- Entity
- county:alabama-sumter-01119
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/alabama/sumter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 22
- PPO Plans
- 13
- HMO Plans
- 4
- HMO-POS Plans
- 5
- PFFS Plans
- 0
- Average Monthly Premium
- 21.4
- Average MOOP
- 4872.73
- Average Part D Deductible
- 505.28
- $0 Premium Plans
- 12
- Plans Without Part D Coverage
- 4
- Average CMS Star Rating
- 3.75
- $0 Premium Plan Share
- 54.55
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 41
- 3-Star Plan Share
- 59
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 29.22
- PPO Average MOOP
- 4380.77
- PPO Enrollment
- 559
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 2
- HMO Average Monthly Premium
- 5
- HMO Average MOOP
- 5362.5
- HMO Enrollment
- 215
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 14.2
- HMO-POS Average MOOP
- 5760
- HMO-POS Enrollment
- 99
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:alabama-sumter-01119
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/alabama/sumter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-alabama-sumter-01119-landscape-stats
- Plans Indexed
- 22
- Standard Medicare Advantage Plans
-
-
Humana Value Plus H7617-089
H7617-089-0 -
HumanaChoice H7617-090
H7617-090-0 -
HumanaChoice H7617-091
H7617-091-0 -
AARP Medicare Advantage from UHC AL-0003
H2802-041-0 -
AARP Medicare Advantage from UHC AL-0004
H1889-015-0 -
AARP Medicare Advantage from UHC AL-6
H2802-079-0 -
Humana Gold Plus H4461-078
H4461-078-0 -
Humana Gold Plus H4461-079
H4461-079-0 -
Humana USAA Honor Giveback
H4461-075-0 -
AARP Medicare Advantage from UHC AL-0001
H0432-003-0 -
AARP Medicare Advantage from UHC AL-0002
H0432-004-0 -
AARP Medicare Advantage Patriot No Rx AL-MA01
H0432-012-0 -
Blue Advantage Choice
H0104-016-0 -
Blue Advantage Complete
H0104-012-0 -
Blue Advantage Premier
H0104-015-0 -
Humana USAA Honor Giveback
H5216-236-0 -
Humana Value Plus H5216-179
H5216-179-0 -
HumanaChoice H5216-269
H5216-269-0 -
HumanaChoice H5216-368
H5216-368-0 -
HumanaChoice R0110-017
R0110-017-0 -
HumanaChoice R0110-018
R0110-018-0 -
Humana Gold Plus H5619-089
H5619-089-0
-
Humana Value Plus H7617-089
- Total Standard Medicare Advantage Enrollment
- 873
2026 Medicare Advantage Plans in Sumter County, AL
Last update: .
For 2026, Sumter County, AL includes 22 Medicare Advantage plans. Enrollment across these plans totals approximately 873, with 12 $0 premium options and 41% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Sumter County, AL are summarized separately. Visit Medicare Options in Sumter County, AL to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 13
- Average Monthly Premium
- $29.22/mo
- Total PPO Enrollment
- 559
- $0 Premium PPO Plans
- 6
- Average MOOP
- $4,381
- Top PPO by Enrollment
- HumanaChoice H5216-269 (PPO) — 236 enrollees
- PPO Plans Without Drug Coverage
- 2
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Value Plus H7617-089 | $28 | $3,000 | $615 | H7617-089-0 | |
| HumanaChoice H7617-090 | $20 | $3,000 | $615 | H7617-090-0 | |
| HumanaChoice H7617-091 | $0 | $4,000 | $590 | H7617-091-0 | |
| AARP Medicare Advantage from UHC AL-0004 | $0 | $6,700 | $600 | H1889-015-0 | |
| Blue Advantage Choice | $0 | $6,150 | $325 | H0104-016-0 | |
| Blue Advantage Complete | $36 | $5,900 | $200 | H0104-012-0 | |
| Blue Advantage Premier | $163 | $2,900 | $0 | H0104-015-0 | |
| Humana USAA Honor Giveback | $0 | $4,150 | N/A | H5216-236-0 | |
| Humana Value Plus H5216-179 | $28 | $3,000 | $615 | H5216-179-0 | |
| HumanaChoice H5216-269 | $0 | $4,000 | $590 | H5216-269-0 | |
| HumanaChoice H5216-368 | $20 | $3,000 | $615 | H5216-368-0 | |
| HumanaChoice R0110-017 | $0 | $4,650 | N/A | R0110-017-0 | |
| HumanaChoice R0110-018 | $86 | $6,500 | $590 | R0110-018-0 |
What is the average monthly premium for PPO plans in Sumter?
PPO plans in Sumter cost $29.22 per month on average.
Which PPO plan has the highest enrollment in Sumter?
The most popular PPO plan in Sumter is HumanaChoice H5216-269 (PPO), with 236 enrollees.
How many PPO plans in Sumter do not include prescription drug coverage?
2 PPO plans in Sumter do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 4
- Average Monthly Premium $5.00/mo
- Total HMO Enrollment 215
- $0 Premium HMO Plans 3
- Average MOOP $5,363
- Top HMO by Enrollment Humana Gold Plus H4461-079 (HMO) — 85 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H4461-078 | $0 | $6,100 | $590 | H4461-078-0 | |
| Humana Gold Plus H4461-079 | $20 | $4,450 | $615 | H4461-079-0 | |
| Humana USAA Honor Giveback | $0 | $4,150 | N/A | H4461-075-0 | |
| Humana Gold Plus H5619-089 | $0 | $6,750 | $615 | H5619-089-0 |
What is the top HMO by enrollment in Sumter?
Humana Gold Plus H4461-079 (HMO) is the top HMO in Sumter, with 85 enrollees.
What is the number of HMO plans without Part D coverage in Sumter?
1 HMO plans in Sumter do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 5
- Average Monthly Premium
- $14.20/mo
- Total HMO-POS Enrollment
- 99
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $5,760
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC AL-0003 (HMO-POS) — 64 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC AL-0003 | $0 | $5,900 | $440 | H2802-041-0 | |
| AARP Medicare Advantage from UHC AL-6 | $31 | $4,900 | $440 | H2802-079-0 | |
| AARP Medicare Advantage from UHC AL-0001 | $0 | $6,700 | $600 | H0432-003-0 | |
| AARP Medicare Advantage from UHC AL-0002 | $40 | $5,400 | $440 | H0432-004-0 | |
| AARP Medicare Advantage Patriot No Rx AL-MA01 | $0 | $5,900 | N/A | H0432-012-0 |
What is the typical premium for HMO-POS plans in Sumter?
HMO-POS plans in Sumter cost $14.20 per month on average.
Which HMO-POS plan has the most members in Sumter?
The most popular HMO-POS plan in Sumter is AARP Medicare Advantage from UHC AL-0003 (HMO-POS), with 64 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Sumter?
There are 1 HMO-POS plans in Sumter without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Sumter County, AL (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 9 | 41% |
| 3 Stars | 13 | 59% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.75 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.