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  1. 🏠
  2. Medicare Advantage Plans
  3. North Carolina
  4. Madison County

2026 Medicare Advantage Plans in Madison County, NC

Last update: May 1, 2026. Enrollment data updated: May 2, 2026

In Madison County, NC, there are 47 Medicare Advantage plans available for 2026. Of these, 34 offer a $0 monthly premium, and about 56% 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 Madison County, NC. Or explore all Medicare Options available in Madison County, NC.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium
$15.26/mo
Plans with $0 Premium
34
Average MOOP Limit
$6,724 ($9,250 max. in 2026)
Star Ratings (Plan Mix)
4+ Stars: 56% · 3 Stars: 44% · Below 3: 0%
Average Part D Deductible
$443.47
Total MA/MAPD Enrollment
2,136
Plans with the Highest Enrollment
(as of May 2, 2026)
1. Humana Gold Plus H1036-335 (HMO-POS) — 531 enrollees
2. Blue Medicare Essential Plus (HMO-POS) — 237 enrollees
3. AARP Medicare Advantage from UHC NC-24 (HMO-POS) — 177 enrollees

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 26
  • Average Monthly Premium $20.92/mo
  • Total PPO Enrollment 558
  • $0 Premium PPO Plans 19
  • Average MOOP $7,519
  • Top PPO by Enrollment Blue Medicare PPO Enhanced (PPO) — 97 enrollees
  • PPO Plans Without Drug Coverage 8

Comparison table of 2026 PPO Medicare Advantage Plans available in Madison County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage Access from UHC NC-23
☆☆☆☆☆
$255 $3,000 $600 H2001-084-0
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $6,750 N/A H5521-241-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $6,750 $615 H5521-236-0
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
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
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A H5216-343-0
HumanaChoice Giveback H5216-017
☆☆☆☆☆
$0 $9,250 $450 H5216-017-0
HumanaChoice Giveback H5525-035
☆☆☆☆☆
$0 $9,250 $450 H5525-035-0
HumanaChoice H5216-211
☆☆☆☆☆
$54 $9,250 $615 H5216-211-0
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
Wellcare Assist Open
☆☆☆☆☆
$31 $4,201 $480 H1914-009-0
Wellcare Giveback Open
☆☆☆☆☆
$0 $8,300 $615 H1914-010-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
$0 $8,850 N/A H1914-011-0
Wellcare Simple Open
☆☆☆☆☆
$0 $4,300 $615 H1914-007-0
HealthSpring True Choice
☆☆☆☆☆
$0 $4,350 $615 H7849-113-2
Alignment Health AVA
☆☆☆☆☆
$10 $3,900 $0 H7074-001-0
DEVOTED CHOICE 005 NC
☆☆☆☆☆
$0 $5,300 $370 H9700-005-0
DEVOTED CHOICE GIVEBACK 006 NC
☆☆☆☆☆
$0 $8,000 $605 H9700-006-0
DEVOTED CHOICE MA ONLY 007 NC
☆☆☆☆☆
$0 $9,250 N/A H9700-007-0
What is the total number of PPO plans offered in Madison?

There are 26 PPO plans in 2026, covering 558 beneficiaries.

How much do PPO plans cost in Madison?

The average PPO premium in Madison is $20.92 per month, with 19 plans offering $0 premiums.

What is the most popular PPO plan in Madison?

Blue Medicare PPO Enhanced (PPO) is the top PPO in Madison, with 97 enrollees.

What is the number of PPO plans without Part D coverage in Madison?

There are 8 PPO plans in Madison 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
9
Average Monthly Premium
$4.80/mo
Total HMO Enrollment
169
$0 Premium HMO Plans
7
Average MOOP
$5,311
Top HMO by Enrollment
Alignment Health Platinum (HMO) — 67 enrollees
HMO Plans Without Drug Coverage
1

Comparison table of 2026 HMO Medicare Advantage Plans available in Madison County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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 Value Plus
☆☆☆☆☆
$32 $5,500 $615 H3146-006-0
Blue Medicare Essential
☆☆☆☆☆
$0 $9,250 $615 H3449-027-2
HealthSpring Courage
☆☆☆☆☆
$0 $6,750 N/A H9725-005-0
HealthSpring Preferred
☆☆☆☆☆
$0 $3,500 $295 H9725-009-2
HealthSpring Preferred Plus
☆☆☆☆☆
$11 $3,200 $200 H9725-017-2
HealthSpring Preferred Savings
☆☆☆☆☆
$0 $6,400 $0 H9725-015-2

What is the average monthly premium for HMO plans?

HMO plans in Madison cost $4.80 per month on average.

Which HMO plan is most popular in Madison?

The most popular HMO plan in Madison is Alignment Health Platinum (HMO), with 67 enrollees.

How many HMO plans in Madison do not include drug coverage?

There are 1 HMO plans in Madison 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.

Total HMO-POS Plans
11
Average Monthly Premium
$11.16/mo
Total HMO-POS Enrollment
1,382
$0 Premium HMO-POS Plans
8
Average MOOP
$5,927
Top HMO-POS by Enrollment
Humana Gold Plus H1036-335 (HMO-POS) — 531 enrollees
HMO-POS Plans Without Drug Coverage
2

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Madison County, North Carolina
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
☆☆☆☆☆
$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 H6622-026
☆☆☆☆☆
$35 $9,250 $350 H6622-026-0
Wellcare Simple
☆☆☆☆☆
$0 $4,200 $615 H4073-001-0
What is the leading HMO-POS plan in Madison?

Humana Gold Plus H1036-335 (HMO-POS) is the top HMO-POS in Madison, with 531 enrollees.

What is the number of HMO-POS plans without Part D coverage in Madison?

2 HMO-POS plans in Madison do not include prescription drug coverage.

Medicare Advantage PFFS Plans

PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.

Total PFFS Plans
1
Average Monthly Premium
$7.00/mo
Total PFFS Enrollment
27
$0 Premium PFFS Plans
0
Average MOOP
$7,550
Top PFFS by Enrollment
Humana Gold Choice H8145-004 (PFFS) — 27 enrollees
PFFS Plans Without Drug Coverage
0

Comparison table of 2026 PFFS Medicare Advantage Plans available in Madison County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-004
☆☆☆☆☆
$7 $7,550 $615 H8145-004-0

What is the typical premium for PFFS plans in Madison?

PFFS plans in Madison cost $7.00 per month on average.

Which PFFS plan has the most enrollment in Madison?

The most popular PFFS plan in Madison is Humana Gold Choice H8145-004 (PFFS), with 27 enrollees.

How many PFFS options are available without prescription drug coverage in Madison?

There are 0 PFFS plans in Madison without prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Madison County, NC for 2026.

CMS Star Ratings for Medicare Advantage Plans in Madison County, NC (2026)
Rating Category Number of Plans Percent of Plans
5 Stars 3 7%
4 Stars (includes 5 Stars) 24 56%
3 Stars 19 44%
Below 3 Stars 0 0%
Not Rated 4 9%
Average Rating 3.92

* 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

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

This page follows data provenance practices aligned with the 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.

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