2026 Medicare Advantage Plans in Transylvania County, NC
Last update: . Enrollment data updated: May 2, 2026
In Transylvania County, NC, there are 45 Medicare Advantage plans available for 2026. Of these, 34 offer a $0 monthly premium, and about 59% 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 Transylvania County, NC. Or explore all Medicare Options available in Transylvania 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 24
- Average Monthly Premium $20.42/mo
- Total PPO Enrollment 974
- $0 Premium PPO Plans 18
- Average MOOP $7,375
- Top PPO by Enrollment Blue Medicare PPO Enhanced (PPO) — 286 enrollees
- PPO Plans Without Drug Coverage 8
What is the total number of PPO plans offered in Transylvania?
There are 24 PPO plans in 2026, covering 974 beneficiaries.
How much do PPO plans cost in Transylvania?
The average PPO premium in Transylvania is $20.42 per month, with 18 plans offering $0 premiums.
What is the most popular PPO plan in Transylvania?
Blue Medicare PPO Enhanced (PPO) is the top PPO in Transylvania, with 286 enrollees.
What is the number of PPO plans without Part D coverage in Transylvania?
There are 8 PPO plans in Transylvania 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
- 10
- Average Monthly Premium
- $4.32/mo
- Total HMO Enrollment
- 168
- $0 Premium HMO Plans
- 8
- Average MOOP
- $5,175
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 52 enrollees
- HMO Plans Without Drug Coverage
- 1
| 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 | |
| Troy Medicare | $0 | $3,950 | $0 | H4676-001-0 |
What is the average monthly premium for HMO plans?
HMO plans in Transylvania cost $4.32 per month on average.
Which HMO plan is most popular in Transylvania?
The most popular HMO plan in Transylvania is Aetna Medicare Value Plus (HMO), with 52 enrollees.
How many HMO plans in Transylvania do not include drug coverage?
There are 1 HMO plans in Transylvania 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-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 | $7,450 | $615 | H3449-023-5 | |
| 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 Transylvania?
Blue Medicare Essential Plus (HMO-POS) is the top HMO-POS in Transylvania, with 900 enrollees.
What is the number of HMO-POS plans without Part D coverage in Transylvania?
2 HMO-POS plans in Transylvania do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Transylvania County, NC for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 3 | 7% |
| 4 Stars (includes 5 Stars) | 24 | 59% |
| 3 Stars | 17 | 41% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 9% |
| Average Rating | 3.93 | |
* 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.