- Entity
- county:south-carolina-lexington-45063
- Digest
- 2026-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/lexington/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 37
- PPO Plans
- 25
- HMO Plans
- 5
- HMO-POS Plans
- 7
- PFFS Plans
- 0
- Average Monthly Premium
- 10.4
- Average MOOP
- 8035.14
- Average Part D Deductible
- 518.15
- $0 Premium Plans
- 27
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 3.84
- $0 Premium Plan Share
- 72.97
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 54
- 3-Star Plan Share
- 46
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 11.31
- PPO Average MOOP
- 8220
- PPO Enrollment
- 13769
- PPO $0 Premium Plans
- 18
- PPO Plans Without Part D Coverage
- 8
- HMO Average Monthly Premium
- 4.46
- HMO Average MOOP
- 8420
- HMO Enrollment
- 2267
- HMO $0 Premium Plans
- 4
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 11.39
- HMO-POS Average MOOP
- 7100
- HMO-POS Enrollment
- 1499
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:south-carolina-lexington-45063
- Digest
- 2026-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/lexington/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-south-carolina-lexington-45063-landscape-stats
- Plans Indexed
- 37
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC SC-0004
H2001-108-0 -
Aetna Medicare Eagle Giveback
H5521-279-0 -
Aetna Medicare Enhanced
H5521-251-0 -
Aetna Medicare Signature
H5521-245-0 -
Aetna Medicare Signature Care
H5521-500-0 -
Humana USAA Honor Giveback
H7617-096-0 -
HumanaChoice Giveback H7617-094
H7617-094-0 -
HumanaChoice H7617-095
H7617-095-0 -
Aetna Medicare Signature
H3146-014-0 -
Aetna Medicare Value Plus
H3146-011-0 -
BlueCross Blue Basic
H8003-007-0 -
BlueCross Total
H8003-002-0 -
BlueCross Total Value
H8003-005-0 -
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 -
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 -
Humana Full Access R0110-020
R0110-020-0 -
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 -
HumanaChoice R0110-019
R0110-019-0 -
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
-
AARP Medicare Advantage from UHC SC-0004
- Total Standard Medicare Advantage Enrollment
- 17535
2026 Medicare Advantage Plans in Lexington County, SC
Last update: .
For 2026, Lexington County, SC includes 37 Medicare Advantage plans. Enrollment across these plans totals approximately 17,535, with 27 $0 premium options and 54% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Lexington County, SC are summarized separately. Visit Medicare Options in Lexington County, SC 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
- 25
- Average Monthly Premium
- $11.31/mo
- Total PPO Enrollment
- 13,769
- $0 Premium PPO Plans
- 18
- Average MOOP
- $8,220
- Top PPO by Enrollment
- BlueCross Total (PPO) — 2,858 enrollees
- PPO Plans Without Drug Coverage
- 8
- What is the average monthly premium for PPO plans in Lexington?
- PPO plans in Lexington cost $11.31 per month on average.
- Which PPO plan has the highest enrollment in Lexington?
- The most popular PPO plan in Lexington is BlueCross Total (PPO), with 2,858 enrollees.
- How many PPO plans in Lexington do not include prescription drug coverage?
- 8 PPO plans in Lexington do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Aetna Medicare Signature | $0 | $8,200 | $500 | H3146-014-0 | |
| 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 total number of HMO plans offered in Lexington?
There are 5 HMO plans in 2026, covering 2,267 enrollees.
How much do HMO plans cost in Lexington?
The average HMO premium in Lexington is $4.46 per month, with 4 plans offering $0 premiums.
What is the top HMO by enrollment in Lexington?
Humana Gold Plus H5619-152 (HMO) is the top HMO in Lexington, with 1,101 enrollees.
What is the number of HMO plans without Part D coverage in Lexington?
0 HMO plans in Lexington 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
- $11.39/mo
- Total HMO-POS Enrollment
- 1,499
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $7,100
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC SC-0005 (HMO-POS) — 594 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Lexington cost $11.39 per month on average.
Which HMO-POS plan is most popular in Lexington?
The most popular HMO-POS plan in Lexington is AARP Medicare Advantage from UHC SC-0005 (HMO-POS), with 594 enrollees.
How many HMO-POS plans in Lexington do not include drug coverage?
There are 2 HMO-POS plans in Lexington without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Lexington County, SC (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 20 | 54% |
| 3 Stars | 17 | 46% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.84 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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 informational resource and has no affiliation with, or endorsement from, 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.