2026 Medicare Advantage Plans in Montgomery County, NC
Last update: . Enrollment data updated: May 2, 2026
Montgomery County, NC has 41 Medicare Advantage plans available in 2026. These include 28 plans with no monthly premium, and roughly 63% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Montgomery County, NC. Or explore all Medicare Options available in Montgomery 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 29
- Average Monthly Premium $24.17/mo
- Total PPO Enrollment 703
- $0 Premium PPO Plans 18
- Average MOOP $6,916
- Top PPO by Enrollment HumanaChoice Giveback H5525-035 (PPO) — 157 enrollees
- PPO Plans Without Drug Coverage 8
What is the most popular PPO plan in Montgomery?
HumanaChoice Giveback H5525-035 (PPO) is the top PPO in Montgomery, with 157 enrollees.
What is the number of PPO plans without Part D coverage in Montgomery?
There are 8 PPO plans in Montgomery 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
- 3
- Average Monthly Premium
- $10.73/mo
- Total HMO Enrollment
- 124
- $0 Premium HMO Plans
- 2
- Average MOOP
- $6,233
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 45 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 | |
| Troy Medicare | $0 | $3,950 | $0 | H4676-001-0 |
What is the typical premium for HMO plans in Montgomery?
HMO plans in Montgomery cost $10.73 per month on average.
Which HMO plan do most beneficiaries choose in Montgomery?
The most popular HMO plan in Montgomery is Aetna Medicare Value Plus (HMO), with 45 enrollees.
How many HMO options are offered without prescription drug coverage in Montgomery?
There are 0 HMO plans in Montgomery without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements 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 9
- Average Monthly Premium $5.22/mo
- Total HMO-POS Enrollment 1,554
- $0 Premium HMO-POS Plans 8
- Average MOOP $5,956
- Top HMO-POS by Enrollment Humana Gold Plus H1036-335 (HMO-POS) — 636 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-318 | $0 | $9,250 | $450 | H1036-318-0 | |
| Humana Gold Plus H1036-137 | $0 | $9,250 | $350 | H1036-137-0 | |
| 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 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 | $6,750 | $615 | H3449-023-4 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Wellcare Simple | $0 | $4,200 | $615 | H4073-001-0 |
What is the total number of HMO-POS plans in Montgomery?
In 2026, Montgomery has 9 HMO-POS plans with 1,554 enrollees.
How much do HMO-POS plans cost in Montgomery?
The typical HMO-POS premium in Montgomery is $5.22, and 8 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Montgomery 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) | 26 | 63% |
| 3 Stars | 15 | 37% |
| 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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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.