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2027 Medicare Advantage Plans in Washington County, NC

Last update: .

Washington County, NC has 23 Medicare Advantage plans available in 2027. These include 16 plans with no monthly premium, and roughly 83% 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 Washington County, NC. Or explore all Medicare Options available in Washington County, NC.

At a Glance

Average Monthly Premium: $16.14/mo
$0 Premium Plans: 16
Average MOOP: $8,320 ($9,250 max. in 2027)
Star Ratings (Plan Mix): 4+ Stars: 83% · 3 Stars: 17% · Below 3: 0%
Average Part D Deductible: $659.33
Total MA/MAPD Enrollment: 858
Plans with the Highest Enrollment
(as of October 5, 2026)
1. Blue Medicare Essential Plus (HMO-POS) — 210 enrollees
2. HumanaChoice Giveback H5525-035 (PPO) — 115 enrollees
3. AARP Medicare Advantage from UHC NC-26 (HMO-POS) — 82 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 17
  • Average Monthly Premium $21.84/mo
  • Total PPO Enrollment 469
  • $0 Premium PPO Plans 10
  • Average MOOP $8,650
  • Top PPO by Enrollment HumanaChoice Giveback H5525-035 (PPO) — 115 enrollees
  • PPO Plans Without Drug Coverage 6

Comparison table of 2027 PPO Medicare Advantage Plans available in Washington County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC NC-0001
☆☆☆☆☆
 $0 $7,150 $685 H2001-090-0
AARP Medicare Advantage from UHC NC-0004
☆☆☆☆☆
 $34 $6,900 $685 H2001-102-0
AARP Medicare Advantage Patriot No Rx NC-MA01
☆☆☆☆☆
 $0 $8,900 N/A H2001-103-0
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-0019
☆☆☆☆☆
 $31 $7,150 $685 H2406-115-0
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $7,150 N/A H5521-241-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $6,750 $700 H5521-243-0
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
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
What is the most popular PPO plan in Washington?

HumanaChoice Giveback H5525-035 (PPO) is the top PPO in Washington, with 115 enrollees.

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

There are 6 PPO plans in Washington 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
$0.00/mo
Total HMO Enrollment
70
$0 Premium HMO Plans
2
Average MOOP
$7,675
Top HMO by Enrollment
Aetna Medicare Value Plus (HMO) — 42 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2027 HMO Medicare Advantage Plans available in Washington County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Blue Medicare Essential
☆☆☆☆☆
 $0 $9,850 $700 H3449-027-2
Aetna Medicare Value Plus
☆☆☆☆☆
 $0 $5,500 $400 H3146-006-0

What is the typical premium for HMO plans in Washington?

HMO plans in Washington cost $0.00 per month on average.

Which HMO plan do most beneficiaries choose in Washington?

The most popular HMO plan in Washington is Aetna Medicare Value Plus (HMO), with 42 enrollees.

How many HMO options are offered without prescription drug coverage in Washington?

There are 0 HMO plans in Washington 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 4
  • Average Monthly Premium $0.00/mo
  • Total HMO-POS Enrollment 319
  • $0 Premium HMO-POS Plans 4
  • Average MOOP $7,238
  • Top HMO-POS by Enrollment Blue Medicare Essential Plus (HMO-POS) — 210 enrollees
  • HMO-POS Plans Without Drug Coverage 2

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Washington County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC NC-26
☆☆☆☆☆
 $0 $5,900 $685 H5253-187-0
AARP Medicare Advantage Patriot No Rx NC-MA02
☆☆☆☆☆
 $0 $9,300 N/A H5253-040-0
Blue Medicare Essential Plus
☆☆☆☆☆
 $0 $9,850 $700 H3449-023-5
Blue Medicare Medical Only
☆☆☆☆☆
 $0 $3,900 N/A H3449-012-0
What is the total number of HMO-POS plans in Washington?

In 2027, Washington has 4 HMO-POS plans with 319 enrollees.

How much do HMO-POS plans cost in Washington?

The typical HMO-POS premium in Washington is $0.00, and 4 plans have no monthly premium.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Washington County, NC for 2027.

CMS Star Ratings for Medicare Advantage Plans in Washington County, NC (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 19 83%
3 Stars 4 17%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4.04

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

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

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.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025
Medicare.gov Joining a plan 25 May, 2025

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .