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  1. 🏠
  2. Medicare Advantage Plans
  3. South Carolina
  4. Oconee County

2026 Medicare Advantage Plans in Oconee County, SC

Last update: September 1, 2026.

In Oconee County, SC, there are 39 Medicare Advantage plans available for 2026. Of these, 28 offer a $0 monthly premium, and about 54% are rated 4 stars or higher based on CMS quality ratings.

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Oconee County, SC. Or explore all Medicare Options available in Oconee County, SC.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium
$10.66/mo
Plans with $0 Premium
28
Average MOOP Limit
$7,991 ($9,250 max. in 2026)
Star Ratings (Plan Mix)
4+ Stars: 54% · 3 Stars: 46% · Below 3: 0%
Average Part D Deductible
$516.90
Total MA/MAPD Enrollment
8,308
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Aetna Medicare Signature Giveback (PPO) — 1,410 enrollees
2. Aetna Medicare Signature (PPO) — 1,345 enrollees
3. Humana Gold Plus H5619-152 (HMO) — 984 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 26
  • Average Monthly Premium $11.03/mo
  • Total PPO Enrollment 6,285
  • $0 Premium PPO Plans 19
  • Average MOOP $8,198
  • Top PPO by Enrollment Aetna Medicare Signature Giveback (PPO) — 1,410 enrollees
  • PPO Plans Without Drug Coverage 8

Comparison table of 2026 PPO Medicare Advantage Plans available in Oconee County, South Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC SC-0004
☆☆☆☆☆
$58 $6,700 $440 H2001-108-0
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $8,200 N/A H5521-279-0
Aetna Medicare Enhanced
☆☆☆☆☆
$29 $8,750 $615 H5521-251-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $8,200 $500 H5521-319-0
Aetna Medicare Signature Care
☆☆☆☆☆
$0 $9,250 $615 H5521-500-0
Aetna Medicare Signature Giveback
☆☆☆☆☆
$0 $8,200 $500 H5521-140-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A H7617-096-0
HumanaChoice Giveback H7617-094
☆☆☆☆☆
$0 $9,250 $450 H7617-094-0
HumanaChoice H7617-095
☆☆☆☆☆
$0 $6,750 $350 H7617-095-0
BlueCross Blue Basic
☆☆☆☆☆
$0 $5,900 N/A H8003-007-0
BlueCross Total
☆☆☆☆☆
$29 $8,900 $400 H8003-001-0
BlueCross Total Value
☆☆☆☆☆
$0 $9,250 $615 H8003-004-0
UHC Medicare Advantage Patriot No Rx GS-MA01
☆☆☆☆☆
$0 $9,250 N/A R2604-005-0
Wellcare Assist Open
☆☆☆☆☆
$28 $6,500 $615 H7326-007-0
Wellcare Simple Open
☆☆☆☆☆
$0 $6,300 $615 H7326-001-0
Humana Full Access R0110-020
☆☆☆☆☆
$100 $9,250 $615 R0110-020-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $6,700 N/A H5216-217-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A H5216-286-0
HumanaChoice Giveback H5216-154
☆☆☆☆☆
$0 $9,250 $615 H5216-154-0
HumanaChoice Giveback H5216-345
☆☆☆☆☆
$0 $9,250 $450 H5216-345-0
HumanaChoice H5216-157
☆☆☆☆☆
$0 $9,250 N/A H5216-157-0
HumanaChoice H5216-280
☆☆☆☆☆
$36 $9,250 $615 H5216-280-2
HumanaChoice H5216-347
☆☆☆☆☆
$0 $6,750 $350 H5216-347-0
HumanaChoice H5216-423
☆☆☆☆☆
$0 $6,750 $450 H5216-423-0
HumanaChoice H5216-466
☆☆☆☆☆
$7 $9,250 $615 H5216-466-0
HumanaChoice R0110-019
☆☆☆☆☆
$0 $7,550 N/A R0110-019-0
What is the total number of PPO plans offered in Oconee?

There are 26 PPO plans in 2026, covering 6,285 beneficiaries.

How much do PPO plans cost in Oconee?

The average PPO premium in Oconee is $11.03 per month, with 19 plans offering $0 premiums.

What is the most popular PPO plan in Oconee?

Aetna Medicare Signature Giveback (PPO) is the top PPO in Oconee, with 1,410 enrollees.

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

There are 8 PPO plans in Oconee 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
5
Average Monthly Premium
$4.46/mo
Total HMO Enrollment
1,623
$0 Premium HMO Plans
4
Average MOOP
$8,420
Top HMO by Enrollment
Humana Gold Plus H5619-152 (HMO) — 984 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2026 HMO Medicare Advantage Plans available in Oconee County, South Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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 average monthly premium for HMO plans?

HMO plans in Oconee cost $4.46 per month on average.

Which HMO plan is most popular in Oconee?

The most popular HMO plan in Oconee is Humana Gold Plus H5619-152 (HMO), with 984 enrollees.

How many HMO plans in Oconee do not include drug coverage?

There are 0 HMO plans in Oconee without prescription drug coverage.

Medicare Advantage HMO-POS Plans

HMO Point-of-Service (HMO-POS) plans combine HMO network rules 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
294
$0 Premium HMO-POS Plans
5
Average MOOP
$7,100
Top HMO-POS by Enrollment
AARP Medicare Advantage from UHC SC-0005 (HMO-POS) — 97 enrollees
HMO-POS Plans Without Drug Coverage
2

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Oconee County, South Carolina
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 leading HMO-POS plan in Oconee?

AARP Medicare Advantage from UHC SC-0005 (HMO-POS) is the top HMO-POS in Oconee, with 97 enrollees.

What is the number of HMO-POS plans without Part D coverage in Oconee?

2 HMO-POS plans in Oconee do not include prescription drug coverage.

Medicare Advantage PFFS Plans

PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.

Total PFFS Plans
1
Average Monthly Premium
$27.00/mo
Total PFFS Enrollment
106
$0 Premium PFFS Plans
0
Average MOOP
$6,700
Top PFFS by Enrollment
Humana Gold Choice H8145-069 (PFFS) — 106 enrollees
PFFS Plans Without Drug Coverage
0

Comparison table of 2026 PFFS Medicare Advantage Plans available in Oconee County, South Carolina
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-069
☆☆☆☆☆
$27 $6,700 $615 H8145-069-0

What is the typical premium for PFFS plans in Oconee?

PFFS plans in Oconee cost $27.00 per month on average.

Which PFFS plan has the most enrollment in Oconee?

The most popular PFFS plan in Oconee is Humana Gold Choice H8145-069 (PFFS), with 106 enrollees.

How many PFFS options are available without prescription drug coverage in Oconee?

There are 0 PFFS plans in Oconee without prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Oconee County, SC for 2026.

CMS Star Ratings for Medicare Advantage Plans in Oconee County, SC (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 21 54%
3 Stars 18 46%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.85

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

  • 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

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 .

  • Medicare.gov, "Compare types of Medicare Advantage Plans" — 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

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.

This page follows data provenance practices aligned with the 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.

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