- Entity
- county:north-carolina-caldwell-37027
- Digest
- 2027-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/caldwell/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 42
- PPO Plans
- 22
- HMO Plans
- 7
- HMO-POS Plans
- 13
- PFFS Plans
- 0
- Average Monthly Premium
- 10.01
- Average MOOP
- 7907.14
- Average Part D Deductible
- 610.41
- $0 Premium Plans
- 35
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 3.95
- $0 Premium Plan Share
- 83.33
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 76
- 3-Star Plan Share
- 24
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 14.6
- PPO Average MOOP
- 8584.09
- PPO Enrollment
- 4296
- PPO $0 Premium Plans
- 17
- PPO Plans Without Part D Coverage
- 8
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6807.14
- HMO Enrollment
- 607
- HMO $0 Premium Plans
- 7
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 7.62
- HMO-POS Average MOOP
- 7353.85
- HMO-POS Enrollment
- 4333
- HMO-POS $0 Premium Plans
- 11
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:north-carolina-caldwell-37027
- Digest
- 2027-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/caldwell/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-caldwell-37027-landscape-stats
- Plans Indexed
- 42
- Standard Medicare Advantage Plans
-
-
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-2 -
DEVOTED CORE 037 NC
H5299-037-0 -
DEVOTED GIVEBACK 012 NC
H5299-012-0 -
DEVOTED GIVEBACK EXTRAS 039 NC
H5299-039-0 -
Humana Gold Plus Giveback H1036-318
H1036-318-0 -
Humana Gold Plus Giveback H1036-343
H1036-343-0 -
Humana Gold Plus H1036-137
H1036-137-0 -
Humana Gold Plus H1036-335
H1036-335-2 -
HumanaChoice H7617-122
H7617-122-0 -
AARP Medicare Advantage from UHC NC-0021
H5253-037-0 -
AARP Medicare Advantage from UHC NC-0022
H5253-038-0 -
AARP Medicare Advantage from UHC NC-24
H5253-185-0 -
AARP Medicare Advantage Giveback from UHC NC-14
H5253-110-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Eagle
H5521-241-0 -
Aetna Medicare Signature
H5521-081-0 -
Aetna Medicare Signature Extra
H5521-170-0 -
Aetna Medicare Signature Giveback
H5521-348-0 -
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 -
DEVOTED CHOICE 001 NC
H9700-001-0 -
DEVOTED CHOICE GIVEBACK 002 NC
H9700-002-0 -
DEVOTED CHOICE MA ONLY 007 NC
H9700-007-0 -
Humana USAA Honor Giveback
H5216-343-0 -
Humana USAA Honor Giveback
H5525-065-0 -
HumanaChoice Giveback H5216-017
H5216-017-0 -
HumanaChoice Giveback H5525-035
H5525-035-0 -
HumanaChoice H5216-211
H5216-211-0 -
HumanaChoice H5525-070
H5525-070-0 -
Aetna Medicare Signature
H3146-001-0 -
Aetna Medicare Value Plus
H3146-006-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0 -
Wellcare Simple
H4073-001-0 -
Troy Medicare
H4676-001-0 -
Wellcare Assist Open
H1914-009-0 -
Wellcare Patriot Giveback Open
H1914-011-0 -
Wellcare Simple Open
H1914-007-0
-
Blue Medicare Freedom+
- Total Standard Medicare Advantage Enrollment
- 9236
2027 Medicare Advantage Plans in Caldwell County, NC
Last update: .
In Caldwell County, NC, there are 42 Medicare Advantage plans available for 2027. Of these, 35 offer a $0 monthly premium, and about 76% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 22
- Average Monthly Premium $14.60/mo
- Total PPO Enrollment 4,296
- $0 Premium PPO Plans 17
- Average MOOP $8,584
- Top PPO by Enrollment Aetna Medicare Signature Extra (PPO) — 2,599 enrollees
- PPO Plans Without Drug Coverage 8
What is the total number of PPO plans offered in Caldwell?
There are 22 PPO plans in 2027, covering 4,296 beneficiaries.
How much do PPO plans cost in Caldwell?
The average PPO premium in Caldwell is $14.60 per month, with 17 plans offering $0 premiums.
What is the most popular PPO plan in Caldwell?
Aetna Medicare Signature Extra (PPO) is the top PPO in Caldwell, with 2,599 enrollees.
What is the number of PPO plans without Part D coverage in Caldwell?
There are 8 PPO plans in Caldwell without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 7
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 607
- $0 Premium HMO Plans
- 7
- Average MOOP
- $6,807
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 301 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| DEVOTED CORE 037 NC | $0 | $4,950 | $650 | H5299-037-0 | |
| DEVOTED GIVEBACK 012 NC | $0 | $9,850 | $461 | H5299-012-0 | |
| DEVOTED GIVEBACK EXTRAS 039 NC | $0 | $7,050 | $700 | H5299-039-0 | |
| Blue Medicare Essential | $0 | $9,850 | $700 | H3449-027-2 | |
| Aetna Medicare Signature | $0 | $5,500 | $400 | H3146-001-0 | |
| Aetna Medicare Value Plus | $0 | $5,500 | $400 | H3146-006-0 | |
| Troy Medicare | $0 | $4,950 | $0 | H4676-001-0 |
What is the average monthly premium for HMO plans?
HMO plans in Caldwell cost $0.00 per month on average.
Which HMO plan is most popular in Caldwell?
The most popular HMO plan in Caldwell is Aetna Medicare Value Plus (HMO), with 301 enrollees.
How many HMO plans in Caldwell do not include drug coverage?
There are 0 HMO plans in Caldwell without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-318 | $0 | $9,850 | $700 | H1036-318-0 | |
| Humana Gold Plus Giveback H1036-343 | $0 | $9,850 | $700 | H1036-343-0 | |
| Humana Gold Plus H1036-137 | $0 | $9,850 | $450 | H1036-137-0 | |
| Humana Gold Plus H1036-335 | $0 | $3,950 | $700 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0021 | $42 | $4,900 | $595 | H5253-037-0 | |
| AARP Medicare Advantage from UHC NC-0022 | $0 | $5,900 | $685 | H5253-038-0 | |
| AARP Medicare Advantage from UHC NC-24 | $0 | $7,150 | $685 | H5253-185-0 | |
| AARP Medicare Advantage Giveback from UHC NC-14 | $0 | $9,500 | $685 | H5253-110-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $9,300 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $57 | $4,900 | $700 | H3449-024-3 | |
| Blue Medicare Essential Plus | $0 | $9,850 | $700 | H3449-023-5 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Wellcare Simple | $0 | $6,700 | $700 | H4073-001-0 |
What is the leading HMO-POS plan in Caldwell?
Humana Gold Plus H1036-335 (HMO-POS) is the top HMO-POS in Caldwell, with 728 enrollees.
What is the number of HMO-POS plans without Part D coverage in Caldwell?
2 HMO-POS plans in Caldwell do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Caldwell County, NC for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 32 | 76% |
| 3 Stars | 10 | 24% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.95 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Caldwell County, North Carolina, including communities such as Granite Falls, Hudson, Lenoir, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — 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.
This page follows data provenance practices aligned with the 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.