Compare & Enroll — Part C & Part D

Compare & Enroll in Medicare Plans in 43560, MI

With 179 Medicare Advantage options from 26 insurers, 43560, MI has significantly more plan choices than the national average, suggesting a highly competitive market where insurers often lower premiums to attract members. Approximately 85% of local MA plans charge $0 beyond the standard Part B premium, reflecting strong price competition. The 9 hospitals within 25.0 miles provide reasonable inpatient access for most plan networks. We've organized the CMS data below to help you cross-reference plan costs, quality ratings, and local provider access. Compare plans below, and when you're ready, enroll directly at Medicare.gov.

📊 Direct from CMS 🚫 No agents or commissions ✓ Just the data, no sales pitch
Compare Plans at Medicare.gov →

Data freshness: CMS data as of February 2026 • ACS data as of 2023 • Reviewed & approved on 2026-02-16
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Important: We are not affiliated with Medicare or any government agency. This site displays publicly available CMS data to help you compare plans. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

Important: Plan availability, benefits, and CMS Star Ratings shown here come directly from CMS public files. Plan details can change—always verify with the insurer and at Medicare.gov.
Part C Plans
179
Part D Plans
22
Top MA Star
4.5
Top Drug Star
3.5
Happy senior couple reviewing Medicare plan options together

Medicare Eligibility in 43560, MI

Approximately 7,481 residents (19.5% of the population) in 43560, MI are 65 or older and likely Medicare-eligible. Whether you're approaching 65, already enrolled, or a caregiver comparing options, the plan data below is organized to help you evaluate Part C (Medicare Advantage) and Part D (prescription drug) coverage side by side.

The median household income in 43560, MI is $114,597 (52.5% above the National Average), which may affect eligibility for Extra Help with Part D drug costs.

Part C: Medicare Advantage Plans

Medicare Advantage (Part C) replaces Original Medicare through private insurers who bundle hospital, medical, and often drug coverage into a single plan. 43560, MI's 179 Medicare Advantage plans are a mix leaning toward HMO networks (97 HMO, 81 PPO). 153 plans offer $0 monthly premiums. The average local star rating is 3.8 out of 5, with the top plan earning 4.5 ★.

Top Medicare Advantage Plans in 43560, MI

We organize CMS plan data into separate leaderboards so you can compare based on what matters most to you. Part C premiums in 43560, MI range from $0 to $178/month. Among rated plans, 98 plans rated 4+ stars.

Highest CMS Star Ratings

Star Ratings are assigned by CMS based on quality measures including customer service, preventive care, and managing chronic conditions.

Plan NameInsurerStar RatingPremiumType
Aetna Medicare Signature (PPO)Aetna Medicare4.5 ★$0.00/moPPOEnroll
Prioritymedicare Key (HMO-POS)Priority Health Medicare4.5 ★$0.00/moHMO-POSEnroll
Humana Full Access H7617-052 (PPO)Humana4.5 ★$0.00/moPPOEnroll
Humanachoice Giveback H7617-003 (PPO)Humana4.5 ★$0.00/moPPOEnroll
Medicare Plus Blue Essential (PPO)Blue Cross Blue Shield Of Michigan4.5 ★$25.00/moPPOEnroll

Lowest Monthly Premium

Lower premiums can save money, but check total costs including deductibles, copays, and MOOP.

Plan NameInsurerMonthly PremiumMOOPStar Rating
Paramount Elite Standard (HMO-POS)Paramount Elite Medicare Plans$0.00/mo$4,6004.0 ★
Aetna Medicare Signature (PPO)Aetna Medicare$0.00/mo$5,9004.5 ★
Anthem Medicare Advantage (HMO-POS)Anthem Blue Cross And Blue Shield$0.00/mo$9,2504.0 ★
Aetna Medicare Signature Care (HMO-POS)Aetna Medicare$0.00/mo$5,5003.5 ★
Anthem I Mycare Ohio Full Dual Advantage (HMO D-SNP)Anthem Blue Cross And Blue Shield$0.00/mo$9,250N/A

Lowest Maximum Out-of-Pocket (MOOP)

MOOP caps your financial risk. Once you hit this limit, the plan covers 100% of covered services for the rest of the year.

Plan NameInsurerMOOP (In-Network)PremiumStar Rating
Medmutual Advantage Premium (PPO)Medical Mutual Of Ohio$3,450$29.60/mo4.5 ★
Summacare Medicare Amber (HMO)Summacare Medicare Advantage Plans$3,450$0.00/mo4.0 ★
Summacare Medicare Ruby (HMO)Summacare Medicare Advantage Plans$3,600$0.00/mo4.0 ★
Summacare Medicare Sapphire (HMO-POS)Summacare Medicare Advantage Plans$3,650$0.00/mo4.0 ★
Paramount Elite Enhanced (HMO-POS)Paramount Elite Medicare Plans$3,700$74.00/mo4.0 ★

Plan Type Mix in 43560, MI

HMO plans require referrals and in-network care. PPO plans offer more flexibility. SNP (Special Needs Plans) serve specific populations. MAPD plans include drug coverage.

Plan TypeCountPercentageDescription
PPO6536.3%No referrals; in and out-of-network
HMO-POS3318.4%HMO with some out-of-network options
HMO2011.2%Requires referrals; in-network only
HMO D-SNP168.9%Medicare Advantage plan
HMO C-SNP105.6%Medicare Advantage plan
HMO-POS D-SNP95.0%Medicare Advantage plan
PPO D-SNP73.9%Medicare Advantage plan
HMO I-SNP63.4%Medicare Advantage plan
Regional PPO63.4%Medicare Advantage plan
HMO-POS I-SNP21.1%Medicare Advantage plan
PPO C-SNP21.1%Medicare Advantage plan
PFFS10.6%Private Fee-for-Service
HMO-POS C-SNP10.6%Medicare Advantage plan
PPO I-SNP10.6%Medicare Advantage plan

Choosing the Right Medicare Advantage Plan

The best Part C plan depends on your doctors, medications, and budget. Key factors to evaluate:

  • Provider network: Verify your doctors and hospitals near 43560, MI are in-network before enrolling
  • Total cost: A $0 premium may have higher copays—calculate your annual cost
  • Star Ratings: 4+ stars indicate above-average quality and member satisfaction

Read our full guide on choosing Medicare Advantage → · Print our enrollment checklist →
Medicare Glossary: HMO, PPO, MOOP & more →

Medicare Advantage Insurers in 43560, MI

26 insurance companies offer Medicare Advantage plans in 43560, MI. Below, we group plans by insurer so you can compare options from each company. More insurers generally means more competition and better benefits for consumers.

Blue Cross Blue Shield Of Michigan
Avg Star Rating
4.5 ★
7 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Medicare Plus Blue Secure (PPO)
$0.00/mo
$6,750
4.5 ★
PPO
Medicare Plus Blue Giveback (PPO)
$0.00/mo
$9,250
4.5 ★
PPO
Medicare Plus Blue Essential (PPO)
$25.00/mo
$6,250
4.5 ★
PPO
Medicare Plus Blue + Meijer (PPO)
$35.00/mo
$6,750
4.5 ★
PPO
Medicare Plus Blue Vitality (PPO)
$41.70/mo
$5,000
4.5 ★
PPO
Medicare Plus Blue Signature (PPO)
$72.50/mo
$4,300
4.5 ★
PPO
Medicare Plus Blue Assure (PPO)
$137.80/mo
$4,000
4.5 ★
PPO
Blue Care Network
Avg Star Rating
4.5 ★
4 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Bcn Advantage Elements (HMO-POS)
$0.00/mo
$4,500
4.5 ★
HMO-POS
Bcn Advantage Prime Value (HMO-POS)
$25.40/mo
$5,000
4.5 ★
HMO-POS
Bcn Advantage Classic (HMO-POS)
$71.40/mo
$4,400
4.5 ★
HMO-POS
Bcn Advantage Prestige (HMO-POS)
$178.40/mo
$4,000
4.5 ★
HMO-POS
Trinity Health Plan Of Michigan
Avg Star Rating
4.5 ★
3 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Trinity Health Plan Of Michigan Cash Back (HMO)
$0.00/mo
$7,500
4.5 ★
HMO
Trinity Health Plan Of Michigan No Premium (HMO)
$0.00/mo
$4,500
4.5 ★
HMO
Trinity Health Plan Of Michigan Glory No Rx (HMO)
$0.00/mo
$6,500
4.5 ★
HMO
Medical Mutual Of Ohio
Avg Star Rating
4.4 ★
4 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Medmutual Advantage Signature (HMO-POS)
$0.00/mo
$4,200
4.0 ★
HMO-POS
Medmutual Advantage Select (PPO)
$0.00/mo
$6,775
4.5 ★
PPO
Medmutual Advantage Preferred (PPO)
$0.00/mo
$5,800
4.5 ★
PPO
Medmutual Advantage Premium (PPO)
$29.60/mo
$3,450
4.5 ★
PPO
Priority Health Medicare
Avg Star Rating
4.2 ★
11 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Prioritymedicare Thrive (PPO)
$0.00/mo
$6,200
4.0 ★
PPO
Prioritymedicare Vital (PPO)
$0.00/mo
$6,300
4.0 ★
PPO
Prioritymedicare Vintage (HMO-POS)
$0.00/mo
$5,600
4.5 ★
HMO-POS
Prioritymedicare Key (HMO-POS)
$0.00/mo
$5,800
4.5 ★
HMO-POS
Prioritymedicare Edge (PPO)
$0.00/mo
$6,000
4.0 ★
PPO
Prioritymedicare D-Snp (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Prioritymedicare Smart Savings (HMO-POS)
$0.00/mo
$9,250
4.5 ★
HMO-POS
Prioritymedicare Thrive Plus (PPO)
$7.40/mo
$5,600
4.0 ★
PPO
Prioritymedicare Merit (PPO)
$40.40/mo
$4,200
4.0 ★
PPO
Prioritymedicare (HMO-POS)
$49.70/mo
$4,500
4.5 ★
HMO-POS
Prioritymedicare Value (HMO-POS)
$50.90/mo
$5,100
4.5 ★
HMO-POS
Hap Senior Plus
Avg Star Rating
4.0 ★
6 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Hap Medicare Connect (HMO)
$0.00/mo
$5,000
4.0 ★
HMO
Hap Medicare Medicalaccess (HMO)
$0.00/mo
$4,500
4.0 ★
HMO
Hap Medicare Complete Duals (HMO D-SNP)
$0.00/mo
$9,250
4.0 ★
HMO D-SNP
Hap Medicare Superior (HMO)
$0.00/mo
$5,100
4.0 ★
HMO
Hap Medicare Diabetes And Heart (HMO C-SNP)
$0.00/mo
$9,250
4.0 ★
HMO C-SNP
Hap Senior Plus (HMO-POS)
$91.50/mo
$4,550
4.0 ★
HMO-POS
Hap Senior Plus (Ppo)
Avg Star Rating
4.0 ★
5 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Hap Medicare Complete Assist (PPO D-SNP)
$0.00/mo
$9,250
4.0 ★
PPO D-SNP
Hap Medicare Prime (PPO)
$0.00/mo
$5,650
4.0 ★
PPO
Hap Medicare Explore (PPO)
$0.00/mo
$5,400
4.0 ★
PPO
Hap Member Assist (PPO)
$0.00/mo
$5,200
4.0 ★
PPO
Hap Senior Plus (PPO)
$122.40/mo
$4,150
4.0 ★
PPO
Summacare Medicare Advantage Plans
Avg Star Rating
4.0 ★
5 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Summacare Medicare Ruby (HMO)
$0.00/mo
$3,600
4.0 ★
HMO
Summacare Medicare Topaz (HMO)
$0.00/mo
$4,300
4.0 ★
HMO
Summacare Medicare Amber (HMO)
$0.00/mo
$3,450
4.0 ★
HMO
Summacare Medicare Sapphire (HMO-POS)
$0.00/mo
$3,650
4.0 ★
HMO-POS
Summacare Medicare Quartz (HMO)
$0.00/mo
$3,950
4.0 ★
HMO
Paramount Elite Medicare Plans
Avg Star Rating
4.0 ★
4 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Paramount Elite Preferred (PPO)
$0.00/mo
$5,300
N/A
PPO
Paramount Elite Standard (HMO-POS)
$0.00/mo
$4,600
4.0 ★
HMO-POS
Paramount Elite Prime (HMO-POS)
$35.00/mo
$4,200
4.0 ★
HMO-POS
Paramount Elite Enhanced (HMO-POS)
$74.00/mo
$3,700
4.0 ★
HMO-POS
Medigold
Avg Star Rating
4.0 ★
4 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Mount Carmel Medigold No Premium (HMO)
$0.00/mo
$4,900
4.0 ★
HMO
Mount Carmel Medigold Cash Back (HMO)
$0.00/mo
$7,900
4.0 ★
HMO
Mount Carmel Medigold Choice (PPO)
$0.00/mo
$5,700
4.0 ★
PPO
Mount Carmel Medigold Glory No Rx (HMO)
$0.00/mo
$4,900
4.0 ★
HMO
Caresource Mycare Ohio (Hmo D-Snp)
Avg Star Rating
4.0 ★
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Caresource Mycare Ohio (HMO D-SNP)
$0.00/mo
$8,950
4.0 ★
HMO D-SNP
Anthem Blue Cross And Blue Shield
Avg Star Rating
3.9 ★
9 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Anthem Extra Help (HMO-POS)
$0.00/mo
$7,350
4.0 ★
HMO-POS
Anthem I Mycare Ohio Full Dual Advantage (HMO D-SNP)
$0.00/mo
$9,250
N/A
HMO D-SNP
Anthem Dual Advantage (HMO D-SNP)
$0.00/mo
$6,750
N/A
HMO D-SNP
Anthem Veteran (REGIONAL PPO)
$0.00/mo
$4,900
3.5 ★
Regional PPO
Anthem Medicare Advantage (PPO)
$0.00/mo
$6,750
4.0 ★
PPO
Anthem Medicare Advantage 3 (PPO)
$0.00/mo
$6,750
4.0 ★
PPO
Anthem Veteran (PPO)
$0.00/mo
$5,900
4.0 ★
PPO
Anthem Medicare Advantage (HMO-POS)
$0.00/mo
$9,250
4.0 ★
HMO-POS
Anthem Medicare Advantage (REGIONAL PPO)
$3.10/mo
$6,750
3.5 ★
Regional PPO
Unitedhealthcare
Avg Star Rating
3.8 ★
21 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Aarp Medicare Advantage Extras From Uhc Oh-9 (HMO-POS)
$0.00/mo
$6,700
4.0 ★
HMO-POS
Aarp Medicare Advantage Giveback From Uhc Oh-17 (HMO-POS)
$0.00/mo
$8,500
4.0 ★
HMO-POS
Aarp Medicare Advantage Essentials From Uhc Oh-5 (HMO-POS)
$0.00/mo
$5,400
4.0 ★
HMO-POS
Uhc Dual Complete Oh-D002 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Uhc Dual Complete Mi-S001 (PPO D-SNP)
$0.00/mo
$9,250
4.5 ★
PPO D-SNP
Uhc Dual Complete Oh-D1 (PPO D-SNP)
$0.00/mo
$9,250
4.5 ★
PPO D-SNP
Uhc Nursing Home Plan Oh-F001 (PPO I-SNP)
$0.00/mo
$9,250
4.0 ★
PPO I-SNP
Uhc Complete Care Support Mi-3 (PPO C-SNP)
$0.00/mo
$6,700
3.5 ★
PPO C-SNP
Aarp Medicare Advantage Patriot No Rx Mi-Ma01 (PPO)
$0.00/mo
$6,700
3.5 ★
PPO
Uhc Dual Complete Mi-S002 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Uhc Dual Complete Mi-V001 (HMO-POS D-SNP)
$0.00/mo
$6,700
3.5 ★
HMO-POS D-SNP
Uhc Dual Complete Mi-S3 (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Aarp Medicare Advantage From Uhc Mi-0001 (PPO)
$0.00/mo
$6,700
3.5 ★
PPO
Uhc Dual Complete Oh-V002 (HMO-POS D-SNP)
$0.00/mo
$5,800
3.5 ★
HMO-POS D-SNP
Aarp Medicare Advantage Extras From Uhc Oh-8 (HMO-POS)
$0.00/mo
$4,200
4.0 ★
HMO-POS
Uhc Complete Care Oh-18 (HMO-POS C-SNP)
$0.00/mo
$6,700
4.0 ★
HMO-POS C-SNP
Aarp Medicare Advantage Essentials From Uhc Oh-6 (HMO-POS)
$0.00/mo
$3,700
4.0 ★
HMO-POS
Aarp Medicare Advantage From Uhc Oh-0001 (HMO-POS)
$0.00/mo
$3,900
4.0 ★
HMO-POS
Aarp Medicare Advantage From Uhc Oh-0016 (PPO)
$0.00/mo
$6,700
3.5 ★
PPO
Aarp Medicare Advantage Patriot No Rx Oh-Ma01 (PPO)
$0.00/mo
$8,500
3.5 ★
PPO
Aarp Medicare Advantage From Uhc Mi-0002 (PPO)
$22.00/mo
$5,400
3.5 ★
PPO
Aetna Medicare
Avg Star Rating
3.8 ★
18 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Aetna Medicare Signature (HMO-POS)
$0.00/mo
$6,750
3.0 ★
HMO-POS
Aetna Medicare Chronic Care (HMO C-SNP)
$0.00/mo
$6,750
3.5 ★
HMO C-SNP
Aetna Medicare Chronic Care Total (HMO C-SNP)
$0.00/mo
$9,250
3.5 ★
HMO C-SNP
Aetna Medicare Longevity (HMO I-SNP)
$0.00/mo
$9,250
3.5 ★
HMO I-SNP
Aetna Medicare Dual Care (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Aetna Medicare Signature Care (HMO-POS)
$0.00/mo
$5,500
3.5 ★
HMO-POS
Aetna Medicare Partial Dual (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Aetna Medicare Signature (HMO-POS)
$0.00/mo
$7,500
3.0 ★
HMO-POS
Aetna Medicare Signature (PPO)
$0.00/mo
$5,900
4.5 ★
PPO
Aetna Medicare Signature (PPO)
$0.00/mo
$5,200
4.5 ★
PPO
Aetna Medicare Eagle (PPO)
$0.00/mo
$4,900
4.5 ★
PPO
Aetna Medicare Signature Extra (PPO)
$0.00/mo
$4,700
4.5 ★
PPO
Aetna Medicare Eagle Giveback (PPO)
$0.00/mo
$6,900
4.5 ★
PPO
Aetna Medicare Chronic Care (HMO C-SNP)
$0.00/mo
$6,750
3.0 ★
HMO C-SNP
Aetna Medicare Full Dual Care (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Aetna Medicare Enhanced (PPO)
$7.20/mo
$5,900
4.5 ★
PPO
Aetna Medicare Premier (PPO)
$11.00/mo
$4,900
4.5 ★
PPO
Aetna Medicare Value Care (PPO)
$42.50/mo
$5,900
4.5 ★
PPO
Humana
Avg Star Rating
3.7 ★
37 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Humana Usaa Honor Giveback With Rx (PPO)
$0.00/mo
$8,650
3.5 ★
PPO
Humanachoice H5216-023 (PPO)
$0.00/mo
$6,550
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$6,550
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$7,900
3.5 ★
PPO
Humanachoice H5216-285 (PPO)
$0.00/mo
$5,500
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$7,900
4.5 ★
PPO
Humana Usaa Honor Giveback With Rx (PPO)
$0.00/mo
$8,650
4.5 ★
PPO
Humana Usaa Honor Giveback With Rx (PPO)
$0.00/mo
$7,900
4.5 ★
PPO
Humana Full Access Giveback H7617-058 (PPO)
$0.00/mo
$9,150
4.5 ★
PPO
Humana Full Access H7617-052 (PPO)
$0.00/mo
$5,650
4.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$6,550
4.5 ★
PPO
Humana Full Access R0110-014 (REGIONAL PPO)
$0.00/mo
$6,550
3.5 ★
Regional PPO
Humanachoice R0110-015 (REGIONAL PPO)
$0.00/mo
$5,700
3.5 ★
Regional PPO
Humanachoice R0110-016 (REGIONAL PPO)
$0.00/mo
$7,050
3.5 ★
Regional PPO
Humanachoice H7617-004 (PPO)
$0.00/mo
$5,500
4.5 ★
PPO
Humanachoice Giveback H7617-003 (PPO)
$0.00/mo
$9,150
4.5 ★
PPO
Humana Gold Plus Snp-De H6622-087 (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Humanachoice R0110-013 (REGIONAL PPO)
$0.00/mo
$6,550
3.5 ★
Regional PPO
Humana Full Access Giveback H5216-306 (PPO)
$0.00/mo
$9,150
3.5 ★
PPO
Humana Usaa Honor Giveback With Rx (PPO)
$0.00/mo
$7,900
3.5 ★
PPO
Humanachoice Giveback H5216-309 (PPO)
$0.00/mo
$9,150
3.5 ★
PPO
Humanachoice - Diabetes And Heart (PPO C-SNP)
$0.00/mo
$6,550
3.5 ★
PPO C-SNP
Humana Value Plus H5216-382 (PPO)
$0.00/mo
$9,250
3.5 ★
PPO
Humana Full Access H5216-384 (PPO)
$0.00/mo
$5,650
3.5 ★
PPO
Humana Gold Plus H6622-022 (HMO-POS)
$0.00/mo
$4,800
3.5 ★
HMO-POS
Humanachoice Snp-De H5216-388 (PPO D-SNP)
$0.00/mo
$9,250
3.5 ★
PPO D-SNP
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$7,900
3.5 ★
PPO
Humanachoice H5525-030 (PPO)
$0.00/mo
$3,950
3.5 ★
PPO
Humana Value Plus H5525-041 (PPO)
$0.00/mo
$9,250
3.5 ★
PPO
Humana Dual Select H5525-046 (PPO D-SNP)
$0.00/mo
$9,250
3.5 ★
PPO D-SNP
Humana Gold Plus Snp-De H6622-015 (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Humana Gold Plus - Diabetes And Heart (HMO C-SNP)
$0.00/mo
$9,150
3.5 ★
HMO C-SNP
Humana Dual Select H5216-385 (PPO D-SNP)
$0.00/mo
$9,250
3.5 ★
PPO D-SNP
Humana Full Access H5216-011 (PPO)
$1.80/mo
$5,700
3.5 ★
PPO
Humana Full Access H5525-042 (PPO)
$15.40/mo
$9,150
3.5 ★
PPO
Humana Gold Plus H6622-055 (HMO)
$16.00/mo
$6,550
3.5 ★
HMO
Humana Gold Choice H8145-006 (PFFS)
$26.20/mo
$6,800
3.5 ★
PFFS
Devoted Health
Avg Star Rating
3.5 ★
11 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Devoted Premium 002 Oh (HMO)
$0.00/mo
$4,500
3.5 ★
HMO
Devoted Choice 001 Oh (PPO)
$0.00/mo
$5,300
3.5 ★
PPO
Devoted Choice Ma Only 002 Oh (PPO)
$0.00/mo
$9,250
3.5 ★
PPO
Devoted Choice 003 Oh (PPO)
$0.00/mo
$5,300
3.5 ★
PPO
Devoted Core 001 Oh (HMO)
$0.00/mo
$4,900
3.5 ★
HMO
Devoted Giveback 003 Oh (HMO)
$0.00/mo
$6,750
3.5 ★
HMO
Devoted Dual Plus 010 Oh (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Devoted Dual 011 Oh (HMO D-SNP)
$0.00/mo
$4,300
3.5 ★
HMO D-SNP
Devoted C-Snp Plus 016 Oh (HMO C-SNP)
$0.00/mo
$9,250
3.5 ★
HMO C-SNP
Devoted C-Snp Premium 017 Oh (HMO C-SNP)
$0.00/mo
$4,600
3.5 ★
HMO C-SNP
Devoted Core 022 Oh (HMO)
$0.00/mo
$4,300
3.5 ★
HMO
Valor Health Plan
Avg Star Rating
3.5 ★
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Valor Health Plan (HMO I-SNP)
$0.00/mo
$9,250
3.5 ★
HMO I-SNP
Wellcare
Avg Star Rating
3.0 ★
13 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Wellcare Dual Reserve (HMO-POS D-SNP)
$0.00/mo
$4,200
3.0 ★
HMO-POS D-SNP
Wellcare Simple Open (PPO)
$0.00/mo
$5,200
3.0 ★
PPO
Wellcare Dual Access Open (PPO D-SNP)
$0.00/mo
$9,250
3.0 ★
PPO D-SNP
Wellcare Patriot Giveback Open (PPO)
$0.00/mo
$5,000
3.0 ★
PPO
Wellcare Dual Reserve (HMO-POS D-SNP)
$0.00/mo
$4,200
3.0 ★
HMO-POS D-SNP
Wellcare Assist (HMO-POS)
$0.00/mo
$5,000
3.0 ★
HMO-POS
Wellcare Giveback (HMO-POS)
$0.00/mo
$7,550
3.0 ★
HMO-POS
Wellcare Simple (HMO-POS)
$0.00/mo
$5,000
3.0 ★
HMO-POS
Wellcare Buckeye Mycare Ohio Dual Align (HMO D-SNP)
$0.00/mo
$9,250
N/A
HMO D-SNP
Wellcare Assist (HMO-POS)
$0.00/mo
$4,700
3.0 ★
HMO-POS
Wellcare Dual Access (HMO-POS D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO-POS D-SNP
Wellcare Simple (HMO-POS)
$0.00/mo
$6,500
3.0 ★
HMO-POS
Wellcare Dual Access (HMO-POS D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO-POS D-SNP
Align Senior Care
Avg Star Rating
3.0 ★
2 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Premier Care (HMO-POS I-SNP)
$0.00/mo
$4,700
3.0 ★
HMO-POS I-SNP
Senior Care (HMO I-SNP)
$0.00/mo
$6,500
3.0 ★
HMO I-SNP
Molina Healthcare Of Ohio
Avg Star Rating
3.0 ★
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Molina Complete Care For Mycare Ohio (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Molina Healthcare Of Michigan
Avg Star Rating
3.0 ★
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Molina Medicare Complete Care (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Zing Health
Avg Star Rating
2.5 ★
5 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Zing Elite Diabetes & Heart Oh (HMO C-SNP)
$0.00/mo
$4,500
2.5 ★
HMO C-SNP
Zing Select Diabetes & Heart Oh (HMO C-SNP)
$0.00/mo
$4,500
2.5 ★
HMO C-SNP
Zing Select Care Oh (HMO)
$0.00/mo
$4,500
2.5 ★
HMO
Zing Elite Select Oh (HMO)
$0.00/mo
$3,900
2.5 ★
HMO
Zing Select Dialysis Oh (HMO C-SNP)
$0.00/mo
$4,950
2.5 ★
HMO C-SNP
Perennial Advantage
Avg Star Rating
N/A
3 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Perennial Advantage Premier (HMO-POS I-SNP)
$0.00/mo
$3,900
N/A
HMO-POS I-SNP
Perennial Advantage Freedom (HMO-POS)
$0.00/mo
$3,900
N/A
HMO-POS
Perennial Advantage Strive (HMO I-SNP)
$0.00/mo
$9,250
N/A
HMO I-SNP
Communicare Advantage
Avg Star Rating
N/A
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Communicare Advantage Isnp (HMO I-SNP)
$0.00/mo
$9,250
N/A
HMO I-SNP
Unitedhealthcare Community Plan
Avg Star Rating
N/A
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Uhc Dual Complete Oh-S3 (HMO-POS D-SNP)
$0.00/mo
$9,250
N/A
HMO-POS D-SNP
Longevity Health Plan
Avg Star Rating
N/A
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Longevity Health Plan (HMO I-SNP)
$0.00/mo
$9,250
N/A
HMO I-SNP

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Part D: Prescription Drug Plans (PDP)

Part D covers prescription drugs through standalone plans for those on Original Medicare, or as part of a Medicare Advantage bundle. Among the 22 standalone Part D plans in 43560, MI, some offer $0 annual deductibles while others charge up to the 2026 maximum of $590. 5 plans are at or below the regional premium benchmark, making them eligible for Low Income Subsidy auto-enrollment. The 2026 $2,000 out-of-pocket cap means drug costs are now more predictable regardless of which plan you choose, but formulary coverage still varies significantly—always verify your medications are covered before enrolling.

Part D Formulary Notice: Each Part D plan has its own formulary (list of covered drugs). The same medication may be on different tiers—or not covered at all—depending on the plan. Always check that your specific medications are covered before enrolling.
2026 Out-of-Pocket Cap: Thanks to the Inflation Reduction Act, your total out-of-pocket drug costs are capped at $2,000 per year in 2026. Once you reach this limit, you pay nothing more for covered Part D drugs for the rest of the year. This eliminates the old "donut hole" coverage gap that previously caused higher costs.
Low Income Subsidy (LIS / Extra Help): If you have limited income and resources, you may qualify for Extra Help paying Part D costs. Visit SSA.gov or call 1-800-MEDICARE.

Top Part D Drug Plans in 43560, MI

We organize Part D plans by CMS Star Ratings, premiums, and deductibles so you can find the best fit for your prescription needs. Part D premiums in 43560, MI range from $0 to $123/month. Remember: all Part D plans now cap your annual out-of-pocket drug costs at $2,000 thanks to the Inflation Reduction Act.

Highest CMS Star Ratings (Part D)

Part D Star Ratings measure drug pricing, customer service, member complaints, and pharmacy access.

Plan NameInsurerStar RatingPremiumDeductible
Wellcare Value Script (PDP)Wellcare3.5 ★$7.60/mo$615Enroll
Wellcare Classic (PDP)Wellcare3.5 ★$7.70/mo$615Enroll
Wellcare Value Script (PDP)Wellcare3.5 ★$0.00/mo$615Enroll
Wellcare Classic (PDP)Wellcare3.5 ★$0.00/mo$615Enroll
Humana Value Rx Plan (PDP)Humana3.0 ★$23.70/mo$601Enroll

Lowest Monthly Premium

Lower premiums help with monthly cash flow, but check drug tier costs and the deductible.

Plan NameInsurerMonthly PremiumDrug DeductibleStar Rating
Wellcare Value Script (PDP)Wellcare$0.00/mo$6153.5 ★
Humana Basic Rx Plan (PDP)Humana$0.00/mo$6153.0 ★
Humana Value Rx Plan (PDP)Humana$0.00/mo$6013.0 ★
Wellcare Classic (PDP)Wellcare$0.00/mo$6153.5 ★
Healthspring Assurance Rx (PDP)Healthspring$0.00/mo$6152.5 ★

Lowest Annual Drug Deductible

The deductible is what you pay out-of-pocket before the plan starts covering drug costs. The 2026 maximum Part D deductible is $590. Many plans offer $0 deductible options.

Plan NameInsurerDrug DeductibleMonthly PremiumStar Rating
Humana Premier Rx Plan (PDP)Humana$0$98.10/mo3.0 ★
Prescription Blue Premium (PDP)Blue Cross Blue Shield Of Michigan$0$106.70/mo2.5 ★
Humana Premier Rx Plan (PDP)Humana$0$117.60/mo3.0 ★
Aarp Medicare Rx Preferred From Uhc (PDP)Unitedhealthcare$130$78.30/mo2.0 ★
Aarp Medicare Rx Preferred From Uhc (PDP)Unitedhealthcare$130$123.40/mo2.0 ★
Understanding drug tiers: Part D plans organize medications into 5 cost tiers — Tier 1 (Preferred Generic) is cheapest; Tier 5 (Specialty) is most expensive. Two plans with the same premium can have very different costs for your drugs depending on tier placement. Learn more about drug tiers →

Choosing the Right Part D Drug Plan

The right Part D plan depends on your specific medications. Key factors to evaluate:

  • Formulary: Verify your drugs are covered before enrolling
  • Preferred pharmacies: Lower copays at certain locations—check your pharmacy is in-network
  • Total annual cost: Premium + deductible + copays for your drugs

Read our full guide on choosing Part D →
What is a formulary? See our Medicare Glossary →

Part D Drug Plan Insurers in 43560, MI

6 insurance companies offer standalone Part D drug plans in 43560, MI. Below, we group plans by insurer.

Wellcare
Avg Star Rating
3.5 ★
4 plans
From $0.00/mo
Plan
Premium
Deductible
Stars
Type
Wellcare Classic (PDP)
$0.00/mo
$615
3.5 ★
PDP
Wellcare Value Script (PDP)
$0.00/mo
$615
3.5 ★
PDP
Wellcare Value Script (PDP)
$7.60/mo
$615
3.5 ★
PDP
Wellcare Classic (PDP)
$7.70/mo
$615
3.5 ★
PDP
Humana
Avg Star Rating
3.0 ★
6 plans
From $0.00/mo
Plan
Premium
Deductible
Stars
Type
Humana Basic Rx Plan (PDP)
$0.00/mo
$615
3.0 ★
PDP
Humana Basic Rx Plan (PDP)
$0.00/mo
$615
3.0 ★
PDP
Humana Value Rx Plan (PDP)
$0.00/mo
$601
3.0 ★
PDP
Humana Value Rx Plan (PDP)
$23.70/mo
$601
3.0 ★
PDP
Humana Premier Rx Plan (PDP)
$98.10/mo
$0
3.0 ★
PDP
Humana Premier Rx Plan (PDP)
$117.60/mo
$0
3.0 ★
PDP
Aetna Medicare
Avg Star Rating
3.0 ★
2 plans
From $78.30/mo
Plan
Premium
Deductible
Stars
Type
Silverscript Choice (PDP)
$78.30/mo
$615
3.0 ★
PDP
Silverscript Choice (PDP)
$90.30/mo
$615
3.0 ★
PDP
Healthspring
Avg Star Rating
2.5 ★
4 plans
From $0.00/mo
Plan
Premium
Deductible
Stars
Type
Healthspring Assurance Rx (PDP)
$0.00/mo
$615
2.5 ★
PDP
Healthspring Extra Rx (PDP)
$50.40/mo
$615
2.5 ★
PDP
Healthspring Extra Rx (PDP)
$65.70/mo
$615
2.5 ★
PDP
Healthspring Assurance Rx (PDP)
$109.50/mo
$615
2.5 ★
PDP
Blue Cross Blue Shield Of Michigan
Avg Star Rating
2.5 ★
2 plans
From $78.40/mo
Plan
Premium
Deductible
Stars
Type
Prescription Blue Select (PDP)
$78.40/mo
$615
2.5 ★
PDP
Prescription Blue Premium (PDP)
$106.70/mo
$0
2.5 ★
PDP
Unitedhealthcare
Avg Star Rating
2.0 ★
4 plans
From $14.10/mo
Plan
Premium
Deductible
Stars
Type
Aarp Medicare Rx Saver From Uhc (PDP)
$14.10/mo
$615
2.0 ★
PDP
Aarp Medicare Rx Saver From Uhc (PDP)
$73.70/mo
$615
2.0 ★
PDP
Aarp Medicare Rx Preferred From Uhc (PDP)
$78.30/mo
$130
2.0 ★
PDP
Aarp Medicare Rx Preferred From Uhc (PDP)
$123.40/mo
$130
2.0 ★
PDP

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Ready to Enroll in 43560, MI?

Compare plans side-by-side at Medicare.gov or speak with a licensed Medicare specialist.

Compare Plans at Medicare.gov Call 1-800-MEDICARE

📋 Print our Medicare Enrollment Checklist — gather your info before you compare.

📅 Enrollment Dates & Deadlines · 🩺 Questions to Ask Your Doctor

Medicare.gov is the official U.S. government site for Medicare. Available 24/7.

Pharmacy Access in 43560, MI

Part D plans have preferred pharmacy networks where you'll pay lower copays. Here's a look at pharmacy options in and around 43560, MI.

Total Pharmacies

33
within 5.0 miles

Chain Pharmacies

16
CVS, Walgreens, etc.

Independent Pharmacies

17
locally owned
PharmacyAddress & PhoneDistanceType
SYLVANIA RX LLC6600 SYLVANIA AVE STE 1E SYLVANIA, OH 435603933📞 419-951-10850.9 miIndependent
LANE DRUG CO4018 NORTH MCCORD ROAD SYLVANIA, OH 435603264📞 419-988-29891.2 miIndependent
OHIO CVS STORES LLC7510 SYLVANIA AVE SYLVANIA, OH 435609725📞 419-984-18321.3 miChain
THE KROGER CO6235 MONROE ST SYLVANIA, OH 435601427📞 419-988-47381.3 miChain
SYLVANIA PHARMACY LIMITED7640 SYLVANIA AVE SYLVANIA, OH 435609740📞 419-984-15311.3 miIndependent
THE KROGER CO7545 SYLVANIA AVE SYLVANIA, OH 435609735📞 419-984-64681.4 miChain
MAYBERRY PHARMACY LLC8257 MAYBERRY SQ S SYLVANIA, OH 435609458📞 419-951-11201.6 miIndependent
RITE AID OF OHIO INC5890 MONROE STREET SYLVANIA, OH 435602200📞 419-988-58601.7 miChain
RITE AID OF OHIO INC8310 SYLVANIA METAMORA ROAD SYLVANIA, OH 435609428📞 419-988-72411.8 miChain
URO PHARMACY LLC3355 MEIJER DR TOLEDO, OH 436173102📞 419-951-19841.9 miIndependent

Pharmacy data from CMS. Network participation varies by plan—always verify with your specific Part D plan.

Local Healthcare Access in 43560, MI

Before choosing a plan, consider the healthcare infrastructure in 43560, MI. Medicare Advantage plans restrict you to in-network hospitals, so understanding local hospital quality helps you pick the right plan — not just the cheapest one.

Note: The facilities below do not indicate which providers are in-network for any specific plan. Always verify network status with your plan before enrolling.

Hospitals Nearby

9
within 25.0 miles

Top-Rated Hospitals near 43560, MI

If hospital access matters to your plan choice, check quality ratings before you enroll. These are the highest CMS-rated hospitals near 43560, MI — click a hospital name to see its full profile and verify it's in your plan's network.

View all 9 hospitals near 43560, MI to check quality before you enroll →

Hospital data from CMS Hospital Compare and Provider of Services file. Distance calculated from center of 43560, MI.

Questions to ask your doctor about Medicare coverage →

Telehealth in 43560, MI: Is Your Internet Ready?

Many Medicare Advantage and some Part D plans now include telehealth benefits, making routine check-ins and prescription refills easier from home. But telehealth requires reliable internet—here's a look at connectivity in 43560, MI. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.

Internet Coverage in 43560, MI

Fiber Available
98.7%
of households
Cable/DSL Available
98.8%
of households
Top Provider
Buckeye
98.7% coverage
No Broadband
1.1%
of households

Internet coverage data from ISP Reports. View full internet report for 43560, MI.

Medicare-Relevant Demographics in 43560, MI

Understanding 43560, MI's demographics helps contextualize why insurers offer the plans they do. Areas with more seniors and higher incomes tend to attract more insurer competition, while areas with higher Medicaid enrollment may have more Dual-Eligible Special Needs Plans (D-SNP) available.

Total Population
38,269
Population 65+
7,481
19.5% of total
Median Age
41
3.0 years older than the national average
Median Income
$114,597
52.5% above the National Average
On Medicare
5,780
15.1% of residents
On Medicaid
3,105
8.1% of residents
Uninsured
1,456
3.8% of residents
Social Security Recipients
11,910
31.1% of population

Demographic data from U.S. Census Bureau American Community Survey (2023). View full 43560, MI demographics (BestNeighborhood.org).

Local Medicare FAQ: 43560, MI

Common decision points based on 43560, MI's specific plan market and local healthcare landscape.

How does 43560, MI's Medicare Advantage market compare?

43560, MI has 179 Medicare Advantage plans from 26 insurers. This is significantly above the national average of approximately 57 plans per area, indicating a highly competitive local market. More competition typically means lower premiums and better supplemental benefits for beneficiaries. The local mix includes 97 HMO and 81 PPO plans. Plan availability updates annually during the Medicare Annual Enrollment Period (October 15 – December 7).

Should I choose an HMO or PPO Medicare Advantage plan in 43560, MI?

With 9 hospitals within 25.0 miles, 43560, MI has strong provider density. HMO plans (97 available) typically have lower premiums but require referrals and in-network care. PPO plans (81 available) offer more flexibility to see out-of-network providers at higher cost. In 43560, MI, HMO plans dominate the market, which often means more competitive HMO pricing. Always verify your doctors are in-network before enrolling in any plan.

What's the real cost of $0 premium plans in 43560, MI?

153 plans (85% of available options) in 43560, MI charge $0 beyond the standard Part B premium. This high percentage reflects strong insurer competition in the area. However, $0 premium doesn't mean $0 cost. These plans may have higher copays, coinsurance, or out-of-pocket maximums. In 43560, MI, maximum out-of-pocket limits range from $3,450 to an average of $6,565. We recommend calculating your total expected annual cost (premium + copays + drug costs) rather than choosing based on premium alone.

How does the 2026 $2,000 drug cap affect 43560, MI beneficiaries?

The Inflation Reduction Act capped annual out-of-pocket drug spending at $2,000 starting in 2025, eliminating the old "donut hole" coverage gap. This applies to all 22 standalone Part D plans in 43560, MI.

What this means locally:

  • Cost predictability — No matter which of the 22 Part D plans you choose, your drug costs are capped at $2,000/year
  • $0 deductible options — Some local plans offer $0 deductibles, meaning coverage starts immediately
  • Low-income options — 5 plans meet the regional benchmark for Extra Help/LIS eligibility

While the out-of-pocket cap standardizes maximum costs, formulary coverage still varies significantly between plans. A drug that costs $5/month on one plan's formulary might cost $50 on another. Always check that your specific medications are covered and compare tier placement before enrolling.

See all Medicare FAQs in our complete guide → · Enrollment checklist →
Medicare Glossary · Enrollment Dates & Deadlines · Doctor Questions

About the Data & Editorial Team

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward is the founder of InsuranceDataNow.org and reviews all content for data accuracy and methodology compliance.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to consumer data tools. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org.

Role: Reviews and approves all content for data accuracy, source verification, and methodology compliance.

View full profile →LinkedIn

Transparency & Disclosures

InsuranceDataNow is an advertising-supported publisher based in South Jordan, Utah. We are not affiliated with or endorsed by Medicare or the U.S. government.

TPMO Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (24 hours a day/7 days a week) to get information on all of your options.

Sources

All data is sourced from official government databases and trusted third-party providers. Data is updated regularly—see page header for last refresh dates.

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