Medicare Advantage · Ohio · 2026 plan year

Medicare Advantage in Hamilton, OH

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

94
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$23.15
Avg premium/mo
RSS updates for this county

The short answer

Hamilton has 94 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 54 reach 4★ or higher, and 33 carry a $0 monthly premium.

94
plans to compare
4.5★
highest CMS rating here
33
$0-premium plans
54
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 Hamilton, OH

Hamilton, OH (FIPS 39061): 94 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Plan-type mix: 40 HMO, 35 Local PPO, 18 HMO POS, 1 PFFS. Monthly plan premiums (Part C + D) range $0 – $149.00 (avg $23.15), with 33 $0-premium plans. 88 of 94 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 Hamilton sits on CMS quality

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

3.87★ Top 34% higher than 66% 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 Hamilton, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO-4.5★
2Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
3Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
4Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$04.5★
5Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$04.5★
6Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
7Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
8Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
9Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
10Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$31.404.5★
11Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$31.404.5★
12Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$31.404.5★
13Caresource Ohio, Inc. (SNP)CareSource MyCare Ohio (HMO D-SNP)HMO$31.404.5★
14Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$34.004.5★
15Medical Mutual OF Ohio (SNP)Medical Mutual of OhioLocal PPO$44.004.5★
16Medical Mutual OF Ohio (SNP)Medical Mutual of OhioLocal PPO$73.004.5★
17Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$95.004.5★
18Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$102.004.5★
19Medical Mutual OF Ohio (SNP)Medical Mutual of OhioLocal PPO$149.004.5★
20Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO-4.0★
21Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO-4.0★
22Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO POS$04.0★
23Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$04.0★
24Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO$04.0★
25Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO$04.0★
26Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
27Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
28Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
29Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO POS$04.0★
30Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
31Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
32Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
33Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
34Medical Mutual OF Ohio (SNP)Medical Mutual of OhioHMO$04.0★
35Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$10.004.0★
36Mount Carmel Health Insurance Company (SNP)MediGoldLocal PPO$14.004.0★
37Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.204.0★
38Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.904.0★
39Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO$28.304.0★
40Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$28.404.0★
41Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$31.404.0★
42TSG Guard, Inc. (SNP)Valor Health PlanHMO$31.404.0★
43Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
44Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
45Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
46Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
47Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO POS$31.404.0★
48Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO$31.404.0★
49Medical Mutual OF Ohio (SNP)Medical Mutual of OhioHMO$45.004.0★
50Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$49.004.0★
51Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$51.004.0★
52Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO POS$56.004.0★
53Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$76.004.0★
54Medical Mutual OF Ohio (SNP)Medical Mutual of OhioHMO$94.004.0★
55Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
56Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
57Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
58Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
59Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
60Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
61Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
62Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$03.5★
63Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$4.603.5★
64Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$16.003.5★
65Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$17.403.5★
66Humana Insurance Company (SNP)HumanaLocal PPO$21.003.5★
67Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$27.003.5★
68Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$31.403.5★
69Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$31.403.5★
70Humana Insurance Company (SNP)HumanaPFFS$37.003.5★
71Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$45.003.5★
72Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$85.003.5★
73Cigna Healthcare OF Colorado, Inc. (SNP)Cigna HealthCareHMO$03.0★
74Cigna Healthcare OF Colorado, Inc. (SNP)Cigna HealthCareHMO$03.0★
75Cigna Healthcare OF Colorado, Inc. (SNP)Cigna HealthCareHMO$03.0★
76Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$03.0★
77Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$03.0★
78Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareLocal PPO$03.0★
79Cigna Healthcare OF Colorado, Inc. (SNP)Cigna HealthCareHMO$0.903.0★
80Molina Healthcare OF Ohio, Inc. (SNP)Molina Healthcare of OhioHMO$19.603.0★
81Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$27.403.0★
82Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$30.103.0★
83Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$31.403.0★
84Plan 001-Local PPO-N/R
85Plan 002-Local PPO-N/R
86OH CHS SNP Inc. (SNP)Communicare AdvantageHMO$0N/R
87Perennial Advantage OF Ohio, Inc. (SNP)Perennial AdvantageHMO POS$0N/R
88Perennial Advantage OF Ohio, Inc. (SNP)Perennial AdvantageHMO POS$0N/R
89Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$7.10N/R
90Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$25.70N/R
91Unitedhealthcare Community Plan OF Ohio, Inc. (SNP)UnitedHealthcare Community PlanHMO$31.40N/R
92OH CHS SNP Inc. (SNP)Communicare AdvantageHMO$31.40N/R
93Buckeye Community Health Plan, Inc. (SNP)WellcareHMO$31.40N/R
94Perennial Advantage OF Ohio, Inc. (SNP)Perennial AdvantageHMO$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 (54 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 Hamilton, OH?

There are 94 Medicare Advantage plans available in Hamilton, OH for the 2026 plan year, including 40 HMO, 35 Local PPO, 18 HMO POS, 1 PFFS. 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 Hamilton?

The highest-rated plan in Hamilton has a CMS star rating of 4.5 out of 5 - CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Hamilton?

Monthly plan premiums (Part C + D combined) in Hamilton range from $0 to $149.00, averaging $23.15. 33 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 Hamilton?

Hamilton has 40 HMO, 35 Local PPO, 18 HMO POS, 1 PFFS. 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