Medicare Plans in
Ottawa County, MI

42 Medicare Advantage Plans Found in Ottawa County. See Plans

Ottawa County, MI
Medicare Information

For Ottawa County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 42 private Medicare plans are available in Ottawa County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

For Ottawa County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 42 private Medicare plans are available in Ottawa County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about some of the Medicare plans in Ottawa County, Michigan, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

Average Cost of Medicare
Plans in Ottawa County

Average Cost of Medicare Advantage Plans in Ottawa County, Michigan
Average Monthly Premium $41.92
Average in-network out-of-pocket spending limit $6,802.44
Average drug deductible in 2025 (weighted) $458.86
Percentage of plans rated 4 stars or higher 21.4%
Average Cost of Medicare Advantage Plans in Ottawa County, Michigan
Average Monthly Premium
$41.92
Average in-network out-of-pocket spending limit
$6,802.44
Average drug deductible in 2021 (weighted)
$458.86
Percentage of plans rated 4 stars or higher
21.4%

Learn More About Medicare
Prescription Drug Plans

Ottawa County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Plans in Ottawa County, MI

The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Michigan in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Premier (HMO-POS) H3192: 011 $0 $590 $5,500 Yes
3.5 out of 5
Aetna Medicare Value (PPO) H5521: 219 $0 $590 $4,900 Yes
4.5 out of 5
Aetna Medicare SmartFit (PPO) H5521: 407 $0 $590 $4,700 Yes
4.5 out of 5
Aetna Medicare Assure Premier (HMO D-SNP) H3192: 007 $0 $0 $9,350 Yes
3.5 out of 5
Aetna Medicare Assure Premier (PPO D-SNP) H5521: 505 $0 $0 $9,350 Yes
4.5 out of 5
Aetna Medicare Eagle (PPO) H5521: 286 $0 N/A $4,900 No
4.5 out of 5
Aetna Medicare Premier (PPO) H5521: 194 $11 $590 $3,900 Yes
4.5 out of 5
Aetna Medicare Gold (PPO) H5521: 607 $57 $590 $5,500 Yes
4.5 out of 5
Aetna Medicare Enhanced Select (PPO) H5521: 386 $166 $590 $1,500 Yes
4.5 out of 5
Humana Inc.

Humana Inc. Medicare Plans in Ottawa County, MI

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Michigan in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana USAA Honor Giveback (PPO) H5216: 190 $0 N/A $6,750 No
3.5 out of 5
HumanaChoice R0110-013 (Regional PPO) R0110: 013 $0 N/A $6,750 No
3.5 out of 5
Humana Full Access Giveback H5216-306 (PPO) H5216: 306 $0 $0 $9,350 Yes
3.5 out of 5
Humana Full Access H5216-384 (PPO) H5216: 384 $0 $250 $5,900 Yes
3.5 out of 5
Humana Dual Select H5216-385 (PPO D-SNP) H5216: 385 $0 $0 $9,350 Yes
3.5 out of 5
Humana USAA Honor Giveback with Rx (PPO) H5216: 305 $0 $350 $8,850 Yes
3.5 out of 5
HumanaChoice SNP-DE H5216-388 (PPO D-SNP) H5216: 388 $0 $0 $9,350 Yes
3.5 out of 5
HumanaChoice - Diabetes and Heart (PPO C-SNP) H5216: 375 $0 $200 $6,750 Yes
3.5 out of 5
Humana Full Access H5216-380 (PPO) H5216: 380 $19 $200 $6,750 Yes
3.5 out of 5
Humana Value Plus H5216-382 (PPO) H5216: 382 $21 $250 $9,350 Yes
3.5 out of 5
Humana Gold Choice H8145-006 (PFFS) H8145: 006 $38 $590 N/A Yes
4 out of 5
Humana Full Access H5216-011 (PPO) H5216: 011 $50 $0 $5,900 Yes
3.5 out of 5
Humana Full Access R0110-014 (Regional PPO) R0110: 014 $65 $590 $6,750 Yes
3.5 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Plans in Ottawa County, MI

The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Michigan in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Molina Medicare Complete Care (HMO D-SNP) H5926: 001 $0 $0 $9,350 Yes
3 out of 5
Molina Medicare Complete Care Select (HMO D-SNP) H5926: 005 $0 $0 $9,350 Yes
3 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Ottawa County, MI

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Michigan in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UHC Dual Complete MI-S001 (PPO D-SNP) H2001: 039 $0 $0 $9,350 Yes
4 out of 5
AARP Medicare Advantage from UHC MI-0001 (PPO) H0294: 017 $0 $495 $6,700 Yes
3 out of 5
AARP Medicare Advantage Patriot No Rx MI-MA01 (PPO) H0294: 022 $0 N/A $6,700 No
3 out of 5
UHC Dual Complete MI-S002 (HMO-POS D-SNP) H2247: 001 $0 $0 $9,350 Yes
3 out of 5
UHC Dual Complete MI-V001 (HMO-POS D-SNP) H2247: 003 $0 $0 $6,700 Yes
3 out of 5
UHC Dual Complete MI-S3 (HMO D-SNP) H2247: 004 $0 $0 $9,350 Yes
3 out of 5
UHC Complete Care MI-3 (PPO C-SNP) H0294: 048 $27 $590 $6,700 Yes
3 out of 5
AARP Medicare Advantage from UHC MI-0002 (PPO) H0294: 018 $32 $420 $4,100 Yes
3 out of 5
Wellcare Health Plans, Inc.

Wellcare Health Plans, Inc. Medicare Plans in Ottawa County, MI

The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Michigan in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Dual Access Open (PPO D-SNP) H2117: 002 $0 $0 $9,350 Yes
3 out of 5
Wellcare Dual Access (HMO-POS D-SNP) H5475: 001 $0 $0 $9,350 Yes
3 out of 5
Wellcare Dual Reserve (HMO-POS D-SNP) H5475: 039 $0 $0 $4,200 Yes
3 out of 5
Wellcare Giveback (HMO-POS) H5475: 031 $0 $420 $7,550 Yes
3 out of 5
Wellcare Simple Open (PPO) H2117: 001 $0 $420 $5,000 Yes
3 out of 5
Wellcare Patriot Giveback Open (PPO) H2117: 003 $0 N/A $5,000 No
3 out of 5
Wellcare Simple (HMO-POS) H5475: 026 $0 $420 $4,600 Yes
3 out of 5
Wellcare Low Premium (HMO-POS) H5475: 024 $16 $420 $4,800 Yes
3 out of 5
Wellcare Assist (HMO-POS) H5475: 038 $16 $520 $5,000 Yes
3 out of 5
Wellcare Low Premium Open (PPO) H2117: 005 $27 $420 $5,000 Yes
3 out of 5