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ABCD Health Plans

 

By Bill Wilkie — Independent Medicare Specialist, ABCD Health Plans | NPN #5117657

Principal Agent Bill Wilkie
Medicare Advisor Bill Wilkie

“What’s the best Medicare Advantage plan?” is the question I get asked constantly in Stuart and Martin County — and I’ll give you the honest answer up front: there isn’t one single best plan. There’s a best plan for you, based on your doctors, your medications, and your budget. But I can show you exactly what’s actually available here, which ones are rated highest, and how to make sense of it all without drowning in insurance jargon.

Key Takeaways

  • Martin County has 40 Medicare Advantage plans available for 2026, spanning HMO, PPO, HMO-POS, and Regional PPO options.
  • The large majority come with a $0 monthly premium — most current CMS data puts it at 36 of the 40 plans.
  • 70% of plans are rated 4 stars or higher by CMS, with 3 plans earning a full 5 stars.
  • The average out-of-pocket maximum across all plans is $6,110 — well under the federal 2026 ceiling of $9,250.
  • The most-enrolled plan in the county is the Humana Full Access Giveback (PPO), though popularity doesn’t automatically mean it’s the right fit for you.

In this article: 2026 by the numbers · Top-rated plans · HMO vs. PPO vs. HMO-POS · What “best” actually means · Local network notes · FAQ

2026 Martin County Medicare Advantage, By the Numbers

  • 40 total Medicare Advantage plans available in Martin County for 2026
  • ~90% carry a $0 monthly premium (36 of 40, per the most recently refreshed CMS-sourced data)
  • 70% are rated 4 stars or higher; 3 plans hold a full 5-star rating
  • $6,110 average annual out-of-pocket maximum (compared to the $9,250 federal cap for 2026)
  • $490 average Part D deductible among plans that include drug coverage
  • 4 plan types available: HMO, HMO-POS, PPO, and Regional PPO
  • Roughly 9 carriers sell Medicare Advantage plans in Martin County, including Humana, Aetna, Devoted Health, UnitedHealthcare/AARP, Wellcare, Florida Blue, and Freedom Health

Figures reflect CMS Medicare Advantage landscape and Part C/D performance data for the 2026 plan year, as compiled and cross-checked from multiple CMS-sourced industry trackers in early September 2026.

Top-Rated Plans in Martin County for 2026

This isn’t every plan available — it’s a curated look at the highest-rated and most-chosen options across each plan type, so you have a real starting point instead of a 40-row spreadsheet. A licensed broker can run the complete list against your specific doctors and prescriptions.

5-Star Plans (CMS’s highest rating)

PlanTypePremiumOut-of-Pocket Max
Devoted Giveback 045 FLHMO$0$6,750
Devoted Core 046 FLHMO$0$4,900
Devoted Core 066 FLHMO$0$4,900

Strong 4.5-Star Options Worth a Look

PlanTypePremiumOut-of-Pocket Max
Humana Gold Plus H1036-229HMO$0$3,800
Freedom Platinum Plan RxHMO$0$1,750
AARP Medicare Advantage from UHC FL-0006HMO-POS$0$3,800
Aetna Medicare SelectHMO$0$3,900
Aetna Medicare SignaturePPO$0$5,900
Devoted Choice Giveback 008 FLPPO$0$9,250

Most-Enrolled Plans in the County

PlanTypeEnrollmentCMS Rating
Humana Full Access Giveback H5216-311PPO~4,4003.5–4 stars
AARP Medicare Advantage from UHC FL-0025PPO~2,2004 stars
HumanaChoice Florida H5216-062PPO~1,8003.5 stars

Notice something interesting there: the most popular plan isn’t the highest-rated one. That’s not unusual — heavy advertising and brand recognition drive enrollment as much as actual plan quality does. It’s a big part of why “most popular” and “best for you” are two different questions.

HMO vs. PPO vs. HMO-POS vs. Regional PPO

HMO (Health Maintenance Organization): You stay within the plan’s network for non-emergency care. Usually the lowest premiums and cost-sharing, but no coverage if you go outside the network without a referral.

PPO (Preferred Provider Organization): You can see providers outside the network for a higher cost, no referral required. More flexibility, sometimes a higher premium.

HMO-POS (HMO Point-of-Service): An HMO with a limited option to go out-of-network for certain services — a middle ground between HMO and PPO.

Regional PPO: A PPO that operates across a wider multi-county or multi-state service area rather than a single county — worth a look if you split time between Martin County and elsewhere in Florida.

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What “Best” Actually Means (and What It Doesn’t)

A 5-star rating is a genuinely strong signal — it reflects CMS’s evaluation of the plan’s quality, member satisfaction, and clinical outcomes. But star ratings don’t know which doctors you see, which medications you take, or whether your cardiologist is in-network. A 5-star plan that doesn’t include your specialist is not the best plan for you, no matter what the rating says.

The same goes for the $0 premium. Nearly every plan in Martin County offers a $0 premium option — so “no monthly cost” barely narrows anything down. The real differences show up in the out-of-pocket maximum, the specific copays for the care you actually use, whether your prescriptions are on the formulary, and — most of all — whether your doctors are in-network.

Local Network Notes for Stuart and Martin County

If Cleveland Clinic Martin Health is part of your care, network status is worth confirming directly for any Medicare Advantage plan you’re considering — it varies by carrier and can change from year to year, even on a plan you’re already enrolled in. This is exactly the kind of detail that’s easy to miss when comparing plans by premium and star rating alone.

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Frequently Asked Questions

What is the best Medicare Advantage plan in Stuart? There isn’t a single best plan — the right one depends on your doctors, medications, and budget. A 5-star plan that doesn’t include your cardiologist isn’t the best plan for you, no matter what the rating says. The honest answer is “the one that fits your specific situation,” which is exactly why comparing options with a broker beats picking the most-advertised name.

How many people in Martin County are enrolled in Medicare Advantage? A meaningful share of local Medicare beneficiaries — roughly 4 in 10, depending on which CMS dataset you’re looking at — have chosen a Medicare Advantage plan over Original Medicare, drawn by the $0 premiums and added benefits like dental and vision.

How much does Medicare Advantage cost in Stuart? The large majority of the 40 available plans charge no monthly premium at all. For the handful that do, the average runs somewhere around $9–$12 per month. Beyond the premium, you’re also responsible for the standard Part B premium ($202.90/month in 2026), plus any copays, coinsurance, and the plan’s out-of-pocket maximum if you use significant care.

Can I switch Medicare Advantage plans in Martin County? Yes — during the Annual Enrollment Period (October 15–December 7) or during the Medicare Advantage Open Enrollment Period (January 1–March 31), which allows one plan change or a return to Original Medicare.

Does Medicare Advantage cover dental, vision, and hearing in Stuart? Many plans do include these as added benefits, but coverage specifics — annual limits, network dentists, what’s actually included — vary significantly by plan. It’s worth checking the specific benefit details rather than assuming “dental coverage” means the same thing across plans.

What happens to my plan if I move within Florida? Medicare Advantage service areas are set by county. If you move within Martin County, your plan generally stays valid. If you move to a different county, you’ll likely need to select a new plan available in that service area — this typically qualifies you for a Special Enrollment Period.

Is the most popular plan the best one? Not necessarily. The most-enrolled plan in Martin County carries a solid but not top-tier star rating — enrollment often reflects marketing reach and brand recognition as much as it reflects plan quality. Popularity and fit are two different things.

How do I actually compare all 40 plans against my specific doctors? That’s genuinely difficult to do alone — checking network status and formulary coverage across 40 plans is not a reasonable weekend project. This is exactly the kind of comparison a broker runs for you, plan by plan, against your actual doctor list and prescriptions.

How I Can Help

I’m an independent broker serving Stuart and all of Martin County, working with 25+ carriers so I can run all 40 available plans against your specific doctors, medications, and budget — not just the ones with the biggest advertising budget. There’s no cost to you either way; I’m paid by the carriers, never by clients.

Schedule a free review or call toll-free 844-900-1468.

Curious about other angles on Medicare in Stuart? See our posts on 2027 Open Enrollment deadlines, what to do if you get a non-renewal letter this fall, and Medicare Advantage vs. Medicare Supplement.


Bill Wilkie Insurance LLC is not connected with or endorsed by the United States government or the federal Medicare program. 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 call 1-800-MEDICARE to get information on all of your options. Plan availability, premiums, and star ratings are subject to change and should be verified directly at Medicare.gov before enrolling.

Bill Wilkie is a licensed, independent Medicare specialist (NPN #5117657) serving Stuart, Palm City, Hobe Sound, Jensen Beach, and all of Martin County.