Medicare Advantage · Ohio · 2026 plan year

Medicare Advantage in Lawrence, OH

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

56
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$22.20
Avg premium/mo
RSS updates for this county

The short answer

Lawrence has 56 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 24 reach 4★ or higher, and 18 carry a $0 monthly premium.

56
plans to compare
4.5★
highest CMS rating here
18
$0-premium plans
24
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 Lawrence, OH

Lawrence, OH (FIPS 39087): 56 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: 25 Local PPO, 16 HMO POS, 15 HMO. Monthly plan premiums (Part C + D) range $0 – $138.00 (avg $22.20), with 18 $0-premium plans. 50 of 56 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 Lawrence sits on CMS quality

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

3.75★ Top 56% higher than 44% 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 Lawrence, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
2Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
3Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
4Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
5Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
6Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
7Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$31.404.5★
8Caresource Ohio, Inc. (SNP)CareSource MyCare Ohio (HMO D-SNP)HMO$31.404.5★
9Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO-4.0★
10Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO POS$04.0★
11Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$04.0★
12Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO POS$04.0★
13Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
14Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
15Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
16Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
17Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.204.0★
18Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.904.0★
19Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$28.704.0★
20Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO POS$31.404.0★
21Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$31.404.0★
22Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$31.404.0★
23Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$49.004.0★
24Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$51.004.0★
25THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO-3.5★
26Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
27Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
28Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
29THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO$03.5★
30Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
31Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
32Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
33THP Insurance Company (SNP)The Health PlanLocal PPO$03.5★
34THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO$17.703.5★
35Humana Insurance Company (SNP)HumanaLocal PPO$21.003.5★
36Humana Insurance Company (SNP)HumanaLocal PPO$23.403.5★
37Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$27.003.5★
38Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$31.403.5★
39Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$31.403.5★
40Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$45.003.5★
41Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$85.003.5★
42THP Insurance Company (SNP)The Health PlanLocal PPO$109.003.5★
43Humana Insurance Company (SNP)HumanaLocal PPO$138.003.5★
44Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$03.0★
45Molina Healthcare OF Ohio, Inc. (SNP)Molina Healthcare of OhioHMO$03.0★
46Molina Healthcare OF Ohio, Inc. (SNP)Molina Healthcare of OhioHMO$19.603.0★
47Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$27.403.0★
48Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$30.103.0★
49Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$31.403.0★
50Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$31.403.0★
51Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$0.20N/R
52Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$2.30N/R
53Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$7.10N/R
54Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$25.70N/R
55Unitedhealthcare Community Plan OF Ohio, Inc. (SNP)UnitedHealthcare Community PlanHMO POS$31.40N/R
56Buckeye 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 (24 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 Lawrence, OH?

There are 56 Medicare Advantage plans available in Lawrence, OH for the 2026 plan year, including 25 Local PPO, 16 HMO POS, 15 HMO. 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 Lawrence?

The highest-rated plan in Lawrence 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 Lawrence?

Monthly plan premiums (Part C + D combined) in Lawrence range from $0 to $138.00, averaging $22.20. 18 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 Lawrence?

Lawrence has 25 Local PPO, 16 HMO POS, 15 HMO. 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