Medicare Advantage Plans in Macomb County, MI:
Your Complete 2026 Guide
For 2026, residents of Macomb County, MI can choose from 66 Medicare Advantage plan options. Of these, 41 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 56,898, with 67% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in Macomb County, MI.
Last update: . Enrollment data last updated: December 15, 2025
* CMS rates Medicare Advantage plans annually using a 5-star system. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. While using out-of-network doctors or hospitals usually means higher costs, PPOs may appeal to people who want more flexibility in how they access their healthcare.
- Total PPO Plans
- 35
- Average Premium
- $31.64/mo
- Beneficiaries Enrolled
- 35,901
- $0 Premium PPOs
- 22
- Average MOOP
- $5,996
- Most Popular PPO
- Medicare Plus Blue Essential (PPO) with 9,249 enrollees
- PPOs Without Drug Coverage
- 5
What is the average monthly premium for PPO plans in Macomb?
On average, PPO plans in Macomb cost $31.64 per month.
Which PPO plan has the highest enrollment in Macomb?
The most popular PPO in Macomb is Medicare Plus Blue Essential (PPO), covering 9,249 beneficiaries.
How many PPO plans in Macomb do not include prescription drug coverage?
5 PPO plans available in Macomb do not include Part D benefits.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use doctors, hospitals, and other providers within the plan’s network, except in emergencies. Because of this structure, HMOs often come with lower premiums and out-of-pocket costs compared with other plan types.
- Total HMO Plans 14
- Average Premium $10.34/mo
- Beneficiaries Enrolled 7,315
- $0 Premium HMOs 11
- Average MOOP $5,246
- Most Popular HMO HAP Medicare Connect (HMO) with 3,263 enrollees
- HMOs Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| BCN Advantage ConnectedCare | $41 | $4,400 | $125 | H5883-007-0 | |
| HAP Medicare Connect | $0 | $5,000 | $150 | H2354-015-0 | |
| HAP Medicare MedicalAccess | $0 | $4,500 | N/A | H2354-019-0 | |
| HAP Medicare Superior | $0 | $5,100 | $150 | H2354-028-0 | |
| HAP Senior Plus Henry Ford Tiered Access | $95 | $4,750 | $0 | H2354-018-0 | |
| Henry Ford Select | $0 | $3,500 | $150 | H2354-029-0 | |
| Trinity Health Plan of Michigan Cash Back | $0 | $7,500 | $275 | H9179-002-0 | |
| Trinity Health Plan of Michigan Glory No RX | $0 | $6,500 | N/A | H9179-003-0 | |
| Trinity Health Plan of Michigan No Premium | $0 | $4,500 | $100 | H9179-001-0 | |
| McLaren Medicare Inspire | $0 | $6,300 | $615 | H6322-001-0 | |
| McLaren Medicare Inspire Plus | $9 | $5,900 | $500 | H6322-002-0 | |
| McLaren Medicare Inspire Select | $0 | $6,750 | $615 | H6322-008-0 | |
| Zing Elite Select MI | $0 | $4,500 | $0 | H4624-022-0 | |
| Zing Select Care MI | $0 | $4,250 | $0 | H4624-006-0 |
What is the top HMO by enrollment in Macomb?
HAP Medicare Connect (HMO) is the most popular HMO plan in Macomb, with 3,263 enrollees.
What is the number of HMO plans without Part D coverage in Macomb?
2 HMO plans in Macomb do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, but they also permit some use of out-of-network doctors and hospitals. Those services are generally more expensive, but the added access can be valuable for people who don’t want to be fully limited to a single network.
- Total HMO-POS Plans
- 17
- Average Premium
- $41.98/mo
- Beneficiaries Enrolled
- 13,682
- $0 Premium HMO-POS
- 8
- Average MOOP
- $5,359
- Most Popular HMO-POS
- BCN Advantage Prime Value (HMO-POS) with 4,521 enrollees
- HMO-POS Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| BCN Advantage Classic | $145 | $4,400 | $0 | H5883-002-7 | |
| BCN Advantage Elements | $0 | $4,500 | N/A | H5883-001-5 | |
| BCN Advantage Prestige | $267 | $4,000 | $0 | H5883-003-5 | |
| BCN Advantage Prime Value | $35 | $5,000 | $150 | H5883-014-5 | |
| Priority Health Medicare PriorityMedicare | $66 | $4,500 | $0 | H2320-028-5 | |
| PriorityMedicare Key | $0 | $5,800 | $200 | H2320-022-5 | |
| PriorityMedicare Smart Savings | $0 | $9,250 | $500 | H2320-032-5 | |
| PriorityMedicare Value | $43 | $5,100 | $100 | H2320-029-5 | |
| PriorityMedicare Vintage | $9 | $5,600 | $615 | H2320-031-0 | |
| HAP Senior Plus | $105 | $4,550 | $0 | H2354-021-0 | |
| Aetna Medicare Prime Care | $0 | $5,900 | $615 | H3192-021-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H3192-003-0 | |
| Humana Gold Plus H8908-001 | $35 | $3,950 | $200 | H8908-001-0 | |
| Humana Gold Plus H8908-004 | $0 | $4,250 | $250 | H8908-004-0 | |
| Wellcare Assist | $9 | $5,000 | $580 | H5475-038-0 | |
| Wellcare Giveback | $0 | $7,550 | $615 | H5475-031-0 | |
| Wellcare Simple | $0 | $5,000 | $615 | H5475-026-0 |
What is the typical premium for HMO-POS plans in Macomb?
On average, HMO-POS plans in Macomb cost $41.98 per month.
Which HMO-POS plan has the most members in Macomb?
The leading HMO-POS in Macomb is BCN Advantage Prime Value (HMO-POS), with 4,521 members.
How many HMO-POS options are offered without prescription drug coverage in Macomb?
There are 1 HMO-POS plans in Macomb without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Macomb County, MI for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 44 | 67% |
| 3 Stars | 20 | 30% |
| Below 3 Stars | 2 | 3% |
| Not Rated | 0 | 0% |
| Average Rating | 3.9 | |
Medicare Advantage comes with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Certain qualifying events, such as a change in residence or loss of existing coverage, may allow you to enroll in or change Medicare Advantage plans outside of the usual enrollment windows. Learn more
Enrollment Options Explained
- Talk with a Licensed Agent: Licensed agents at HealthCompare can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Monday–Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: You may enroll through a plan provider’s website or speak with their customer support staff to complete your application.
- Use Medicare.gov: Visit Medicare.gov to shop for plans, review benefits, and submit your enrollment electronically.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Armada, Center Line, Eastpointe, Fraser, Clinton Township, Macomb, Mount Clemens, Harrison Township, New Baltimore, New Haven, Richmond, Romeo, Roseville, Saint Clair Shores, Warren, Washington, Ray, Sterling Heights, Utica, and all other areas of Macomb County, Michigan.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed December 15, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected 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 Bynon, Medicare Analyst, in accordance with Medicare.org’s editorial standards for accurate, non-commercial Medicare plan resolution.