2026 Medicare Advantage Plans in Forsyth County, NC
Last update: . Enrollment data updated: June 13, 2026
In Forsyth County, NC, there are 60 Medicare Advantage plans available for 2026. Of these, 46 offer a $0 monthly premium, and about 68% 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 Forsyth County, NC. Or explore all Medicare Options available in Forsyth County, NC.
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 33
- Average Monthly Premium $18.76/mo
- Total PPO Enrollment 11,026
- $0 Premium PPO Plans 24
- Average MOOP $6,879
- Top PPO by Enrollment Aetna Medicare Signature Extra (PPO) — 2,876 enrollees
- PPO Plans Without Drug Coverage 9
What is the total number of PPO plans offered in Forsyth?
There are 33 PPO plans in 2026, covering 11,026 beneficiaries.
How much do PPO plans cost in Forsyth?
The average PPO premium in Forsyth is $18.76 per month, with 24 plans offering $0 premiums.
What is the most popular PPO plan in Forsyth?
Aetna Medicare Signature Extra (PPO) is the top PPO in Forsyth, with 2,876 enrollees.
What is the number of PPO plans without Part D coverage in Forsyth?
There are 9 PPO plans in Forsyth 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
- 15
- Average Monthly Premium
- $3.08/mo
- Total HMO Enrollment
- 5,360
- $0 Premium HMO Plans
- 13
- Average MOOP
- $5,160
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 1,896 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 | |
| DEVOTED CORE 001 NC | $0 | $3,600 | $395 | H5299-001-0 | |
| DEVOTED GIVEBACK 002 NC | $0 | $6,700 | $605 | H5299-002-0 | |
| Aetna Medicare Prime | $0 | $5,200 | $615 | H3146-007-0 | |
| Aetna Medicare Signature Care | $0 | $6,350 | $615 | H3146-021-0 | |
| Aetna Medicare Value Plus | $32 | $5,500 | $615 | H3146-006-0 | |
| Blue Medicare Choice | $0 | $4,200 | $615 | H3449-026-0 | |
| 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 | H9725-009-3 | |
| HealthSpring Preferred Plus | $14 | $3,250 | $200 | H9725-017-3 | |
| HealthSpring Preferred Savings | $0 | $6,700 | $0 | H9725-015-3 | |
| HealthSpring Preferred Select | $0 | $3,200 | $295 | H9725-014-0 |
What is the average monthly premium for HMO plans?
HMO plans in Forsyth cost $3.08 per month on average.
Which HMO plan is most popular in Forsyth?
The most popular HMO plan in Forsyth is HealthSpring Preferred (HMO), with 1,896 enrollees.
How many HMO plans in Forsyth do not include drug coverage?
There are 1 HMO plans in Forsyth 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 | $9,250 | $450 | H1036-318-0 | |
| Humana Gold Plus H1036-335 | $0 | $3,500 | $250 | H1036-335-1 | |
| AARP Medicare Advantage from UHC NC-0015 | $0 | $4,200 | $440 | H5253-117-0 | |
| AARP Medicare Advantage from UHC NC-0021 | $37 | $4,200 | $355 | H5253-037-0 | |
| AARP Medicare Advantage from UHC NC-0022 | $0 | $5,400 | $440 | H5253-038-0 | |
| AARP Medicare Advantage Giveback from UHC NC-14 | $0 | $9,250 | $600 | H5253-110-0 | |
| 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 leading HMO-POS plan in Forsyth?
Humana Gold Plus H1036-335 (HMO-POS) is the top HMO-POS in Forsyth, with 9,043 enrollees.
What is the number of HMO-POS plans without Part D coverage in Forsyth?
2 HMO-POS plans in Forsyth do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $7.00/mo
- Total PFFS Enrollment
- 46
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $7,550
- Top PFFS by Enrollment
- Humana Gold Choice H8145-004 (PFFS) — 46 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $7 | $7,550 | $615 | H8145-004-0 |
What is the typical premium for PFFS plans in Forsyth?
PFFS plans in Forsyth cost $7.00 per month on average.
Which PFFS plan has the most enrollment in Forsyth?
The most popular PFFS plan in Forsyth is Humana Gold Choice H8145-004 (PFFS), with 46 enrollees.
How many PFFS options are available without prescription drug coverage in Forsyth?
There are 0 PFFS plans in Forsyth without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Forsyth County, NC for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 5 | 9% |
| 4 Stars (includes 5 Stars) | 38 | 68% |
| 3 Stars | 18 | 32% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 7% |
| Average Rating | 4 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
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
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