Medicare in Mount Vernon · Knox County, OH

2026 Medicare Advantage Plans in Mount Vernon, OH

Knox County offers 58 Medicare Advantage plans for 2026 across 5 carriers, with an average premium of $14/mo and 38 plans rated 4★ or higher by CMS.

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Important: ZIP code spans multiple counties

Knox County (Mount Vernon), OH has 58 Medicare Advantage plans (avg $14.00/mo) for plan year 2026.

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  • Independent — not tied to any one carrier
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By the numbers · Knox County

Quick facts for Mount Vernon, OH Medicare (2026)

58Medicare Advantage plans available (CMS PY2026)
$14/moaverage monthly MA premium (CMS PY2026)
38plans rated CMS 4★ or higher for 2026
20Special Needs Plans available in Knox County
42%of Knox County Medicare beneficiaries in an MA plan
5insurance carriers competing in Knox County

Source: CMS Medicare Advantage/Part D Landscape (PY2026).

Real CMS plan data · Knox County

Medicare Advantage & Part D Plans in Knox County

65 Medicare Advantage plans and 10 Part D plans available in Knox County, OH.

$0–$123.4/moPremium range
3.77★Avg. Star Rating
61$0-Premium Plans

These are county-level counts and ranges, not a list of specific plans — a licensed agent can match you to the right one.

Source: CMS PBP/Landscape/Star Ratings data via PSG-Partner-Portal plan_cheatsheets (county-level aggregates) · County-level aggregate estimate from real CMS plan data. Plan availability, benefits, and costs change — verify with a licensed agent or Medicare.gov before enrolling.

Health profile · why coverage choice matters here

Chronic conditions among Knox County adults

Diagnosed diabetes 11.5%
Adult obesity 31%

Source: County Health Rankings & Roadmaps 2024 — Knox County.

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Part B Late Enrollment Penalty

Monthly penalty: $0.00

IRMAA Quick Check

Monthly surcharge: $0.00

Who covers you

Carriers in Knox County (2026)

  • UnitedHealthcare HMO-POSPPOD-SNP

    AARP Medicare Advantage HMO-POS and PPO; D-SNP available statewide; one of Ohio's largest MA carriers

  • Humana HMO-POSPPO

    HMO-POS and PPO options with strong Ohio provider network

  • Aetna (CVS Health) HMOPPO

    Medicare Signature PPO and HMO; strong star ratings across Ohio markets

  • Medical Mutual of Ohio HMOPPO

    Ohio's largest domestic health insurer; strong statewide PPO and HMO network

  • Wellcare by Centene HMOD-SNP

    Low-premium HMO and D-SNP plans available across Ohio

Where you get care

Hospitals & providers nearby

  • OhioHealth Riverside Methodist Hospital
    Columbus ★★★★★
    3535 Olentangy River Rd, Columbus OH 43214
  • The Ohio State University Wexner Medical Center
    Columbus ★★★★★
    370 W 9th Ave, Columbus OH 43210
  • Nationwide Children's Hospital
    Columbus ★★★★★
    700 Children's Dr, Columbus OH 43205
  • Mount Carmel Health System
    Columbus ★★★★☆
    793 W State St, Columbus OH 43222

Confirm your doctors and preferred pharmacy are in-network before enrolling — networks vary by plan and carrier.

Sources: CMS Hospital Compare · CMS Landscape (PY2026).

Choosing a Medicare plan in Mount Vernon, OH — what matters here

  • Knox County (Mount Vernon) is central Ohio's rolling hills community — home to Kenyon College and Mount Vernon Nazarene University, with a charming Victorian downtown. 58 Medicare Advantage plans for 2026, averaging $14.00/month.
  • Knox Community Hospital provides local care. OhioHealth (Columbus) is accessible south on US-36. 20 SNPs serve dual-eligible beneficiaries.

📍 Local Medicare Resources for Mount Vernon

Local Medicare Resources for Mount Vernon, OH

Social Security / Medicare Office

Nearest SSA field office serving Knox County — call 1-800-772-1213 or visit ssa.gov/locator to confirm the exact office and hours — handles Medicare enrollment, IRMAA appeals, and Social Security coordination.

Nearest VA Facility

Nearest VA facility serving Knox County, Ohio — call 800-698-2411 or visit va.gov/find-locations to confirm the closest VA clinic or medical center — veterans with VA benefits may also qualify for Medicare Advantage coordination.

Senior Services

Area Agency on Aging serving Knox County, Ohio — local Area Agency on Aging offering free Medicare counseling (SHIP program).

Primary Health System

OhioHealth Riverside Methodist Hospital, Columbus — primary hospital network accepting Medicare in Mount Vernon.

Mount Vernon is a community in Knox County, Ohio.

Not sure Medicare Advantage is the right path?

Also consider Original Medicare + a Supplement

Medicare Advantage isn't the only option. If you want the freedom to see any doctor or hospital in the U.S. that accepts Medicare — with no networks, no referrals, and no plan-specific prior authorizations — a Medicare Supplement (Medigap) plan paired with a standalone Part D drug plan may be a better fit for your situation.

  • No networks. See any Medicare-accepting provider nationwide — critical if you travel, split time between states, or have specialists outside your county.
  • Predictable costs. Plan G covers nearly every gap in Original Medicare except the Part B deductible (~$257/yr in 2026). No surprise bills from out-of-network care.
  • Enrollment window. Your guaranteed-issue Medigap Open Enrollment Period is 6 months from your Part B effective date. After it closes, health underwriting may apply in NC.

Medigap guide for Mount Vernon → NC Medicare Supplement overview →

Mount Vernon, OH Medicare questions, answered

How many Medicare Advantage plans are available in Mount Vernon, OH?

For 2026, there are 58 Medicare Advantage plans available in Mount Vernon (Knox County), offered by 5 carriers including UnitedHealthcare, Humana, Aetna (CVS Health), and others. 38 of those plans carry a CMS star rating of 4★ or higher. Source: CMS PY2026 Landscape.

What is the average Medicare Advantage premium in Mount Vernon for 2026?

The average monthly Medicare Advantage premium in Mount Vernon, OH is $14 for 2026, with an average CMS star rating of 3.82★ across available plans. Premiums and benefits vary — compare your specific options at Medicare.gov or with a licensed agent.

When can I change my Medicare plan in Mount Vernon?

The Annual Enrollment Period (AEP) runs October 15 – December 7 each year and is the main window to switch Medicare Advantage plans, change Part D drug plans, or return to Original Medicare. Changes take effect January 1. The Medicare Advantage Open Enrollment Period (January 1 – March 31) allows one plan switch for those already in Medicare Advantage. Special Enrollment Periods are available for qualifying events such as moving or losing other coverage.

Are there Special Needs Plans available in Knox County?

Yes — Knox County has 20 Special Needs Plans (SNPs) available for 2026. These plans are designed for dual-eligible beneficiaries (Medicare + Medicaid), people in institutions, and those with qualifying chronic conditions. SNPs often carry $0 premiums and additional chronic care benefits. A licensed agent can confirm your eligibility at no cost.

What hospital options are near Mount Vernon, OH?

OhioHealth Riverside Methodist Hospital in Columbus is rated 5★ by CMS Hospital Compare; The Ohio State University Wexner Medical Center in Columbus is rated 5★ by CMS Hospital Compare; Nationwide Children's Hospital in Columbus is rated 5★ by CMS Hospital Compare; Mount Carmel Health System in Columbus is rated 4★ by CMS Hospital Compare. Before enrolling in any Medicare Advantage plan, confirm your hospital and doctors are in that plan's network.

Is there a cost for help choosing a Medicare plan in Mount Vernon?

No. Our guidance is free — licensed agents are compensated by the insurance carriers, not by you. We compare the plans available in your ZIP code against your doctors, prescriptions, and budget. We do not offer every plan available in your area. Contact Medicare.gov or 1-800-MEDICARE to see all options.

Is Medicare coverage the same in Mount Vernon, OH?

Original Medicare (Part A and Part B) is a federal program, so its core coverage rules are the same in Mount Vernon, OH as anywhere else in the country. What varies locally is which Medicare Advantage, Part D, and Medigap plans are actually offered — plan availability, provider networks, and premiums are set at the county level, so the specific options in Knox County won't match a different county even in the same state. That's why it's worth reviewing your local plan lineup each year rather than assuming coverage is identical everywhere.

When can I enroll in Medicare in Mount Vernon, OH?

Your Initial Enrollment Period (IEP) is a 7-month window centered on your 65th birthday — 3 months before, the month of, and 3 months after. After that, the Annual Enrollment Period (AEP) runs October 15 through December 7 each year, letting Mount Vernon residents switch Medicare Advantage or Part D plans for coverage starting January 1. A Special Enrollment Period (SEP) may also open outside these windows if you have a qualifying life event, such as moving to Mount Vernon or losing other health coverage.

How do I find a Medicare agent near Mount Vernon, OH?

Look for a licensed, independent agent who is appointed to sell plans in OH and familiar with the carriers and provider networks serving Knox County. An independent agent can compare options across multiple carriers instead of representing just one. You can book a free, no-obligation consultation with a licensed agent serving Mount Vernon through this site's contact page, or call the number listed on this page to talk with someone directly.

Is there a Medicare agent in Mount Vernon, OH?

Yes. Kayla Price is a licensed independent insurance agent serving Mount Vernon, OH and Knox County among the NC, SC, GA, FL, VA, MD, KS, TX, OH & MI she's licensed in. She works with 5 carriers offering plans in Knox County, so she can compare options rather than represent just one company. You can book a free consultation directly at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB.

How do I find Medicare help in Mount Vernon?

The fastest way is to book a free, no-obligation review with a licensed agent who already works in Knox County — Kayla Price at Price Services Group covers Mount Vernon, OH and can walk through the 58 Medicare Advantage plans available here for 2026. Schedule a time at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB, or use the contact page on this site. You can also always compare plans yourself at Medicare.gov or by calling 1-800-MEDICARE.

Does Price Services Group serve Mount Vernon, OH?

Yes — Mount Vernon, OH is within Kayla Price's real service area at Price Services Group. She is licensed in NC, SC, GA, FL, VA, MD, KS, TX, OH & MI and works with the carriers offering Medicare Advantage, Part D, and Medigap plans in Knox County. Book a free plan review at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB to see what's available at your address.

What Medicare Advantage plans are available in Mount Vernon, OH?

Medicare Advantage plan availability varies by county in OH. Kayla Price can review all plans available in Mount Vernon and help you compare options by phone or video.

How much does Medicare cost in Mount Vernon, OH?

Medicare Part B costs $202.90 per month regardless of where you live in OH. Additional costs depend on which plan you choose. Kayla can walk you through all the costs for plans available in Mount Vernon.

When is the next Medicare enrollment period for residents of Mount Vernon, OH?

The Annual Enrollment Period (AEP) runs October 15 through December 7 each year for all Medicare beneficiaries including those in Mount Vernon, OH. If you're new to Medicare, your Initial Enrollment Period is based on your 65th birthday.

What Medicare plans are available in 43050 Mount Vernon?

ZIP code 43050 (Mount Vernon, OH) is in Knox County, which has 58 Medicare Advantage plans for 2026 across 5 carriers, 38 of them rated 4★ or higher by CMS. Plan availability can vary slightly by exact ZIP within a county — a licensed agent can confirm what's offered at 43050 specifically. Source: CMS PY2026 Landscape.

Enrollment windows

When can you change your Medicare plan?

Annual Enrollment Period

Oct 15 – Dec 7

Switch MA plans, add or drop Part D, or return to Original Medicare. Changes take effect January 1.

MA Open Enrollment Period

Jan 1 – Mar 31

One plan switch if you're already in Medicare Advantage. Changes start the first of the following month.

Initial Enrollment Period

7-month window at 65

3 months before, the month of, and 3 months after your 65th birthday. Enrolling on time avoids lifetime Part B and Part D penalties.

Book your free AEP review → All enrollment periods explained →

Your local agent

Talk to a licensed Medicare agent about Mount Vernon, OH plans

Kayla Price is a licensed, independent agent who works with 5 carriers serving Knox County — free, no pressure. We do not offer every plan available in your area.

Book a free consultation →   (910) 631-1578

Kayla Price, Your personal Medicare & insurance consultant at Price Services Group, L.L.C.

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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 (1-800-633-4227), TTY 1-877-486-2048, 24 hours a day, 7 days a week, to get information on all of your options. Not affiliated with or endorsed by the U.S. government or the federal Medicare program. For informational purposes only — not insurance, legal, or financial advice. Plan availability, premiums, and benefits are based on CMS PY2026 data and subject to change. NPN: 18530055. Agency NPN: 20387435.