2026 Medicare Advantage Plans in Gaston County, NC
Last update: . Enrollment data updated: May 2, 2026
In Gaston County, NC, there are 47 Medicare Advantage plans available for 2026. Of these, 36 offer a $0 monthly premium, and about 59% 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 Gaston County, NC. Or explore all Medicare Options available in Gaston 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 Gaston?
Gaston County has 29 PPO plans for 2026, with 7,648 enrolled.
How much do PPO plans cost in Gaston?
The typical PPO premium in Gaston is $19.62, 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
- 8
- Average Monthly Premium
- $1.63/mo
- Total HMO Enrollment
- 2,398
- $0 Premium HMO Plans
- 7
- Average MOOP
- $6,175
- Top HMO by Enrollment
- Aetna Medicare Signature (HMO) — 994 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| DEVOTED GIVEBACK 012 NC | $0 | $8,900 | $605 | H5299-012-0 | |
| Aetna Medicare Signature | $0 | $5,500 | $615 | H3146-001-0 | |
| Aetna Medicare Signature Care | $0 | $6,350 | $615 | H3146-021-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-1 | |
| HealthSpring Courage | $0 | $6,750 | N/A | H9725-005-0 | |
| HealthSpring Preferred | $0 | $3,450 | $295 | H9725-009-1 | |
| HealthSpring Preferred Plus | $13 | $3,200 | $200 | H9725-017-1 | |
| HealthSpring Preferred Savings | $0 | $6,000 | $0 | H9725-015-1 |
- What is the average monthly premium for HMO plans?
- HMO plans in Gaston cost $1.63 per month on average.
- Which HMO plan is most popular in Gaston?
- The most popular HMO plan in Gaston is Aetna Medicare Signature (HMO), with 994 enrollees.
- How many HMO plans in Gaston do not include drug coverage?
- There are 1 HMO plans in Gaston 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 9
- Average Monthly Premium $7.44/mo
- Total HMO-POS Enrollment 9,426
- $0 Premium HMO-POS Plans 7
- Average MOOP $5,350
- Top HMO-POS by Enrollment Humana Gold Plus H1036-137 (HMO-POS) — 3,069 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 H1036-137 | $0 | $9,250 | $350 | H1036-137-0 | |
| 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 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 total number of HMO-POS plans in Gaston?
There are 9 HMO-POS plans in 2026, covering 9,426 enrollees.
How much do HMO-POS plans cost in Gaston?
The average HMO-POS premium in Gaston is $7.44 per month, with 7 plans offering $0 premiums.
What is the leading HMO-POS plan in Gaston?
Humana Gold Plus H1036-137 (HMO-POS) is the top HMO-POS in Gaston, with 3,069 enrollees.
What is the number of HMO-POS plans without Part D coverage in Gaston?
2 HMO-POS plans in Gaston 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
- 87
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $7,550
- Top PFFS by Enrollment
- Humana Gold Choice H8145-004 (PFFS) — 87 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 average monthly premium for PFFS plans?
PFFS plans in Gaston cost $7.00 per month on average.
Which PFFS plan is most popular in Gaston?
The most popular PFFS plan in Gaston is Humana Gold Choice H8145-004 (PFFS), with 87 enrollees.
How many PFFS plans in Gaston do not include drug coverage?
There are 0 PFFS plans in Gaston without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Gaston County, NC for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 1 | 2% |
| 4 Stars (includes 5 Stars) | 26 | 59% |
| 3 Stars | 18 | 41% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 6% |
| Average Rating | 3.89 | |
* 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 May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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
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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.