- Entity
- county:south-carolina-edgefield-45037
- 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/south-carolina/edgefield/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 42
- PPO Plans
- 29
- HMO Plans
- 5
- HMO-POS Plans
- 7
- PFFS Plans
- 1
- Average Monthly Premium
- 8.89
- Average MOOP
- 8703.57
- Average Part D Deductible
- 640.53
- $0 Premium Plans
- 34
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 3.95
- $0 Premium Plan Share
- 80.95
- 5-Star Plan Share
- 5
- 4+ Star Plan Share
- 69
- 3-Star Plan Share
- 31
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 9.01
- PPO Average MOOP
- 8870.69
- PPO Enrollment
- 1420
- PPO $0 Premium Plans
- 24
- PPO Plans Without Part D Coverage
- 10
- HMO Average Monthly Premium
- 1.4
- HMO Average MOOP
- 8730
- HMO Enrollment
- 284
- HMO $0 Premium Plans
- 4
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 7
- HMO-POS Average MOOP
- 7828.57
- HMO-POS Enrollment
- 167
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 56
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 39
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:south-carolina-edgefield-45037
- 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/south-carolina/edgefield/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-south-carolina-edgefield-45037-landscape-stats
- Plans Indexed
- 42
- Standard Medicare Advantage Plans
-
-
Clover Health LiveHealthy
H5141-036-0 -
Clover Health Valor
H5141-056-0 -
AARP Medicare Advantage from UHC SC-0004
H2001-108-0 -
AARP Medicare Advantage Patriot No Rx SC-MA2
H2001-140-0 -
DEVOTED CHOICE 001 SC
H7028-001-0 -
DEVOTED CHOICE GIVEBACK 002 SC
H7028-002-0 -
DEVOTED CHOICE GIVEBACK EXTRAS 040 SC
H7028-040-0 -
DEVOTED CHOICE MA ONLY 003 SC
H7028-003-0 -
DEVOTED CORE 001 SC
H3041-001-0 -
Humana USAA Honor Giveback
H7617-096-0 -
HumanaChoice Giveback H7617-094
H7617-094-0 -
HumanaChoice Giveback H7617-119
H7617-119-0 -
HumanaChoice H7617-095
H7617-095-0 -
Aetna Medicare Eagle
H5521-279-0 -
Aetna Medicare Enhanced
H5521-251-0 -
Aetna Medicare Signature
H5521-245-0 -
Humana Gold Choice H8145-069
H8145-069-0 -
Humana Gold Plus Giveback H5619-169
H5619-169-0 -
Humana Gold Plus H5619-152
H5619-152-0 -
Humana Gold Plus H5619-171
H5619-171-0 -
Humana USAA Honor Giveback
H5216-217-0 -
Humana USAA Honor Giveback
H5216-286-0 -
HumanaChoice Giveback H5216-154
H5216-154-0 -
HumanaChoice Giveback H5216-345
H5216-345-0 -
HumanaChoice H5216-157
H5216-157-0 -
HumanaChoice H5216-280
H5216-280-2 -
HumanaChoice H5216-347
H5216-347-0 -
HumanaChoice H5216-423
H5216-423-0 -
HumanaChoice H5216-466
H5216-466-0 -
AARP Medicare Advantage from UHC SC-0005
H5322-040-0 -
AARP Medicare Advantage from UHC SC-0006
H5322-044-0 -
AARP Medicare Advantage Patriot No Rx SC-MA01
H5322-043-0 -
Aetna Medicare Value Plus
H3146-011-0 -
Humana Full Access R0110-020
R0110-020-0 -
HumanaChoice R0110-019
R0110-019-0 -
UHC Medicare Advantage Patriot No Rx GS-MA01
R2604-005-0 -
Wellcare Assist
H4847-005-0 -
Wellcare Assist Open
H7326-007-0 -
Wellcare Giveback
H4847-007-0 -
Wellcare Patriot Giveback
H4847-006-0 -
Wellcare Simple
H4847-001-0 -
Wellcare Simple Open
H7326-001-0
-
Clover Health LiveHealthy
- Total Standard Medicare Advantage Enrollment
- 1910
2027 Medicare Advantage Plans in Edgefield County, SC
Last update: .
For 2027, Edgefield County, SC includes 42 Medicare Advantage plans. Enrollment across these plans totals approximately 1,910, with 34 $0 premium options and 69% rated 4 stars or higher.
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
- 29
- Average Monthly Premium
- $9.01/mo
- Total PPO Enrollment
- 1,420
- $0 Premium PPO Plans
- 24
- Average MOOP
- $8,871
- Top PPO by Enrollment
- HumanaChoice H7617-095 (PPO) — 306 enrollees
- PPO Plans Without Drug Coverage
- 10
What is the average monthly premium for PPO plans in Edgefield?
PPO plans in Edgefield cost $9.01 per month on average.
Which PPO plan has the highest enrollment in Edgefield?
The most popular PPO plan in Edgefield is HumanaChoice H7617-095 (PPO), with 306 enrollees.
How many PPO plans in Edgefield do not include prescription drug coverage?
10 PPO plans in Edgefield 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 5
- Average Monthly Premium $1.40/mo
- Total HMO Enrollment 284
- $0 Premium HMO Plans 4
- Average MOOP $8,730
- Top HMO by Enrollment Humana Gold Plus H5619-152 (HMO) — 165 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| DEVOTED CORE 001 SC | $0 | $5,900 | $650 | H3041-001-0 | |
| Humana Gold Plus Giveback H5619-169 | $0 | $9,850 | $700 | H5619-169-0 | |
| Humana Gold Plus H5619-152 | $0 | $9,850 | $450 | H5619-152-0 | |
| Humana Gold Plus H5619-171 | $0 | $9,850 | $550 | H5619-171-0 | |
| Aetna Medicare Value Plus | $7 | $8,200 | $500 | H3146-011-0 |
What is the top HMO by enrollment in Edgefield?
Humana Gold Plus H5619-152 (HMO) is the top HMO in Edgefield, with 165 enrollees.
What is the number of HMO plans without Part D coverage in Edgefield?
0 HMO plans in Edgefield 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
- 7
- Average Monthly Premium
- $7.00/mo
- Total HMO-POS Enrollment
- 167
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $7,829
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC SC-0005 (HMO-POS) — 73 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC SC-0005 | $0 | $7,150 | $685 | H5322-040-0 | |
| AARP Medicare Advantage from UHC SC-0006 | $49 | $7,150 | $685 | H5322-044-0 | |
| AARP Medicare Advantage Patriot No Rx SC-MA01 | $0 | $7,150 | N/A | H5322-043-0 | |
| Wellcare Assist | $0 | $7,100 | $700 | H4847-005-0 | |
| Wellcare Giveback | $0 | $9,850 | $700 | H4847-007-0 | |
| Wellcare Patriot Giveback | $0 | $9,250 | N/A | H4847-006-0 | |
| Wellcare Simple | $0 | $7,150 | $700 | H4847-001-0 |
What is the typical premium for HMO-POS plans in Edgefield?
HMO-POS plans in Edgefield cost $7.00 per month on average.
Which HMO-POS plan has the most members in Edgefield?
The most popular HMO-POS plan in Edgefield is AARP Medicare Advantage from UHC SC-0005 (HMO-POS), with 73 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Edgefield?
There are 2 HMO-POS plans in Edgefield 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 H8145-069 | $56 | $9,850 | $700 | H8145-069-0 |
What is the total number of PFFS plans in Edgefield?
In 2027, Edgefield has 1 PFFS plans with 39 enrollees.
How much do PFFS plans cost in Edgefield?
The typical PFFS premium in Edgefield is $56.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Edgefield County, SC (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 5% |
| 4 Stars (includes 5 Stars) | 29 | 69% |
| 3 Stars | 13 | 31% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.95 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Edgefield County, South Carolina, including communities such as Edgefield, Johnston, Trenton, North Augusta, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — 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.
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.