Skip to main content

Independent; not a government site. Official answers: Medicare.gov, 1-800-MEDICARE.

Medicare Advantage plans in Pontotoc, OK, 2027

Pontotoc, Oklahoma has 12 Medicare Advantage plans open to everyone for 2027 (26 in 2026) and 13 special needs plans, according to the CMS landscape files; 9 of the open plans have a $0 premium. 15 plans that served the county in 2026 end or leave it, with 421 members living here in September 2026.

What changes in Pontotoc for 2027?

Individual Medicare Advantage plans sold in the county; the $0, giveback and limit lines count plans open to everyone.
In the county20262027Change
Plans open to everyone2612down 14
Special needs plans1413down 1
Plans with a $0 premium199down 10
Plans that lower the Part B premium136down 7
Median out-of-pocket limit$5,900$5,300down $600

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.

Which plans can anyone in Pontotoc join?

12 plans, lowest premium first
PlanPremiumOut-of-pocket limitPart B reduction2026 stars
Generations Classic RewardsH3706-001 · HMO$0$3,900$294 of 5
Generations ValorH3706-009 · HMO$0$3,900$504 of 5
Generations Classic PlusH3706-023 · HMO$0$3,900none4 of 5
Humana USAA Honor GivebackH5216-278 · PPO$0$4,700$1503.5 of 5
Humana USAA Honor GivebackH7617-012 · PPO$0$4,700$1504.5 of 5
HumanaChoiceH5216-337 · PPO$0$5,700none3.5 of 5
Aetna Medicare SignatureH3288-020 · PPO$0$7,150none3.5 of 5
HumanaChoice GivebackH5216-264 · PPO$0$7,925$913.5 of 5
Humana Essentials Plus GivebackH7617-056 · PPO$0$7,925$934.5 of 5
HumanaChoiceH5216-081 · PPO$26$6,850none3.5 of 5
HumanaChoiceH5216-316 · PPO$50$4,900none3.5 of 5
HumanaChoiceH5216-083 · PPO$59$6,900none3.5 of 5

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.

Which plans leave Pontotoc in 2027?

Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.

2026 planMembers here, Sept. 2026For 2027
AARP Medicare Advantage from UHC OK-0001H5253-171123Leaves the county
AARP Medicare Advantage from UHC OK-0005H8768-00868Leaves the county
AARP Medicare Advantage Essentials from UHC OK-3H5253-17364Leaves the county
AARP Medicare Advantage from UHC OK-0007H8768-01664Leaves the county
AARP Medicare Advantage Patriot No Rx OK-MA01H8768-02834Leaves the county
Blue Cross Medicare Advantage BasicH3979-00131Leaves the county
AARP Medicare Advantage Patriot No Rx OK-MA2H5253-20525Leaves the county
AARP Medicare Advantage Extras from UHC OK-8H5253-20412Leaves the county
Blue Cross Medicare Advantage Dual Care PlusH8554-003fewer than 11Not offered
Blue Cross Medicare Advantage ClassicH8634-027fewer than 11Not offered
Blue Cross Medicare Advantage ProtectH8634-028fewer than 11Not offered
Blue Cross Medicare Advantage Dental PremierH8634-029fewer than 11Not offered
Blue Cross Medicare Advantage Health ChoiceH8634-030fewer than 11Not offered
Blue Cross Medicare Advantage BalanceH8634-031fewer than 11Not offered
Blue Cross Medicare Advantage OptimumH8634-032fewer than 11Not offered

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Which special needs plans are sold here?

Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.

PlanWho can joinPremium
Generations Chronic CareH3706-024Chronic or Disabling Condition$0
Generations Chronic Care SavingsH3706-025Chronic or Disabling Condition$0
UHC Dual Advantage OK-V1H5322-033Dual-Eligible$0
HumanaChoice: Diabetes and HeartH5216-372Chronic or Disabling Condition$0
HumanaChoice: Diabetes and HeartH7617-078Chronic or Disabling Condition$0
Aetna Medicare Dual CareH3288-053Dual-Eligible$0
Generations Dual SupportH3706-028Dual-Eligible$0
HumanaChoice SNP-DEH5216-228Dual-Eligible$0
HumanaChoice SNP-DEH5216-331Dual-Eligible$0
UHC Dual Complete OK-S002H5322-052Dual-Eligible$0
HumanaChoice SNP-DEH7617-076Dual-Eligible$0
UHC Dual Complete OK-S001H2001-056Dual-Eligible$10.30
Generations Dual PremierH3706-029Dual-Eligible$11

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

How many people in Pontotoc use Medicare Advantage?

2,705 of the county's 8,619 people with Medicare were in a Medicare Advantage plan in September 2026, 31.4%; in Oklahoma as a whole the share is 42.5%.

Source: CMS Medicare Advantage state and county penetration, September 2026.

What else should you check?