- Entity
- county:north-carolina-watauga-37189
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/north-carolina/watauga/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 30
- PPO Plans
- 16
- HMO Plans
- 2
- HMO-POS Plans
- 11
- PFFS Plans
- 1
- Average Monthly Premium
- 14.05
- Average MOOP
- 8430
- Average Part D Deductible
- 649.29
- $0 Premium Plans
- 23
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 3.9
- $0 Premium Plan Share
- 76.67
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 73
- 3-Star Plan Share
- 27
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 19.27
- PPO Average MOOP
- 8909.38
- PPO Enrollment
- 802
- PPO $0 Premium Plans
- 12
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 7675
- HMO Enrollment
- 177
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 6.39
- HMO-POS Average MOOP
- 7740.91
- HMO-POS Enrollment
- 1277
- HMO-POS $0 Premium Plans
- 9
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 43
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 11
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:north-carolina-watauga-37189
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/north-carolina/watauga/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-watauga-37189-landscape-stats
- Plans Indexed
- 30
- Standard Medicare Advantage Plans
-
-
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-2 -
Humana Gold Plus Giveback H1036-343
H1036-343-0 -
Humana Gold Plus H1036-137
H1036-137-0 -
Humana Gold Plus H1036-335
H1036-335-2 -
AARP Medicare Advantage from UHC NC-24
H5253-185-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Eagle
H5521-241-0 -
Aetna Medicare Signature Giveback
H5521-348-0 -
Blue Medicare Enhanced
H3449-024-3 -
Blue Medicare Essential
H3449-027-2 -
Blue Medicare Essential Plus
H3449-023-5 -
Blue Medicare Medical Only
H3449-012-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
Humana Gold Plus H6622-025
H6622-025-0 -
Humana Gold Plus H6622-026
H6622-026-0 -
Humana USAA Honor Giveback
H5525-065-0 -
Humana USAA Honor Giveback
H5216-343-0 -
HumanaChoice Giveback H5216-017
H5216-017-0 -
HumanaChoice Giveback H5525-035
H5525-035-0 -
HumanaChoice H5216-211
H5216-211-0 -
HumanaChoice H5525-070
H5525-070-0 -
Aetna Medicare Value Plus
H3146-006-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0 -
Wellcare Simple
H4073-001-0 -
Wellcare Assist Open
H1914-009-0 -
Wellcare Patriot Giveback Open
H1914-011-0 -
Wellcare Simple Open
H1914-007-0
-
Blue Medicare Freedom+
- Total Standard Medicare Advantage Enrollment
- 2267
2027 Medicare Advantage Plans in Watauga County, NC
Last update: .
For 2027, Watauga County, NC includes 30 Medicare Advantage plans. Enrollment across these plans totals approximately 2,267, with 23 $0 premium options and 73% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Watauga County, NC are summarized separately. Visit Medicare Options in Watauga County, NC to see more options.
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
- 16
- Average Monthly Premium
- $19.27/mo
- Total PPO Enrollment
- 802
- $0 Premium PPO Plans
- 12
- Average MOOP
- $8,909
- Top PPO by Enrollment
- Blue Medicare PPO Enhanced (PPO) — 333 enrollees
- PPO Plans Without Drug Coverage
- 7
| 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 | |
| Aetna Medicare Eagle | $0 | $7,150 | N/A | H5521-241-0 | |
| Aetna Medicare Signature Giveback | $0 | $7,500 | $700 | H5521-348-0 | |
| Humana USAA Honor Giveback | $0 | $9,850 | N/A | H5525-065-0 | |
| Humana USAA Honor Giveback | $0 | $9,850 | N/A | H5216-343-0 | |
| HumanaChoice Giveback H5216-017 | $0 | $9,850 | $700 | H5216-017-0 | |
| HumanaChoice Giveback H5525-035 | $0 | $9,850 | $700 | H5525-035-0 | |
| HumanaChoice H5216-211 | $67 | $9,850 | $700 | H5216-211-0 | |
| 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 | |
| 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 Watauga?
PPO plans in Watauga cost $19.27 per month on average.
Which PPO plan has the highest enrollment in Watauga?
The most popular PPO plan in Watauga is Blue Medicare PPO Enhanced (PPO), with 333 enrollees.
How many PPO plans in Watauga do not include prescription drug coverage?
7 PPO plans in Watauga 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 2
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 177
- $0 Premium HMO Plans 2
- Average MOOP $7,675
- Top HMO by Enrollment Blue Medicare Essential (HMO) — 97 enrollees
- HMO Plans Without Drug Coverage 0
| 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 |
What is the top HMO by enrollment in Watauga?
Blue Medicare Essential (HMO) is the top HMO in Watauga, with 97 enrollees.
What is the number of HMO plans without Part D coverage in Watauga?
0 HMO plans in Watauga 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
- 11
- Average Monthly Premium
- $6.39/mo
- Total HMO-POS Enrollment
- 1,277
- $0 Premium HMO-POS Plans
- 9
- Average MOOP
- $7,741
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NC-24 (HMO-POS) — 473 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| 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-24 | $0 | $7,150 | $685 | H5253-185-0 | |
| 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 | |
| Humana Gold Plus H6622-025 | $0 | $9,850 | $450 | H6622-025-0 | |
| Humana Gold Plus H6622-026 | $13 | $9,850 | $450 | H6622-026-0 | |
| Wellcare Simple | $0 | $6,700 | $700 | H4073-001-0 |
What is the typical premium for HMO-POS plans in Watauga?
HMO-POS plans in Watauga cost $6.39 per month on average.
Which HMO-POS plan has the most members in Watauga?
The most popular HMO-POS plan in Watauga is AARP Medicare Advantage from UHC NC-24 (HMO-POS), with 473 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Watauga?
There are 2 HMO-POS plans in Watauga without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $43 | $9,850 | $700 | H8145-004-0 |
What is the total number of PFFS plans in Watauga?
In 2027, Watauga has 1 PFFS plans with 11 enrollees.
How much do PFFS plans cost in Watauga?
The typical PFFS premium in Watauga is $43.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Watauga County, NC (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 22 | 73% |
| 3 Stars | 8 | 27% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.9 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
| 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.
| 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 |
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.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (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.