Medicare Plans in
Montgomery County, OH

86 Medicare Advantage Plans Found in Montgomery County. See Plans

Montgomery County, OH
Medicare Information

For Montgomery County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 86 MA plans are available in Montgomery 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.

For Montgomery County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 86 MA plans are available in Montgomery 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 Montgomery 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 Montgomery County

Average Cost of Medicare Advantage Plans in Montgomery County, Ohio
Average Monthly Premium $55.69
Average in-network out-of-pocket spending limit $5,722.50
Average drug deductible in 2023 (weighted) $354.58
Percentage of plans rated 4 stars or higher 54.7%
Average Cost of Medicare Advantage Plans in Montgomery County, Ohio
Average Monthly Premium
$55.69
Average in-network out-of-pocket spending limit
$5,722.50
Average drug deductible in 2021 (weighted)
$354.58
Percentage of plans rated 4 stars or higher
54.7%

Learn More About Medicare Advantage
Prescription Drug Plans

Montgomery County Medicare beneficiaries who are interested in a Part C policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
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
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.
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.
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.
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.

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.

Aetna Inc. Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Premier (HMO-POS) H0628: 003 $0 $0 $5,200 Yes
4 out of 5
Aetna Medicare Assure 1 (HMO D-SNP) H0628: 013 $0 $0 $8,300 Yes
4 out of 5
Aetna Medicare Eagle (HMO) H0628: 015 $0 N/A $5,900 No
4 out of 5
Aetna Medicare Value Plan (PPO) H5521: 090 $0 $0 $5,500 Yes
3.5 out of 5
SilverScript Choice (PDP) S5601: 028 $33 $505 N/A Yes
3.5 out of 5
SilverScript Plus (PDP) S5601: 029 $74 $0 N/A Yes
3.5 out of 5
Aetna Medicare Premier Plus 2 (Regional PPO) R6694: 005 $137 $505 $5,100 Yes
4 out of 5
Aetna Medicare Premier Plus 1 (Regional PPO) R6694: 003 $198 $0 $4,900 Yes
4 out of 5
Anthem Blue Cross and Blue Shield

Anthem Blue Cross and Blue Shield Medicare Advantage Plans in Montgomery 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 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Anthem MediBlue Dual Advantage (HMO D-SNP) H3655: 033 $0 $0 $8,300 Yes
4 out of 5
Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP) H3655: 044 $0 $0 $8,300 Yes
4 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
4.5 out of 5
Anthem MediBlue + Kroger Access (PPO) H4036: 023 $0 $195 $5,400 Yes
4.5 out of 5
Anthem MediBlue Access Core (Regional PPO) R5941: 013 $0 N/A $4,900 No
4 out of 5
Anthem MediBlue Extra (HMO) H3655: 041 $10 $505 $7,550 Yes
4 out of 5
Anthem MediBlue Preferred Plus (HMO) H3655: 042 $25 $0 $3,400 Yes
4 out of 5
Anthem MediBlue Plus (HMO) H3655: 034 $37 $0 $4,100 Yes
4 out of 5
Anthem MediBlue Rx Standard (PDP) S5596: 013 $56 $505 N/A Yes
3.5 out of 5
Anthem MediBlue Access (PPO) H4036: 025 $56 $0 $5,500 Yes
4.5 out of 5
Anthem MediBlue Rx Plus (PDP) S5596: 014 $67 $0 N/A Yes
3.5 out of 5
Anthem MediBlue Access Basic (Regional PPO) R5941: 014 $78 $50 $6,050 Yes
4 out of 5
Anthem MediBlue Access Plus (PPO) H4036: 017 $87 $40 $4,300 Yes
4.5 out of 5
Cigna

Cigna Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Preferred Medicare (HMO) H0672: 013 $0 $0 $3,700 Yes
2.5 out of 5
Cigna TotalCare (HMO D-SNP) H0672: 015 $0 $0 $0 Yes
2.5 out of 5
Cigna Preferred Savings Medicare (HMO) H0672: 017 $0 $0 $5,900 Yes
2.5 out of 5
Cigna True Choice Medicare (PPO) H7849: 088 $0 $0 $4,500 Yes
3 out of 5
Cigna True Choice Courage Medicare (PPO) H7849: 089 $0 N/A $4,100 No
3 out of 5
Cigna Preferred Plus Medicare (HMO) H0672: 014 $18 $0 $3,500 Yes
2.5 out of 5
Cigna Extra Rx (PDP) S5617: 259 $57 $100 N/A Yes
3 out of 5

Devoted Health

Devoted Health Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for Devoted Health Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Devoted CHOICE Ohio (PPO) H2526: 001 $0 $150 $5,300 Yes
Plan too new to be measured
Devoted CORE Ohio (HMO) H2697: 004 $0 $0 $4,200 Yes
5 out of 5
Devoted GIVEBACK Ohio (HMO) H2697: 006 $0 $350 $5,900 Yes
5 out of 5
Devoted DUAL Ohio - 1 (HMO D-SNP) H2697: 010 $0 $0 $8,300 Yes
5 out of 5
Devoted DUAL Ohio - 2 (HMO D-SNP) H2697: 011 $0 $0 $3,900 Yes
5 out of 5
Devoted PRIME Ohio (HMO) H2697: 005 $19 $0 $3,900 Yes
5 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Honor (PPO) H5216: 218 $0 N/A $5,900 No
4.5 out of 5
HumanaChoice H5216-285 (PPO) H5216: 285 $0 $200 $5,300 Yes
4.5 out of 5
Humana USAA Honor with Rx (PPO) H5216: 307 $0 $350 $6,550 Yes
4.5 out of 5
HumanaChoice H5216-309 (PPO) H5216: 309 $0 $350 $6,500 Yes
4.5 out of 5
HumanaChoice H5525-042 (PPO) H5525: 042 $0 $250 $7,550 Yes
4 out of 5
Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) H6622: 015 $0 $0 $0 Yes
4.5 out of 5
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H6622: 017 $0 $200 $6,700 Yes
4.5 out of 5
Humana Gold Plus H6622-021 (HMO-POS) H6622: 021 $0 $0 $5,900 Yes
4.5 out of 5
HumanaChoice R5495-001 (Regional PPO) R5495: 001 $0 N/A $6,500 No
4 out of 5
Humana Gold Plus H6622-055 (HMO) H6622: 055 $17 $0 $3,900 Yes
4.5 out of 5
Humana Value Plus H5525-041 (PPO) H5525: 041 $26 $260 $7,550 Yes
4 out of 5
Humana Walmart Value Rx Plan (PDP) S5884: 193 $31 $505 N/A Yes
3 out of 5
HumanaChoice H5216-023 (PPO) H5216: 023 $53 $100 $6,200 Yes
4.5 out of 5
Humana Gold Choice H8145-032 (PFFS) H8145: 032 $82 $0 N/A Yes
4 out of 5
HumanaChoice R5495-002 (Regional PPO) R5495: 002 $84 $505 $6,700 Yes
4 out of 5
Humana Premier Rx Plan (PDP) S5884: 160 $88 $500 N/A Yes
3 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in Ohio in 2023.

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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 $8,300 Yes
3 out of 5
Molina Medicare Choice Care Select (HMO) H9955: 004 $0 $375 $8,300 Yes
3 out of 5
Molina Medicare Complete Care (HMO D-SNP) H9955: 001 $35 $505 $8,300 Yes
3 out of 5
Molina Medicare Complete Care Select (HMO D-SNP) H9955: 003 $35 $505 $8,300 Yes
3 out of 5

Mutual of Omaha

Mutual of Omaha Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Mutual of Omaha Rx Essential (PDP) S7126: 116 $18 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Premier (PDP) S7126: 083 $74 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Plus (PDP) S7126: 013 $80 $505 N/A Yes
2 out of 5

Trinity Health

Trinity Health Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for Trinity Health Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
MediGold Mount Carmel Cash Back No Premium MA Only (HMO) H3668: 013 $0 N/A $3,900 No
4.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UnitedHealthcare Dual Complete Select (HMO-POS D-SNP) H5253: 122 $0 $0 $0 Yes
4.5 out of 5
UnitedHealthcare Dual Complete Choice (PPO D-SNP) H0271: 055 $0 $0 $0 Yes
4 out of 5
AARP Medicare Advantage Flex Plan 6 (HMO-POS) H5253: 052 $0 $0 $4,900 Yes
4.5 out of 5
UnitedHealthcare Dual Complete LP (HMO-POS D-SNP) H5253: 059 $0 $0 $0 Yes
4.5 out of 5
AARP Medicare Advantage Choice (PPO) H8768: 015 $0 $0 $5,100 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 Choice Plan 4 (PPO) H8768: 033 $0 $0 $5,900 Yes
4 out of 5
AARP Medicare Advantage Plan 2 (HMO-POS) H5253: 109 $20 $0 $4,200 Yes
4.5 out of 5
AARP MedicareRx Walgreens (PDP) S5921: 395 $28 $350 N/A Yes
3 out of 5
AARP Medicare Advantage Choice Flex (PPO) H8768: 007 $30 $0 $4,500 Yes
4 out of 5
AARP MedicareRx Saver Plus (PDP) S5921: 359 $50 $505 N/A Yes
3 out of 5
AARP Medicare Advantage Plan 3 (HMO-POS) H5253: 051 $109 $0 $3,400 Yes
4.5 out of 5
AARP MedicareRx Preferred (PDP) S5820: 013 $109 $0 N/A Yes
3.5 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in Montgomery County, OH

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Ohio in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Dual Access (HMO D-SNP) H0908: 001 $0 $0 $0 Yes
3 out of 5
Wellcare No Premium (HMO) H0908: 003 $0 $75 $4,700 Yes
3 out of 5
Wellcare Giveback (HMO) H0908: 005 $0 $505 $7,500 Yes
3 out of 5
Wellcare No Premium Essential (HMO-POS) H5475: 011 $0 $0 $4,700 Yes
2.5 out of 5
Wellcare Dual Access Extra (HMO-POS D-SNP) H5475: 021 $0 $0 $0 Yes
2.5 out of 5
Wellcare Dividend Giveback (HMO) H5475: 032 $0 $505 $7,500 Yes
2.5 out of 5
Wellcare No Premium Open (PPO) H7169: 001 $0 $160 $5,900 Yes
Plan too new to be measured
Wellcare Dual Access Open (PPO D-SNP) H7169: 003 $0 $0 $0 Yes
Plan too new to be measured
Wellcare Patriot Giveback Open (PPO) H7169: 004 $0 N/A $6,700 No
Plan too new to be measured
Wellcare Assist (HMO) H0908: 004 $11 $505 $4,700 Yes
3 out of 5
Wellcare Value Script (PDP) S4802: 149 $11 $505 N/A Yes
3 out of 5
Wellcare Classic (PDP) S4802: 085 $33 $505 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 217 $71 $0 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 237 $71 $0 N/A Yes
3 out of 5