name = "Atlas Commons research objects — Medicare plans in Jefferson, Indiana (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in Jefferson, Indiana: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/in/jefferson.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/in/jefferson/plan-count"
warrant = "DERIVED"
name = "50 Medicare plans are available in Jefferson, Indiana for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 50 Medicare Advantage and Part D plans available in Jefferson, Indiana. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/in/jefferson/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in Jefferson, Indiana range from $0.00/mo to $97.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Jefferson, Indiana. Across the 50 plans with a published premium, the range is $0.00/mo to $97.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify in the CMS CY2026 Medicare Landscape Files for Jefferson, Indiana. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/in/jefferson/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 32 of 50 Medicare plans in Jefferson, Indiana (CY2026); average overall: 3.5 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 32 of 50 Medicare plans in Jefferson, Indiana for CY2026. The unweighted average overall star rating across rated plans is 3.5. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 18 unrated plans in this county are not rated, not unqualified."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/in/jefferson/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for Jefferson, Indiana (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Jefferson, Indiana for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/in/jefferson"
falsifier = "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."

[[medicarePlans]]
contract_plan_id = "H0629_001"
plan_name = "Anthem Full Dual Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 23.5
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0629_002"
plan_name = "Anthem Dual Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 25.9
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0629_003"
plan_name = "Anthem I PathWays Dual Care Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0629_004"
plan_name = "Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1607_012"
plan_name = "Anthem Medicare Advantage 3 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 55
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1607_015"
plan_name = "Anthem Medicare Advantage 2 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 26
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2385_001"
plan_name = "UHC Dual Complete IN-S002 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2385_002"
plan_name = "UHC Dual Complete IN-D001 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2385_003"
plan_name = "UHC PathWays Dual Care IN-S1 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2385_004"
plan_name = "UHC PathWays Dual Care IN-S3 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_038"
plan_name = "AARP Medicare Advantage from UHC IN-0003 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 33
overall_stars = 4
moop_in_network_usd = 5400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_074"
plan_name = "AARP Medicare Advantage Patriot No Rx IN-MA01 (PPO)"
category = "MA"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = "N/A"
overall_stars = 4
moop_in_network_usd = 8850
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_087"
plan_name = "AARP Medicare Advantage from UHC IN-0009 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2610_021"
plan_name = "Essence Advantage (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Essence Healthcare"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 3350
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2802_012"
plan_name = "AARP Medicare Advantage from UHC IN-13 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 3900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2802_059"
plan_name = "AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2802_068"
plan_name = "UHC Complete Care IN-21 (HMO-POS C-SNP)"
category = "SNP"
plan_type = "HMO-POS C-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3447_024"
plan_name = "Anthem Extra Help (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Anthem HealthKeepers"
monthly_premium_usd = 22.8
overall_stars = 3.5
moop_in_network_usd = 4900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3499_002"
plan_name = "Wellcare Simple (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 4200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3499_008"
plan_name = "Wellcare Assist (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = 31.1
overall_stars = 3
moop_in_network_usd = 5700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4444_001"
plan_name = "Provider Partners Indiana Advantage Plan (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "Provider Partners Health Plans"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4444_002"
plan_name = "Provider Partners Indiana Community Plan (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "Provider Partners Health Plans"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 3750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4444_003"
plan_name = "Provider Partners Indiana Essential Plan (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "Provider Partners Health Plans"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4939_001"
plan_name = "Humana PathWays Dual Care (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Humana"
monthly_premium_usd = 20.9
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4939_002"
plan_name = "Humana Dual Select H4939-002 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Humana"
monthly_premium_usd = 37.5
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4939_003"
plan_name = "Humana Gold Plus SNP-DE H4939-003 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Humana"
monthly_premium_usd = 22.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_218"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_307"
plan_name = "Humana USAA Honor Giveback with Rx (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_400"
plan_name = "Humana Together in Health (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "Humana"
monthly_premium_usd = 38.4
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_441"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_463"
plan_name = "HumanaChoice H5216-463 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 28
overall_stars = 3.5
moop_in_network_usd = 6350
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5619_055"
plan_name = "Humana Gold Plus - Diabetes and Heart (HMO C-SNP)"
category = "SNP"
plan_type = "HMO C-SNP"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 9150
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5619_170"
plan_name = "Humana Gold Plus Chronic Kidney Disease (HMO C-SNP)"
category = "SNP"
plan_type = "HMO C-SNP"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 9200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6200_006"
plan_name = "Essence Advantage Choice (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Essence Healthcare"
monthly_premium_usd = 19.8
overall_stars = 3
moop_in_network_usd = 4150
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6348_002"
plan_name = "Wellcare Simple Open (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 4300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6348_005"
plan_name = "Wellcare Patriot Giveback Open (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 5500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6348_008"
plan_name = "Wellcare Giveback Open (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 8500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6348_009"
plan_name = "Wellcare Assist Open (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = 38.4
overall_stars = 3
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7093_001"
plan_name = "Anthem Veteran (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7093_002"
plan_name = "Anthem Medicare Advantage (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 9
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7471_008"
plan_name = "DEVOTED CHOICE 008 IN (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 4900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7471_009"
plan_name = "DEVOTED CHOICE GIVEBACK 009 IN (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7471_013"
plan_name = "DEVOTED C-SNP CHOICE PLUS 013 IN (PPO C-SNP)"
category = "SNP"
plan_type = "PPO C-SNP"
organization = "Devoted Health"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7471_017"
plan_name = "DEVOTED C-SNP CHOICE PREMIUM 017 IN (PPO C-SNP)"
category = "SNP"
plan_type = "PPO C-SNP"
organization = "Devoted Health"
monthly_premium_usd = 38.4
overall_stars = "Not rated"
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7617_060"
plan_name = "Humana USAA Honor Giveback with Rx (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7617_073"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8145_032"
plan_name = "Humana Gold Choice H8145-032 (PFFS)"
category = "MA-PD"
plan_type = "PFFS"
organization = "Humana"
monthly_premium_usd = 37
overall_stars = 3.5
moop_in_network_usd = 3950
snp = "No"

[[medicarePlans]]
contract_plan_id = "R0110_011"
plan_name = "HumanaChoice R0110-011 (Regional PPO)"
category = "MA"
plan_type = "Regional PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 5400
snp = "No"

[[medicarePlans]]
contract_plan_id = "R0110_012"
plan_name = "HumanaChoice R0110-012 (Regional PPO)"
category = "MA-PD"
plan_type = "Regional PPO"
organization = "Humana"
monthly_premium_usd = 20
overall_stars = 3.5
moop_in_network_usd = 9150
snp = "No"

[[medicarePlans]]
contract_plan_id = "R5941_016"
plan_name = "Anthem Medicare Advantage (Regional PPO)"
category = "MA-PD"
plan_type = "Regional PPO"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 97
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"
