Medicare in

Shelby

County,

Ohio

Provider Density:

Low

Rural

Last updated:

May 21, 2026

Calm river, running through coverage of medicare, with small sandy islands in the foreground and forested mountains under a partly cloudy sky in the background.

Beneficiaries

7217

# of Cities

# of Plans

170

Key Points

Approximately 7,217 seniors in Shelby County OH are enrolled in Medicare.
You have 170 different Medicare Advantage and prescription drug plan options to compare.
Mercy Health St. Mary's of Sidney is the primary hospital serving Shelby County with emergency and specialty services.
OSHIIP counselors at the Auglaize County office provide free Medicare guidance to Shelby County residents.
Low-income seniors should explore Medicare Savings Programs, Extra Help for Part D, and Medicaid home and community waivers to reduce healthcare costs.
Shelby County senior services include Meals on Wheels, congregate meal sites, senior transportation for homebound and community-based seniors.
Rural access and transportation are important factors in Shelby County—pick a plan with your local doctors included.

Demographic Information

Shelby County Ohio sits in the western part of the state with a total population of approximately 47,765 residents according to recent Census estimates. This community maintains a distinctly rural character defined by rolling farmland and small towns centered around Sidney the county seat which holds about 20873 people. The demographic profile shows a significant aging population where residents aged 65 and older number roughly 7217 individuals representing about 15.1 percent of the total populace. This proportion exceeds both the Ohio state average and national figures highlighting Shelby County's status as a region with substantial Medicare beneficiary needs. The rural nature of the county presents unique challenges and opportunities for those navigating Medicare. Many older residents live outside Sidney requiring careful consideration of transportation and local healthcare access when selecting coverage. Income levels in Shelby County reflect its agricultural and manufacturing base with a median household income around 65000 dollars annually which influences plan choices as beneficiaries weigh premium costs against out of pocket expenses. Medicare Advantage penetration has steadily increased here reaching approximately 38 percent of Shelby County Medicare enrollees choosing these plans over Original Medicare a figure slightly below the Ohio state average but showing consistent growth year over year. This trend likely connects to the appeal of bundled benefits like dental and vision coverage which are valuable in a region where standalone Medigap policies can be harder to qualify for or afford. What truly distinguishes Shelby County for Medicare beneficiaries is the blend of tight knit community support systems alongside the geographic barriers inherent in rural living. Local knowledge matters significantly here as understanding which plans include the specific providers available locally directly impacts care continuity. The county's reliance on a single major hospital system shapes network considerations profoundly influencing which Advantage plans offer the most practical coverage for routine and specialized care needs.

Healthcare Information

Shelby County's healthcare landscape revolves primarily around Mercy Health St. Mary's of Sidney located at 2220 North State Street in Sidney. This 148 bed acute care hospital serves as the cornerstone for medical services throughout the county and is part of the larger Bon Secours Mercy Health system following the 2022 merger. St. Mary's offers essential services including a 24 hour emergency department certified as a Level III Trauma Center cardiac rehabilitation pulmonary rehabilitation and inpatient medical surgical care. Its cardiopulmonary services are particularly vital for the aging population. While St. Mary's handles most routine and urgent care needs Shelby County residents often travel to nearby cities for highly specialized treatments. For instance complex cardiac surgery or advanced cancer care typically requires trips to Mercy Health St. Vincent Medical Center in Toledo or Miami Valley Hospital in Dayton both over an hour's drive away. This reality makes network participation in Medicare Advantage plans critically important. Most major Advantage insurers like Humana Aetna and UnitedHealthcare include St. Mary's within their local network however beneficiaries must scrutinize plan details carefully. Some narrower network plans might restrict access to certain specialists even if they practice at St. Mary's or require prior authorizations that delay care. The Shelby County Health Department operates public health clinics in Anna Russia and Sidney providing basic primary care immunizations and wellness programs especially important for low income seniors. Local family practice groups such as Sidney Family Medicine and Premier Health Physicians Shelby County maintain strong presences across the county. For practical plan selection Shelby County beneficiaries should prioritize Advantage plans with St. Mary's fully included and clear referral pathways to regional specialists in Dayton or Lima. Understanding the specific prior authorization requirements within a chosen plan prevents frustrating delays especially for outpatient therapies like physical rehabilitation which many seniors require after joint replacements or strokes. The limited local specialty options mean a plan's coverage for travel expenses or telehealth services can significantly impact a beneficiary's ability to get necessary expert consultations without excessive burden.

Elderly man in hospice care, paid for by medicare coverage, and young boy sitting outdoors on grass with clear blue sky, sharing a peaceful moment.

Medicare Resources

Shelby County Medicare beneficiaries have access to several key support resources though navigating them requires local awareness. The Area Agency on Aging District 3 serves Shelby County from its main office in Lima providing comprehensive case management benefits counseling and care coordination. Trained staff assist seniors in understanding Medicare options applying for financial assistance programs and arranging necessary support services. Ohio's State Health Insurance Assistance Program known as OSHIIP offers free personalized Medicare counseling. Shelby County residents can access OSHIIP counselors through the Auglaize County office located at 201 W. Auglaize Street in Wapakoneta reachable at 419-739-7598. These certified counselors explain plan differences help with enrollment issues and assist with grievances or appeals at no cost. For financial assistance the Ohio Medicaid Home and Community Based Services waivers administered through the Ohio Department of Medicaid provide crucial support. Programs like the Assisted Living Waiver and the Ohio Home Care Waiver help low income seniors remain in their homes covering services such as personal care homemaker assistance and adult day care. Eligibility hinges on income and asset limits aligned with federal guidelines. The Medicare Savings Programs specifically help pay Medicare premiums and sometimes cost sharing. Qualified Medicare Beneficiary QMB program covers Part A and B premiums deductibles and coinsurance for individuals with income at or below 100 percent of the Federal Poverty Level roughly 1530 dollars monthly for singles in 2026. The Specified Low Income Medicare Beneficiary SLMB program assists with Part B premiums for those with slightly higher incomes. Extra Help also called the Low Income Subsidy LIS reduces prescription drug costs under Part D. Shelby County Senior Services based in Sidney coordinates vital local programs including congregate meal sites at the Sidney Senior Center and satellite locations in Jackson Center and Botkins plus the Meals on Wheels home delivered meal program serving homebound seniors. Transportation remains a persistent challenge. The Area Agency on Aging District 3 operates some senior transportation services often requiring advance booking while local providers like Sidney Transit offer limited routes. The Shelby County Senior Center at 1000 W. Michigan Street in Sidney functions as a community hub providing social activities health screenings and information sessions specifically tailored to older residents. Awareness of these resources is essential as they directly impact a beneficiary's ability to manage healthcare costs maintain independence and access necessary services within the constraints of rural living.

Shelby

County

Medicare Advantage Plans

Loading Pennsylvania Medicare plans...

AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Giveback from UHC PA-12 (PPO) — UnitedHealthcare | $0.00 | MOOP $8,900.00

AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0001 (HMO-POS) — UnitedHealthcare | $49.00 | MOOP $5,400.00

AARP Medicare Advantage from UHC PA-0002 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0003 (HMO-POS) — UnitedHealthcare | $39.00 | MOOP $5,900.00

AARP Medicare Advantage from UHC PA-0007 (PPO) — UnitedHealthcare | $42.00 | MOOP $5,900.00

AARP Medicare Advantage from UHC PA-0008 (PPO) — UnitedHealthcare | $60.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC PA-0009 (PPO) — UnitedHealthcare | $79.00 | MOOP $6,300.00

AARP Medicare Advantage from UHC PA-0010 (PPO) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0011 (PPO) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0015 (PPO) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Rx Preferred from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

AARP Medicare Rx Saver from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

Aetna Community HealthChoices (HMO D-SNP) — Aetna | $14.40 | MOOP $9,250.00

Aetna Medicare Advantra Dual (HMO D-SNP) — Aetna | $13.80 | MOOP $9,250.00

Aetna Medicare Advantra Dual Care (HMO D-SNP) — Aetna | $31.80 | MOOP $9,250.00

Aetna Medicare Advantra Eagle Plus (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Advantra Enhanced (HMO-POS) — Aetna | $48.00 | MOOP $7,500.00

Aetna Medicare Advantra Premier (HMO-POS) — Aetna | $29.00 | MOOP $5,500.00

Aetna Medicare Advantra Premier (PPO) — Aetna | $98.00 | MOOP $5,900.00

Aetna Medicare Advantra Prime Plus (HMO-POS) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare Advantra Signature (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Advantra Signature (PPO) — Aetna | $0.00 | MOOP $9,250.00

Aetna Medicare Advantra Signature Giveback (PPO) — Aetna | $0.00 | MOOP $9,250.00

Aetna Medicare Advantra Signature Plus (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Chronic Care (HMO C-SNP) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Chronic Care Value (HMO C-SNP) — Aetna | $29.70 | MOOP $9,250.00

Aetna Medicare Enhanced (PPO) — Aetna | $66.00 | MOOP $7,500.00

Aetna Medicare Enhanced (PPO) — Aetna | $183.00 | MOOP $7,500.00

Aetna Medicare Longevity (HMO I-SNP) — Aetna | $32.70 | MOOP $9,250.00

Aetna Medicare PinnacleHealth Prime (HMO-POS) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare PinnacleHealth Prime (PPO) — Aetna | $0.00 | MOOP $7,500.00

Aetna Medicare Premier (HMO-POS) — Aetna | $104.00 | MOOP $6,900.00

Aetna Medicare Signature (PPO) — Aetna | $0.00 | MOOP $9,250.00

Aetna Medicare Signature (PPO) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Signature Extra (PPO) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Signature Giveback (PPO) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Value Care (HMO-POS) — Aetna | $32.70 | MOOP $7,500.00

Aetna Medicare Value Care (PPO) — Aetna | $29.00 | MOOP $6,900.00

Aetna Medicare Value Plus (PPO) — Aetna | $29.00 | MOOP $5,500.00

AmeriHealth Caritas VIP Care (HMO D-SNP) — AmeriHealth | $32.70 | MOOP $9,250.00

American Health Advantage of Pennsylvania (HMO I-SNP) — American Health Advantage of Utah | $32.70 | MOOP $9,250.00

Blue Rx PDP Complete (PDP) — Highmark | Not Applicable | MOOP Not Applicable

Blue Rx PDP Plus (PDP) — Highmark | Not Applicable | MOOP Not Applicable

Capital Blue Cross Basic (PPO) — Capital Blue Cross | $20.00 | MOOP $8,200.00

Capital Blue Cross Classic (PPO) — Capital Blue Cross | $72.00 | MOOP $6,700.00

Capital Blue Cross Complete (PPO) — Capital Blue Cross | $49.00 | MOOP $6,600.00

Capital Blue Cross Enhanced (PPO) — Capital Blue Cross | $22.00 | MOOP $6,800.00

Capital Blue Cross Essential (HMO) — Capital Blue Cross | $0.00 | MOOP $6,000.00

Capital Blue Cross Premier (HMO) — Capital Blue Cross | $86.00 | MOOP $5,000.00

Capital Blue Cross Prime (PPO) — Capital Blue Cross | $177.00 | MOOP $6,700.00

Capital Blue Cross Select (PPO) — Capital Blue Cross | $0.00 | MOOP $8,100.00

Capital Blue Cross Value (HMO) — Capital Blue Cross | $58.00 | MOOP $6,500.00

Capital Blue Cross Value (PPO) — Capital Blue Cross | $0.00 | MOOP $9,000.00

Clover Health Choice (PPO) — Clover Health | $0.00 | MOOP $7,499.00

Clover Health Valor (PPO) — Clover Health | Not Applicable | MOOP $9,250.00

Community Blue Medicare HMO Distinct (HMO) — Highmark | $50.00 | MOOP $6,250.00

Community Blue Medicare HMO Signature (HMO) — Highmark | $0.00 | MOOP $6,750.00

Community Blue Medicare PPO Signature (PPO) — Highmark | $0.00 | MOOP $7,950.00

Community Blue Medicare Plus PPO Signature (PPO) — Highmark | $0.00 | MOOP $7,950.00

Complete Blue HMO Distinct (HMO) — Highmark | $20.00 | MOOP $5,900.00

Complete Blue PPO Distinct (PPO) — Highmark | $98.00 | MOOP $6,750.00

Complete Blue PPO Merit (PPO) — Highmark | $0.00 | MOOP $8,300.00

Complete Blue PPO Signature (PPO) — Highmark | $0.00 | MOOP $6,750.00

Complete Blue Plus PPO Distinct (PPO) — Highmark | $99.00 | MOOP $6,750.00

Complete Blue Plus PPO Merit (PPO) — Highmark | $0.00 | MOOP $8,300.00

DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $9,250.00

DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $9,250.00

DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,800.00

DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED C-SNP PREMIUM 018 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED C-SNP PREMIUM 019 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED CHOICE 007 PA (PPO) — Devoted Health | $0.00 | MOOP $5,900.00

DEVOTED CHOICE 010 PA (PPO) — Devoted Health | $0.00 | MOOP $6,500.00

DEVOTED CHOICE GIVEBACK 003 PA (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CHOICE GIVEBACK 008 PA (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CHOICE GIVEBACK 011 PA (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CHOICE PREMIUM 002 PA (PPO) — Devoted Health | $32.70 | MOOP $7,550.00

DEVOTED CORE 008 PA (HMO) — Devoted Health | $0.00 | MOOP $6,700.00

DEVOTED CORE 010 PA (HMO) — Devoted Health | $0.00 | MOOP $5,900.00

DEVOTED CORE 012 PA (HMO) — Devoted Health | $0.00 | MOOP $6,700.00

DEVOTED CORE 014 PA (HMO) — Devoted Health | $0.00 | MOOP $5,900.00

DEVOTED CORE 023 PA (HMO) — Devoted Health | $0.00 | MOOP $7,500.00

DEVOTED DUAL FULL 025 PA (HMO D-SNP) — Devoted Health | $19.70 | MOOP $9,250.00

DEVOTED DUAL FULL 026 PA (HMO D-SNP) — Devoted Health | $19.50 | MOOP $9,250.00

DEVOTED DUAL PLUS 005 PA (HMO D-SNP) — Devoted Health | $22.50 | MOOP $9,250.00

DEVOTED DUAL PLUS 007 PA (HMO D-SNP) — Devoted Health | $16.90 | MOOP $9,250.00

DEVOTED GIVEBACK 009 PA (HMO) — Devoted Health | $0.00 | MOOP $7,000.00

DEVOTED GIVEBACK 011 PA (HMO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED GIVEBACK 013 PA (HMO) — Devoted Health | $0.00 | MOOP $7,000.00

DEVOTED GIVEBACK 015 PA (HMO) — Devoted Health | $0.00 | MOOP $9,250.00

Erickson Advantage Champion (HMO-POS C-SNP) — Erickson Advantage | $182.00 | MOOP $3,400.00

Erickson Advantage Freedom (HMO-POS) — Erickson Advantage | $89.00 | MOOP $4,900.00

Erickson Advantage Guardian (HMO-POS I-SNP) — Erickson Advantage | $0.00 | MOOP $1,000.00

Erickson Advantage Liberty (HMO-POS) — Erickson Advantage | $14.00 | MOOP $6,750.00

Erickson Advantage Liberty no Rx (HMO-POS) — Erickson Advantage | Not Applicable | MOOP $6,750.00

Erickson Advantage Signature (HMO-POS) — Erickson Advantage | $182.00 | MOOP $2,900.00

Freedom Blue PPO Basic (PPO) — Highmark | $41.00 | MOOP $5,900.00

Freedom Blue PPO Classic (PPO) — Highmark | $248.00 | MOOP $4,500.00

Freedom Blue PPO Deluxe (PPO) — Highmark | $226.00 | MOOP $4,500.00

Freedom Blue PPO Select (PPO) — Highmark | $139.00 | MOOP $5,000.00

Freedom Blue PPO Standard (PPO) — Highmark | $121.00 | MOOP $5,000.00

Freedom Blue PPO Valor (PPO) — Highmark | $0.00 | MOOP $6,000.00

Freedom Blue PPO ValueRx (PPO) — Highmark | $66.00 | MOOP $5,500.00

Geisinger Gold Classic 360 Rx (HMO) — Geisinger | $0.00 | MOOP $7,100.00

Geisinger Gold Classic Advantage Rx (HMO) — Geisinger | $120.00 | MOOP $3,450.00

Geisinger Gold Classic Complete Rx (HMO) — Geisinger | $48.00 | MOOP $5,700.00

Geisinger Gold Classic Essential Rx (HMO) — Geisinger | $0.00 | MOOP $6,750.00

Geisinger Gold Heritage (HMO) — Geisinger | Not Applicable | MOOP $6,700.00

Geisinger Gold Preferred Advantage Rx (PPO) — Geisinger | $96.00 | MOOP $4,000.00

Geisinger Gold Preferred Complete Rx (PPO) — Geisinger | $0.00 | MOOP $7,200.00

Geisinger Gold Secure Rx (HMO D-SNP) — Geisinger | $32.70 | MOOP $9,250.00

Geisinger Gold Value Rx (HMO) — Geisinger | $23.00 | MOOP $9,250.00

HealthSpring Achieve (HMO C-SNP) — HealthSpring | $0.00 | MOOP $5,900.00

HealthSpring Assurance Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Extra Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Preferred (HMO) — HealthSpring | $0.00 | MOOP $6,600.00

HealthSpring Preferred PA (HMO) — HealthSpring | $0.00 | MOOP $6,750.00

HealthSpring Preferred Plus (HMO) — HealthSpring | $21.00 | MOOP $4,000.00

HealthSpring Preferred Savings (HMO) — HealthSpring | $0.00 | MOOP $9,000.00

HealthSpring TotalCare Plus (HMO D-SNP) — HealthSpring | $0.00 | MOOP $9,250.00

HealthSpring True Choice (PPO) — HealthSpring | $0.00 | MOOP $6,000.00

Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) — Highmark | $16.00 | MOOP $9,250.00

Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) — Highmark | $17.60 | MOOP $8,000.00

Humana Basic Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana Gold Choice H8145-052 (PFFS) — Humana | $0.00 | MOOP $7,100.00

Humana Gold Choice H8145-055 (PFFS) — Humana | $0.00 | MOOP $6,700.00

Humana Gold Choice H8145-163 (PFFS) — Humana | $155.00 | MOOP $1,500.00

Humana Gold Plus H6622-035 (HMO) — Humana | $0.00 | MOOP $8,300.00

Humana Gold Plus H6622-036 (HMO) — Humana | $0.00 | MOOP $8,250.00

Humana Gold Plus H6622-037 (HMO) — Humana | $0.00 | MOOP $7,800.00

Humana Gold Plus H6622-054 (HMO) — Humana | $0.00 | MOOP $7,950.00

Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) — Humana | $2.60 | MOOP $9,250.00

Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) — Humana | $0.00 | MOOP $9,250.00

Humana Premier Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $6,700.00

Humana USAA Honor Giveback with Rx (PPO) — Humana | $0.00 | MOOP $7,350.00

Humana Value Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

HumanaChoice Giveback H5216-116 (PPO) — Humana | $0.00 | MOOP $4,150.00

HumanaChoice Giveback H5525-085 (PPO) — Humana | $0.00 | MOOP $8,000.00

HumanaChoice H5216-023 (PPO) — Humana | $21.00 | MOOP $6,550.00

HumanaChoice H5216-120 (PPO) — Humana | $94.00 | MOOP $7,600.00

HumanaChoice H5525-005 (PPO) — Humana | $26.00 | MOOP $8,300.00

HumanaChoice H5525-006 (PPO) — Humana | $27.00 | MOOP $6,700.00

HumanaChoice H5525-051 (PPO) — Humana | $0.00 | MOOP $7,500.00

HumanaChoice H5525-086 (PPO) — Humana | $29.00 | MOOP $6,050.00

HumanaChoice R0110-007 (Regional PPO) — Humana | Not Applicable | MOOP $4,500.00

HumanaChoice R0110-008 (Regional PPO) — Humana | $52.00 | MOOP $6,700.00

HumanaChoice SNP-DE H5216-227 (PPO D-SNP) — Humana | $0.00 | MOOP $9,250.00

HumanaChoice SNP-DE H7617-048 (PPO D-SNP) — Humana | $11.50 | MOOP $9,250.00

Jefferson Health Plans Complete (HMO) — Jefferson Health Plans | $0.00 | MOOP $6,500.00

Jefferson Health Plans Dual Pearl (HMO D-SNP) — Jefferson Health Plans | $32.70 | MOOP $9,250.00

Jefferson Health Plans Flex (PPO) — Jefferson Health Plans | $0.00 | MOOP $7,000.00

Jefferson Health Plans Flex Plus (PPO) — Jefferson Health Plans | $32.70 | MOOP $6,500.00

Jefferson Health Plans Flex Pro (PPO) — Jefferson Health Plans | $18.00 | MOOP $6,000.00

Jefferson Health Plans Giveback (HMO) — Jefferson Health Plans | $0.00 | MOOP $9,250.00

Jefferson Health Plans Prime (HMO) — Jefferson Health Plans | $32.70 | MOOP $6,000.00

Jefferson Health Plans Select (HMO D-SNP) — Jefferson Health Plans | $32.70 | MOOP $9,250.00

Jefferson Health Plans Special (HMO D-SNP) — Jefferson Health Plans | $32.70 | MOOP $9,250.00

Keystone 65 Basic Rx (HMO) — Independence Blue Cross | $0.00 | MOOP $8,500.00

Keystone 65 Essential Rx (HMO-POS) — Independence Blue Cross | $31.00 | MOOP $8,500.00

Keystone 65 Focus Rx (HMO-POS) — Independence Blue Cross | $0.00 | MOOP $6,750.00

Keystone 65 Liberty Medical Only (HMO) — Independence Blue Cross | Not Applicable | MOOP $6,750.00

Keystone 65 Preferred Medical Only (HMO) — Independence Blue Cross | Not Applicable | MOOP $4,200.00

Keystone 65 Preferred Rx (HMO) — Independence Blue Cross | $188.00 | MOOP $4,200.00

Keystone 65 Select Medical Only (HMO) — Independence Blue Cross | Not Applicable | MOOP $6,750.00

Keystone 65 Select Rx (HMO) — Independence Blue Cross | $47.00 | MOOP $6,750.00

Keystone First VIP Choice (HMO D-SNP) — Independence Blue Cross | $32.70 | MOOP $9,250.00

Peak Advantage Summit (PPO) — Peak Advantage | $20.00 | MOOP $5,500.00

Peak Advantage Vista (PPO) — Peak Advantage | $0.00 | MOOP $5,900.00

Perennial Advantage Freedom (HMO) — Perennial Advantage | $0.00 | MOOP $5,900.00

Perennial Advantage Premier (HMO I-SNP) — Perennial Advantage | $0.00 | MOOP $5,900.00

Perennial Advantage Strive (HMO I-SNP) — Perennial Advantage | $32.70 | MOOP $9,250.00

Personal Choice 65 Achieve Rx (PPO) — Independence Blue Cross | $0.00 | MOOP $6,750.00

Personal Choice 65 Medical Only (PPO) — Independence Blue Cross | Not Applicable | MOOP $5,950.00

Personal Choice 65 Plus Rx (PPO) — Independence Blue Cross | $214.00 | MOOP $4,201.00

Personal Choice 65 Rx (PPO) — Independence Blue Cross | $227.00 | MOOP $5,950.00

Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) — Provider Partners | $32.70 | MOOP $9,250.00

Provider Partners Pennsylvania Community Plan (HMO I-SNP) — Provider Partners | $0.00 | MOOP $2,600.00

Provider Partners Pennsylvania Essential Plan (HMO I-SNP) — Provider Partners | $32.70 | MOOP $9,250.00

Security Blue HMO-POS Basic (HMO-POS) — Highmark | Not Applicable | MOOP $5,900.00

Security Blue HMO-POS Deluxe (HMO-POS) — Highmark | $179.00 | MOOP $4,500.00

Security Blue HMO-POS Standard (HMO-POS) — Highmark | $122.00 | MOOP $5,000.00

Security Blue HMO-POS ValueRx (HMO-POS) — Highmark | $35.00 | MOOP $5,500.00

SilverScript Choice (PDP) — SilverScript | Not Applicable | MOOP Not Applicable

Together Blue Medicare HMO Signature (HMO) — Independence Blue Cross | $0.00 | MOOP $4,900.00

UHC Complete Care PA-17 (HMO-POS C-SNP) — UnitedHealthcare | $0.00 | MOOP $6,700.00

UHC Dual Complete PA-S001 (PPO D-SNP) — UnitedHealthcare | $32.70 | MOOP $9,250.00

UHC Dual Complete PA-S002 (HMO-POS D-SNP) — UnitedHealthcare | $6.80 | MOOP $9,250.00

UHC Dual Complete PA-S3 (HMO-POS D-SNP) — UnitedHealthcare | $18.50 | MOOP $9,250.00

UHC Dual Complete PA-V001 (HMO-POS D-SNP) — UnitedHealthcare | $30.40 | MOOP $6,700.00

UHC Nursing Home Plan EX-F002 (PPO I-SNP) — UnitedHealthcare | $32.60 | MOOP $9,250.00

UPMC for Life Complete Care (HMO D-SNP) — UPMC | $32.70 | MOOP $9,250.00

UPMC for Life Complete Care (HMO D-SNP) — UPMC | $26.50 | MOOP $9,250.00

UPMC for Life HMO Deductible Rx (HMO) — UPMC | $22.00 | MOOP $6,000.00

UPMC for Life HMO No Rx (HMO) — UPMC | Not Applicable | MOOP $6,000.00

UPMC for Life HMO Premier Rx (HMO) — UPMC | $0.00 | MOOP $6,000.00

UPMC for Life HMO Rx (HMO) — UPMC | $90.00 | MOOP $4,500.00

UPMC for Life HMO Rx Choice (HMO) — UPMC | $30.00 | MOOP $5,000.00

UPMC for Life HMO Rx Enhanced (HMO) — UPMC | $295.00 | MOOP $7,550.00

UPMC for Life PPO Essential Care Rx (PPO) — UPMC | $0.00 | MOOP $8,000.00

UPMC for Life PPO High Deductible Rx (PPO) — UPMC | $33.00 | MOOP $7,550.00

UPMC for Life PPO Premier Rx (PPO) — UPMC | $0.00 | MOOP $6,500.00

UPMC for Life PPO Rx Choice (PPO) — UPMC | $25.00 | MOOP $5,500.00

UPMC for Life PPO Rx Enhanced (PPO) — UPMC | $140.00 | MOOP $7,550.00

UPMC for Life PPO Salute (PPO) — UPMC | Not Applicable | MOOP $9,250.00

Wellcare Assist (HMO-POS) — Wellcare | $32.70 | MOOP $5,500.00

Wellcare Classic (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

Wellcare Dual Liberty Sync (HMO-POS D-SNP) — Wellcare | $32.70 | MOOP $9,250.00

Wellcare Dual Select (HMO-POS D-SNP) — Wellcare | $32.70 | MOOP $5,400.00

Wellcare Patriot Giveback (HMO-POS) — Wellcare | Not Applicable | MOOP $7,550.00

Wellcare Simple (HMO-POS) — Wellcare | $0.00 | MOOP $6,200.00

Wellcare Value Script (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

Loading Ohio Medicare plans...

Medicare Advantage Plans in Ohio

AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $5,400.00

AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $8,500.00

AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO) — UnitedHealthcare | $0.00 | MOOP $8,500.00

AARP Medicare Advantage from UHC OH-0001 (HMO-POS) — UnitedHealthcare | $76.00 | MOOP $3,900.00

AARP Medicare Advantage from UHC OH-0003 (HMO-POS) — UnitedHealthcare | $49.00 | MOOP $4,200.00

AARP Medicare Advantage from UHC OH-0014 (PPO) — UnitedHealthcare | $59.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC OH-0015 (PPO) — UnitedHealthcare | $45.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC OH-0016 (PPO) — UnitedHealthcare | $35.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC OH-18 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $4,200.00

AARP Medicare Rx Preferred from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

AARP Medicare Rx Saver from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

Aetna Medicare Advantra (PPO) — Aetna | $0.00 | MOOP $4,500.00

Aetna Medicare Chronic Care (HMO C-SNP) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Chronic Care Total (HMO C-SNP) — Aetna | $28.40 | MOOP $9,250.00

Aetna Medicare Dual Care (HMO D-SNP) — Aetna | $17.90 | MOOP $9,250.00

Aetna Medicare Eagle Giveback (PPO) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare Enhanced (HMO-POS) — Aetna | $56.00 | MOOP $4,150.00

Aetna Medicare Longevity (HMO I-SNP) — Aetna | $31.40 | MOOP $9,250.00

Aetna Medicare Partial Dual (HMO D-SNP) — Aetna | $17.20 | MOOP $9,250.00

Aetna Medicare Premier (PPO) — Aetna | $95.00 | MOOP $4,900.00

Aetna Medicare Signature (HMO) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare Signature (HMO-POS) — Aetna | $0.00 | MOOP $7,500.00

Aetna Medicare Signature (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Signature (PPO) — Aetna | $0.00 | MOOP $5,900.00

Aetna Medicare Signature Care (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Signature Extra (HMO-POS) — Aetna | $0.00 | MOOP $4,700.00

Anthem Dual Advantage (HMO D-SNP) — Anthem | $7.10 | MOOP $6,750.00

Anthem Extra Help (HMO-POS) — Anthem | $31.40 | MOOP $7,350.00

Anthem Full Dual Advantage (HMO D-SNP) — Anthem | $0.20 | MOOP $9,250.00

Anthem Full Dual Advantage 2 (HMO D-SNP) — Anthem | $2.30 | MOOP $9,250.00

Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP) — Anthem | $25.70 | MOOP $9,250.00

Anthem Medicare Advantage (HMO-POS) — Anthem | $0.00 | MOOP $9,250.00

Anthem Medicare Advantage (PPO) — Anthem | $10.00 | MOOP $6,750.00

Anthem Medicare Advantage (Regional PPO) — Anthem | $87.00 | MOOP $6,750.00

Anthem Medicare Advantage 3 (PPO) — Anthem | $51.00 | MOOP $6,750.00

Anthem Medicare Advantage 4 (PPO) — Anthem | $56.00 | MOOP $6,900.00

Anthem Veteran (PPO) — Anthem | $0.00 | MOOP $5,900.00

Anthem Veteran (Regional PPO) — Anthem | Not Applicable | MOOP $4,900.00

CareSource MyCare Ohio (HMO D-SNP) — CareSource | $31.40 | MOOP $8,950.00

CommuniCare Advantage CSNP (HMO C-SNP) — CommuniCare Advantage | $0.00 | MOOP $9,250.00

CommuniCare Advantage ISNP (HMO I-SNP) — CommuniCare Advantage | $31.40 | MOOP $9,250.00

DEVOTED C-SNP PLUS 016 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $9,250.00

DEVOTED C-SNP PREMIUM 017 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $4,600.00

DEVOTED C-SNP PREMIUM 018 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $5,200.00

DEVOTED C-SNP PREMIUM 020 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $5,200.00

DEVOTED CHOICE 001 OH (PPO) — Devoted Health | $0.00 | MOOP $5,300.00

DEVOTED CHOICE 003 OH (PPO) — Devoted Health | $0.00 | MOOP $5,300.00

DEVOTED CHOICE MA ONLY 002 OH (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CORE 001 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 004 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 007 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 015 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 019 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 022 OH (HMO) — Devoted Health | $0.00 | MOOP $4,300.00

DEVOTED DUAL 011 OH (HMO D-SNP) — Devoted Health | $31.40 | MOOP $4,300.00

DEVOTED DUAL PLUS 010 OH (HMO D-SNP) — Devoted Health | $31.40 | MOOP $9,250.00

DEVOTED GIVEBACK 003 OH (HMO) — Devoted Health | $0.00 | MOOP $6,750.00

DEVOTED GIVEBACK 006 OH (HMO) — Devoted Health | $0.00 | MOOP $6,750.00

DEVOTED GIVEBACK 009 OH (HMO) — Devoted Health | $0.00 | MOOP $6,750.00

DEVOTED PREMIUM 002 OH (HMO) — Devoted Health | $31.40 | MOOP $4,500.00

HealthSpring Assurance Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Extra Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Preferred (HMO) — HealthSpring | $0.00 | MOOP $2,875.00

HealthSpring Preferred Savings (HMO) — HealthSpring | $0.00 | MOOP $5,825.00

HealthSpring TotalCare (HMO D-SNP) — HealthSpring | $0.00 | MOOP $9,100.00

HealthSpring TotalCare Plus (HMO D-SNP) — HealthSpring | $0.90 | MOOP $9,250.00

HealthSpring True Choice (PPO) — HealthSpring | $0.00 | MOOP $9,250.00

Humana Basic Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana Cleveland Clinic Preferred (HMO-POS) — Humana | $0.00 | MOOP $7,000.00

Humana Dual Select H5525-046 (PPO D-SNP) — Humana | $31.40 | MOOP $9,250.00

Humana Full Access H5525-042 (PPO) — Humana | $27.00 | MOOP $9,150.00

Humana Gold Choice H8145-032 (PFFS) — Humana | $37.00 | MOOP $3,950.00

Humana Gold Plus - Diabetes and Heart (HMO C-SNP) — Humana | $0.00 | MOOP $9,150.00

Humana Gold Plus H6622-013 (HMO-POS) — Humana | $0.00 | MOOP $5,000.00

Humana Gold Plus H6622-014 (HMO-POS) — Humana | $0.00 | MOOP $4,200.00

Humana Gold Plus H6622-021 (HMO-POS) — Humana | $0.00 | MOOP $5,250.00

Humana Gold Plus H6622-022 (HMO-POS) — Humana | $0.00 | MOOP $4,800.00

Humana Gold Plus H6622-055 (HMO) — Humana | $16.00 | MOOP $6,550.00

Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) — Humana | $17.40 | MOOP $9,250.00

Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP) — Humana | $4.60 | MOOP $9,250.00

Humana Premier Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana Together in Health (PPO I-SNP) — Humana | $23.40 | MOOP $9,250.00

Humana Together in Health Select (PPO I-SNP) — Humana | $138.00 | MOOP $4,900.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $7,900.00

Humana USAA Honor Giveback with Rx (PPO) — Humana | $0.00 | MOOP $7,900.00

Humana Value Plus H5525-041 (PPO) — Humana | $31.40 | MOOP $9,250.00

Humana Value Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

HumanaChoice Giveback H5216-309 (PPO) — Humana | $0.00 | MOOP $9,150.00

HumanaChoice Giveback H7617-003 (PPO) — Humana | $0.00 | MOOP $9,150.00

HumanaChoice H5216-023 (PPO) — Humana | $21.00 | MOOP $6,550.00

HumanaChoice H5216-106 (PPO) — Humana | $1.00 | MOOP $5,050.00

HumanaChoice H5216-285 (PPO) — Humana | $0.00 | MOOP $5,500.00

HumanaChoice H5216-395 (PPO) — Humana | $17.00 | MOOP $6,550.00

HumanaChoice H5525-030 (PPO) — Humana | $85.00 | MOOP $3,950.00

HumanaChoice H7617-004 (PPO) — Humana | $0.00 | MOOP $5,500.00

HumanaChoice R0110-015 (Regional PPO) — Humana | Not Applicable | MOOP $5,700.00

HumanaChoice R0110-016 (Regional PPO) — Humana | $80.00 | MOOP $7,050.00

MedMutual Advantage Access (PPO) — Medical Mutual | $0.00 | MOOP $5,000.00

MedMutual Advantage Choice (HMO) — Medical Mutual | $45.00 | MOOP $3,700.00

MedMutual Advantage Classic (HMO) — Medical Mutual | $0.00 | MOOP $4,900.00

MedMutual Advantage Plus (HMO) — Medical Mutual | $90.00 | MOOP $3,600.00

MedMutual Advantage Preferred (PPO) — Medical Mutual | $73.00 | MOOP $5,800.00

MedMutual Advantage Premium (PPO) — Medical Mutual | $149.00 | MOOP $3,450.00

MedMutual Advantage Select (PPO) — Medical Mutual | $44.00 | MOOP $6,775.00

MedMutual Advantage Signature (HMO-POS) — Medical Mutual | $0.00 | MOOP $4,200.00

Molina Complete Care for MyCare Ohio (HMO D-SNP) — Molina Healthcare | $19.60 | MOOP $9,250.00

Molina Medicare Complete Care (HMO D-SNP) — Molina Healthcare | $0.00 | MOOP $9,250.00

Mount Carmel MediGold Cash Back (HMO) — Mount Carmel MediGold | $0.00 | MOOP $7,900.00

Mount Carmel MediGold Choice (PPO) — Mount Carmel MediGold | $0.00 | MOOP $5,700.00

Mount Carmel MediGold Glory No RX (HMO) — Mount Carmel MediGold | Not Applicable | MOOP $4,900.00

Mount Carmel MediGold No Premium (HMO) — Mount Carmel MediGold | $0.00 | MOOP $4,900.00

Mount Carmel MediGold Plus (HMO) — Mount Carmel MediGold | $34.00 | MOOP $4,400.00

Mount Carmel MediGold Premier (HMO) — Mount Carmel MediGold | $102.00 | MOOP $3,900.00

Mount Carmel MediGold Premium Choice (PPO) — Mount Carmel MediGold | $14.00 | MOOP $5,700.00

Paramount Elite Enhanced (HMO-POS) — Paramount | $74.00 | MOOP $3,700.00

Paramount Elite Preferred (PPO) — Paramount | $0.00 | MOOP $5,300.00

Paramount Elite Prime (HMO-POS) — Paramount | $35.00 | MOOP $4,200.00

Paramount Elite Standard (HMO-POS) — Paramount | $0.00 | MOOP $4,600.00

Perennial Advantage Freedom (HMO-POS) — Perennial Advantage | $0.00 | MOOP $3,900.00

Perennial Advantage Premier (HMO-POS I-SNP) — Perennial Advantage | $0.00 | MOOP $3,900.00

Perennial Advantage Strive (HMO I-SNP) — Perennial Advantage | $31.40 | MOOP $9,250.00

PrimeTime Health Plan Aultimate (HMO-POS) — PrimeTime Health Plan | $0.00 | MOOP $4,900.00

PrimeTime Health Plan Basic - MA Only (HMO-POS) — PrimeTime Health Plan | Not Applicable | MOOP $3,900.00

PrimeTime Health Plan Classic (HMO-POS) — PrimeTime Health Plan | $60.00 | MOOP $4,500.00

PrimeTime Health Plan Plus (HMO-POS) — PrimeTime Health Plan | $115.00 | MOOP $4,000.00

SilverScript Choice (PDP) — SilverScript | Not Applicable | MOOP Not Applicable

SummaCare Medicare Amber (HMO) — SummaCare | Not Applicable | MOOP $3,450.00

SummaCare Medicare Emerald (HMO-POS) — SummaCare | $157.00 | MOOP $2,800.00

SummaCare Medicare Garnet (HMO) — SummaCare | $35.00 | MOOP $4,800.00

SummaCare Medicare Quartz (HMO) — SummaCare | $0.00 | MOOP $3,950.00

SummaCare Medicare Ruby (HMO) — SummaCare | $50.00 | MOOP $3,600.00

SummaCare Medicare Sapphire (HMO-POS) — SummaCare | $83.00 | MOOP $3,650.00

SummaCare Medicare Topaz (HMO) — SummaCare | $0.00 | MOOP $4,300.00

The Health Plan SecureCare - Option II (HMO) — The Health Plan | $0.00 | MOOP $5,000.00

The Health Plan SecureCare Integrity Plan 3 (HMO) — The Health Plan | Not Applicable | MOOP $6,500.00

The Health Plan SecureCare SNP (HMO D-SNP) — The Health Plan | $17.70 | MOOP $9,250.00

The Health Plan SecureChoice - Option II (PPO) — The Health Plan | $109.00 | MOOP $6,700.00

The Health Plan SecureChoice Optimum (PPO) — The Health Plan | $0.00 | MOOP $5,900.00

UHC Care Advantage OH-E001 (PPO I-SNP) — UnitedHealthcare | $31.40 | MOOP $4,000.00

UHC Complete Care OH-18 (HMO-POS C-SNP) — UnitedHealthcare | $0.00 | MOOP $6,700.00

UHC Dual Complete OH-D001 (HMO D-SNP) — UnitedHealthcare | $28.30 | MOOP $9,250.00

UHC Dual Complete OH-D002 (HMO-POS D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-D1 (PPO D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-S2 (HMO D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-S3 (HMO-POS D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-V001 (HMO D-SNP) — UnitedHealthcare | $31.40 | MOOP $5,800.00

UHC Dual Complete OH-V002 (HMO-POS D-SNP) — UnitedHealthcare | $31.40 | MOOP $5,800.00

UHC Nursing Home Plan OH-F001 (PPO I-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UPMC for Life HMO Deductible Rx (HMO) — UPMC | $22.00 | MOOP $6,000.00

UPMC for Life HMO No Rx (HMO) — UPMC | Not Applicable | MOOP $6,000.00

UPMC for Life HMO Rx (HMO) — UPMC | $90.00 | MOOP $4,500.00

UPMC for Life HMO Rx Choice (HMO) — UPMC | $30.00 | MOOP $5,000.00

UPMC for Life HMO Rx Enhanced (HMO) — UPMC | $295.00 | MOOP $7,550.00

Valor Health Plan (HMO I-SNP) — Valor Health Plan | $31.40 | MOOP $9,250.00

Wellcare Assist (HMO-POS) — Wellcare | $30.10 | MOOP $4,700.00

Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) — Wellcare | $31.40 | MOOP $9,250.00

Wellcare Classic (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

Wellcare Dual Access (HMO-POS D-SNP) — Wellcare | $27.40 | MOOP $9,250.00

Wellcare Dual Liberty (HMO-POS D-SNP) — Wellcare | $31.40 | MOOP $9,250.00

Wellcare Dual Reserve (HMO-POS D-SNP) — Wellcare | $31.40 | MOOP $4,200.00

Wellcare Simple (HMO-POS) — Wellcare | $0.00 | MOOP $6,500.00

Wellcare Value Script (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

Zing Elite Diabetes & Heart OH (HMO C-SNP) — Zing Health | $0.00 | MOOP $4,500.00

Zing Elite Select OH (HMO) — Zing Health | $0.00 | MOOP $3,900.00

Zing Select Care OH (HMO) — Zing Health | $0.00 | MOOP $4,500.00

Zing Select Diabetes & Heart OH (HMO C-SNP) — Zing Health | $0.00 | MOOP $4,500.00

Zing Select Dialysis OH (HMO C-SNP) — Zing Health | $0.00 | MOOP $4,950.00

Loading Utah Medicare plans...

Medicare Advantage Plans in Utah

AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $5,200.00

AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Giveback from UHC UT-9 (PPO) — UnitedHealthcare | $0.00 | MOOP $13,900.00

AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC UT-0001 (PPO) — UnitedHealthcare | $28.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC UT-0002 (PPO) — UnitedHealthcare | $0.00 | MOOP $5,500.00

AARP Medicare Advantage from UHC UT-0003 (HMO-POS) — UnitedHealthcare | $55.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC UT-0005 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC UT-0008 (PPO) — UnitedHealthcare | $0.00 | MOOP $10,100.00

AARP Medicare Rx Preferred from UHC (PDP) — UnitedHealthcare | $0.00 | MOOP —

AARP Medicare Rx Saver from UHC (PDP) — UnitedHealthcare | $0.00 | MOOP —

Aetna Medicare Advantra (HMO-POS) — Aetna | $0.00 | MOOP $3,800.00

Aetna Medicare Advantra Select (HMO-POS) — Aetna | $22.00 | MOOP $6,750.00

Aetna Medicare Choice (PPO) — Aetna | $0.00 | MOOP $4,900.00

Aetna Medicare Dual Preferred (HMO D-SNP) — Aetna | $0.00 | MOOP $9,350.00

Aetna Medicare Dual Preferred (PPO D-SNP) — Aetna | $0.00 | MOOP $9,350.00

Aetna Medicare Eagle (PPO) — Aetna | $0.00 | MOOP $8,950.00

Aetna Medicare Elite (PPO) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Enhanced (PPO) — Aetna | $105.00 | MOOP $7,900.00

Aetna Medicare Signature (HMO) — Aetna | $0.00 | MOOP $5,000.00

Aetna Medicare Signature Extra (PPO) — Aetna | $0.00 | MOOP $8,950.00

Aetna Medicare Value (PPO) — Aetna | $51.00 | MOOP $6,900.00

Aetna Medicare Value Plus (PPO) — Aetna | $37.60 | MOOP $8,950.00

American Health Advantage of Utah (HMO I-SNP) — American Health Advantage of Utah | $54.70 | MOOP $9,350.00

Cigna Healthcare Assurance Rx (PDP) — Cigna Healthcare | $128.60 | MOOP —

Cigna Healthcare Extra Rx (PDP) — Cigna Healthcare | $0.00 | MOOP —

Cigna Healthcare Saver Rx (PDP) — Cigna Healthcare | $56.30 | MOOP —

Cigna Preferred Medicare (HMO) — Cigna Healthcare | $0.00 | MOOP $4,200.00

Cigna True Choice Courage Medicare (PPO) — Cigna Healthcare | $0.00 | MOOP $5,700.00

Cigna True Choice Medicare (PPO) — Cigna Healthcare | $0.00 | MOOP $4,300.00

DEVOTED C-SNP CHOICE PLUS 007 UT (PPO C-SNP) — Devoted Health | $37.60 | MOOP $9,250.00

DEVOTED C-SNP CHOICE PREMIUM 003 UT (PPO C-SNP) — Devoted Health | $37.60 | MOOP $7,800.00

DEVOTED CHOICE 001 UT (PPO) — Devoted Health | $0.00 | MOOP $7,500.00

DEVOTED CHOICE GIVEBACK 002 UT (PPO) — Devoted Health | $0.00 | MOOP $13,900.00

DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) — Devoted Health | $0.00 | MOOP $13,900.00

HealthSpring Premier (HMO-POS) — HealthSpring | $0.00 | MOOP $3,500.00

Humana Basic Rx Plan (PDP) — Humana | $0.00 | MOOP —

Humana Dual Select H7617-039 (PPO D-SNP) — Humana | $27.90 | MOOP $13,900.00

Humana Full Access H7617-025 (PPO) — Humana | $29.00 | MOOP $5,500.00

Humana Gold Plus H2486-003 (HMO) — Humana | $0.00 | MOOP $5,000.00

Humana Premier Rx Plan (PDP) — Humana | $0.00 | MOOP —

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $13,900.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $10,100.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $13,900.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $5,100.00

Humana Value Choice H7617-032 (PPO) — Humana | $0.00 | MOOP $8,950.00

Humana Value Rx Plan (PDP) — Humana | $0.00 | MOOP —

HumanaChoice Giveback H5216-430 (PPO) — Humana | $0.00 | MOOP $9,450.00

HumanaChoice H5216-048 (PPO) — Humana | $118.00 | MOOP $6,700.00

HumanaChoice H5216-131 (PPO) — Humana | $0.00 | MOOP $5,500.00

HumanaChoice H7617-016 (PPO) — Humana | $87.00 | MOOP $10,100.00

HumanaChoice SNP-DE H5216-296 (PPO D-SNP) — Humana | $0.00 | MOOP $13,900.00

HumanaChoice SNP-DE H7617-038 (PPO D-SNP) — Humana | $0.00 | MOOP $9,250.00

Molina Medicare Complete Care (HMO D-SNP) — Molina Healthcare | $0.00 | MOOP $9,250.00

Molina Medicare Complete Care Select (HMO D-SNP) — Molina Healthcare | $0.00 | MOOP $9,250.00

Regence MedAdvantage + Rx Classic (PPO) — Regence BlueCross BlueShield of Utah | $41.00 | MOOP $6,200.00

Regence MedAdvantage + Rx Enhanced (PPO) — Regence BlueCross BlueShield of Utah | $130.00 | MOOP $5,000.00

Regence Valiance (PPO) — Regence BlueCross BlueShield of Utah | $0.00 | MOOP $4,500.00

Select Health Medicare + Kroger (HMO) — Select Health | $0.00 | MOOP $5,700.00

Select Health Medicare Choice (PPO) — Select Health | $14.00 | MOOP $5,700.00

Select Health Medicare Classic (HMO) — Select Health | $59.00 | MOOP $6,700.00

Select Health Medicare Dual (HMO D-SNP) — Select Health | $54.60 | MOOP $8,850.00

Select Health Medicare Enhanced (HMO) — Select Health | $63.00 | MOOP $4,700.00

Select Health Medicare Essential (HMO) — Select Health | $0.00 | MOOP $4,900.00

Select Health Medicare Essential (HMO) — Select Health | $0.00 | MOOP $5,700.00

Select Health Medicare NoRx (HMO) — Select Health | $0.00 | MOOP $6,700.00

SilverScript Choice (PDP) — SilverScript | $0.00 | MOOP —

UHC Complete Care UT-6 (HMO-POS C-SNP) — UnitedHealthcare | $0.00 | MOOP $5,200.00

UHC Dual Complete UT-S001 (PPO D-SNP) — UnitedHealthcare | $37.60 | MOOP $13,900.00

UHC Dual Complete UT-S2 (HMO-POS D-SNP) — UnitedHealthcare | $37.60 | MOOP $9,250.00

UHC Dual Complete UT-V001 (PPO D-SNP) — UnitedHealthcare | $17.40 | MOOP $10,100.00

UHC Nursing Home Plan UT-F001 (PPO I-SNP) — UnitedHealthcare | $54.70 | MOOP $1,500.00

Wellcare Classic (PDP) — Wellcare | $0.00 | MOOP —

Wellcare Medicare Rx Value Plus (PDP) — Wellcare | $0.00 | MOOP —

Wellcare Value Script (PDP) — Wellcare | $0.00 | MOOP —

Medicare Questions

for

Shelby

County

Residents

Ohio

has

170

Medicare Advantage plans

Compare Top Plans

Independent agent. Not affiliated with any carrier. Availability varies by county.

Older man on fixed income and good medicare coverage, and young boy sitting outdoors with a clear blue sky background.

Medicare Trends and Insights

Healthcare in Shelby County has evolved significantly from its early days of small private practices and limited hospital facilities. Historically Sidney Memorial Hospital served as the primary institution until its acquisition by Mercy Health in the late 1990s marking the beginning of integration into a larger system. The pivotal moment came with the 2022 merger between Bon Secours Mercy Health and Trinity Health which solidified Mercy Health St. Mary's position as the dominant provider but also initiated a period of consolidation affecting service availability. This consolidation led to the closure of some specialized outpatient units within the past two years including the hospital's standalone dialysis center in early 2024 forcing local patients to travel to Piqua or Sidney's freestanding clinics for treatment. Demographic shifts have steadily increased the Medicare aged population as younger residents move to urban centers for education and employment opportunities leaving behind a growing cohort of seniors. This trend directly drives higher Medicare enrollment putting pressure on existing infrastructure. Current challenges are acute. Rural access remains the foremost issue with physician shortages particularly in geriatrics psychiatry and certain surgical specialties. The 2025 Ohio Rural Health Report documented Shelby County's primary care physician vacancy rate at 12.3 percent well above the state average. Many seniors face transportation hurdles making regular appointments difficult especially in winter months. The nursing shortage impacts both St. Mary's hospital and local long term care facilities affecting patient care quality and availability. Workforce retention is difficult competing with higher wages in Dayton or Indianapolis markets. Looking ahead the near term outlook requires strategic adaptation. Telehealth usage has increased since 2023 offering some relief for routine follow ups and mental health services though broadband limitations in remote parts of the county hinder its full potential. Mercy Health is expanding partnerships with regional academic medical centers to facilitate specialist consultations via telemedicine. Local advocacy groups including the Shelby County Aging Network are actively petitioning the Ohio Department of Medicaid to increase reimbursement rates for home care aides to address staffing gaps. For Medicare beneficiaries the practical reality means carefully selecting Advantage plans with robust telehealth benefits strong local pharmacy networks and explicit coverage for necessary travel to regional specialists. The county's future healthcare stability depends on innovative solutions to workforce challenges and sustained investment in community based services that keep seniors healthy and independent longer despite the persistent barriers of rural geography.

Adjacent to

Shelby

County

Shelby County sits in west-central Ohio, and its borders connect it to an interesting mix of urban-adjacent and deeply rural neighbors. To the north, Auglaize County shares Shelby's border and is home to Joint Township District Memorial Hospital in St. Marys, a well-regarded community hospital that serves residents near the shared line. Auglaize also includes Wapakoneta, birthplace of Neil Armstrong and a proud small city with its own community character. Some Shelby County residents on the northwest edge look that direction for routine care. To the northeast, Hardin County borders Shelby, and Hardin Memorial Hospital in Kenton provides community-level services for that quiet agricultural area. To the east lies Logan County, where Mary Rutan Hospital in Bellefontaine has long served the west-central Ohio region and is a practical option for Shelby County residents near that border. Moving south, Miami County shares a long border with Shelby and is home to Upper Valley Medical Center in Troy, as well as Miami Valley Hospital North in nearby Huber Heights — both serve patients who travel south from Sidney, Shelby County's county seat, for specialty care. Many Shelby County residents consider the Troy-Piqua corridor their primary healthcare destination for services not available at Wilson Memorial Hospital in Sidney, which is the local anchor hospital and handles the core of the county's routine and inpatient needs. To the southwest, Shelby County touches Darke County, where Wayne HealthCare in Greenville serves the surrounding farming communities. To the west, Mercer County adjoins Shelby, and Mercer Health in Coldwater is a strong regional option for western Shelby County residents. For Medicare beneficiaries, Sidney's Wilson Memorial Hospital handles a solid range of outpatient and inpatient needs, and Dayton — about 50 miles south via I-75 or US-25 — is accessible for major specialty care through Miami Valley Hospital, Kettering Health, and the Dayton VA Medical Center. The county's central location in Ohio's flatlands means reasonable access in multiple directions without prohibitive drive times.

Noteworthy People

Shelby County, centered on Sidney, has produced a genuinely diverse set of accomplished people. Harvey Firestone (1868-1938) is perhaps the region's most economically consequential figure — the founder of Firestone Tire and Rubber Company, he helped shape the American automobile age and built one of the great industrial empires of the 20th century alongside his friend Henry Ford. Jonathan Dayton (1760-1824), for whom Sidney was named, was a Founding Father who signed the U.S. Constitution and served as Speaker of the U.S. House of Representatives — one of the youngest signers of the Constitution. Thomas Harvey (1826-1894), an influential educator who hailed from the Shelby County area, helped shape Ohio's public school system and wrote widely used educational texts. James Ludlow (1815-1891) served as a federal judge with lasting influence on Ohio jurisprudence and the development of the state's legal traditions. Robert Taft Jr. (1917-1993), U.S. Senator from Ohio and son of President William Howard Taft, had family ties to the broader west-central Ohio Republican political tradition that Shelby County supported for generations. Dawn Powell (1896-1965), the novelist and social satirist who became a cult figure rediscovered decades after her death, drew deeply on her rural Ohio upbringing — the Shelby County area's character is woven through her fiction. Walt Kiesling (1903-1962), the Hall of Fame NFL player and coach, was associated with the west-central Ohio football tradition. Anna Holdren, a noted 19th-century educator and school administrator, built schools across Shelby County. Frederick Westerman (1869-1953), an early silent film actor, came from the Sidney area. The county's legacy is one of builders — of tires, of constitutional government, of schools, and of athletic teams that reflect Sidney's deep community pride. Gomer Jones (1917–1971), the Oklahoma Sooners football coach who succeeded the legendary Bud Wilkinson, was born in Greenfield but had strong connections to the west-central Ohio athletic community that Shelby County exemplifies. Wilson Heath (1820–1889), a Shelby County industrialist and civic leader, helped establish Sidney's early manufacturing economy, laying the groundwork for the county's later industrial prosperity.

Key Takeaways

With 170 plans available in Shelby County, comparing your options before enrolling is essential. Your coverage choices affect your costs and doctor access for the entire year ahead. Since Shelby County is rural, prioritize plans where your current doctors and the main hospital are fully in-network.

If your income is limited, check whether you qualify for Medicare Savings Programs and Extra Help for Part D. These can dramatically reduce your out-of-pocket costs. Your local senior center and Area Agency on Aging offer free Medicare counseling from trained advisors who can walk you through each plan's details.

Decision area	Tool	What it answers
Enrollment	Initial Enrollment Period Calculator	When your 7-month Medicare eligibility window begins and ends based on your 65th birthday
Enrollment	When Should I Sign Up for Medicare?	The best time to enroll based on your work status, other coverage, and age
Enrollment	Special Enrollment Period Checker	Whether a life event qualifies you for enrollment outside the standard windows
Enrollment	Late Enrollment Penalty Checker	How much extra you'll pay monthly if you missed your enrollment window
Enrollment	Part B Penalty Calculator	The exact 10%-per-year premium increase for delayed Part B enrollment
Enrollment	Part D Penalty Calculator	The 1%-per-month premium increase for gaps in creditable drug coverage
Costs	Cost Scenario Planner	Estimated annual spending across plan types at different health utilization levels
Costs	Advantage vs. Medigap Cost Comparison	True cost difference between Medicare Advantage and Original Medicare with Medigap
Costs	IRMAA Calculator	Whether your income triggers higher Part B and Part D premiums
Costs	Part A Premium Estimator	Your monthly Part A premium based on work history and quarters of coverage
Costs	M3P Calculator	How the Medicare Prescription Payment Plan smooths your drug costs into monthly payments
Coverage	Doctor & Drug Assessment	Whether your providers and prescriptions are covered by a specific plan
Coverage	Part D Shopping Tool	Which Part D plan has the lowest total annual cost for your specific medications
Coverage	Travel & Network Risk Assessment	How your coverage works outside your home area and which plan types travel best
Employer/COBRA	COBRA vs. Medicare	Why COBRA can trigger permanent Medicare penalties and how costs compare
Employer/COBRA	Employer Coverage vs. Medicare	Whether your employer plan or Medicare is primary and when to transition
Employer/COBRA	HSA & Medicare Compatibility	How Medicare enrollment affects HSA eligibility and what to do before enrolling
Planning	Caregiver Readiness Checklist	Whether you have everything in place to help a loved one with Medicare decisions
Planning	Document Gatherer	Which documents you need to have ready before enrolling or changing plans
Planning	Medigap Fit Assessment	Whether Medigap or Medicare Advantage is the better fit for how you use healthcare
Planning	Medigap Open Enrollment Window	Whether you're inside your one-time guaranteed issue window for Medigap
Planning	Medicare Savings Program Eligibility	Whether your income qualifies you for help paying Medicare premiums and cost-sharing

‍CMS TPMO Compliance Disclaimer: We do not offer every plan available in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Participating sales agencies represent Medicare Advantage [HMO, PPO, PFFS, and PDP] organizations that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

Not Government Affiliated: Resting Sycamore Advisors is a licensed Medicare insurance agency. We are not affiliated with or endorsed by the U.S. government or the federal Medicare program.

‍Data & Methodology for Research Articles: All provider, facility, quality star ratings, and enrollment data is sourced from primary CMS records (cms.gov), including the December 2025 CPSC Enrollment files and the January 2026 Provider Data Catalog. Calculations for patient-to-provider ratios are performed using indexed clinician and facility data. Everything on restingsycamore.com is for educational purposes and does not constitute an endorsement of any specific plan or provider.

Non-CMS Data Sources: Some specific data was obtained from https://opendata.gov

Medicare in

Shelby

County,

Ohio

Beneficiaries

# of Cities

# of Plans

Key Points

Demographic Information

Healthcare Information

Medicare Resources

Shelby

County

Medicare Advantage Plans

Medicare Questions

for

Shelby

County

Residents

What if my birthday is on the first of the month?

How many work credits do I need for premium-free Part A?

Do I qualify for Medicare at 65?

What if I need long-term care and Medicare does not cover it?

Is COBRA considered active employer coverage for Medicare purposes?

Medicare Trends and Insights

Adjacent to

Shelby

County

Noteworthy People

Key Takeaways