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Montcalm County, Michigan — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

78 individual Medicare Advantage plan segments from 11 parent organizations are filed for Montcalm County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
78plans filed −4 vs prior year
39with a $0 premium +2 vs prior year
$6,100median in-network MOOP +$600 vs prior year
45on 4-star or better contracts
68report comprehensive dental
64report an OTC allowance

Tick Compare on up to three plans to see them side by side.

Must report:
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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
AARP Medicare Advantage from UHC MI-0001 (PPO)
UnitedHealth Group, Inc. · H0294-017-000 · SoB ✓
PPO$0$6,700$6003.5out of 5 stars, Average—Vision exam Eyewear Hearing aids Meals
Aetna Medicare Signature (PPO)
CVS Health Corporation · H5521-219-000 · SoB ✓
PPO$0$5,200$6154.5out of 5 stars, Above average$35Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Aetna Medicare Signature Extra (PPO)
CVS Health Corporation · H5521-407-000 · SoB ✓
PPO$0$5,200$6154.5out of 5 stars, Above average—Comprehensive dental Vision exam Eyewear Hearing aids
HAP Medicare Connect (HMO)
Henry Ford Health System · H2354-015-000 · SoB ✓
HMO$0$5,000$1504.0out of 5 stars, Above average$70Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
HAP Medicare Explore (PPO)
Henry Ford Health System · H2322-011-000 · SoB ✓
PPO$0$5,400$2004.0out of 5 stars, Above average$75Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
HAP Medicare Prime (PPO)
Henry Ford Health System · H2322-016-000 · SoB
PPO$0$5,650$2004.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
HAP Medicare Superior (HMO)
Henry Ford Health System · H2354-028-000 · SoB
HMO$0$5,100$1504.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Humana Full Access Giveback H5216-306 (PPO)
Humana Inc. · H5216-306-000 · SoB ✓
PPO$0$9,150$03.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana Full Access Giveback H7617-058 (PPO)
Humana Inc. · H7617-058-000 · SoB ✓
PPO$0$9,150$04.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana Full Access H5216-384 (PPO)
Humana Inc. · H5216-384-000 · SoB ✓
PPO$0$5,650$3503.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana Full Access H7617-052 (PPO)
Humana Inc. · H7617-052-000 · SoB ✓
PPO$0$5,650$3504.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana USAA Honor Giveback with Rx (PPO)
Humana Inc. · H7617-071-000 · SoB ✓
PPO$0$8,650$904.5out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Humana USAA Honor Giveback with Rx (PPO)
Humana Inc. · H5216-305-000 · SoB ✓
PPO$0$8,650$903.5out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
HumanaChoice - Diabetes and Heart (PPO C-SNP)
Humana Inc. · H5216-375-000 · SoB ✓
PPO C-SNP$0$6,550$3003.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
McLaren Medicare Inspire (HMO)
McLaren Health Care Corporation · H6322-001-000 · SoB
HMO$0$6,300$6153.0out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
McLaren Medicare Inspire Select (HMO)
McLaren Health Care Corporation · H6322-008-000 · SoB
HMO$0$6,750$6153.0out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Medicare Plus Blue Giveback (PPO)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H9572-008-000 · SoB ✓
PPO$0$9,250$1504.5out of 5 stars, Above average—Vision exam Hearing aids
Medicare Plus Blue Secure (PPO)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H9572-009-000 · SoB ✓
PPO$0$6,750$1504.5out of 5 stars, Above average$40Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Molina Medicare Complete Care (HMO D-SNP)
Molina Healthcare, Inc. · H5926-001-000 · SoB ✓
HMO D-SNP$0$9,250$4253.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Premier Care (HMO-POS I-SNP)
Curana Health Holdings, LLC · H6832-004-000 · SoB
HMO-POS I-SNP$0$4,700$6152.5out of 5 stars, Below averageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
PriorityMedicare Edge (PPO)
Corewell Health · H4875-020-002 · SoB
PPO$0$6,000$2004.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance
PriorityMedicare Key (HMO-POS)
Corewell Health · H2320-022-002 · SoB
HMO-POS$0$5,800$2004.5out of 5 stars, Above averageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance
PriorityMedicare Smart Savings (HMO-POS)
Corewell Health · H2320-032-002 · SoB
HMO-POS$0$9,250$5004.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids
PriorityMedicare Thrive (PPO)
Corewell Health · H4875-024-001 · SoB
PPO$0$6,200$2504.0out of 5 stars, Above averageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance
PriorityMedicare Vital (PPO)
Corewell Health · H4875-022-002 · SoB
PPO$0$6,300$4504.0out of 5 stars, Above averageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Trinity Health Plan of Michigan Cash Back (HMO)
Trinity Health Corporation · H9179-002-000 · SoB
HMO$0$7,500$2754.0out of 5 stars, Above average$25Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Trinity Health Plan of Michigan No Premium (HMO)
Trinity Health Corporation · H9179-001-000 · SoB
HMO$0$4,500$1004.0out of 5 stars, Above average$75Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
UHC Dual Complete MI-S002 (HMO-POS D-SNP)
UnitedHealth Group, Inc. · H2247-001-000 · SoB ✓
HMO-POS D-SNP$0$9,250$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Wellcare Giveback (HMO-POS)
Centene Corporation · H5475-031-000 · SoB ✓
HMO-POS$0$7,550$6153.0out of 5 stars, Average—Vision exam Eyewear
Wellcare Simple (HMO-POS)
Centene Corporation · H5475-026-000 · SoB ✓
HMO-POS$0$5,000$6153.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Wellcare Simple Open (PPO)
Centene Corporation · H2117-001-000 · SoB ✓
PPO$0$5,200$6153.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
UHC Dual Complete MI-V001 (HMO-POS D-SNP)
UnitedHealth Group, Inc. · H2247-003-000 · SoB ✓
HMO-POS D-SNP$0.20$6,700$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Aetna Medicare Full Dual Care (HMO D-SNP)
CVS Health Corporation · H3192-007-000 · SoB ✓
HMO D-SNP$8.80$9,250$6153.0out of 5 stars, Average$200Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
HAP Medicare Complete Assist (PPO D-SNP)
Henry Ford Health System · H2322-020-000 · SoB
PPO D-SNP$8.80$9,250$6154.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
HAP Medicare Complete Duals (HMO D-SNP)
Henry Ford Health System · H2354-025-000 · SoB
HMO D-SNP$8.80$9,250$6154.0out of 5 stars, Above average$158Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
HAP Medicare Diabetes and Heart (HMO C-SNP)
Henry Ford Health System · H2354-030-000 · SoB
HMO C-SNP$8.80$9,250$6154.0out of 5 stars, Above average$250Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
HAP Member Assist (PPO)
Henry Ford Health System · H2322-017-000 · SoB
PPO$8.80$5,200$6154.0out of 5 stars, Above average$116Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Dual Select H5216-385 (PPO D-SNP)
Humana Inc. · H5216-385-000 · SoB ✓
PPO D-SNP$8.80$9,250$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Value Plus H5216-382 (PPO)
Humana Inc. · H5216-382-000 · SoB ✓
PPO$8.80$9,250$2503.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
HumanaChoice SNP-DE H5216-388 (PPO D-SNP)
Humana Inc. · H5216-388-000 · SoB ✓
PPO D-SNP$8.80$9,250$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
McLaren Medicare Inspire Plus (HMO)
McLaren Health Care Corporation · H6322-002-000 · SoB
HMO$8.80$5,900$5003.0out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
PriorityMedicare D-SNP (HMO D-SNP)
Corewell Health · H8379-001-000 · SoB ✓
HMO D-SNP$8.80$9,250$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
PriorityMedicare Vintage (HMO-POS)
Corewell Health · H2320-031-000 · SoB
HMO-POS$8.80$5,600$6154.5out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance
Senior Care (HMO I-SNP)
Curana Health Holdings, LLC · H6832-001-000 · SoB
HMO I-SNP$8.80$6,500$6152.5out of 5 stars, Below averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
UHC Complete Care Support MI-3 (PPO C-SNP)
UnitedHealth Group, Inc. · H0294-048-000 · SoB ✓
PPO C-SNP$8.80$6,700$6153.5out of 5 stars, AverageReportedVision exam Eyewear Hearing aids OTC allowance Meals
UHC Dual Complete MI-S001 (PPO D-SNP)
UnitedHealth Group, Inc. · H2001-039-000 · SoB ✓
PPO D-SNP$8.80$9,250$6154.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete MI-S3 (HMO D-SNP)
UnitedHealth Group, Inc. · H2247-004-000 · SoB ✓
HMO D-SNP$8.80$9,250$6153.5out of 5 stars, AverageReportedVision exam Eyewear Hearing aids OTC allowance Meals
Wellcare Assist (HMO-POS)
Centene Corporation · H5475-038-000 · SoB ✓
HMO-POS$8.80$5,000$5803.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Wellcare Dual Access (HMO-POS D-SNP)
Centene Corporation · H5475-001-000 · SoB ✓
HMO-POS D-SNP$8.80$9,250$6153.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Wellcare Dual Access Open (PPO D-SNP)
Centene Corporation · H2117-002-000 · SoB ✓
PPO D-SNP$8.80$9,250$4703.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Wellcare Dual Reserve (HMO-POS D-SNP)
Centene Corporation · H5475-039-000 · SoB ✓
HMO-POS D-SNP$8.80$4,200$6153.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Aetna Medicare Enhanced (PPO)
CVS Health Corporation · H5521-194-000 · SoB ✓
PPO$15$4,900$6154.5out of 5 stars, Above average—Comprehensive dental Vision exam Eyewear Hearing aids
Humana Full Access H5216-011 (PPO)
Humana Inc. · H5216-011-000 · SoB ✓
PPO$18$5,700$3003.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Medicare Plus Blue Essential (PPO)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H9572-004-002 · SoB ✓
PPO$25$6,250$1504.5out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam
BCN Advantage Prime Value (HMO-POS)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H5883-014-002 · SoB ✓
HMO-POS$35$5,000$1504.5out of 5 stars, Above average—Preventive dental Comprehensive dental
Medicare Plus Blue + Meijer (PPO)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H9572-007-002 · SoB ✓
PPO$35$6,750$1504.5out of 5 stars, Above average$60Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Humana Gold Choice H8145-006 (PFFS)
Humana Inc. · H8145-006-000 · SoB ✓
PFFS$37$6,800$6153.5out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
PriorityMedicare Value (HMO-POS)
Corewell Health · H2320-029-002 · SoB
HMO-POS$43$5,100$1004.5out of 5 stars, Above average—Comprehensive dental Vision exam Eyewear Hearing aids
PriorityMedicare Thrive Plus (PPO)
Corewell Health · H4875-018-002 · SoB
PPO$49$5,600$1004.0out of 5 stars, Above averageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance
AARP Medicare Advantage from UHC MI-0002 (PPO)
UnitedHealth Group, Inc. · H0294-018-000 · SoB ✓
PPO$64$5,400$6003.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Medicare Plus Blue Vitality (PPO)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H9572-002-002 · SoB ✓
PPO$66.80$5,000$04.5out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Hearing aids OTC allowance Meals
Aetna Medicare Enhanced (PPO)
CVS Health Corporation · H5521-607-000 · SoB ✓
PPO$72$5,900$6154.5out of 5 stars, Above average$60Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
PriorityMedicare (HMO-POS)
Corewell Health · H2320-028-002 · SoB
HMO-POS$72$4,500$04.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids
PriorityMedicare Merit (PPO)
Corewell Health · H4875-016-005 · SoB
PPO$83$4,200$04.0out of 5 stars, Above average—Vision exam Eyewear Hearing aids
HAP Senior Plus (HMO-POS)
Henry Ford Health System · H2354-021-000 · SoB ✓
HMO-POS$105$4,550$04.0out of 5 stars, Above average$153Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
BCN Advantage Classic (HMO-POS)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H5883-002-002 · SoB ✓
HMO-POS$113.60$4,400$04.5out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Medicare Plus Blue Signature (PPO)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H9572-001-002 · SoB ✓
PPO$117.50$4,300$04.5out of 5 stars, Above average$65Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
HAP Senior Plus (PPO)
Henry Ford Health System · H2322-008-000 · SoB ✓
PPO$165$4,150$04.0out of 5 stars, Above average$121Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
BCN Advantage Prestige (HMO-POS)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H5883-003-002 · SoB ✓
HMO-POS$240$4,000$04.5out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Medicare Plus Blue Assure (PPO)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H9572-003-002 · SoB ✓
PPO$247.40$4,000$04.5out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
AARP Medicare Advantage Patriot No Rx MI-MA01 (PPO)
UnitedHealth Group, Inc. · H0294-022-000 · SoB ✓
PPO—$6,700—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Eagle (PPO)
CVS Health Corporation · H5521-286-000 · SoB ✓
PPO—$4,900—4.5out of 5 stars, Above average$100Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
BCN Advantage Elements (HMO-POS)
Blue Cross Blue Shield of Michigan Mutual Ins. Co. · H5883-001-002 · SoB ✓
HMO-POS—$4,500—4.5out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
HAP Medicare MedicalAccess (HMO)
Henry Ford Health System · H2354-019-000 · SoB
HMO—$4,500—4.0out of 5 stars, Above average$95Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana USAA Honor Giveback (PPO)
Humana Inc. · H7617-054-000 · SoB ✓
PPO—$6,550—4.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana USAA Honor Giveback (PPO)
Humana Inc. · H5216-190-000 · SoB ✓
PPO—$6,550—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Trinity Health Plan of Michigan Glory No RX (HMO)
Trinity Health Corporation · H9179-003-000 · SoB
HMO—$6,500—4.0out of 5 stars, Above average$75Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Wellcare Patriot Giveback Open (PPO)
Centene Corporation · H2117-003-000 · SoB ✓
PPO—$5,000—3.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

How to read this table

Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.

Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.

Is a drug covered by plans in Montcalm County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 12 stand-alone Part D plans in the Michigan region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 78 Montcalm County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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