- Entity
- county:north-carolina-forsyth-37067
- 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/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
- 56
- PPO Plans
- 30
- HMO Plans
- 12
- HMO-POS Plans
- 13
- PFFS Plans
- 1
- Average Monthly Premium
- 9.45
- Average MOOP
- 7148.21
- Average Part D Deductible
- 601.41
- $0 Premium Plans
- 45
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 3.9
- $0 Premium Plan Share
- 80.36
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 69
- 3-Star Plan Share
- 31
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 2
- PPO Average Monthly Premium
- 13.44
- PPO Average MOOP
- 7775
- PPO Enrollment
- 10825
- PPO $0 Premium Plans
- 22
- PPO Plans Without Part D Coverage
- 9
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 5675
- HMO Enrollment
- 4182
- HMO $0 Premium Plans
- 12
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 6.38
- HMO-POS Average MOOP
- 6853.85
- HMO-POS Enrollment
- 22244
- HMO-POS $0 Premium Plans
- 11
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 43
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 44
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:north-carolina-forsyth-37067
- 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/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
- 56
- Standard Medicare Advantage Plans
-
-
Alignment Health Platinum 010
H5296-010-0 -
Alignment Health Smart 006
H5296-006-0 -
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-1 -
DEVOTED CORE 001 NC
H5299-001-0 -
DEVOTED GIVEBACK 002 NC
H5299-002-0 -
DEVOTED GIVEBACK EXTRAS 038 NC
H5299-038-0 -
HealthTeam Advantage Thrive Plan
H2624-005-0 -
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
H1036-335-1 -
HumanaChoice H7617-122
H7617-122-0 -
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 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
H5521-081-0 -
Aetna Medicare Signature Extra
H5521-170-0 -
Aetna Medicare Signature Giveback
H5521-348-0 -
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 -
DEVOTED CHOICE 003 NC
H9700-003-0 -
DEVOTED CHOICE GIVEBACK 004 NC
H9700-004-0 -
DEVOTED CHOICE MA ONLY 007 NC
H9700-007-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
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 H5525-070
H5525-070-0 -
Aetna Medicare Prime
H3146-007-0 -
Aetna Medicare Value Plus
H3146-006-0 -
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
R0110-005-0 -
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
H9725-009-3 -
HealthSpring Preferred Savings
H9725-015-3 -
HealthSpring True Choice
H7849-113-3 -
Wellcare Assist Open
H1914-009-0 -
Wellcare Patriot Giveback Open
H1914-011-0 -
Wellcare Simple Open
H1914-007-0 -
Alignment Health AVA 001
H7074-001-0
-
Alignment Health Platinum 010
- Total Standard Medicare Advantage Enrollment
- 37295
2027 Medicare Advantage Plans in Forsyth County, NC
Last update: .
In Forsyth County, NC, there are 56 Medicare Advantage plans available for 2027. Of these, 45 offer a $0 monthly premium, and about 69% are rated 4 stars or higher based on CMS quality ratings.
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 Forsyth?
Forsyth County has 30 PPO plans for 2027, with 10,825 enrolled.
How much do PPO plans cost in Forsyth?
The typical PPO premium in Forsyth is $13.44, and 22 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
- 12
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 4,182
- $0 Premium HMO Plans
- 12
- Average MOOP
- $5,675
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 1,870 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Alignment Health Platinum 010 | $0 | $4,300 | $225 | H5296-010-0 | |
| Alignment Health Smart 006 | $0 | $3,400 | $700 | H5296-006-0 | |
| DEVOTED CORE 001 NC | $0 | $4,050 | $650 | H5299-001-0 | |
| DEVOTED GIVEBACK 002 NC | $0 | $7,950 | $461 | H5299-002-0 | |
| DEVOTED GIVEBACK EXTRAS 038 NC | $0 | $5,700 | $700 | H5299-038-0 | |
| HealthTeam Advantage Thrive Plan | $0 | $4,200 | $495 | H2624-005-0 | |
| Blue Medicare Essential | $0 | $9,850 | $700 | H3449-027-1 | |
| Aetna Medicare Prime | $0 | $5,200 | $500 | H3146-007-0 | |
| 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 | H9725-009-3 | |
| HealthSpring Preferred Savings | $0 | $6,750 | $600 | H9725-015-3 |
- What is the average monthly premium for HMO plans?
- HMO plans in Forsyth cost $0.00 per month on average.
- Which HMO plan is most popular in Forsyth?
- The most popular HMO plan in Forsyth is HealthSpring Preferred (HMO), with 1,870 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 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 $6.38/mo
- Total HMO-POS Enrollment 22,244
- $0 Premium HMO-POS Plans 11
- Average MOOP $6,854
- Top HMO-POS by Enrollment Humana Gold Plus H1036-335 (HMO-POS) — 8,981 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 | $4,100 | $700 | H1036-335-1 | |
| 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-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 | $41 | $4,900 | $700 | H3449-024-1 | |
| Blue Medicare Essential Plus | $0 | $5,900 | $700 | H3449-023-1 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Wellcare Simple | $0 | $6,700 | $700 | H4073-001-0 |
What is the total number of HMO-POS plans in Forsyth?
There are 13 HMO-POS plans in 2027, covering 22,244 enrollees.
How much do HMO-POS plans cost in Forsyth?
The average HMO-POS premium in Forsyth is $6.38 per month, with 11 plans offering $0 premiums.
What is the leading HMO-POS plan in Forsyth?
Humana Gold Plus H1036-335 (HMO-POS) is the top HMO-POS in Forsyth, with 8,981 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
- $43.00/mo
- Total PFFS Enrollment
- 44
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $9,850
- Top PFFS by Enrollment
- Humana Gold Choice H8145-004 (PFFS) — 44 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 | $43 | $9,850 | $700 | H8145-004-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Forsyth cost $43.00 per month on average.
Which PFFS plan is most popular in Forsyth?
The most popular PFFS plan in Forsyth is Humana Gold Choice H8145-004 (PFFS), with 44 enrollees.
How many PFFS plans in Forsyth do not include drug coverage?
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 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 38 | 69% |
| 3 Stars | 17 | 31% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.9 | |
* 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 Forsyth County, North Carolina, including communities such as Belews Creek, Clemmons, Lewisville, Pfafftown, Rural Hall, Tobaccoville, Walkertown, Winston Salem, Kernersville, 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: 2026-09
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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 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.