Medicare Advantage · Ohio · 2026 plan year

Medicare Advantage in Defiance, OH

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Defiance, OH for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

70
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$19.79
Avg premium/mo
RSS updates for this county

The short answer

Defiance has 70 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 42 reach 4★ or higher, and 22 carry a $0 monthly premium.

70
plans to compare
4.5★
highest CMS rating here
22
$0-premium plans
42
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Defiance, OH

Defiance, OH (FIPS 39039): 70 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Plan-type mix: 29 HMO, 22 Local PPO, 19 HMO POS. Monthly plan premiums (Part C + D) range $0 – $138.00 (avg $19.79), with 22 $0-premium plans. 64 of 70 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Defiance sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.86★ Top 35% higher than 65% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Defiance, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Summacare Inc. (SNP)SummaCare Medicare Advantage PlansHMO-4.5★
2Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO-4.5★
3Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
4Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
5Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$04.5★
6Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$04.5★
7Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
8Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
9Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$31.404.5★
10Caresource Ohio, Inc. (SNP)CareSource MyCare Ohio (HMO D-SNP)HMO$31.404.5★
11Summacare Inc. (SNP)SummaCare Medicare Advantage PlansHMO POS$83.004.5★
12Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO-4.0★
13Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO-4.0★
14Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO POS$04.0★
15Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$04.0★
16Mount Carmel Health Insurance Company (SNP)MediGoldLocal PPO$04.0★
17Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO$04.0★
18Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO$04.0★
19Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
20Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
21Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
22Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO POS$04.0★
23Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
24Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
25Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
26Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
27Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$10.004.0★
28Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.204.0★
29Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.904.0★
30Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$28.604.0★
31TSG Guard, Inc. (SNP)Valor Health PlanHMO$31.404.0★
32Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
33Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
34Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
35Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
36Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
37Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO POS$31.404.0★
38Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$31.404.0★
39Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$31.404.0★
40Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$49.004.0★
41Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$49.004.0★
42Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$51.004.0★
43Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
44Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
45Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
46Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
47Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
48Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$03.5★
49Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$4.603.5★
50Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$16.003.5★
51Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$17.403.5★
52Humana Insurance Company (SNP)HumanaLocal PPO$21.003.5★
53Humana Insurance Company (SNP)HumanaLocal PPO$23.403.5★
54Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$31.403.5★
55Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$31.403.5★
56Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$35.003.5★
57Humana Insurance Company (SNP)HumanaLocal PPO$138.003.5★
58Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$03.0★
59Molina Healthcare OF Ohio, Inc. (SNP)Molina Healthcare of OhioHMO$03.0★
60Molina Healthcare OF Ohio, Inc. (SNP)Molina Healthcare of OhioHMO$19.603.0★
61Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$27.403.0★
62Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$30.103.0★
63Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$31.403.0★
64Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$31.403.0★
65Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$0.20N/R
66Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$2.30N/R
67Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$7.10N/R
68Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$25.70N/R
69Unitedhealthcare Community Plan OF Ohio, Inc. (SNP)UnitedHealthcare Community PlanHMO POS$31.40N/R
70Buckeye Community Health Plan, Inc. (SNP)WellcareHMO$31.40N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (42 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Defiance, OH?

There are 70 Medicare Advantage plans available in Defiance, OH for the 2026 plan year, including 29 HMO, 22 Local PPO, 19 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Defiance?

The highest-rated plan in Defiance has a CMS star rating of 4.5 out of 5 - SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Defiance?

Monthly plan premiums (Part C + D combined) in Defiance range from $0 to $138.00, averaging $19.79. 22 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Defiance?

Defiance has 29 HMO, 22 Local PPO, 19 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare