Medicare Advantage Plans in Clinton County, OH:
Your Complete 2026 Guide
For 2026, residents of Clinton County, OH can choose from 49 Medicare Advantage plan options. Of these, 32 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 3,518, with 52% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in Clinton County, OH.
Last update: . Enrollment data last updated: May 2, 2026
* 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
- 27
- Average Premium
- $20.39/mo
- Beneficiaries Enrolled
- 1,101
- $0 Premium PPOs
- 17
- Average MOOP
- $6,967
- Most Popular PPO
- HumanaChoice Giveback H7617-003 (PPO) with 184 enrollees
- PPOs Without Drug Coverage
- 8
What is the average monthly premium for PPO plans in Clinton?
On average, PPO plans in Clinton cost $20.39 per month.
Which PPO plan has the highest enrollment in Clinton?
The most popular PPO in Clinton is HumanaChoice Giveback H7617-003 (PPO), covering 184 beneficiaries.
How many PPO plans in Clinton do not include prescription drug coverage?
8 PPO plans available in Clinton 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 11
- Average Premium $13.82/mo
- Beneficiaries Enrolled 700
- $0 Premium HMOs 8
- Average MOOP $5,509
- Most Popular HMO Mount Carmel MediGold No Premium (HMO) with 440 enrollees
- HMOs Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Mount Carmel MediGold Cash Back | $0 | $7,900 | $250 | H3668 030 0 | |
| Mount Carmel MediGold Glory No RX | $0 | $4,900 | N/A | H3668 013 0 | |
| Mount Carmel MediGold No Premium | $0 | $4,900 | $150 | H3668 019 1 | |
| Mount Carmel MediGold Plus | $34 | $4,400 | $100 | H3668 022 0 | |
| Mount Carmel MediGold Premier | $102 | $3,900 | $0 | H3668 018 1 | |
| DEVOTED CORE 004 OH | $0 | $4,900 | $375 | H2697 004 0 | |
| DEVOTED CORE 015 OH | $0 | $4,900 | $175 | H2697 015 0 | |
| DEVOTED GIVEBACK 006 OH | $0 | $6,750 | $605 | H2697 006 0 | |
| Humana Gold Plus H6622-055 | $16 | $6,550 | $200 | H6622 055 0 | |
| The Health Plan SecureCare - Option II | $0 | $5,000 | $395 | H3672 013 0 | |
| The Health Plan SecureCare Integrity Plan 3 | $0 | $6,500 | N/A | H3672 014 0 |
What is the top HMO by enrollment in Clinton?
Mount Carmel MediGold No Premium (HMO) is the most popular HMO plan in Clinton, with 440 enrollees.
What is the number of HMO plans without Part D coverage in Clinton?
2 HMO plans in Clinton 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
- 11
- Average Premium
- $16.95/mo
- Beneficiaries Enrolled
- 1,717
- $0 Premium HMO-POS
- 7
- Average MOOP
- $5,968
- Most Popular HMO-POS
- Anthem Medicare Advantage (HMO-POS) with 954 enrollees
- HMO-POS Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC OH-7 | $0 | $5,400 | $520 | H5253 125 1 | |
| AARP Medicare Advantage Extras from UHC OH-13 | $0 | $6,700 | $520 | H5253 134 0 | |
| AARP Medicare Advantage from UHC OH-0001 | $76 | $3,900 | $270 | H5253 051 0 | |
| AARP Medicare Advantage from UHC OH-0003 | $49 | $4,200 | $440 | H5253 109 2 | |
| AARP Medicare Advantage Giveback from UHC OH-17 | $0 | $8,500 | $600 | H5253 135 0 | |
| Anthem Extra Help | $31 | $7,350 | $390 | H3655 041 0 | |
| Anthem Medicare Advantage | $0 | $9,250 | $275 | H3655 045 1 | |
| Humana Gold Plus H6622-021 | $0 | $5,250 | $250 | H6622 021 2 | |
| Wellcare Assist | $30 | $4,700 | $615 | H0908 004 0 | |
| Wellcare Simple | $0 | $6,500 | $615 | H0908 003 0 | |
| Perennial Advantage Freedom | $0 | $3,900 | $90 | H8797 003 0 |
What is the typical premium for HMO-POS plans in Clinton?
On average, HMO-POS plans in Clinton cost $16.95 per month.
Which HMO-POS plan has the most members in Clinton?
The leading HMO-POS in Clinton is Anthem Medicare Advantage (HMO-POS), with 954 members.
How many HMO-POS options are offered without prescription drug coverage in Clinton?
There are 0 HMO-POS plans in Clinton without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Clinton County, OH for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 25 | 52% |
| 3 Stars | 23 | 48% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.83 | |
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 Blanchester, Clarksville, Martinsville, Midland, New Vienna, Sabina, Wilmington, and all other areas of Clinton County, Ohio.
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 May 2, 2026
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.
To explore how 2026 Medicare Advantage plans available in Clinton County compare with plans offered elsewhere, you can search the Medicare Advantage plan directory to review options nationwide using the same authoritative data sources.
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 W. Bynon, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.