Medicare Advantage · Ohio · 2026 plan year

Medicare Advantage in Pike, OH

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

63
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$23.80
Avg premium/mo
RSS updates for this county

The short answer

Pike has 63 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 33 reach 4★ or higher, and 20 carry a $0 monthly premium.

63
plans to compare
4.5★
highest CMS rating here
20
$0-premium plans
33
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 Pike, OH

Pike, OH (FIPS 39131): 63 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: 27 HMO, 19 Local PPO, 17 HMO POS. Monthly plan premiums (Part C + D) range $0 – $138.00 (avg $23.80), with 20 $0-premium plans. 57 of 63 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 Pike sits on CMS quality

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

3.82★ Top 43% higher than 57% 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 Pike, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO-4.5★
2Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
3Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$04.5★
4Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$04.5★
5Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
6Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$31.404.5★
7Caresource Ohio, Inc. (SNP)CareSource MyCare Ohio (HMO D-SNP)HMO$31.404.5★
8Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$34.004.5★
9Mount Carmel Health Plan, Inc. (SNP)MediGoldHMO$102.004.5★
10Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO-4.0★
11Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO-4.0★
12Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$04.0★
13Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO$04.0★
14Devoted Health Plan OF Ohio Inc (SNP)Devoted HealthLocal PPO$04.0★
15Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
16Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
17Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$04.0★
18Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
19Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
20Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
21Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
22Mount Carmel Health Insurance Company (SNP)MediGoldLocal PPO$14.004.0★
23Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.204.0★
24Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$17.904.0★
25Aetna Health OF Ohio Inc. (SNP)Aetna MedicareHMO$28.704.0★
26TSG Guard, Inc. (SNP)Valor Health PlanHMO$31.404.0★
27Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
28Devoted Health Plan OF Ohio, Inc. (SNP)Devoted HealthHMO$31.404.0★
29Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO POS$31.404.0★
30Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$31.404.0★
31Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$31.404.0★
32Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$49.004.0★
33Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$76.004.0★
34THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO-3.5★
35Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
36Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
37Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
38THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO$03.5★
39Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
40THP Insurance Company (SNP)The Health PlanLocal PPO$03.5★
41THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO$17.703.5★
42Humana Insurance Company (SNP)HumanaLocal PPO$23.403.5★
43Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$31.403.5★
44Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$45.003.5★
45Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$85.003.5★
46THP Insurance Company (SNP)The Health PlanLocal PPO$109.003.5★
47Humana Insurance Company (SNP)HumanaLocal PPO$138.003.5★
48Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$03.0★
49Molina Healthcare OF Ohio, Inc. (SNP)Molina Healthcare of OhioHMO$03.0★
50Molina Healthcare OF Ohio, Inc. (SNP)Molina Healthcare of OhioHMO$19.603.0★
51Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$27.403.0★
52Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$30.103.0★
53Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$31.403.0★
54Buckeye Community Health Plan, Inc. (SNP)Wellcare By AllwellHMO POS$31.403.0★
55Perennial Advantage OF Ohio, Inc. (SNP)Perennial AdvantageHMO POS$0N/R
56Perennial Advantage OF Ohio, Inc. (SNP)Perennial AdvantageHMO POS$0N/R
57Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$0.20N/R
58Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$2.30N/R
59Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$7.10N/R
60Community Insurance Company (SNP)Anthem Blue Cross and Blue ShieldHMO$25.70N/R
61Unitedhealthcare Community Plan OF Ohio, Inc. (SNP)UnitedHealthcare Community PlanHMO POS$31.40N/R
62Buckeye Community Health Plan, Inc. (SNP)WellcareHMO$31.40N/R
63Perennial 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 (33 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 Pike, OH?

There are 63 Medicare Advantage plans available in Pike, OH for the 2026 plan year, including 27 HMO, 19 Local PPO, 17 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 Pike?

The highest-rated plan in Pike 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 Pike?

Monthly plan premiums (Part C + D combined) in Pike range from $0 to $138.00, averaging $23.80. 20 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 Pike?

Pike has 27 HMO, 19 Local PPO, 17 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