2026 Medicare Advantage Plans in Johnston County, NC
Last update: . Enrollment data updated: June 13, 2026
For 2026, Johnston County, NC includes 46 Medicare Advantage plans. Enrollment across these plans totals approximately 13,821, with 34 $0 premium options and 64% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Johnston County, NC are summarized separately. Visit Medicare Options in Johnston County, NC to see more options.
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
- 24
- Average Monthly Premium
- $24.71/mo
- Total PPO Enrollment
- 3,693
- $0 Premium PPO Plans
- 15
- Average MOOP
- $7,160
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 1,364 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the average monthly premium for PPO plans in Johnston?
PPO plans in Johnston cost $24.71 per month on average.
Which PPO plan has the highest enrollment in Johnston?
The most popular PPO plan in Johnston is Aetna Medicare Signature (PPO), with 1,364 enrollees.
How many PPO plans in Johnston do not include prescription drug coverage?
6 PPO plans in Johnston 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 10
- Average Monthly Premium $1.40/mo
- Total HMO Enrollment 1,920
- $0 Premium HMO Plans 9
- Average MOOP $5,585
- Top HMO by Enrollment Alignment Health smartHMO (HMO) — 508 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Alignment Health Platinum | $0 | $3,900 | $0 | H5296-003-0 | |
| Alignment Health Platinum Select | $0 | $5,900 | $225 | H5296-010-0 | |
| Alignment Health smartHMO | $0 | $3,400 | $615 | H5296-006-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H3146-004-0 | |
| Aetna Medicare Signature Care | $0 | $6,350 | $615 | H3146-021-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-2 | |
| HealthSpring Courage | $0 | $6,750 | N/A | H9725-005-0 | |
| HealthSpring Preferred | $0 | $3,550 | $295 | H9725-009-4 | |
| HealthSpring Preferred Plus | $14 | $3,300 | $200 | H9725-017-4 | |
| HealthSpring Preferred Savings | $0 | $6,700 | $0 | H9725-015-4 |
What is the top HMO by enrollment in Johnston?
Alignment Health smartHMO (HMO) is the top HMO in Johnston, with 508 enrollees.
What is the number of HMO plans without Part D coverage in Johnston?
1 HMO plans in Johnston do not include prescription drug coverage.
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
- 12
- Average Monthly Premium
- $6.42/mo
- Total HMO-POS Enrollment
- 8,208
- $0 Premium HMO-POS Plans
- 10
- Average MOOP
- $5,925
- Top HMO-POS by Enrollment
- Blue Medicare Essential Plus (HMO-POS) — 2,305 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-318 | $0 | $9,250 | $450 | H1036-318-0 | |
| Humana Gold Plus H1036-335 | $0 | $3,950 | $250 | H1036-335-2 | |
| 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 Giveback from UHC NC-14 | $0 | $9,250 | $600 | H5253-110-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $7,900 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $40 | $4,200 | $100 | H3449-024-2 | |
| Blue Medicare Essential Plus | $0 | $5,400 | $615 | H3449-023-2 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Humana Gold Plus H6622-060 | $0 | $9,250 | $350 | H6622-060-0 | |
| Wellcare Simple | $0 | $4,200 | $615 | H4073-001-0 |
What is the typical premium for HMO-POS plans in Johnston?
HMO-POS plans in Johnston cost $6.42 per month on average.
Which HMO-POS plan has the most members in Johnston?
The most popular HMO-POS plan in Johnston is Blue Medicare Essential Plus (HMO-POS), with 2,305 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Johnston?
There are 2 HMO-POS plans in Johnston without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Johnston County, NC (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 3 | 7% |
| 4 Stars (includes 5 Stars) | 29 | 64% |
| 3 Stars | 16 | 36% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.98 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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Data provenance is documented in accordance 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.