2026 Medicare Advantage Plans in Hertford County, NC
Last update: . Enrollment data updated: May 2, 2026
In Hertford County, NC, there are 27 Medicare Advantage plans available for 2026. Of these, 18 offer a $0 monthly premium, and about 67% 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 Hertford County, NC. Or explore all Medicare Options available in Hertford 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 19
- Average Monthly Premium $28.00/mo
- Total PPO Enrollment 761
- $0 Premium PPO Plans 12
- Average MOOP $7,845
- Top PPO by Enrollment HumanaChoice Giveback H5525-035 (PPO) — 163 enrollees
- PPO Plans Without Drug Coverage 6
What is the total number of PPO plans offered in Hertford?
There are 19 PPO plans in 2026, covering 761 beneficiaries.
How much do PPO plans cost in Hertford?
The average PPO premium in Hertford is $28.00 per month, with 12 plans offering $0 premiums.
What is the most popular PPO plan in Hertford?
HumanaChoice Giveback H5525-035 (PPO) is the top PPO in Hertford, with 163 enrollees.
What is the number of PPO plans without Part D coverage in Hertford?
There are 6 PPO plans in Hertford 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
- 132
- $0 Premium HMO Plans
- 1
- Average MOOP
- $7,375
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 68 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 average monthly premium for HMO plans?
HMO plans in Hertford cost $16.10 per month on average.
Which HMO plan is most popular in Hertford?
The most popular HMO plan in Hertford is Aetna Medicare Value Plus (HMO), with 68 enrollees.
How many HMO plans in Hertford do not include drug coverage?
There are 0 HMO plans in Hertford without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| 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-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 leading HMO-POS plan in Hertford?
Blue Medicare Essential Plus (HMO-POS) is the top HMO-POS in Hertford, with 279 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hertford?
2 HMO-POS plans in Hertford do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hertford 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) | 18 | 67% |
| 3 Stars | 9 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.02 | |
* 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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