2026 Medicare Advantage Plans in Pickens County, SC
Last update: . Enrollment data updated: August 15, 2026
For 2026, Pickens County, SC includes 50 Medicare Advantage plans. Enrollment across these plans totals approximately 11,626, with 36 $0 premium options and 60% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Pickens County, SC are summarized separately. Visit Medicare Options in Pickens 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
- 31
- Average Monthly Premium
- $10.05/mo
- Total PPO Enrollment
- 7,925
- $0 Premium PPO Plans
- 23
- Average MOOP
- $7,952
- Top PPO by Enrollment
- Aetna Medicare Signature Giveback (PPO) — 1,837 enrollees
- PPO Plans Without Drug Coverage
- 9
What is the average monthly premium for PPO plans in Pickens?
PPO plans in Pickens cost $10.05 per month on average.
Which PPO plan has the highest enrollment in Pickens?
The most popular PPO plan in Pickens is Aetna Medicare Signature Giveback (PPO), with 1,837 enrollees.
How many PPO plans in Pickens do not include prescription drug coverage?
9 PPO plans in Pickens 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 12
- Average Monthly Premium $10.90/mo
- Total HMO Enrollment 3,289
- $0 Premium HMO Plans 8
- Average MOOP $7,417
- Top HMO by Enrollment Humana Gold Plus H5619-152 (HMO) — 2,097 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Enhanced | $56 | $8,200 | $500 | H3146-040-0 | |
| Aetna Medicare Signature | $0 | $8,200 | $500 | H3146-014-0 | |
| Aetna Medicare Value Plus | $22 | $8,200 | $615 | H3146-011-0 | |
| HealthSpring Courage | $0 | $6,700 | N/A | H7020-005-0 | |
| HealthSpring Preferred | $0 | $4,250 | $395 | H7020-011-2 | |
| HealthSpring Preferred Savings | $0 | $6,700 | $0 | H7020-010-2 | |
| 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 | |
| DEVOTED CORE 001 SC | $0 | $5,900 | $370 | H3041-001-0 | |
| DEVOTED PREMIUM 003 SC | $39 | $5,900 | $615 | H3041-003-0 | |
| Wellpoint Medicare Advantage | $14 | $9,250 | $275 | H2687-001-0 |
What is the top HMO by enrollment in Pickens?
Humana Gold Plus H5619-152 (HMO) is the top HMO in Pickens, with 2,097 enrollees.
What is the number of HMO plans without Part D coverage in Pickens?
1 HMO plans in Pickens 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
- 412
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $7,100
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC SC-0005 (HMO-POS) — 158 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for HMO-POS plans in Pickens?
HMO-POS plans in Pickens cost $11.39 per month on average.
Which HMO-POS plan has the most members in Pickens?
The most popular HMO-POS plan in Pickens is AARP Medicare Advantage from UHC SC-0005 (HMO-POS), with 158 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Pickens?
There are 2 HMO-POS plans in Pickens without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Pickens 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) | 28 | 60% |
| 3 Stars | 19 | 40% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 6% |
| Average Rating | 3.87 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 2026
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
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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.