- Entity
- county:north-carolina-durham-37063
- 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/durham/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 41
- PPO Plans
- 21
- HMO Plans
- 7
- HMO-POS Plans
- 13
- PFFS Plans
- 0
- Average Monthly Premium
- 11.62
- Average MOOP
- 7770.73
- Average Part D Deductible
- 609.03
- $0 Premium Plans
- 33
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 3.79
- $0 Premium Plan Share
- 80.49
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 61
- 3-Star Plan Share
- 39
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 20.3
- PPO Average MOOP
- 8445.24
- PPO Enrollment
- 3103
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6428.57
- HMO Enrollment
- 1971
- HMO $0 Premium Plans
- 7
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 3.85
- HMO-POS Average MOOP
- 7403.85
- HMO-POS Enrollment
- 9698
- HMO-POS $0 Premium Plans
- 12
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:north-carolina-durham-37063
- 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/durham/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-durham-37063-landscape-stats
- Plans Indexed
- 41
- Standard Medicare Advantage Plans
-
-
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-2 -
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-0007
H5253-039-0 -
AARP Medicare Advantage from UHC NC-0016
H2406-034-0 -
AARP Medicare Advantage from UHC NC-0017
H2406-098-0 -
AARP Medicare Advantage from UHC NC-15
H5253-117-0 -
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
H5521-609-0 -
Blue Medicare Enhanced
H3449-024-2 -
Blue Medicare Essential
H3449-027-2 -
Blue Medicare Essential Plus
H3449-023-2 -
Blue Medicare Medical Only
H3449-012-0 -
Humana Gold Plus H6622-060
H6622-060-0 -
Humana USAA Honor Giveback
H5525-065-0 -
HumanaChoice Giveback H5525-035
H5525-035-0 -
HumanaChoice H5216-211
H5216-211-0 -
HumanaChoice H5525-049
H5525-049-0 -
HumanaChoice H5525-070
H5525-070-0 -
Aetna Medicare Signature
H3146-004-0 -
Aetna Medicare Value Plus
H3146-006-0 -
HealthTeam Advantage Eagle Plan
H9808-009-0 -
HealthTeam Advantage Vitality Plan
H9808-010-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0 -
Wellcare Simple
H4073-001-0 -
HealthSpring Courage
H9725-005-0 -
HealthSpring Preferred
H9725-009-4 -
HealthSpring Preferred Savings
H9725-015-4 -
HealthSpring True Choice
H7849-113-4 -
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
- 14772
2027 Medicare Advantage Plans in Durham County, NC
Last update: .
In Durham County, NC, there are 41 Medicare Advantage plans available for 2027. Of these, 33 offer a $0 monthly premium, and about 61% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Durham County, NC. Or explore all Medicare Options available in Durham County, NC.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Durham?
Durham County has 21 PPO plans for 2027, with 3,103 enrolled.
How much do PPO plans cost in Durham?
The typical PPO premium in Durham is $20.30, and 14 plans have no monthly premium.
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
- 1,971
- $0 Premium HMO Plans
- 7
- Average MOOP
- $6,429
- Top HMO by Enrollment
- Aetna Medicare Signature (HMO) — 982 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Blue Medicare Essential | $0 | $9,850 | $700 | H3449-027-2 | |
| Aetna Medicare Signature | $0 | $6,750 | $500 | H3146-004-0 | |
| Aetna Medicare Value Plus | $0 | $5,500 | $400 | H3146-006-0 | |
| HealthSpring Courage | $0 | $6,750 | N/A | H9725-005-0 | |
| HealthSpring Preferred | $0 | $4,450 | $400 | H9725-009-4 | |
| HealthSpring Preferred Savings | $0 | $6,750 | $600 | H9725-015-4 | |
| Troy Medicare | $0 | $4,950 | $0 | H4676-001-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Durham cost $0.00 per month on average.
- Which HMO plan is most popular in Durham?
- The most popular HMO plan in Durham is Aetna Medicare Signature (HMO), with 982 enrollees.
- How many HMO plans in Durham do not include drug coverage?
- There are 1 HMO plans in Durham without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 13
- Average Monthly Premium $3.85/mo
- Total HMO-POS Enrollment 9,698
- $0 Premium HMO-POS Plans 12
- Average MOOP $7,404
- Top HMO-POS by Enrollment Blue Medicare Essential Plus (HMO-POS) — 2,489 enrollees
- HMO-POS Plans Without Drug Coverage 2
| 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-0007 | $0 | $7,150 | $685 | H5253-039-0 | |
| AARP Medicare Advantage from UHC NC-15 | $0 | $4,450 | $685 | H5253-117-0 | |
| 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 | $50 | $4,900 | $700 | H3449-024-2 | |
| Blue Medicare Essential Plus | $0 | $7,000 | $700 | H3449-023-2 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Humana Gold Plus H6622-060 | $0 | $9,850 | $450 | H6622-060-0 | |
| Wellcare Simple | $0 | $6,700 | $700 | H4073-001-0 |
What is the total number of HMO-POS plans in Durham?
There are 13 HMO-POS plans in 2027, covering 9,698 enrollees.
How much do HMO-POS plans cost in Durham?
The average HMO-POS premium in Durham is $3.85 per month, with 12 plans offering $0 premiums.
What is the leading HMO-POS plan in Durham?
Blue Medicare Essential Plus (HMO-POS) is the top HMO-POS in Durham, with 2,489 enrollees.
What is the number of HMO-POS plans without Part D coverage in Durham?
2 HMO-POS plans in Durham do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Durham 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) | 25 | 61% |
| 3 Stars | 16 | 39% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.79 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 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 documentation is maintained in alignment 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.