- Entity
- county:north-carolina-avery-37011
- 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/north-carolina/avery/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 49
- PPO Plans
- 27
- HMO Plans
- 9
- HMO-POS Plans
- 12
- PFFS Plans
- 1
- Average Monthly Premium
- 15.2
- Average MOOP
- 6818.39
- Average Part D Deductible
- 445.53
- $0 Premium Plans
- 35
- Plans Without Part D Coverage
- 11
- Average CMS Star Rating
- 3.92
- $0 Premium Plan Share
- 71.43
- 5-Star Plan Share
- 7
- 4+ Star Plan Share
- 56
- 3-Star Plan Share
- 44
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 8
- PPO Average Monthly Premium
- 20.93
- PPO Average MOOP
- 7490.78
- PPO Enrollment
- 342
- PPO $0 Premium Plans
- 19
- PPO Plans Without Part D Coverage
- 8
- HMO Average Monthly Premium
- 4.8
- HMO Average MOOP
- 5311.11
- HMO Enrollment
- 117
- HMO $0 Premium Plans
- 7
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 10.82
- HMO-POS Average MOOP
- 6375
- HMO-POS Enrollment
- 856
- HMO-POS $0 Premium Plans
- 9
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 7
- PFFS Average MOOP
- 7550
- PFFS Enrollment
- 12
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:north-carolina-avery-37011
- 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/north-carolina/avery/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-avery-37011-landscape-stats
- Plans Indexed
- 49
- Standard Medicare Advantage Plans
-
-
Alignment Health Platinum
H5296-003-0 -
Alignment Health Platinum Select
H5296-010-0 -
Alignment Health smartHMO
H5296-006-0 -
AARP Medicare Advantage Access from UHC NC-23
H2001-084-0 -
Aetna Medicare Eagle Giveback
H5521-241-0 -
Aetna Medicare Enhanced
H5521-139-0 -
Aetna Medicare Signature
H5521-236-0 -
Aetna Medicare Signature Giveback
H5521-348-0 -
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-2 -
Humana Gold Plus H1036-335
H1036-335-2 -
AARP Medicare Advantage from UHC NC-0008
H5253-079-0 -
AARP Medicare Advantage from UHC NC-0009
H5253-080-0 -
AARP Medicare Advantage from UHC NC-24
H5253-185-0 -
AARP Medicare Advantage Giveback from UHC NC-13
H5253-105-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Value Plus
H3146-006-0 -
Blue Medicare Enhanced
H3449-024-3 -
Blue Medicare Essential
H3449-027-2 -
Blue Medicare Essential Plus
H3449-023-5 -
Blue Medicare Medical Only
H3449-012-0 -
HealthSpring Courage
H9725-005-0 -
HealthSpring Preferred
H9725-009-2 -
HealthSpring Preferred Plus
H9725-017-2 -
HealthSpring Preferred Savings
H9725-015-2 -
Humana Full Access R0110-005
R0110-005-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
Humana Gold Plus H6622-025
H6622-025-0 -
Humana Gold Plus H6622-026
H6622-026-0 -
Humana USAA Honor Giveback
R0110-006-0 -
Humana USAA Honor Giveback
H5525-065-0 -
Humana USAA Honor Giveback
H5216-343-0 -
HumanaChoice Giveback H5216-017
H5216-017-0 -
HumanaChoice Giveback H5525-035
H5525-035-0 -
HumanaChoice H5216-211
H5216-211-0 -
HumanaChoice H5525-050
H5525-050-0 -
HumanaChoice H5525-070
H5525-070-0 -
HumanaChoice H5525-083
H5525-083-0 -
HumanaChoice R0110-004
R0110-004-0 -
Wellcare Assist Open
H1914-009-0 -
Wellcare Giveback Open
H1914-010-0 -
Wellcare Patriot Giveback Open
H1914-011-0 -
Wellcare Simple
H4073-001-0 -
Wellcare Simple Open
H1914-007-0 -
HealthSpring True Choice
H7849-113-2 -
Alignment Health AVA
H7074-001-0 -
DEVOTED CHOICE 005 NC
H9700-005-0 -
DEVOTED CHOICE GIVEBACK 006 NC
H9700-006-0 -
DEVOTED CHOICE MA ONLY 007 NC
H9700-007-0
-
Alignment Health Platinum
- Total Standard Medicare Advantage Enrollment
- 1327
2026 Medicare Advantage Plans in Avery County, NC
Last update: .
For 2026, Avery County, NC includes 49 Medicare Advantage plans. Enrollment across these plans totals approximately 1,327, with 35 $0 premium options and 56% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Avery County, NC are summarized separately. Visit Medicare Options in Avery County, NC 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
- 27
- Average Monthly Premium
- $20.93/mo
- Total PPO Enrollment
- 342
- $0 Premium PPO Plans
- 19
- Average MOOP
- $7,491
- Top PPO by Enrollment
- Blue Medicare PPO Enhanced (PPO) — 116 enrollees
- PPO Plans Without Drug Coverage
- 8
What is the average monthly premium for PPO plans in Avery?
PPO plans in Avery cost $20.93 per month on average.
Which PPO plan has the highest enrollment in Avery?
The most popular PPO plan in Avery is Blue Medicare PPO Enhanced (PPO), with 116 enrollees.
How many PPO plans in Avery do not include prescription drug coverage?
8 PPO plans in Avery 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 9
- Average Monthly Premium $4.80/mo
- Total HMO Enrollment 117
- $0 Premium HMO Plans 7
- Average MOOP $5,311
- Top HMO by Enrollment Blue Medicare Essential (HMO) — 81 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Alignment Health Platinum | $0 | $3,900 | $0 | H5296-003-0 | |
| Alignment Health Platinum Select | $0 | $5,900 | $225 | H5296-010-0 | |
| Alignment Health smartHMO | $0 | $3,400 | $615 | H5296-006-0 | |
| Aetna Medicare Value Plus | $32 | $5,500 | $615 | H3146-006-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-2 | |
| HealthSpring Courage | $0 | $6,750 | N/A | H9725-005-0 | |
| HealthSpring Preferred | $0 | $3,500 | $295 | H9725-009-2 | |
| HealthSpring Preferred Plus | $11 | $3,200 | $200 | H9725-017-2 | |
| HealthSpring Preferred Savings | $0 | $6,400 | $0 | H9725-015-2 |
What is the top HMO by enrollment in Avery?
Blue Medicare Essential (HMO) is the top HMO in Avery, with 81 enrollees.
What is the number of HMO plans without Part D coverage in Avery?
1 HMO plans in Avery 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
- 12
- Average Monthly Premium
- $10.82/mo
- Total HMO-POS Enrollment
- 856
- $0 Premium HMO-POS Plans
- 9
- Average MOOP
- $6,375
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NC-24 (HMO-POS) — 259 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H1036-335 | $0 | $3,950 | $250 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0008 | $0 | $6,700 | $520 | H5253-079-0 | |
| AARP Medicare Advantage from UHC NC-0009 | $48 | $5,400 | $440 | H5253-080-0 | |
| AARP Medicare Advantage from UHC NC-24 | $0 | $5,400 | $520 | H5253-185-0 | |
| AARP Medicare Advantage Giveback from UHC NC-13 | $0 | $8,900 | $600 | H5253-105-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $7,900 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $47 | $4,200 | $100 | H3449-024-3 | |
| Blue Medicare Essential Plus | $0 | $7,450 | $615 | H3449-023-5 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Humana Gold Plus H6622-025 | $0 | $9,250 | $350 | H6622-025-0 | |
| Humana Gold Plus H6622-026 | $35 | $9,250 | $350 | H6622-026-0 | |
| Wellcare Simple | $0 | $4,200 | $615 | H4073-001-0 |
What is the typical premium for HMO-POS plans in Avery?
HMO-POS plans in Avery cost $10.82 per month on average.
Which HMO-POS plan has the most members in Avery?
The most popular HMO-POS plan in Avery is AARP Medicare Advantage from UHC NC-24 (HMO-POS), with 259 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Avery?
There are 2 HMO-POS plans in Avery without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $7 | $7,550 | $615 | H8145-004-0 |
What is the total number of PFFS plans in Avery?
In 2026, Avery has 1 PFFS plans with 12 enrollees.
How much do PFFS plans cost in Avery?
The typical PFFS premium in Avery is $7.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Avery County, NC (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 3 | 7% |
| 4 Stars (includes 5 Stars) | 25 | 56% |
| 3 Stars | 20 | 44% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 8% |
| Average Rating | 3.92 | |
* 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.