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2026 Medicare Advantage Plans in Hertford County, NC

Last update: .

For 2026, Hertford County, NC includes 27 Medicare Advantage plans. Enrollment across these plans totals approximately 1,583, with 18 $0 premium options and 67% rated 4 stars or higher.

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Hertford County, NC are provided separately. Or you can discover all Medicare Options in Hertford County, NC.

At a Glance

  • Average Monthly Premium: $22.64/mo
  • $0 Premium Plans: 18
  • Average MOOP: $7,281 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 67% · 3 Stars: 33% · Below 3: 0%
  • Average Part D Deductible: $462.89
  • Total MA/MAPD Enrollment: 1,583
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Blue Medicare Essential Plus (HMO-POS) — 294 enrollees
    2. Humana Gold Plus H1036-335 (HMO-POS) — 166 enrollees
    3. HumanaChoice Giveback H5525-035 (PPO) — 153 enrollees

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
19
Average Monthly Premium
$28.00/mo
Total PPO Enrollment
782
$0 Premium PPO Plans
12
Average MOOP
$7,845
Top PPO by Enrollment
HumanaChoice Giveback H5525-035 (PPO) — 153 enrollees
PPO Plans Without Drug Coverage
6

2026 PPO Medicare Advantage plans in Hertford County, North Carolina (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage Access from UHC NC-23
☆☆☆☆☆
 $255 $3,000 $600 H2001-084-0
AARP Medicare Advantage from UHC NC-0001
☆☆☆☆☆
 $0 $6,700 $440 H2001-090-0
AARP Medicare Advantage from UHC NC-0004
☆☆☆☆☆
 $29 $6,200 $440 H2001-102-0
AARP Medicare Advantage Patriot No Rx NC-MA01
☆☆☆☆☆
 $0 $8,900 N/A H2001-103-0
Aetna Medicare Eagle Giveback
☆☆☆☆☆
 $0 $6,750 N/A H5521-241-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $6,750 $615 H5521-243-0
Aetna Medicare Signature Giveback
☆☆☆☆☆
 $0 $7,500 $615 H5521-348-0
Blue Medicare Freedom+
☆☆☆☆☆
 $0 $9,250 N/A H3404-004-0
Blue Medicare PPO Enhanced
☆☆☆☆☆
 $53 $6,300 $100 H3404-003-2
AARP Medicare Advantage from UHC NC-0019
☆☆☆☆☆
 $25 $6,700 $520 H2406-115-0
Humana Full Access R0110-005
☆☆☆☆☆
 $117 $9,250 $615 R0110-005-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,250 N/A R0110-006-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,250 N/A H5525-065-0
HumanaChoice Giveback H5525-035
☆☆☆☆☆
 $0 $9,250 $450 H5525-035-0
HumanaChoice H5525-049
☆☆☆☆☆
 $29 $9,250 $350 H5525-049-0
HumanaChoice H5525-050
☆☆☆☆☆
 $0 $9,250 $350 H5525-050-0
HumanaChoice H5525-070
☆☆☆☆☆
 $24 $9,250 $615 H5525-070-0
HumanaChoice H5525-083
☆☆☆☆☆
 $0 $9,250 $450 H5525-083-0
HumanaChoice R0110-004
☆☆☆☆☆
 $0 $7,000 N/A R0110-004-0

What is the typical premium for PPO plans available in Hertford?

PPO plans in Hertford cost $28.00 per month on average.

Which PPO plan do most beneficiaries choose in Hertford?

The most popular PPO plan in Hertford is HumanaChoice Giveback H5525-035 (PPO), with 153 enrollees.

How many PPO options are offered without drug coverage in Hertford?

6 PPO plans in Hertford 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 2
  • Average Monthly Premium $16.10/mo
  • Total HMO Enrollment 155
  • $0 Premium HMO Plans 1
  • Average MOOP $7,375
  • Top HMO by Enrollment Aetna Medicare Value Plus (HMO) — 83 enrollees
  • HMO Plans Without Drug Coverage 0

2026 HMO Medicare Advantage plans in Hertford County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 total number of HMO plans offered in Hertford?

In 2026, Hertford County has 2 HMO plans with 155 enrollees.

How much do HMO plans cost in Hertford?

The typical HMO premium in Hertford is $16.10, and 1 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
6
Average Monthly Premium
$7.83/mo
Total HMO-POS Enrollment
646
$0 Premium HMO-POS Plans
5
Average MOOP
$5,467
Top HMO-POS by Enrollment
Blue Medicare Essential Plus (HMO-POS) — 294 enrollees
HMO-POS Plans Without Drug Coverage
2

2026 HMO-POS Medicare Advantage plans in Hertford County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Plus H1036-335
☆☆☆☆☆
 $0 $3,950 $250 H1036-335-2
AARP Medicare Advantage from UHC NC-26
☆☆☆☆☆
 $0 $5,400 $440 H5253-187-0
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
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Hertford cost $7.83 per month on average.
Which HMO-POS plan is most popular in Hertford?
The most popular HMO-POS plan in Hertford is Blue Medicare Essential Plus (HMO-POS), with 294 enrollees.
How many HMO-POS plans in Hertford do not include drug coverage?
There are 2 HMO-POS plans in Hertford without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Hertford County, NC (2026) are summarized below.

Quality Ratings for Medicare Advantage Plans in Hertford County, NC (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 18 67%
3 Stars 9 33%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4.02

* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .