Medicare Advantage Plan Cost (2026 Plan Year)


Updated: November 13, 2025

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Key Takeaways
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Medicare Advantage plans cost an average of $0 monthly in 2026, with 60% of plans charging $0 beyond your Part B premium.

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Beyond plan premiums, you'll pay copays for doctor visits and prescription costs up to the $2,100 annual drug spending cap.

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You can lower costs by staying in-network, applying for Extra Help with drug expenses and comparing plans during open enrollment.

How Much Does Medicare Advantage Plans Cost?

Most Medicare Advantage plans cost $0 per month in 2026, according to MoneyGeek's analysis. But that's just the starting point. Your total costs depend on the plan type you pick and how much medical care you need. While most Medicare Advantage plans are free (60% of all plans according to our analysis), there are some that plans that do charge a premium. Excluding free plans, HMO plans average $53 monthly, while PPO plans average $63 monthly. 

Don't forget the Medicare Part B premium of $185 monthly and the $257 annual deductible. You'll also pay copays and coinsurance when you see doctors or get services. Not yet 65? Check health insurance options for retirees until you qualify for Medicare.

HMO
$0
$53
76%
$5,479
HMO-POS
$0
$56
66%
$5,725
PFFS
$37
$40
10%
$6,387
PPO
$0
$63
58%
$6,748
Regional PPO
$97
$88
0%
$7,838
All Plan Types
$0
$63
60%
$6,312

Premium amounts represent consolidated monthly costs for Medicare Part C and Part D coverage, based on MoneyGeek's analysis of 2026 Medicare Advantage plan data. We've included both median and average rates to give a full picture of associated costs. For the average cost, we excluded $0 premium plans. Out-of-pocket maximums reflect average in-network limits for 2026. Individual plan costs vary by location, insurer and coverage level. The "% of $0 Premium Plans" represents the amount of free plans of that plan type according to the plans we surveyed.

Medicare Advantage Plans Cost by State

Shopping for Medicare Advantage gets tricky when premiums change from state to state. Your ZIP code affects your costs because insurers price plans based on local health care expenses and competition. Colorado, Nebraska and Utah offer $0 HMO premiums, while Massachusetts charges $78 monthly. PPO plans show the same pattern, with Arizona at $0 and Montana averaging $64. 

The below table shows costs for HMO and PPO Medicare Advantage plans, the two most common types:

Alabama
$0 / $44 / 71%
$20 / $48 / 47%
Arizona
$0 / $44 / 98%
$0 / $108 / 59%
Arkansas
$0 / $11 / 73%
$0 / $46 / 90%
California
$0 / $51 / 80%
$45 / $65 / 27%
Colorado
$0 / $0 / 100%
$9 / $47 / 49%
Connecticut
$0 / $45 / 54%
$0 / $18 / 92%
Delaware
$0 / $46 / 62%
$20 / $62 / 46%
Florida
$0 / $35 / 94%
$0 / $73 / 83%
Georgia
$0 / $30 / 85%
$0 / $35 / 73%
Hawaii
$0 / $143 / 69%
$20 / $56 / 32%
Idaho
$0 / $99 / 56%
$29 / $58 / 35%
Illinois
$0 / $59 / 99%
$0 / $60 / 63%
Indiana
$0 / $54 / 86%
$0 / $30 / 60%
Iowa
$0 / $34 / 73%
$0 / $46 / 64%
Kansas
$36 / $35 / 18%
$0 / $39 / 86%
Kentucky
$0 / $15 / 94%
$0 / $34 / 65%
Louisiana
$0 / $21 / 88%
$0 / $65 / 60%
Maine
$0 / $21 / 67%
$0 / $57 / 60%
Maryland
$30 / $63 / 33%
$26 / $47 / 17%
Massachusetts
$78 / $142 / 26%
$29 / $138 / 44%
Michigan
$0 / $17 / 80%
$0 / $82 / 54%
Minnesota
$50 / $95 / 25%
$60 / $103 / 25%
Mississippi
$0 / $16 / 88%
$0 / $31 / 59%
Missouri
$0 / $37 / 81%
$0 / $70 / 78%
Montana
$18 / $18 / 19%
$64 / $92 / 42%
Nebraska
$0 / $0 / 100%
$30 / $61 / 47%
Nevada
$0 / $50 / 83%
$0 / $28 / 89%
New Hampshire
$14 / $18 / 23%
$22 / $44 / 45%
New Jersey
$0 / $55 / 65%
$0 / $57 / 50%
New Mexico
$0 / $83 / 89%
$0 / $48 / 54%
New York
$25 / $97 / 44%
$32 / $76 / 42%
North Carolina
$0 / $27 / 71%
$0 / $72 / 60%
North Dakota
N/A
$59 / $88 / 30%
Ohio
$0 / $51 / 66%
$0 / $54 / 51%
Oklahoma
$0 / $60 / 65%
$0 / $70 / 59%
Oregon
$0 / $110 / 59%
$59 / $100 / 40%
Pennsylvania
$22 / $75 / 47%
$13 / $84 / 49%
Rhode Island
N/A
$0 / $26 / 67%
South Carolina
$0 / $32 / 70%
$0 / $33 / 67%
South Dakota
N/A
$55 / $79 / 25%
Tennessee
$0 / $28 / 65%
$28 / $61 / 40%
Texas
$0 / $10 / 86%
$0 / $63 / 68%
Utah
$0 / $0 / 100%
$0 / $80 / 54%
Vermont
N/A
$0 / $0 / 100%
Virginia
$0 / $21 / 79%
$0 / $58 / 60%
Washington
$0 / $100 / 52%
$56 / $89 / 37%
West Virginia
$0 / $0 / 100%
$0 / $67 / 53%
Wisconsin
$0 / $145 / 74%
$21 / $72 / 48%
Wyoming
N/A
$66 / $98 / 3%
District of Columbia
$0 / $0 / 100%
$32 / $39 / 17%
Puerto Rico
$0 / $0 / 100%
$0 / $0 / 100%

We show median and average consolidated monthly premiums for HMO and PPO Medicare Advantage plans by state, based on MoneyGeek's analysis. Actual costs can vary. N/A indicates insufficient data available for that plan type in the state.

What Are Medicare Advantage Costs?

Medicare Advantage plans bundle your coverage into one package, but you'll still pay for health care in different ways. Medicare Advantage plans charge several types of expenses beyond your monthly premium. Your total costs depend on your plan's structure, the services you use and whether you see in-network providers.

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    Premiums

    Most people get a pleasant surprise here, as 60% of Medicare Advantage plans charge $0 extra beyond what you're already paying for Part B. That Part B premium runs $185 monthly, and you pay it whether you stick with Original Medicare or switch to Medicare Advantage.

    Plans that charge a premium average just $0 monthly in 2026. Some plans sweeten the deal by covering part of your Part B premium, which puts money back in your pocket each month.

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    Deductibles

    Your deductible works like the entry fee before coverage kicks in. Good news: many Medicare Advantage plans skip the medical deductible entirely. 

    Drug coverage follows different rules. Plans with prescription benefits can charge up to $615 annually for medications in 2026. Check your plan documents to see what you're on the hook for before coverage begins.

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    Coinsurance and Copay

    Once you clear your deductible, you split costs with your plan. Copays are straightforward and usually around $20 when you see your primary doctor. Coinsurance takes a percentage, like 20% of hospital bills, while your plan covers the rest. 

    Staying in-network keeps costs lower. Wander out of the network and you'll pay more. Your plan caps annual spending at $9,250 for in-network services, which protects you if health issues pile up.

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    Prescription Drug Costs

    Drug spending maxes out at $2,100 annually. Hit that ceiling and you're done paying for covered medications through December 31. Your plan's formulary lists which drugs count toward this cap, so check it before filling prescriptions.

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DIFFERENT TYPES OF MEDICARE ADVANTAGE PLANS

Medicare Advantage plan types handle networks and referrals differently. Some give you total freedom to choose doctors. Others save you money by limiting your options.   

  • HMO Plans: You can think of HMO plans as the budget-friendly option with stricter rules. You'll pick one primary doctor who becomes your health care quarterback and you can't see specialists without getting a referral first. Stay in the plan's network, or you're paying out of pocket (except for emergencies). But you can trade it for lower monthly costs, if that's what you want.
  • HMO-POS Plans: These work like regular HMOs but give you an escape hatch. You still need that primary doctor and those referrals, but you can go outside the network when necessary. You'll pay more for out-of-network care, though not the full price like a standard HMO charges.
  • PPO Plans: Want more freedom? PPO plans let you skip the referral dance and see any doctor you choose. No primary care physician needed. You'll save money using in-network doctors, but you can go out of network without getting stuck with the entire bill. Expect higher premiums for this flexibility.
  • Regional PPO Plans: These cover entire states or even multiple states and are helpful if you split time between locations or travel frequently. They're harder to find than local PPOs but work well for snowbirds and frequent travelers.
  • PFFS Plans: Private Fee-for-Service plans give you maximum provider choice. Any doctor who accepts Medicare and agrees to the plan's payment terms can treat you. The catch? Not every doctor accepts PFFS terms, so call ahead. No primary care physician required, no referrals needed.

How Can You Lower Your Medicare Advantage Plan Costs?

Want to slash what you're paying for Medicare Advantage? You've got options. Some work best when you're shopping for plans during open enrollment. Others are assistance programs you can tap into if money's tight. Don't skip checking these out even if you think you earn too much. The income limits might surprise you, and the savings definitely will.

  1. 1
    Compare Plans During Open Enrollment

    Your plan's costs have probably changed since last year. That $20 monthly premium might've jumped to $50, or maybe another insurer now offers better coverage for less money. You can switch plans between October 15 and December 7. Pull up Medicare's Plan Finder tool and see what's available in your area. Your current plan might not be your best deal anymore. Our analysis of top Medicare Advantage plans can help you identify which insurers consistently offer strong value.

  2. 2
    Stay In-Network

    Sticking with doctors in your plan's network saves you money. These providers agreed to lower rates with your insurer. Go outside the network and you'll pay way more in copays and coinsurance. Before you book that appointment, call the office to make sure they're still in your network. Networks shift around more than you'd think.

  3. 3
    Apply for Extra Help

    Extra Help pays for prescription drug costs if you're living on a limited income. It covers your drug premiums, deductibles and what you'd normally pay at the pharmacy. You can apply at SSA.gov/extrahelp or call Social Security at 1-800-772-1213. Income limits change each year, so check the current numbers when you apply.

  4. 4
    Check Medicare Savings Programs

    Your state might cover your Part B premium. Some states also cover deductibles, coinsurance and copayments. Every state sets different income limits, and some don't even count certain resources. Call your state Medicaid office even if you're not sure you'll qualify. You might be eligible and just don't know it yet.

  5. 5
    Ask About Pharmaceutical Assistance

    Drug makers run programs that cut medication costs for people with Medicare. Each company has its own eligibility rules. Contact whoever makes your prescriptions and ask if they've got assistance available. Tons of people qualify but never bother applying.

  6. 6
    Choose Generic Medications

    Generics work exactly like brand-name drugs but cost less. Ask your doctor if there's a generic option for your prescriptions. You'll get the same results, just with a smaller bill at the pharmacy.

Bottom Line

Shopping for Medicare Advantage means balancing monthly costs with what you'll actually spend at the doctor. Most plans charge little or nothing beyond Part B, but your real expenses come from copays and prescriptions. Compare your options each fall and check if Extra Help can cut your drug costs.

Average Cost of Medicare Advantage Plan: FAQ

We've answered frequently asked questions about Medicare Advantage plan costs below:

How much does Medicare Advantage cost per month?

What's the difference between plan premiums and out-of-pocket costs?

What does the out-of-pocket maximum protect me from?

Are $0 premium Medicare Advantage plans really free?

How can I reduce my Medicare Advantage costs?

Which Medicare Advantage plan type costs the least?

How We Calculated the Cost of Medicare Advantage Plans

Medicare Advantage costs vary dramatically by location and plan type, so we analyzed over 64,000 plans across all U.S. states to show you what typical coverage actually costs in your area. 

Our Research Approach 
We collected 64,249 Medicare Advantage plan quotes from the Centers for Medicare & Medicaid Services (CMS) CY2026 Landscape file. This dataset includes all available MA-PD (Medicare Advantage – Prescription Drug) plans in each state, giving you a complete picture of your coverage options and their costs. 

Plan Types Analyzed 
Our analysis focuses on MA-PD plans because they bundle everything Medicare beneficiaries need:

  • Medicare Part A (hospital coverage)
  • Medicare Part B (medical coverage)
  • Medicare Part D (prescription drug coverage)

We excluded MA-only plans (without prescription coverage) since most Medicare beneficiaries need drug coverage and prefer the simplicity of an all-in-one plan. 

Coverage Categories 
We analyzed monthly premiums and out-of-pocket maximums across five plan types:

  • HMO (Health Maintenance Organization) – Lower costs with network restrictions
  • HMO-POS (Point of Service) – HMO flexibility with some out-of-network access
  • PFFS (Private Fee-for-Service) – Maximum provider choice
  • PPO (Preferred Provider Organization) – Network flexibility with higher costs
  • Regional PPO – Multi-state coverage for frequent travelers.

Data Analysis

We use median costs for the analysis along with the averages. Here's why that matters: More than half of Medicare Advantage plans charge $0 in monthly premiums beyond your Part B payment. But a small number of plans charge $80 to $150+ monthly for extensive benefits, which skews averages upward and makes typical costs look higher than what most people actually pay. 

The median shows what a middle-of-the-pack plan costs in your state and nationally, giving you realistic expectations when shopping for coverage. 

Why This Methodology Works for You 
Medicare Advantage pricing depends heavily on your location and the plan type you choose. Generic national averages don't help when budgeting for coverage in your specific state. Our analysis of each state's data shows realistic cost expectations based on actual plans available in your area.

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About Mark Fitzpatrick


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Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. With over five years of experience analyzing the insurance market, he conducts original research and creates tailored content for all types of buyers. His insights have been featured in publications like CNBC, NBC News and Mashable.

Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!

He writes about economics and insurance, breaking down complex topics so people know what they're buying.


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