- Entity
- county:north-carolina-forsyth-37067
- 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/forsyth/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 60
- PPO Plans
- 33
- HMO Plans
- 15
- HMO-POS Plans
- 11
- PFFS Plans
- 1
- Average Monthly Premium
- 12.32
- Average MOOP
- 6214.18
- Average Part D Deductible
- 440.94
- $0 Premium Plans
- 46
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 4
- $0 Premium Plan Share
- 76.67
- 5-Star Plan Share
- 9
- 4+ Star Plan Share
- 68
- 3-Star Plan Share
- 32
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 7
- PPO Average Monthly Premium
- 18.76
- PPO Average MOOP
- 6878.82
- PPO Enrollment
- 11001
- PPO $0 Premium Plans
- 24
- PPO Plans Without Part D Coverage
- 9
- HMO Average Monthly Premium
- 3.08
- HMO Average MOOP
- 5160
- HMO Enrollment
- 5532
- HMO $0 Premium Plans
- 13
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 6.09
- HMO-POS Average MOOP
- 5536.36
- HMO-POS Enrollment
- 22284
- 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
- 44
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:north-carolina-forsyth-37067
- 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/forsyth/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-forsyth-37067-landscape-stats
- Plans Indexed
- 60
- Standard Medicare Advantage Plans
-
-
Alignment Health Platinum
H5296-003-0 -
Alignment Health Platinum Select
H5296-010-0 -
Alignment Health smartHMO
H5296-006-0 -
DEVOTED CORE 001 NC
H5299-001-0 -
DEVOTED GIVEBACK 002 NC
H5299-002-0 -
AARP Medicare Advantage Access from UHC NC-23
H2001-084-0 -
Aetna Medicare Eagle Giveback
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 Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-1 -
Humana Gold Plus Giveback H1036-318
H1036-318-0 -
Humana Gold Plus H1036-335
H1036-335-1 -
AARP Medicare Advantage from UHC NC-0015
H5253-117-0 -
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-0021
H5253-037-0 -
AARP Medicare Advantage from UHC NC-0022
H5253-038-0 -
AARP Medicare Advantage Giveback from UHC NC-14
H5253-110-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Prime
H3146-007-0 -
Aetna Medicare Signature Care
H3146-021-0 -
Aetna Medicare Value Plus
H3146-006-0 -
Blue Medicare Choice
H3449-026-0 -
Blue Medicare Enhanced
H3449-024-1 -
Blue Medicare Essential
H3449-027-1 -
Blue Medicare Essential Plus
H3449-023-1 -
Blue Medicare Medical Only
H3449-012-0 -
HealthSpring Courage
H9725-005-0 -
HealthSpring Preferred
H9725-009-3 -
HealthSpring Preferred Plus
H9725-017-3 -
HealthSpring Preferred Savings
H9725-015-3 -
HealthSpring Preferred Select
H9725-014-0 -
HealthTeam Advantage Eagle Plan
H9808-009-0 -
HealthTeam Advantage Plan I
H9808-004-0 -
HealthTeam Advantage Plan II
H9808-005-0 -
HealthTeam Advantage Vitality Plan
H9808-010-0 -
Humana Full Access R0110-005
R0110-005-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
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
H7849-113-3 -
Alignment Health AVA
H7074-001-0 -
DEVOTED CHOICE 003 NC
H9700-003-0 -
DEVOTED CHOICE GIVEBACK 004 NC
H9700-004-0 -
DEVOTED CHOICE MA ONLY 007 NC
H9700-007-0
-
Alignment Health Platinum
- Total Standard Medicare Advantage Enrollment
- 38861
2026 Medicare Advantage Plans in Forsyth County, NC
Last update: .
For 2026, Forsyth County, NC includes 60 Medicare Advantage plans. Enrollment across these plans totals approximately 38,861, with 46 $0 premium options and 68% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Forsyth County, NC are provided separately. Or you can discover all Medicare Options in Forsyth County, NC.
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
- 33
- Average Monthly Premium
- $18.76/mo
- Total PPO Enrollment
- 11,001
- $0 Premium PPO Plans
- 24
- Average MOOP
- $6,879
- Top PPO by Enrollment
- Aetna Medicare Signature Extra (PPO) — 2,853 enrollees
- PPO Plans Without Drug Coverage
- 9
What is the typical premium for PPO plans available in Forsyth?
PPO plans in Forsyth cost $18.76 per month on average.
Which PPO plan do most beneficiaries choose in Forsyth?
The most popular PPO plan in Forsyth is Aetna Medicare Signature Extra (PPO), with 2,853 enrollees.
How many PPO options are offered without drug coverage in Forsyth?
9 PPO plans in Forsyth 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 15
- Average Monthly Premium $3.08/mo
- Total HMO Enrollment 5,532
- $0 Premium HMO Plans 13
- Average MOOP $5,160
- Top HMO by Enrollment HealthSpring Preferred (HMO) — 1,884 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 | |
| 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 total number of HMO plans offered in Forsyth?
In 2026, Forsyth County has 15 HMO plans with 5,532 enrollees.
How much do HMO plans cost in Forsyth?
The typical HMO premium in Forsyth is $3.08, and 13 plans have no monthly premium.
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
- 11
- Average Monthly Premium
- $6.09/mo
- Total HMO-POS Enrollment
- 22,284
- $0 Premium HMO-POS Plans
- 9
- Average MOOP
- $5,536
- Top HMO-POS by Enrollment
- Humana Gold Plus H1036-335 (HMO-POS) — 9,030 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| 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 H1036-335 | $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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Forsyth cost $6.09 per month on average.
- Which HMO-POS plan is most popular in Forsyth?
- The most popular HMO-POS plan in Forsyth is Humana Gold Plus H1036-335 (HMO-POS), with 9,030 enrollees.
- How many HMO-POS plans in Forsyth do not include drug coverage?
- There are 2 HMO-POS plans in Forsyth without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $7.00/mo
- Total PFFS Enrollment 44
- $0 Premium PFFS Plans 0
- Average MOOP $7,550
- Top PFFS by Enrollment Humana Gold Choice H8145-004 (PFFS) — 44 enrollees
- PFFS Plans Without Drug Coverage 0
| 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 Forsyth?
There are 1 PFFS plans in 2026, covering 44 enrollees.
How much do PFFS plans cost in Forsyth?
The average PFFS premium in Forsyth is $7.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Forsyth?
Humana Gold Choice H8145-004 (PFFS) is the top PFFS in Forsyth, with 44 enrollees.
What is the number of PFFS plans without Part D coverage in Forsyth?
0 PFFS plans in Forsyth do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Forsyth County, NC (2026) are summarized below.
| 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 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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, "Explore your Medicare coverage options" — 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.