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2027 Medicare Advantage Plans in Richmond County, NC

Last update: .

For 2027, Richmond County, NC includes 36 Medicare Advantage plans. Enrollment across these plans totals approximately 3,427, with 27 $0 premium options and 69% rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Richmond County, NC are summarized separately. Visit Medicare Options in Richmond County, NC to see more options.

At a Glance

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
21
Average Monthly Premium
$18.25/mo
Total PPO Enrollment
840
$0 Premium PPO Plans
14
Average MOOP
$8,086
Top PPO by Enrollment
Aetna Medicare Signature Extra (PPO) — 242 enrollees
PPO Plans Without Drug Coverage
7

2027 PPO Medicare Advantage plans in Richmond County, North Carolina (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Blue Medicare Freedom+
☆☆☆☆☆
 $0 $9,850 N/A H3404-004-0
Blue Medicare PPO Enhanced
☆☆☆☆☆
 $70 $6,900 $700 H3404-003-2
HumanaChoice H7617-122
☆☆☆☆☆
 $13 $9,850 $700 H7617-122-0
AARP Medicare Advantage from UHC NC-0016
☆☆☆☆☆
 $53 $4,450 $595 H2406-034-0
AARP Medicare Advantage from UHC NC-0017
☆☆☆☆☆
 $0 $7,150 $685 H2406-098-0
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $7,150 N/A H5521-241-0
Aetna Medicare Enhanced
☆☆☆☆☆
 $24 $5,900 $500 H5521-169-0
Aetna Medicare Signature Extra
☆☆☆☆☆
 $0 $5,900 $500 H5521-170-0
Aetna Medicare Signature Giveback
☆☆☆☆☆
 $0 $7,500 $700 H5521-348-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,850 N/A H5525-065-0
HumanaChoice Giveback H5525-035
☆☆☆☆☆
 $0 $9,850 $700 H5525-035-0
HumanaChoice H5525-049
☆☆☆☆☆
 $52 $9,850 $450 H5525-049-0
HumanaChoice H5525-070
☆☆☆☆☆
 $13 $9,850 $700 H5525-070-0
HealthTeam Advantage Eagle Plan
☆☆☆☆☆
 $0 $8,500 N/A H9808-009-0
HealthTeam Advantage Vitality Plan
☆☆☆☆☆
 $0 $5,200 $595 H9808-010-0
Humana Full Access
☆☆☆☆☆
 $158 $9,850 $700 R0110-005-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,850 N/A R0110-006-0
HumanaChoice R0110-004
☆☆☆☆☆
 $0 $9,850 N/A R0110-004-0
Wellcare Assist Open
☆☆☆☆☆
 $0 $6,500 $700 H1914-009-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
 $0 $8,850 N/A H1914-011-0
Wellcare Simple Open
☆☆☆☆☆
 $0 $7,150 $700 H1914-007-0

What is the average monthly premium for PPO plans in Richmond?

PPO plans in Richmond cost $18.25 per month on average.

Which PPO plan has the highest enrollment in Richmond?

The most popular PPO plan in Richmond is Aetna Medicare Signature Extra (PPO), with 242 enrollees.

How many PPO plans in Richmond do not include prescription drug coverage?

7 PPO plans in Richmond 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 3
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 417
  • $0 Premium HMO Plans 3
  • Average MOOP $6,767
  • Top HMO by Enrollment Troy Medicare (HMO) — 327 enrollees
  • HMO Plans Without Drug Coverage 0

2027 HMO Medicare Advantage plans in Richmond County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Blue Medicare Essential
☆☆☆☆☆
 $0 $9,850 $700 H3449-027-2
Aetna Medicare Value Plus
☆☆☆☆☆
 $0 $5,500 $400 H3146-006-0
Troy Medicare
☆☆☆☆☆
 $0 $4,950 $0 H4676-001-0
What is the top HMO by enrollment in Richmond?

Troy Medicare (HMO) is the top HMO in Richmond, with 327 enrollees.

What is the number of HMO plans without Part D coverage in Richmond?

0 HMO plans in Richmond 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
$8.25/mo
Total HMO-POS Enrollment
2,170
$0 Premium HMO-POS Plans
10
Average MOOP
$6,950
Top HMO-POS by Enrollment
Humana Gold Plus H1036-335 (HMO-POS) — 532 enrollees
HMO-POS Plans Without Drug Coverage
2

2027 HMO-POS Medicare Advantage plans in Richmond County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Plus Giveback H1036-318
☆☆☆☆☆
 $0 $9,850 $700 H1036-318-0
Humana Gold Plus Giveback H1036-343
☆☆☆☆☆
 $0 $9,850 $700 H1036-343-0
Humana Gold Plus H1036-137
☆☆☆☆☆
 $0 $9,850 $450 H1036-137-0
Humana Gold Plus H1036-335
☆☆☆☆☆
 $0 $3,950 $700 H1036-335-2
AARP Medicare Advantage from UHC NC-0021
☆☆☆☆☆
 $42 $4,900 $595 H5253-037-0
AARP Medicare Advantage from UHC NC-0022
☆☆☆☆☆
 $0 $5,900 $685 H5253-038-0
AARP Medicare Advantage from UHC NC-15
☆☆☆☆☆
 $0 $4,450 $685 H5253-117-0
AARP Medicare Advantage Patriot No Rx NC-MA02
☆☆☆☆☆
 $0 $9,300 N/A H5253-040-0
Blue Medicare Enhanced
☆☆☆☆☆
 $57 $4,900 $700 H3449-024-3
Blue Medicare Essential Plus
☆☆☆☆☆
 $0 $9,850 $700 H3449-023-5
Blue Medicare Medical Only
☆☆☆☆☆
 $0 $3,900 N/A H3449-012-0
Wellcare Simple
☆☆☆☆☆
 $0 $6,700 $700 H4073-001-0

What is the typical premium for HMO-POS plans in Richmond?

HMO-POS plans in Richmond cost $8.25 per month on average.

Which HMO-POS plan has the most members in Richmond?

The most popular HMO-POS plan in Richmond is Humana Gold Plus H1036-335 (HMO-POS), with 532 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Richmond?

There are 2 HMO-POS plans in Richmond without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Richmond County, NC (2027) are summarized below.

Medicare Advantage Plan Ratings in Richmond County, NC (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 25 69%
3 Stars 11 31%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.89

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

Primary CMS datasets used for this Medicare Advantage Plan county resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

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.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .