D-SNP: 10 plans
For people with both Medicare and AHCCCS (Arizona Medicaid).
Pinal County, Arizona
Pinal County, AZ Medicare Plans for 2027
Pinal County has its own Medicare plan list, separate from Maricopa County, and an older population than its neighbor. Here is what CMS lists for 2027 and what changed from 2026.
- 47 Medicare Advantage plans in Pinal County, 2027
- 45 With a $0 Part C premium
- 10 Organizations offering plans
- 24 Special Needs Plans, counted separately
In clients' words
What working with Viola looks like
I’m very happy I went to Viola at Rise up Benefits Group for my Medicare enrollment. I was inundated with mail and way too much information. I have been with Champ VA for 9 years so it gets confusing what to sign up for without losing those benefits as they become secondary. Viola explained everything and picked out the best option for me. I highly recommend her as it made this transition very smooth.
Verbatim client reviews from the agency's public profiles (5.0 stars from 49 Google reviews). Read all reviews.
Pinal County Medicare at a glance for 2027
- 47 Medicare Advantage plans for Pinal County, 45 with a $0 Part C premium
- In-network out-of-pocket maximums from $2,000 to $8,900 a year
- 10 insurance companies offer them
- 9 standalone Part D plans in Arizona
- You still pay the Part B premium, $202.90 a month in 2026 (the 2027 amount is announced by CMS around November)
- Annual Enrollment: October 15 to December 7, 2026, for coverage that starts January 1, 2027
Examples of $0 premium plans with drug coverage, by 2026 star rating and out-of-pocket limit
- SCAN Classic (HMO)SCAN Health Plan · 4.5★ (2026) · out-of-pocket max $2,000 · drug deductible $0
- SCAN MyChoice (HMO)SCAN Health Plan · 4.5★ (2026) · out-of-pocket max $2,500 · drug deductible $0
- AARP Medicare Advantage Essentials from UHC AZ-2 (HMO-POS)UnitedHealthcare · 4.5★ (2026) · out-of-pocket max $3,500 · drug deductible $685
CMS Medicare Advantage and Part D Landscape, contract year 2027. A plan's fit depends on your doctors and prescriptions; Viola checks both before you choose. 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, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
By the numbers
2027 Medicare Advantage in Pinal County
Every figure comes from the CMS Landscape file for contract year 2027. Special Needs Plans are counted separately.
- $2.10 Average monthly Part C premium
- $8.43 Average Part C + D premium
- 41 Plans that include drug coverage
- $2,000 Lowest in-network out-of-pocket limit
- $4,980 Average in-network out-of-pocket limit
- $8,900 Highest in-network out-of-pocket limit
- $513.34 Average Part D deductible (plans with drugs)
- 13 Plans with a 2026 rating of 4★ or more
- 3.72★ Average 2026 star rating (rated plans)
The "$0" and average premium figures use the Part C premium, the CMS convention for comparing plans. The Part C + D figure adds the drug premium. A $0 premium plan still has costs: you keep paying the Part B premium ($202.90 a month in 2026) plus copays up to the plan’s limit. Star ratings shown are 2026 ratings, because 2027 ratings are not loaded yet.
| Plan type | Plans | $0 Part C premium | Average premium | Average out-of-pocket limit | Without drug coverage |
|---|---|---|---|---|---|
| HMO | 25 | 24 | $0.80 | $4,458 | 1 |
| PPO | 14 | 14 | $0 | $6,046 | 3 |
| HMO-POS | 6 | 6 | $0 | $4,133 | 1 |
| Regional PPO | 2 | 1 | $39.45 | $6,575 | 1 |
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, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
What changes for 2027
Pinal County plans: 2026 to 2027
Your plan mailed an Annual Notice of Change by September 30, 2026. It lists what changes on January 1, 2027: premium, deductible, out-of-pocket limit, copays, drug list and network. Compare it line by line, or bring it to Viola.
| Measure | 2026 | 2027 |
|---|---|---|
| Plans | 62 | 65 |
| $0 premium plans | 41 | 50 |
| Average in-network out-of-pocket limit | $5,426 | $5,669 |
| Average Part D deductible | $433.55 | $530.28 |
| Maximum Part D deductible allowed by CMS | $615 | $700 |
| Part D out-of-pocket cap | $2,100 | $2,400 |
This count differs from the headline above, which covers every non-SNP plan with or without drug coverage. No carrier leaves Pinal County for 2027, and no carrier enters that was not already there; the changes are plan by plan.
| 2026 plan | Carrier | CMS crosswalk status | Members move to |
|---|---|---|---|
Wellcare Giveback (HMO) H0351-064 | Wellcare | Terminated/Non-renewed Contract | No plan in this county; choose a new plan |
Wellcare Simple Value (HMO) H0351-065 | Wellcare | Terminated/Non-renewed Contract | No plan in this county; choose a new plan |
HealthSpring Preferred (HMO) H0354-001 | HealthSpring | Consolidated Renewal Plan | H0354-028 |
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) H0710-005 | UnitedHealthcare | Renewal Plan with Service Area Reduction | No plan in this county; choose a new plan |
eternalHealth Grand Give Back (HMO) H3551-002 | eternalHealth | Terminated/Non-renewed Contract | No plan in this county; choose a new plan |
Aetna Medicare Signature Extra (HMO) H3931-129 | Aetna Medicare | Terminated/Non-renewed Contract | No plan in this county; choose a new plan |
Aetna Medicare Elite (PPO) H5521-363 | Aetna Medicare | Terminated/Non-renewed Contract | No plan in this county; choose a new plan |
Wellcare Dual Liberty Sync (HMO D-SNP) H5590-008 | Wellcare | Renewal Plan | H5590-012 |
Wellcare Arizona Complete Health Dual Align (HMO D-SNP) H5590-010 | Wellcare | Terminated/Non-renewed Contract | No plan in this county; choose a new plan |
New for 2027: Blue Best Life Select (HMO), SCAN Walmart Medicare Advantage (HMO), SCAN Walmart Medicare Complete (HMO C-SNP), Aetna Medicare Signature (HMO), Humana Value Choice (PPO), DEVOTED CORE 090 AZ (HMO), DEVOTED GIVEBACK 091 AZ (HMO), DEVOTED C-SNP ENHANCED 092 AZ (HMO C-SNP), DEVOTED C-SNP PLUS 093 AZ (HMO C-SNP), DEVOTED C-SNP GIVEBACK EXTRAS 104 AZ (HMO C-SNP), DEVOTED GIVEBACK EXTRAS 105 AZ (HMO).
If your plan is not renewing: you receive a non-renewal letter in October. You can pick a new plan during the Annual Enrollment Period (October 15 to December 7, 2026), and a Special Enrollment Period runs through the end of February 2027. Confirm your dates on Medicare.gov. The official Medicare & You handbook explains each option.
Health profile
What is common in Pinal County
Plan choice follows the conditions you actually live with, because they decide which specialists and drugs you need covered.
| Measure | Pinal County | Arizona county average |
|---|---|---|
| Diagnosed diabetes | 12.9% | 11.3% |
| High blood pressure | 36.2% | 32.8% |
| Obesity | 38.4% | 31.3% |
| Coronary heart disease | 6.9% | 6.4% |
| COPD | 7.5% | 6.6% |
| Adults 18 to 64 without health insurance | 13.7% | 13.2% |
| Arthritis | 28.1% | 25.2% |
| High cholesterol | 40.3% | 37.3% |
| Stroke | 3.8% | 3.4% |
CDC PLACES: Local Data for Better Health, County Data, 2025 release (2023 survey estimates), retrieved 2026-10-13. Model-based small-area estimates of crude prevalence among adults 18 and over, not a count of local diagnoses. Crude rates follow the age mix of a place: an older community reads higher on most conditions. Arizona figure: average of the 15 Arizona counties, weighted by adult population.
Why this matters for plan choice
Pinal County runs above the Arizona average on high blood pressure, high cholesterol, diagnosed diabetes, coronary heart disease, stroke. The chronic-condition Special Needs Plans on the Pinal County list are built around: Cardiovascular Disorders; Chronic Heart Failure; Chronic Kidney Disease; Diabetes Mellitus. If you live with one of those, a C-SNP may be worth a look; you need a qualifying diagnosis to join.
Every plan
2027 Medicare Advantage plans in Pinal County
Grouped by plan type, because type decides how the network works: HMOs expect you to stay in network, PPOs let you go outside it at a higher cost.
HMO
25 plans, 24 with a $0 premium, average premium $0.80, average out-of-pocket limit $4,458, 1 without drug coverage.
| Plan | 2026 stars | Part C premium | Part C + D | Out-of-pocket limit | Part D deductible | Plan ID |
|---|---|---|---|---|---|---|
| Blue Best Life Classic (HMO)Blue Cross Blue Shield of Arizona (AZ Blue) | 4.5★ | $0 | $0 | $3,550 | $500 | H0302_006 |
| Blue Best Life Plus (HMO)Blue Cross Blue Shield of Arizona (AZ Blue) | 4.5★ | $20 | $49 | $3,000 | $500 | H0302_001 |
| SCAN Classic (HMO)SCAN Health Plan | 4.5★ | $0 | $0 | $2,000 | $0 | H1822_001 |
| SCAN MyChoice (HMO)SCAN Health Plan | 4.5★ | $0 | $0 | $2,500 | $0 | H1822_007 |
| Humana Total Complete (HMO)Humana | 4.0★ | $0 | $0 | $2,550 | $200 | H4461_059 |
| DEVOTED CORE 001 AZ (HMO)Devoted Health | 3.5★ | $0 | $0 | $4,500 | $650 | H8173_001 |
| DEVOTED CORE 020 AZ (HMO)Devoted Health | 3.5★ | $0 | $0 | $5,900 | $465 | H8173_020 |
| DEVOTED CORE 021 AZ (HMO)Devoted Health | 3.5★ | $0 | $0 | $2,950 | $461 | H8173_021 |
| DEVOTED GIVEBACK 019 AZ (HMO)Devoted Health | 3.5★ | $0 | $0 | $8,900 | $461 | H8173_019 |
| DEVOTED MA ONLY 005 AZ (HMO)Devoted Health, no drug coverage | 3.5★ | $0 | Not published | $6,650 | No drug coverage | H8173_005 |
| HealthSpring Preferred (HMO)HealthSpring | 3.5★ | $0 | $0 | $3,200 | $500 | H0354_028 |
| HealthSpring Preferred Extra Savings (HMO)HealthSpring | 3.5★ | $0 | $0 | $6,900 | $300 | H0354_030 |
| HealthSpring Preferred Savings (HMO)HealthSpring | 3.5★ | $0 | $0 | $4,450 | $300 | H0354_029 |
| Humana Gold Plus H0028-021 (HMO)Humana | 3.5★ | $0 | $0 | $4,400 | $350 | H0028_021 |
| Humana Gold Plus H0028-074 (HMO)Humana | 3.5★ | $0 | $0 | $2,550 | $200 | H0028_074 |
| Wellcare Simple (HMO)Wellcare | 3.5★ | $0 | $0 | $2,500 | $700 | H0351_063 |
| Humana Gold Plus H2463-001 (HMO)Humana | 3.0★ | $0 | $0 | $5,950 | $700 | H2463_001 |
| Aetna Medicare Signature (HMO)Aetna Medicare | Not rated | $0 | $0 | $6,750 | $700 | H4835_002 |
| Blue Best Life Select (HMO)Blue Cross Blue Shield of Arizona (AZ Blue) | Not rated | $0 | $0 | $4,450 | $490 | H0302_010 |
| DEVOTED CORE 090 AZ (HMO)Devoted Health | Not rated | $0 | $0 | $2,900 | $650 | H7993_090 |
| DEVOTED GIVEBACK 091 AZ (HMO)Devoted Health | Not rated | $0 | $0 | $8,850 | $650 | H7993_091 |
| DEVOTED GIVEBACK EXTRAS 105 AZ (HMO)Devoted Health | Not rated | $0 | $0 | $5,550 | $700 | H7993_105 |
| eternalHealth Harmony (HMO)eternalHealth | Not rated | $0 | $0 | $4,000 | $250 | H3551_004 |
| eternalHealth Horizon (HMO)eternalHealth | Not rated | $0 | $0 | $4,000 | $200 | H3551_001 |
| SCAN Walmart Medicare Advantage (HMO)SCAN Health Plan | Not rated | $0 | $0 | $2,500 | $450 | H1822_009 |
PPO
14 plans, 14 with a $0 premium, average premium $0, average out-of-pocket limit $6,046, 3 without drug coverage.
| Plan | 2026 stars | Part C premium | Part C + D | Out-of-pocket limit | Part D deductible | Plan ID |
|---|---|---|---|---|---|---|
| Aetna Medicare Eagle (PPO)Aetna Medicare, no drug coverage | 4.5★ | $0 | Not published | $5,500 | No drug coverage | H5521_329 |
| Aetna Medicare Signature (PPO)Aetna Medicare | 4.5★ | $0 | $0 | $7,150 | $700 | H5521_554 |
| Aetna Medicare Value Care (PPO)Aetna Medicare | 4.5★ | $0 | $16.80 | $5,900 | $700 | H5521_649 |
| Humana Essentials Plus Giveback (PPO)Humana | 4.5★ | $0 | $0 | $6,100 | $700 | H7617_051 |
| Humana Essentials Plus Giveback (PPO)Humana | 3.5★ | $0 | $0 | $7,850 | $450 | H5216_435 |
| Humana USAA Honor Giveback (PPO)Humana, no drug coverage | 3.5★ | $0 | Not published | $5,150 | No drug coverage | H5216_436 |
| HumanaChoice Giveback H5216-371 (PPO)Humana | 3.5★ | $0 | $0 | $6,100 | $700 | H5216_371 |
| HumanaChoice H5216-034 (PPO)Humana | 3.5★ | $0 | $127 | $7,900 | $700 | H5216_034 |
| HumanaChoice H5216-224 (PPO)Humana | 3.5★ | $0 | $16.80 | $4,150 | $500 | H5216_224 |
| HumanaChoice H5216-265 (PPO)Humana | 3.5★ | $0 | $0 | $5,220 | $700 | H5216_265 |
| DEVOTED CHOICE 001 AZ (PPO)Devoted Health | 3.0★ | $0 | $0 | $5,900 | $650 | H6586_001 |
| DEVOTED CHOICE MA ONLY 005 AZ (PPO)Devoted Health, no drug coverage | 3.0★ | $0 | Not published | $7,000 | No drug coverage | H6586_005 |
| HealthSpring True Choice (PPO)HealthSpring | 3.0★ | $0 | $0 | $5,500 | $600 | H7849_065 |
| Humana Value Choice (PPO)Humana | Not rated | $0 | $0 | $5,220 | $700 | H7617_124 |
HMO-POS
6 plans, 6 with a $0 premium, average premium $0, average out-of-pocket limit $4,133, 1 without drug coverage.
| Plan | 2026 stars | Part C premium | Part C + D | Out-of-pocket limit | Part D deductible | Plan ID |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC AZ-2 (HMO-POS)UnitedHealthcare | 4.5★ | $0 | $0 | $3,500 | $685 | H0609_026 |
| AARP Medicare Advantage Extras from UHC AZ-5 (HMO-POS)UnitedHealthcare | 4.5★ | $0 | $0 | $5,400 | $685 | H0609_046 |
| AARP Medicare Advantage from UHC AZ-0003 (HMO-POS)UnitedHealthcare | 4.5★ | $0 | $26 | $3,900 | $685 | H0609_044 |
| AARP Medicare Advantage from UHC AZ-002P (HMO-POS)UnitedHealthcare | 4.5★ | $0 | $0 | $3,500 | $685 | H0609_027 |
| Wellpoint Medicare Advantage (HMO-POS)Wellpoint | 3.0★ | $0 | $0 | $3,000 | $130 | H1423_009 |
| eternalHealth Valor Give Back (HMO-POS)eternalHealth, no drug coverage | Not rated | $0 | Not published | $5,500 | No drug coverage | H3551_003 |
Regional PPO
2 plans, 1 with a $0 premium, average premium $39.45, average out-of-pocket limit $6,575, 1 without drug coverage.
| Plan | 2026 stars | Part C premium | Part C + D | Out-of-pocket limit | Part D deductible | Plan ID |
|---|---|---|---|---|---|---|
| HumanaChoice R7220-001 (Regional PPO)Humana, no drug coverage | 2.5★ | $0 | Not published | $6,000 | No drug coverage | R7220_001 |
| HumanaChoice R7220-002 (Regional PPO)Humana | 2.5★ | $78.90 | $110 | $7,150 | $700 | R7220_002 |
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, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Special needs
24 Special Needs Plans in Pinal County
An SNP is a Medicare Advantage plan limited to people who meet a condition. They are left out of the counts above because not everyone can join.
C-SNP: 14 plans
For people with qualifying chronic conditions: Cardiovascular Disorders; Chronic Heart Failure; Chronic Kidney Disease; Diabetes Mellitus.
D-SNP
| Plan | Type | 2026 stars | Part C + D premium | Out-of-pocket limit | Plan ID |
|---|---|---|---|---|---|
| Health Choice Pathway (HMO D-SNP)Blue Cross Blue Shield of Arizona Health Choice | HMO D-SNP | 3.5★ | $0 | $9,850 | H5587_002 |
| UHC Dual Complete AZ-S001 (HMO-POS D-SNP)UnitedHealthcare | HMO-POS D-SNP | 3.5★ | $0 | $9,850 | H0321_002 |
| UHC Dual Complete AZ-YL (HMO-POS D-SNP)UnitedHealthcare | HMO-POS D-SNP | 3.5★ | $16.80 | $9,850 | H0321_004 |
| Banner Medicare Advantage Dual (HMO D-SNP)Banner Medicare Advantage | HMO D-SNP | 3.5★ | $16.80 | $9,850 | H4931_007 |
| Banner Medicare Advantage Dual (HMO D-SNP)Banner Medicare Advantage | HMO D-SNP | 3.5★ | $16.80 | $9,850 | H4931_015 |
| Mercy Care Advantage (HMO D-SNP)Mercy Care Advantage | HMO D-SNP | 3.0★ | $16.10 | $9,850 | H5580_005 |
| Mercy Care Advantage (HMO D-SNP)Mercy Care Advantage | HMO D-SNP | 3.0★ | $16.80 | $9,850 | H5580_001 |
| Mercy Care Advantage (HMO D-SNP)Mercy Care Advantage | HMO D-SNP | 3.0★ | $16.80 | $9,850 | H5580_004 |
| Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP)Wellcare | HMO D-SNP | Not rated | $0 | $9,850 | H5590_012 |
| Molina Medicare Complete Care (HMO D-SNP)Molina Healthcare of Arizona | HMO D-SNP | Not rated | $16.80 | $9,850 | H8845_001 |
C-SNP
| Plan | Type | 2026 stars | Part C + D premium | Out-of-pocket limit | Plan ID |
|---|---|---|---|---|---|
| UHC Complete Care AZ-1P (HMO-POS C-SNP)UnitedHealthcare: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO-POS C-SNP | 4.5★ | $0 | $3,500 | H0609_042 |
| SCAN Balance (HMO C-SNP)SCAN Health Plan: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | 4.5★ | $0 | $2,000 | H1822_002 |
| DEVOTED C-SNP 011 AZ (HMO C-SNP)Devoted Health: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | 3.5★ | $0 | $6,750 | H8173_011 |
| DEVOTED C-SNP ENHANCED 014 AZ (HMO C-SNP)Devoted Health: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | 3.5★ | $0 | $5,000 | H8173_014 |
| DEVOTED C-SNP PLUS 022 AZ (HMO C-SNP)Devoted Health: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | 3.5★ | $0 | $9,850 | H8173_022 |
| Wellcare Specialty Simple (HMO C-SNP)Wellcare: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | 3.5★ | $0 | $3,450 | H0351_038 |
| HealthSpring Achieve (HMO C-SNP)HealthSpring: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | 3.5★ | $0 | $2,600 | H0354_027 |
| Gold Heart & Diabetes (HMO-POS C-SNP)Gold Kidney Health Plan: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO-POS C-SNP | 3.0★ | $0 | $3,200 | H4869_001 |
| Gold Dialysis & Kidney (HMO-POS C-SNP)Gold Kidney Health Plan: Chronic Kidney Disease | HMO-POS C-SNP | 3.0★ | $0 | $2,900 | H4869_003 |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP)Gold Kidney Health Plan: Chronic Kidney Disease | HMO-POS C-SNP | 3.0★ | $16.80 | $9,250 | H4869_014 |
| DEVOTED C-SNP ENHANCED 092 AZ (HMO C-SNP)Devoted Health: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | Not rated | $0 | $3,400 | H7993_092 |
| DEVOTED C-SNP PLUS 093 AZ (HMO C-SNP)Devoted Health: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | Not rated | $0 | $9,850 | H7993_093 |
| DEVOTED C-SNP GIVEBACK EXTRAS 104 AZ (HMO C-SNP)Devoted Health: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | Not rated | $0 | $5,550 | H7993_104 |
| SCAN Walmart Medicare Complete (HMO C-SNP)SCAN Health Plan: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus | HMO C-SNP | Not rated | $16.80 | $4,450 | H1822_010 |
Quality
How the 2026 stars fall
CMS rates each contract from 1 to 5 stars. 2027 ratings are not published yet, so this shows the 2026 rating for each of the 47 Pinal County plans. New plans and some small contracts are not rated.
- 4.5★ 12 plans (26%)
- 4.0★ 1 plan (2%)
- 3.5★ 17 plans (36%)
- 3.0★ 5 plans (11%)
- 2.5★ 2 plans (4%)
- Not rated 10 plans (21%)
No plan on the Pinal County list has a 5-star 2026 rating.
The county
Who lives in Pinal County
The Census Bureau counts about 469,000 Pinal County residents, and 21.5% of them are 65 or older, a larger share than in Maricopa County (16.3%) or Arizona as a whole (18.9%). San Tan Valley, Maricopa, Casa Grande and most of Apache Junction all draw from this county plan list.
Pinal County also runs above the Arizona average on several chronic conditions in the CDC PLACES estimates, including diabetes, high blood pressure and COPD. That is one reason the Special Needs Plans section on this page deserves a careful read, not a skim.
How Viola helps here. Rise Up Benefits Group is based in Chandler, in neighboring Maricopa County. Pinal County clients meet with Viola by phone or video, or at the Chandler office when that suits them better.
| Measure | Pinal County | Arizona |
|---|---|---|
| Population | 469,006 | 7,378,838 |
| Residents aged 65 and over | 101,036 | 1,397,551 |
| Share aged 65 and over | 21.5% | 18.9% |
| Median age | 40.4 | Not shown |
| Median household income | $80,266 | Not shown |
| Share with no health insurance (all ages) | 10.9% | 10.5% |
Arizona totals are the sum of all 15 Arizona counties in the same Census release; a statewide median is not computed here.
Hospitals
East Valley and Phoenix hospitals
Medicare-certified hospitals in Apache Junction, San Tan Valley, Casa Grande, Maricopa from the CMS Hospital General Information file, with the CMS overall star rating. A rating is not network status: check each hospital against a plan.
| Hospital | Address | Emergency services | CMS overall rating |
|---|---|---|---|
| Banner Goldfield Medical CenterAcute Care | 2050 West Southern Avenue, Apache Junction, AZ 85120 | Yes | 5 of 5 |
| Banner Ironwood Medical CenterAcute Care | 37000 North Gantzel Road, San Tan Valley, AZ 85140 | Yes | 3 of 5 |
| Banner Casa Grande Medical CenterAcute Care | 1800 East Florence Boulevard, Casa Grande, AZ 85122 | Yes | 2 of 5 |
| Exceptional Community Hospital MaricopaAcute Care | 19060 North John Wayne Parkway, Maricopa, AZ 85139 | Yes | Not available |
Prescription drugs
Standalone Part D plans in Arizona
Part D plans are priced by region, so these 9 plans for 2027 apply across Arizona. They pair with Original Medicare (often with Medigap) or with an Advantage plan that has no drug coverage.
| Plan | Monthly premium | Annual deductible | Plan ID |
|---|---|---|---|
| Wellcare Value Script (PDP)Wellcare | $5.30 | $700 | S4802_134 |
| Humana Basic Rx Plan (PDP)Humana | $6.30 | $700 | S5884_146 |
| Wellcare Classic (PDP)Wellcare | $7.30 | $700 | S4802_092 |
| HealthSpring Assurance Rx (PDP)Blue Cross and Blue Shield of IL, NM, OK, TX | $9.30 | $700 | S5715_045 |
| Humana Value Rx Plan (PDP)Humana | $22.30 | $687 | S5884_207 |
| AARP Medicare Rx Saver from UHC (PDP)UnitedHealthcare | $79.80 | $700 | S5921_380 |
| Humana Premier Rx Plan (PDP)Humana | $137.60 | $350 | S5884_174 |
| SilverScript Choice (PDP)Aetna Medicare | $152.70 | $700 | S5601_056 |
| AARP Medicare Rx Preferred from UHC (PDP)UnitedHealthcare | $191.50 | $300 | S5921_409 |
The Part D out-of-pocket cap is $2,100 in 2026 and $2,400 in 2027 (CMS program parameters). What you pay also depends on Extra Help and any late enrollment penalty.
Under 65
Health insurance before Medicare in Pinal County
Arizona uses HealthCare.gov, the federal Marketplace, for individual and family health insurance. Open enrollment for 2027 coverage starts November 1, 2026. Premium tax credits depend on household income, and people with very low income may qualify for AHCCCS, Arizona Medicaid.
CDC estimates that 13.7% of adults aged 18 to 64 in Pinal County have no health insurance (2023 estimates).
Viola helps with Marketplace plans and employer coverage too. Try the ACA subsidy calculator or read about individual and family health insurance. Estimates are estimates; final premiums are set at enrollment.
Rise Up Benefits Group is not affiliated with, endorsed by, or operating on behalf of HealthCare.gov, the Health Insurance Marketplace, or any federal or state government agency. Plan availability, premiums and advance premium tax credits are set by the carriers and the Marketplace.
The other path
Medigap in Pinal County
Every Advantage plan on this page replaces Original Medicare with a plan network. The other path keeps Original Medicare and adds a Medicare Supplement (Medigap) policy plus a separate Part D plan.
Medigap has no network: any provider that accepts Medicare accepts it, anywhere in the country. Premiums are higher than most Advantage plans, and in exchange your costs are more predictable.
Timing matters. Your 6-month Medigap open enrollment window starts when you are 65 or older and enrolled in Part B. Inside it, an insurer cannot turn you down or charge more for your health. Outside it, in most cases it can. See Medicare Advantage vs Medigap.
When you can change
How and when to enroll
You must have Medicare Part A and Part B to join a Medicare Advantage plan, and live in the plan's service area, here Pinal County.
Initial Enrollment Period
Seven months around your 65th birthday: the 3 months before, your birthday month, and the 3 months after.
Annual Enrollment Period
October 15 to December 7, 2026. Choose or change plans for 2027; coverage starts January 1.
Medicare Advantage Open Enrollment
January 1 to March 31. If you are in a Medicare Advantage plan, you can switch plans or return to Original Medicare once.
Special Enrollment Periods
Moving, losing employer coverage, gaining Medicaid (AHCCCS) or a plan not renewing can open a window outside the normal calendar.
Ways to enroll: with a licensed agent such as Viola ((480) 300-5776), directly with a plan, or on Medicare.gov. More detail: Medicare enrollment periods.
Plain English
Medicare plan terms on this page
- Medicare Advantage (Part C)
- A Medicare approved plan from a private company that provides your Part A and Part B benefits in place of Original Medicare. Most include drug coverage and some extras. You keep paying your Part B premium.
- $0 Part C premium
- The plan charges no monthly premium of its own for medical coverage. You still pay your Part B premium, any drug premium the plan lists, and copays or coinsurance when you use care.
- In-network out-of-pocket maximum (MOOP)
- The most you pay in a calendar year for covered Part A and Part B services from in-network providers. Once you reach it, the plan pays for covered in-network care for the rest of the year. Premiums and Part D drug costs do not count toward it.
- HMO
- Health Maintenance Organization. You generally use doctors and hospitals in the plan network, except for emergencies and urgent care, and many HMOs ask for a referral before you see a specialist.
- PPO
- Preferred Provider Organization. You can use doctors in or out of the network, but out-of-network care usually costs more. Referrals are usually not required.
- HMO-POS
- An HMO with a point of service option. You mostly use the network, but the plan lets you get some services out of network, usually at a higher cost.
- Special Needs Plan (SNP)
- A Medicare Advantage plan open only to people with particular needs: both Medicare and Medicaid (AHCCCS in Arizona), certain chronic conditions, or living in an institution such as a nursing home.
- Star rating
- A yearly CMS quality score from 1 to 5 stars, based on measures such as preventive care, member experience and customer service. It describes the plan overall; it does not tell you whether your doctors or drugs are covered.
FAQ
Pinal County Medicare questions
How many Medicare Advantage plans are available in Pinal County for 2027?
Pinal County has 47 Medicare Advantage plans for 2027 (Special Needs Plans not included) from 10 organizations, and 45 of them have a $0 Part C premium. You still pay the Part B premium, which is $202.90 a month in 2026; the 2027 amount is announced around November 2026. Source: CMS 2027 Landscape file.
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, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Are Pinal County Medicare plans different from Maricopa County plans?
Yes. CMS approves plans by county, and Pinal County has its own list. Many carriers offer plans in both counties, but the count, the plans and some of the terms differ, so always compare the list for the county on your address.
Which Pinal County communities does this guide cover?
All of them, because the plan list is countywide. This site also has pages for San Tan Valley, Apache Junction, the city of Maricopa and Casa Grande, each with that community’s own Census, health and hospital figures.
What changes for Medicare plans in Pinal County in 2027?
In Pinal County, plans with drug coverage (Special Needs Plans included) go from 62 in 2026 to 65 in 2027. The CMS crosswalk shows 7 plans ending or leaving the county with no successor there, 2 plans folding into another plan, and 11 new plans. No carrier leaves the county entirely. Your plan’s Annual Notice of Change lists what changes for you on January 1.
What does local data say about health coverage in Pinal County?
Census figures (ACS 2020 to 2024 5-year estimates) show 10.9% of Pinal County residents with no health insurance, against 10.5% for Arizona. People under 65 can shop for coverage on HealthCare.gov, the Marketplace Arizona uses; open enrollment for 2027 coverage starts November 1, 2026.
Provenance
Sources and methodology
- Plan data: CMS Medicare Advantage / Part D Landscape, contract year 2027 (https://www.cms.gov/files/zip/cy2027-landscape-202609.zip), filtered to Pinal County (FIPS 04021), retrieved 2026-10-13 through THE BRAIN (healthcare-db, cms_ma_pd_landscape). Star ratings: CMS 2026 Star Ratings joined by plan ID.
- 2027 changes: CMS Landscape 2026 (https://www.cms.gov/files/zip/cy2026-landscape-202609.zip) and 2027, with the CMS CY2026 to CY2027 plan crosswalk, retrieved 2026-10-13 through THE BRAIN (healthcare_aep_county_report).
- Health data: CDC PLACES: Local Data for Better Health, County Data, 2025 release (2023 survey estimates), retrieved 2026-10-13. Model-based small-area estimates of crude prevalence among adults 18 and over, not a count of local diagnoses. Endpoint: https://data.cdc.gov/resource/swc5-untb.json.
- Demographics: U.S. Census Bureau ACS 2020 to 2024 5-year estimates, Pinal County, Arizona, retrieved 2026-10-13 through THE BRAIN (census_query). Queries: detailed tables and subject table S2701. Residents 65 and over are the sum of the 12 age groups 65 and older in table B01001.
- Hospitals: CMS Hospital General Information (Provider Data Catalog) (https://data.cms.gov/provider-data/dataset/xubh-q36u), retrieved 2026-10-13.
- Federal figures: 2026 Part B premium and deductible and Part D base premium ($38.99) from CMS. 2027 values are announced around November 2026.
How the figures are derived
- Headline plan counts and averages exclude Special Needs Plans, which have their own eligibility rules and are reported separately.
- "$0 premium" and "average premium" use the Part C premium; the Part C + D premium is reported separately. Out-of-pocket limits are in-network amounts. The average Part D deductible covers plans with drug coverage only.
- The 2026 to 2027 comparison counts Medicare Advantage plans with drug coverage, Special Needs Plans included, so it differs from the headline count.
- We do not publish per-plan enrollment: the source does not carry it, and we never estimate plan figures.
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, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Rise Up Benefits Group is not connected with or endorsed by the United States government or the federal Medicare program. Medicare has neither endorsed nor reviewed this information.
Areas we serve
More East Valley guides
- Maricopa CountyCounty guide
- ChandlerMaricopa County
- GilbertMaricopa County
- MesaMaricopa County
- TempeMaricopa County
- Sun LakesMaricopa County
- Queen CreekMaricopa County
- AhwatukeeMaricopa County
- PhoenixMaricopa County
- ScottsdaleMaricopa County
- San Tan ValleyPinal County
- Apache JunctionPinal County
- Maricopa (city)Pinal County
- Casa GrandePinal County
Let's talk about your coverage in Pinal County
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