Senior Health Plan Platinum Plus (HMO) in Delaware County, Oklahoma — 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

Senior Health Plan Platinum Plus (HMO) (H3755-004) is a $97-premium Medicare Advantage HMO from St Francis Health System & St John Health System available in Delaware County, Oklahoma in 2026, with a 3.5-star overall rating, a $5,000 in-network out-of-pocket maximum, and a $200 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationSt Francis Health System & St John Health System
Plan nameSenior Health Plan Platinum Plus (HMO)
Contract IDH3755
Plan ID004
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typeHMO
SNPNo
Monthly consolidated premium$97.00
Part C premium$14.00
Part D basic premium$83.00
Part D total premium$83.00
Annual Part D deductible$200.00
Maximum out-of-pocket (in-network)$5000.00
Overall star rating3.5

How this plan is structured

  • $97 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.
  • $5,000 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 = Delaware 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 Delaware County

The CMS CY2026 Landscape file lists 33 Medicare Advantage plans in Delaware County, Oklahoma, of which 0 carry a 5.0-star overall rating and 18 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $97.00 per month, and in-network out-of-pocket maximums range from $3400.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Delaware County, Oklahoma.

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 — H3755-004.
  2. Call the plan (St Francis Health System & St John Health System) 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 H3755-004 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3755-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3755 are the contract number issued to the organization, and the three-digit 004 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Senior Health Plan Platinum Plus (HMO) an HMO or PPO?

Senior Health Plan Platinum Plus (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Senior Health Plan Platinum Plus (HMO) include prescription drug coverage?

Yes — Senior Health Plan Platinum Plus (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $200.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Senior Health Plan Platinum Plus (HMO)?

The 2026 in-network maximum out-of-pocket limit for Senior Health Plan Platinum Plus (HMO) is $5000.00, per the CMS CY2026 Landscape file.

What counties offer Senior Health Plan Platinum Plus (HMO) (H3755-004)?

Senior Health Plan Platinum Plus (HMO) (H3755-004) is offered in 38 Oklahoma counties: Adair County, Canadian County, Cherokee County, Cleveland County, Comanche County, Craig County, Creek County, Delaware County, Garvin County, Grady County, Haskell County, Hughes County, Kingfisher County, Latimer County, Le Flore County, Lincoln County, Logan County, Mayes County, McClain County, McIntosh County, Muskogee County, Nowata County, Okfuskee County, Oklahoma County, Okmulgee County, Osage County, Ottawa County, Pawnee County, Pittsburg County, Pottawatomie County, Pushmataha County, Rogers County, Seminole County, Sequoyah County, Stephens County, Tulsa County, Wagoner County, and Washington County.

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