2026 Medicare Advantage Plans in Graham County, NC
Last update: . Enrollment data updated: June 13, 2026
Graham County, NC has 37 Medicare Advantage plans available in 2026. These include 28 plans with no monthly premium, and roughly 47% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Graham County, NC. Or explore all Medicare Options available in Graham 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 23
- Average Monthly Premium $20.91/mo
- Total PPO Enrollment 308
- $0 Premium PPO Plans 18
- Average MOOP $7,867
- Top PPO by Enrollment HumanaChoice Giveback H5525-035 (PPO) — 88 enrollees
- PPO Plans Without Drug Coverage 8
What is the most popular PPO plan in Graham?
HumanaChoice Giveback H5525-035 (PPO) is the top PPO in Graham, with 88 enrollees.
What is the number of PPO plans without Part D coverage in Graham?
There are 8 PPO plans in Graham 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
- 2
- Average Monthly Premium
- $16.10/mo
- Total HMO Enrollment
- 31
- $0 Premium HMO Plans
- 1
- Average MOOP
- $7,375
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 31 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Value Plus | $32 | $5,500 | $615 | H3146-006-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-2 |
What is the typical premium for HMO plans in Graham?
HMO plans in Graham cost $16.10 per month on average.
Which HMO plan do most beneficiaries choose in Graham?
The most popular HMO plan in Graham is Aetna Medicare Value Plus (HMO), with 31 enrollees.
How many HMO options are offered without prescription drug coverage in Graham?
There are 0 HMO plans in Graham 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 12
- Average Monthly Premium $10.82/mo
- Total HMO-POS Enrollment 352
- $0 Premium HMO-POS Plans 9
- Average MOOP $6,375
- Top HMO-POS by Enrollment Humana Gold Plus H1036-335 (HMO-POS) — 134 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 H1036-335 | $0 | $3,950 | $250 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0008 | $0 | $6,700 | $520 | H5253-079-0 | |
| AARP Medicare Advantage from UHC NC-0009 | $48 | $5,400 | $440 | H5253-080-0 | |
| AARP Medicare Advantage from UHC NC-24 | $0 | $5,400 | $520 | H5253-185-0 | |
| AARP Medicare Advantage Giveback from UHC NC-13 | $0 | $8,900 | $600 | H5253-105-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $7,900 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $47 | $4,200 | $100 | H3449-024-3 | |
| Blue Medicare Essential Plus | $0 | $7,450 | $615 | H3449-023-5 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Humana Gold Plus H6622-025 | $0 | $9,250 | $350 | H6622-025-0 | |
| Humana Gold Plus H6622-026 | $35 | $9,250 | $350 | H6622-026-0 | |
| Wellcare Simple | $0 | $4,200 | $615 | H4073-001-0 |
What is the total number of HMO-POS plans in Graham?
In 2026, Graham has 12 HMO-POS plans with 352 enrollees.
How much do HMO-POS plans cost in Graham?
The typical HMO-POS premium in Graham is $10.82, and 9 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Graham County, NC for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 16 | 47% |
| 3 Stars | 18 | 53% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 8% |
| Average Rating | 3.82 | |
* 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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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.