Mount Carmel MediGold Cash Back (HMO)
Available to residents of Warren County, OH for 2026. Contract H3668, plan 030, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $250.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H3668-030-0 |
| Offered by | MediGold |
| Parent organization | Trinity Health Corporation |
| Formulary drugs | 3,507 |
CMS star ratings
- Overall
- 4.5 out of 5 stars for Overall
- Health plan (Part C)
- 4 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 4 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3668 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $5.00 |
| Tier 3 | 25% |
| Tier 4 | 40% |
| Tier 5 | 30% |
Also available in 61 other OH counties
- Adams
- Allen
- Auglaize
- Brown
- Butler
- Champaign
- Clark
- Clermont
- Clinton
- Coshocton
- Crawford
- Darke
- Defiance
- Delaware
- Fairfield
- Fayette
- Franklin
- Fulton
- Gallia
- Greene
- Guernsey
- Hamilton
- Hancock
- Hardin
- Harrison
- Henry
- Highland
- Hocking
- Holmes
- Jackson
- Knox
- Licking
- Logan
- Lucas
- Madison
- Meigs
- Mercer
- Miami
- Monroe
- Montgomery
- Morgan
- Morrow
- Muskingum
- Noble
- Ottawa
- Paulding
- Perry
- Pickaway
- Pike
- Preble
- Putnam
- Richland
- Ross
- Seneca
- Shelby
- Union
- Van Wert
- Vinton
- Washington
- Wood
Plan facts come from the CMS quarterly prescription drug plan public use files.