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  1. 🏠
  2. Medicare Advantage Plans
  3. North Carolina
  4. Burke County

2026 Medicare Advantage Plans in Burke County, NC

Last update: September 2, 2026.

For 2026, Burke County, NC includes 45 Medicare Advantage plans. Enrollment across these plans totals approximately 8,230, with 35 $0 premium options and 57% rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Burke County, NC are summarized separately. Visit Medicare Options in Burke County, NC to see more options.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $13.60/mo
  • $0 Premium Plans: 35
  • Average MOOP: $6,861 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 57% · 3 Stars: 43% · Below 3: 0%
  • Average Part D Deductible: $446.91
  • Total MA/MAPD Enrollment: 8,230
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Blue Medicare Essential Plus (HMO-POS) — 1,401 enrollees
    2. Aetna Medicare Signature (PPO) — 1,338 enrollees
    3. AARP Medicare Advantage from UHC NC-24 (HMO-POS) — 964 enrollees

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
25
Average Monthly Premium
$19.64/mo
Total PPO Enrollment
2,167
$0 Premium PPO Plans
19
Average MOOP
$7,630
Top PPO by Enrollment
Aetna Medicare Signature (PPO) — 1,338 enrollees
PPO Plans Without Drug Coverage
8

2026 PPO Medicare Advantage plans in Burke County, North Carolina (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage Access from UHC NC-23
☆☆☆☆☆
$255 $3,000 $600 H2001-084-0
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $6,750 N/A H5521-241-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $5,900 $500 H5521-081-0
Aetna Medicare Signature Giveback
☆☆☆☆☆
$0 $7,500 $615 H5521-348-0
Blue Medicare Freedom+
☆☆☆☆☆
$0 $9,250 N/A H3404-004-0
Blue Medicare PPO Enhanced
☆☆☆☆☆
$35 $6,300 $100 H3404-003-1
Humana Full Access R0110-005
☆☆☆☆☆
$117 $9,250 $615 R0110-005-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A H5525-065-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A R0110-006-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A H5216-343-0
HumanaChoice Giveback H5216-017
☆☆☆☆☆
$0 $9,250 $450 H5216-017-0
HumanaChoice Giveback H5525-035
☆☆☆☆☆
$0 $9,250 $450 H5525-035-0
HumanaChoice H5525-049
☆☆☆☆☆
$29 $9,250 $350 H5525-049-0
HumanaChoice H5525-050
☆☆☆☆☆
$0 $9,250 $350 H5525-050-0
HumanaChoice H5525-070
☆☆☆☆☆
$24 $9,250 $615 H5525-070-0
HumanaChoice H5525-083
☆☆☆☆☆
$0 $9,250 $450 H5525-083-0
HumanaChoice R0110-004
☆☆☆☆☆
$0 $7,000 N/A R0110-004-0
Wellcare Assist Open
☆☆☆☆☆
$31 $4,201 $480 H1914-009-0
Wellcare Giveback Open
☆☆☆☆☆
$0 $8,300 $615 H1914-010-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
$0 $8,850 N/A H1914-011-0
Wellcare Simple Open
☆☆☆☆☆
$0 $4,300 $615 H1914-007-0
HealthSpring True Choice
☆☆☆☆☆
$0 $4,350 $615 H7849-113-2
DEVOTED CHOICE 005 NC
☆☆☆☆☆
$0 $5,300 $370 H9700-005-0
DEVOTED CHOICE GIVEBACK 006 NC
☆☆☆☆☆
$0 $8,000 $605 H9700-006-0
DEVOTED CHOICE MA ONLY 007 NC
☆☆☆☆☆
$0 $9,250 N/A H9700-007-0

What is the average monthly premium for PPO plans in Burke?

PPO plans in Burke cost $19.64 per month on average.

Which PPO plan has the highest enrollment in Burke?

The most popular PPO plan in Burke is Aetna Medicare Signature (PPO), with 1,338 enrollees.

How many PPO plans in Burke do not include prescription drug coverage?

8 PPO plans in Burke 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 8
  • Average Monthly Premium $5.40/mo
  • Total HMO Enrollment 804
  • $0 Premium HMO Plans 6
  • Average MOOP $5,506
  • Top HMO by Enrollment Aetna Medicare Value Plus (HMO) — 287 enrollees
  • HMO Plans Without Drug Coverage 1

2026 HMO Medicare Advantage plans in Burke County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Aetna Medicare Signature
☆☆☆☆☆
$0 $5,500 $615 H3146-001-0
Aetna Medicare Value Plus
☆☆☆☆☆
$32 $5,500 $615 H3146-006-0
Blue Medicare Essential
☆☆☆☆☆
$0 $9,250 $615 H3449-027-1
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
Troy Medicare
☆☆☆☆☆
$0 $3,950 $0 H4676-001-0
What is the top HMO by enrollment in Burke?

Aetna Medicare Value Plus (HMO) is the top HMO in Burke, with 287 enrollees.

What is the number of HMO plans without Part D coverage in Burke?

1 HMO plans in Burke 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
$6.50/mo
Total HMO-POS Enrollment
5,259
$0 Premium HMO-POS Plans
10
Average MOOP
$6,163
Top HMO-POS by Enrollment
Blue Medicare Essential Plus (HMO-POS) — 1,401 enrollees
HMO-POS Plans Without Drug Coverage
2

2026 HMO-POS Medicare Advantage plans in Burke County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Plus Giveback H1036-318
☆☆☆☆☆
$0 $9,250 $450 H1036-318-0
Humana Gold Plus H1036-137
☆☆☆☆☆
$0 $9,250 $350 H1036-137-0
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
☆☆☆☆☆
$30 $4,200 $100 H3449-024-1
Blue Medicare Essential Plus
☆☆☆☆☆
$0 $4,900 $615 H3449-023-1
Blue Medicare Medical Only
☆☆☆☆☆
$0 $3,900 N/A H3449-012-0
Wellcare Simple
☆☆☆☆☆
$0 $4,200 $615 H4073-001-0

What is the typical premium for HMO-POS plans in Burke?

HMO-POS plans in Burke cost $6.50 per month on average.

Which HMO-POS plan has the most members in Burke?

The most popular HMO-POS plan in Burke is Blue Medicare Essential Plus (HMO-POS), with 1,401 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Burke?

There are 2 HMO-POS plans in Burke without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Burke County, NC (2026) are summarized below.

Medicare Advantage Plan Ratings in Burke County, NC (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 24 57%
3 Stars 18 43%
Below 3 Stars 0 0%
Not Rated 3 7%
Average Rating 3.87

* 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.

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