2026 Medicare Advantage Plans in Clarendon County, SC
Last update: . Enrollment data updated: May 2, 2026
Clarendon County, SC has 31 Medicare Advantage plans available in 2026. These include 23 plans with no monthly premium, and roughly 48% 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 Clarendon County, SC. Or explore all Medicare Options available in Clarendon County, SC.
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 20
- Average Monthly Premium $12.54/mo
- Total PPO Enrollment 1,441
- $0 Premium PPO Plans 15
- Average MOOP $8,148
- Top PPO by Enrollment HumanaChoice H7617-095 (PPO) — 228 enrollees
- PPO Plans Without Drug Coverage 7
What is the most popular PPO plan in Clarendon?
HumanaChoice H7617-095 (PPO) is the top PPO in Clarendon, with 228 enrollees.
What is the number of PPO plans without Part D coverage in Clarendon?
There are 7 PPO plans in Clarendon 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
- 4
- Average Monthly Premium
- $5.58/mo
- Total HMO Enrollment
- 397
- $0 Premium HMO Plans
- 3
- Average MOOP
- $8,475
- Top HMO by Enrollment
- Humana Gold Plus H5619-152 (HMO) — 209 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 | $22 | $8,200 | $615 | H3146-011-0 | |
| Humana Gold Plus Giveback H5619-169 | $0 | $9,250 | $450 | H5619-169-0 | |
| Humana Gold Plus H5619-152 | $0 | $7,200 | $350 | H5619-152-0 | |
| Humana Gold Plus H5619-171 | $0 | $9,250 | $450 | H5619-171-0 |
What is the typical premium for HMO plans in Clarendon?
HMO plans in Clarendon cost $5.58 per month on average.
Which HMO plan do most beneficiaries choose in Clarendon?
The most popular HMO plan in Clarendon is Humana Gold Plus H5619-152 (HMO), with 209 enrollees.
How many HMO options are offered without prescription drug coverage in Clarendon?
There are 0 HMO plans in Clarendon 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 7
- Average Monthly Premium $11.39/mo
- Total HMO-POS Enrollment 420
- $0 Premium HMO-POS Plans 5
- Average MOOP $7,100
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC SC-0005 (HMO-POS) — 210 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Wellcare Assist | $35 | $5,900 | $475 | H4847-005-0 | |
| Wellcare Giveback | $0 | $9,250 | $615 | H4847-007-0 | |
| Wellcare Patriot Giveback | $0 | $9,250 | N/A | H4847-006-0 | |
| Wellcare Simple | $0 | $5,200 | $615 | H4847-001-0 | |
| AARP Medicare Advantage from UHC SC-0005 | $0 | $6,700 | $440 | H5322-040-0 | |
| AARP Medicare Advantage from UHC SC-0006 | $45 | $6,700 | $440 | H5322-044-0 | |
| AARP Medicare Advantage Patriot No Rx SC-MA01 | $0 | $6,700 | N/A | H5322-043-0 |
What is the total number of HMO-POS plans in Clarendon?
In 2026, Clarendon has 7 HMO-POS plans with 420 enrollees.
How much do HMO-POS plans cost in Clarendon?
The typical HMO-POS premium in Clarendon is $11.39, and 5 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Clarendon County, SC for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 15 | 48% |
| 3 Stars | 16 | 52% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.81 | |
* 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.