Mount Carmel MediGold Premier (HMO) in Shelby County, Ohio — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Mount Carmel MediGold Premier (HMO) (H3668-018) is a $102-premium Medicare Advantage HMO from Trinity Health Corporation available in Shelby County, Ohio in 2026, with a 4.5-star overall rating, a $3,900 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationTrinity Health Corporation
Plan nameMount Carmel MediGold Premier (HMO)
Contract IDH3668
Plan ID018
Segment ID2
Contract year2026
Contract categoryMA-PD
Plan typeHMO
SNPNo
Monthly consolidated premium$102.00
Part C premium$88.80
Part D basic premium$13.20
Part D total premium$13.20
Annual Part D deductible$0.00
Maximum out-of-pocket (in-network)$3900.00
Overall star rating4.5

How this plan is structured

  • $102 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $3,900 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Shelby County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Shelby County

The CMS CY2026 Landscape file lists 92 Medicare Advantage plans in Shelby County, Ohio, of which 0 carry a 5.0-star overall rating and 44 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $138.00 per month, and in-network out-of-pocket maximums range from $2875.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Shelby County, Ohio.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3668-018.
  2. Call the plan (Trinity Health Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3668-018 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3668-018, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3668 are the contract number issued to the organization, and the three-digit 018 is the plan benefit package under that contract. The segment ID 2 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Mount Carmel MediGold Premier (HMO) an HMO or PPO?

Mount Carmel MediGold Premier (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Mount Carmel MediGold Premier (HMO) include prescription drug coverage?

Yes — Mount Carmel MediGold Premier (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $0.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Mount Carmel MediGold Premier (HMO)?

The 2026 in-network maximum out-of-pocket limit for Mount Carmel MediGold Premier (HMO) is $3900.00, per the CMS CY2026 Landscape file.

What counties offer Mount Carmel MediGold Premier (HMO) (H3668-018)?

Mount Carmel MediGold Premier (HMO) (H3668-018) is offered in 45 Ohio counties: Adams County, Auglaize County, Brown County, Butler County, Champaign County, Clark County, Clermont County, Clinton County, Coshocton County, Darke County, Delaware County, Fairfield County, Fayette County, Franklin County, Gallia County, Greene County, Guernsey County, Hamilton County, Harrison County, Highland County, Hocking County, Holmes County, Jackson County, Knox County, Licking County, Logan County, Madison County, Meigs County, Miami County, Monroe County, Montgomery County, Morgan County, Muskingum County, Noble County, Perry County, Pickaway County, Pike County, Preble County, Richland County, Ross County, Shelby County, Union County, Vinton County, Warren County, and Washington County.

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