2026 Medicare Advantage Plans in Jones County, NC
Last update: . Enrollment data updated: May 2, 2026
In Jones County, NC, there are 31 Medicare Advantage plans available for 2026. Of these, 21 offer a $0 monthly premium, and about 58% 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 Jones County, NC. Or explore all Medicare Options available in Jones 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 $24.48/mo
- Total PPO Enrollment 438
- $0 Premium PPO Plans 15
- Average MOOP $7,596
- Top PPO by Enrollment HumanaChoice Giveback H5525-035 (PPO) — 100 enrollees
- PPO Plans Without Drug Coverage 7
What is the total number of PPO plans offered in Jones?
There are 23 PPO plans in 2026, covering 438 beneficiaries.
How much do PPO plans cost in Jones?
The average PPO premium in Jones is $24.48 per month, with 15 plans offering $0 premiums.
What is the most popular PPO plan in Jones?
HumanaChoice Giveback H5525-035 (PPO) is the top PPO in Jones, with 100 enrollees.
What is the number of PPO plans without Part D coverage in Jones?
There are 7 PPO plans in Jones 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
- 43
- $0 Premium HMO Plans
- 1
- Average MOOP
- $7,375
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 23 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 Jones cost $16.10 per month on average.
Which HMO plan is most popular in Jones?
The most popular HMO plan in Jones is Aetna Medicare Value Plus (HMO), with 23 enrollees.
How many HMO plans in Jones do not include drug coverage?
There are 0 HMO plans in Jones 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 Jones?
Blue Medicare Essential Plus (HMO-POS) is the top HMO-POS in Jones, with 126 enrollees.
What is the number of HMO-POS plans without Part D coverage in Jones?
2 HMO-POS plans in Jones do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Jones 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 | 58% |
| 3 Stars | 13 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.95 | |
* 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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