Pendleton County, Kentucky — 2026 Medicare Advantage plans
60 individual Medicare Advantage plan segments from 8 parent organizations are filed for Pendleton County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS) UnitedHealth Group, Inc. · H5253-125-001 · SoB ✓ | HMO-POS | $0 | $5,400 | $520 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Meals |
| AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS) UnitedHealth Group, Inc. · H5253-134-000 · SoB ✓ | HMO-POS | $0 | $6,700 | $520 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS) UnitedHealth Group, Inc. · H5253-127-000 · SoB ✓ | HMO-POS | $0 | $6,700 | $600 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Meals |
| Aetna Medicare Signature (PPO) CVS Health Corporation · H5521-085-000 · SoB ✓ | PPO | $0 | $6,750 | $615 | 4.5out of 5 stars, Above average | $70 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Kidney Care (HMO-POS C-SNP) Elevance Health, Inc. · H9525-011-000 · SoB ✓ | HMO-POS C-SNP | $0 | $5,900 | $50 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Anthem Medicare Advantage (HMO-POS) Elevance Health, Inc. · H9525-013-004 · SoB ✓ | HMO-POS | $0 | $6,700 | $230 | 3.5out of 5 stars, Average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| DEVOTED CHOICE 003 KY (PPO) Devoted Health, Inc. · H5718-003-000 · SoB ✓ | PPO | $0 | $5,700 | $375 | Not rated | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED CHOICE GIVEBACK 002 KY (PPO) Devoted Health, Inc. · H5718-002-000 · SoB ✓ | PPO | $0 | $9,250 | $605 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| HealthSpring Preferred (HMO) Health Care Service Corporation · H0672-013-000 · SoB ✓ | HMO | $0 | $2,875 | $200 | 3.0out of 5 stars, Average | $110 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HealthSpring Preferred Savings (HMO) Health Care Service Corporation · H0672-017-000 · SoB ✓ | HMO | $0 | $5,825 | $0 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation Meals |
| HealthSpring True Choice (PPO) Health Care Service Corporation · H7849-088-000 · SoB ✓ | PPO | $0 | $9,250 | $200 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Humana Community (HMO) Humana Inc. · H0292-001-000 · SoB ✓ | HMO | $0 | $4,350 | $150 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana Inc. · H6622-017-000 · SoB ✓ | HMO C-SNP | $0 | $9,150 | $340 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Gold Plus H0292-003 (HMO) Humana Inc. · H0292-003-000 · SoB ✓ | HMO | $0 | $4,450 | $250 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Gold Plus H6622-021 (HMO-POS) Humana Inc. · H6622-021-001 · SoB ✓ | HMO-POS | $0 | $6,100 | $250 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation Meals |
| Humana USAA Honor Giveback with Rx (PPO) Humana Inc. · H5216-396-000 · SoB ✓ | PPO | $0 | $9,150 | $350 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback with Rx (PPO) Humana Inc. · H7617-005-000 · SoB ✓ | PPO | $0 | $9,150 | $350 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice Giveback H5216-309 (PPO) Humana Inc. · H5216-309-000 · SoB ✓ | PPO | $0 | $9,150 | $0 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| HumanaChoice Giveback H7617-003 (PPO) Humana Inc. · H7617-003-000 · SoB ✓ | PPO | $0 | $9,150 | $0 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| HumanaChoice H5216-285 (PPO) Humana Inc. · H5216-285-000 · SoB ✓ | PPO | $0 | $5,500 | $250 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H5525-008 (PPO) Humana Inc. · H5525-008-000 · SoB ✓ | PPO | $0 | $6,550 | $220 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H7617-004 (PPO) Humana Inc. · H7617-004-000 · SoB ✓ | PPO | $0 | $5,500 | $250 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| UHC Complete Care OH-18 (HMO-POS C-SNP) UnitedHealth Group, Inc. · H5253-190-000 · SoB ✓ | HMO-POS C-SNP | $0 | $6,700 | $440 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Giveback (HMO-POS) Centene Corporation · H9730-007-000 · SoB ✓ | HMO-POS | $0 | $9,000 | $615 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Wellcare Simple (HMO-POS) Centene Corporation · H9730-009-000 · SoB ✓ | HMO-POS | $0 | $7,000 | $615 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Wellcare Simple Open (PPO) Centene Corporation · H3975-001-000 · SoB ✓ | PPO | $0 | $7,500 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP) Humana Inc. · H6622-018-000 · SoB ✓ | HMO D-SNP | $2.20 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete KY-S002 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H6595-004-000 · SoB ✓ | HMO-POS D-SNP | $13.10 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Gold Plus H0292-002 (HMO) Humana Inc. · H0292-002-000 · SoB ✓ | HMO | $14 | $4,300 | $250 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Medicare Advantage (PPO) Elevance Health, Inc. · H4036-036-000 · SoB ✓ | PPO | $15 | $8,000 | $250 | 4.0out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Humana Gold Plus H6622-055 (HMO) Humana Inc. · H6622-055-000 · SoB ✓ | HMO | $16 | $6,550 | $200 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| UHC Dual Complete KY-S4 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H6595-005-000 · SoB ✓ | HMO-POS D-SNP | $23.40 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Passport Advantage (HMO D-SNP) Molina Healthcare, Inc. · H1799-003-002 · SoB ✓ | HMO D-SNP | $29.40 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Assist (HMO-POS) Centene Corporation · H9730-010-000 · SoB ✓ | HMO-POS | $31.60 | $5,000 | $550 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Reserve (HMO-POS D-SNP) Centene Corporation · H9730-011-000 · SoB ✓ | HMO-POS D-SNP | $31.70 | $5,000 | $570 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Wellcare Dual Access Sync Open (PPO D-SNP) Centene Corporation · H3975-004-000 · SoB ✓ | PPO D-SNP | $32.40 | $9,250 | $400 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare HIDE (HMO D-SNP) CVS Health Corporation · H0628-012-000 · SoB ✓ | HMO D-SNP | $33.80 | $9,250 | $615 | 4.0out of 5 stars, Above average | $170 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Liberty Sync (HMO-POS D-SNP) Centene Corporation · H9730-004-000 · SoB ✓ | HMO-POS D-SNP | $36.40 | $9,250 | $430 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Partial Dual (HMO D-SNP) CVS Health Corporation · H0628-040-000 · SoB ✓ | HMO D-SNP | $38.40 | $9,250 | $615 | 4.0out of 5 stars, Above average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Value Plus (PPO) CVS Health Corporation · H5521-490-000 · SoB ✓ | PPO | $38.40 | $5,500 | $615 | 4.5out of 5 stars, Above average | $95 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) Devoted Health, Inc. · H5718-004-000 · SoB ✓ | PPO C-SNP | $38.40 | $9,250 | $615 | Not rated | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED C-SNP CHOICE PREMIUM 005 KY (PPO C-SNP) Devoted Health, Inc. · H5718-005-000 · SoB ✓ | PPO C-SNP | $38.40 | $5,800 | $615 | Not rated | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Humana Gold Plus SNP-DE H1036-320 (HMO D-SNP) Humana Inc. · H1036-320-000 · SoB ✓ | HMO D-SNP | $38.40 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Together in Health (PPO I-SNP) Humana Inc. · H5216-446-000 · SoB ✓ | PPO I-SNP | $38.40 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UHC Dual Complete KY-S001 (PPO D-SNP) UnitedHealth Group, Inc. · H1889-008-000 · SoB ✓ | PPO D-SNP | $38.40 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete KY-S3 (PPO D-SNP) UnitedHealth Group, Inc. · H1889-030-000 · SoB ✓ | PPO D-SNP | $38.40 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete KY-V001 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H6595-003-000 · SoB ✓ | HMO-POS D-SNP | $38.40 | $6,700 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Access Sync (HMO-POS D-SNP) Centene Corporation · H9730-003-000 · SoB ✓ | HMO-POS D-SNP | $38.40 | $9,250 | $510 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Anthem Medicare Advantage 3 (PPO) Elevance Health, Inc. · H4036-034-000 · SoB ✓ | PPO | $44 | $5,900 | $300 | 4.0out of 5 stars, Above average | $60 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage from UHC KY-0003 (PPO) UnitedHealth Group, Inc. · H8768-013-000 · SoB ✓ | PPO | $46 | $6,700 | $600 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage from UHC OH-0003 (HMO-POS) UnitedHealth Group, Inc. · H5253-109-002 · SoB ✓ | HMO-POS | $49 | $4,200 | $440 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage from UHC OH-0001 (HMO-POS) UnitedHealth Group, Inc. · H5253-051-000 · SoB ✓ | HMO-POS | $76 | $3,900 | $270 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Together in Health Select (PPO I-SNP) Humana Inc. · H5216-453-000 · SoB ✓ | PPO I-SNP | $138 | $4,900 | $300 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage Patriot No Rx KY-MA01 (PPO) UnitedHealth Group, Inc. · H8768-020-000 · SoB ✓ | PPO | — | $6,700 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Eagle Giveback (PPO) CVS Health Corporation · H5521-488-000 · SoB ✓ | PPO | — | $6,900 | — | 4.5out of 5 stars, Above average | $100 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Veteran (PPO) Elevance Health, Inc. · H4909-023-000 · SoB ✓ | PPO | — | $9,250 | — | 3.5out of 5 stars, Average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-225-000 · SoB ✓ | PPO | — | $6,500 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-105-000 · SoB ✓ | PPO | — | $4,000 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-442-000 · SoB ✓ | PPO | — | $9,150 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Patriot Giveback Open (PPO) Centene Corporation · H3975-002-000 · SoB ✓ | PPO | — | $6,000 | — | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Pendleton County?
Download all 60 Pendleton County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.