3.5 out of 5 |
Wellcare No Premium Medicare (HMO) | H0724: 001 | $0 | $75 | $3,450 | Yes | 3 out of 5 |
Wellcare Patriot No Premium (HMO) | H0724: 005 | $0 | N/A | $3,450 | No | 3 out of 5 |
Wellcare Assist (HMO) | H0908: 004 | $17 | $480 | $4,700 | Yes | 3.5 out of 5 |
Wellcare Assist Complement (HMO) | H0724: 006 | $18 | $480 | $3,450 | Yes | 3 out of 5 |