Jefferson County, Ohio — 2026 Medicare Advantage plans
66 individual Medicare Advantage plan segments from 10 parent organizations are filed for Jefferson 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
66plans filed +5 vs prior year
26with a $0 premium −1 vs prior year
$6,900median in-network MOOP +$800 vs prior year
32on 4-star or better contracts
53report comprehensive dental
56report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS) UnitedHealth Group, Inc. · H5253-144-001 · SoB ✓ | HMO-POS | $0 | $5,400 | $440 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Meals |
| AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) UnitedHealth Group, Inc. · H5253-131-000 · SoB ✓ | HMO-POS | $0 | $6,700 | $520 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) UnitedHealth Group, Inc. · H5253-135-000 · SoB ✓ | HMO-POS | $0 | $8,500 | $600 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Meals |
| Aetna Medicare Advantra (PPO) CVS Health Corporation · H1608-029-000 · SoB ✓ | PPO | $0 | $4,500 | $615 | 3.5out of 5 stars, Average | $50 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Chronic Care (HMO C-SNP) CVS Health Corporation · H0628-036-000 · SoB ✓ | HMO C-SNP | $0 | $6,750 | $615 | 4.0out of 5 stars, Above average | $40 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Signature (PPO) CVS Health Corporation · H5521-088-000 · SoB ✓ | PPO | $0 | $5,900 | $615 | 4.5out of 5 stars, Above average | $90 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Signature Care (HMO-POS) CVS Health Corporation · H0628-005-000 · SoB ✓ | HMO-POS | $0 | $4,900 | $500 | 4.0out of 5 stars, Above average | $60 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Medicare Advantage (HMO-POS) Elevance Health, Inc. · H3655-045-001 · SoB ✓ | HMO-POS | $0 | $9,250 | $275 | 4.0out of 5 stars, Above average | $35 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback with Rx (PPO) Humana Inc. · H5216-307-000 · SoB ✓ | PPO | $0 | $7,900 | $350 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback with Rx (PPO) Humana Inc. · H7617-060-000 · SoB ✓ | PPO | $0 | $7,900 | $350 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice Giveback H5216-309 (PPO) Humana Inc. · H5216-309-000 · SoB ✓ | PPO | $0 | $9,150 | $0 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| HumanaChoice Giveback H7617-003 (PPO) Humana Inc. · H7617-003-000 · SoB ✓ | PPO | $0 | $9,150 | $0 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| HumanaChoice H5216-285 (PPO) Humana Inc. · H5216-285-000 · SoB ✓ | PPO | $0 | $5,500 | $250 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H7617-004 (PPO) Humana Inc. · H7617-004-000 · SoB ✓ | PPO | $0 | $5,500 | $250 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Molina Medicare Complete Care (HMO D-SNP) Molina Healthcare, Inc. · H9955-007-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| The Health Plan SecureCare - Option II (HMO) The Health Plan of West Virginia, Inc. · H3672-020-000 · SoB | HMO | $0 | $6,700 | $395 | 3.5out of 5 stars, Average | $55 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| The Health Plan SecureChoice Optimum (PPO) The Health Plan of West Virginia, Inc. · H8604-014-001 · SoB | PPO | $0 | $5,900 | $150 | 3.5out of 5 stars, Average | $105 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UHC Complete Care OH-18 (HMO-POS C-SNP) UnitedHealth Group, Inc. · H5253-190-000 · SoB ✓ | HMO-POS C-SNP | $0 | $6,700 | $440 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Simple (HMO-POS) Centene Corporation · H0908-003-000 · SoB ✓ | HMO-POS | $0 | $6,500 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Full Dual Advantage (HMO D-SNP) Elevance Health, Inc. · H2628-003-000 · SoB ✓ | HMO D-SNP | $0.20 | $9,250 | $615 | Not rated | $125 | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HumanaChoice H5216-106 (PPO) Humana Inc. · H5216-106-000 · SoB ✓ | PPO | $1 | $5,050 | $300 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Anthem Full Dual Advantage 2 (HMO D-SNP) Elevance Health, Inc. · H2628-004-000 · SoB ✓ | HMO D-SNP | $2.30 | $9,250 | $615 | Not rated | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Dual Advantage (HMO D-SNP) Elevance Health, Inc. · H2628-005-000 · SoB ✓ | HMO D-SNP | $7.10 | $6,750 | $615 | Not rated | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Medicare Advantage (PPO) Elevance Health, Inc. · H4036-026-000 · SoB ✓ | PPO | $10 | $6,750 | $350 | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Partial Dual (HMO D-SNP) CVS Health Corporation · H0628-041-000 · SoB ✓ | HMO D-SNP | $17.20 | $9,250 | $615 | 4.0out of 5 stars, Above average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| The Health Plan SecureCare SNP (HMO D-SNP) The Health Plan of West Virginia, Inc. · H3672-019-000 · SoB | HMO D-SNP | $17.70 | $9,250 | $615 | 3.5out of 5 stars, Average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Dual Care (HMO D-SNP) CVS Health Corporation · H0628-013-000 · SoB ✓ | HMO D-SNP | $17.90 | $9,250 | $615 | 4.0out of 5 stars, Above average | $240 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Molina Complete Care for MyCare Ohio (HMO D-SNP) Molina Healthcare, Inc. · H9955-008-000 · SoB | HMO D-SNP | $19.60 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | OTC allowance Meals |
| HumanaChoice H5216-023 (PPO) Humana Inc. · H5216-023-000 · SoB ✓ | PPO | $21 | $6,550 | $350 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| UPMC for Life HMO Deductible Rx (HMO) UPMC Health System · H3907-037-000 · SoB ✓ | HMO | $22 | $6,000 | $175 | 4.5out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Together in Health (PPO I-SNP) Humana Inc. · H5216-401-000 · SoB ✓ | PPO I-SNP | $23.40 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP) Elevance Health, Inc. · H2628-001-000 · SoB ✓ | HMO D-SNP | $25.70 | $9,250 | $615 | Not rated | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Full Access H5525-042 (PPO) Humana Inc. · H5525-042-000 · SoB ✓ | PPO | $27 | $9,150 | $615 | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| Wellcare Dual Access (HMO-POS D-SNP) Centene Corporation · H0908-001-000 · SoB ✓ | HMO-POS D-SNP | $27.40 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Aetna Medicare Chronic Care Total (HMO C-SNP) CVS Health Corporation · H0628-035-000 · SoB ✓ | HMO C-SNP | $28.60 | $9,250 | $615 | 4.0out of 5 stars, Above average | $225 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UPMC for Life HMO Rx Choice (HMO) UPMC Health System · H3907-057-002 · SoB | HMO | $30 | $5,000 | $175 | 4.5out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Assist (HMO-POS) Centene Corporation · H0908-004-000 · SoB ✓ | HMO-POS | $30.10 | $4,700 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Extra Help (HMO-POS) Elevance Health, Inc. · H3655-041-000 · SoB ✓ | HMO-POS | $31.40 | $7,350 | $390 | 4.0out of 5 stars, Above average | $125 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| CareSource MyCare Ohio (HMO D-SNP) CareSource · H6396-017-000 · SoB | HMO D-SNP | $31.40 | $8,950 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Dual Select H5525-046 (PPO D-SNP) Humana Inc. · H5525-046-000 · SoB ✓ | PPO D-SNP | $31.40 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Value Plus H5525-041 (PPO) Humana Inc. · H5525-041-000 · SoB ✓ | PPO | $31.40 | $9,250 | $615 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| UHC Dual Complete OH-D002 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H5322-028-000 · SoB ✓ | HMO-POS D-SNP | $31.40 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete OH-D1 (PPO D-SNP) UnitedHealth Group, Inc. · H2001-058-000 · SoB ✓ | PPO D-SNP | $31.40 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete OH-S3 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H1285-002-000 · SoB ✓ | HMO-POS D-SNP | $31.40 | $9,250 | $615 | Not rated | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete OH-V002 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H5322-034-000 · SoB ✓ | HMO-POS D-SNP | $31.40 | $5,800 | $615 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Valor Health Plan (HMO I-SNP) The Schroer Group, Inc. · H1119-001-000 · SoB ✓ | HMO I-SNP | $31.40 | $9,250 | $615 | 4.0out of 5 stars, Above average | $194 | OTC allowance |
| Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) Centene Corporation · H4158-001-000 · SoB ✓ | HMO D-SNP | $31.40 | $9,250 | $410 | Not rated | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Dual Liberty (HMO-POS D-SNP) Centene Corporation · H0908-007-000 · SoB ✓ | HMO-POS D-SNP | $31.40 | $9,250 | $500 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Reserve (HMO-POS D-SNP) Centene Corporation · H0908-006-000 · SoB ✓ | HMO-POS D-SNP | $31.40 | $4,200 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS) UnitedHealth Group, Inc. · H5253-124-001 · SoB ✓ | HMO-POS | $41 | $3,900 | $355 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS) UnitedHealth Group, Inc. · H5253-126-001 · SoB ✓ | HMO-POS | $51 | $4,200 | $355 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Anthem Medicare Advantage 3 (PPO) Elevance Health, Inc. · H4036-025-000 · SoB ✓ | PPO | $51 | $6,750 | $200 | 4.0out of 5 stars, Above average | $75 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage from UHC OH-0001 (HMO-POS) UnitedHealth Group, Inc. · H5253-051-000 · SoB ✓ | HMO-POS | $76 | $3,900 | $270 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H5525-030 (PPO) Humana Inc. · H5525-030-000 · SoB ✓ | PPO | $85 | $3,950 | $350 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| UPMC for Life HMO Rx (HMO) UPMC Health System · H3907-058-001 · SoB | HMO | $90 | $4,500 | $0 | 4.5out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Premier (PPO) CVS Health Corporation · H5521-020-000 · SoB ✓ | PPO | $95 | $4,900 | $500 | 4.5out of 5 stars, Above average | $90 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| The Health Plan SecureChoice - Option II (PPO) The Health Plan of West Virginia, Inc. · H8604-011-000 · SoB | PPO | $109 | $6,700 | $275 | 3.5out of 5 stars, Average | $55 | Vision exam Eyewear OTC allowance |
| Humana Together in Health Select (PPO I-SNP) Humana Inc. · H5216-453-000 · SoB ✓ | PPO I-SNP | $138 | $4,900 | $300 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UPMC for Life HMO Rx Enhanced (HMO) UPMC Health System · H3907-006-000 · SoB ✓ | HMO | $295 | $7,550 | $0 | 4.5out of 5 stars, Above average | — | Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Aetna Medicare Eagle Giveback (PPO) CVS Health Corporation · H5521-487-000 · SoB ✓ | PPO | — | $6,900 | — | 4.5out of 5 stars, Above average | $75 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Veteran (PPO) Elevance Health, Inc. · H4036-022-000 · SoB ✓ | PPO | — | $5,900 | — | 4.0out of 5 stars, Above average | $130 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-218-000 · SoB ✓ | PPO | — | $7,900 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H7617-073-000 · SoB ✓ | PPO | — | $7,900 | — | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-441-000 · SoB ✓ | PPO | — | $7,900 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| The Health Plan SecureCare Integrity Plan 1 (HMO) The Health Plan of West Virginia, Inc. · H3672-021-000 · SoB | HMO | — | $6,900 | — | 3.5out of 5 stars, Average | $50 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| UPMC for Life HMO No Rx (HMO) UPMC Health System · H3907-002-000 · SoB ✓ | HMO | — | $6,000 | — | 4.5out of 5 stars, Above average | Reported | Comprehensive 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 Jefferson County?
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 66 Jefferson County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.