2026 Medicare Advantage Plans in Richland County, SC
Last update: . Enrollment data updated: May 2, 2026
In Richland County, SC, there are 38 Medicare Advantage plans available for 2026. Of these, 27 offer a $0 monthly premium, and about 53% 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 Richland County, SC. Or explore all Medicare Options available in Richland 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 25
- Average Monthly Premium $11.31/mo
- Total PPO Enrollment 13,944
- $0 Premium PPO Plans 18
- Average MOOP $8,220
- Top PPO by Enrollment BlueCross Total (PPO) — 2,310 enrollees
- PPO Plans Without Drug Coverage 8
What is the total number of PPO plans offered in Richland?
There are 25 PPO plans in 2026, covering 13,944 beneficiaries.
How much do PPO plans cost in Richland?
The average PPO premium in Richland is $11.31 per month, with 18 plans offering $0 premiums.
What is the most popular PPO plan in Richland?
BlueCross Total (PPO) is the top PPO in Richland, with 2,310 enrollees.
What is the number of PPO plans without Part D coverage in Richland?
There are 8 PPO plans in Richland 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
- 3,400
- $0 Premium HMO Plans
- 4
- Average MOOP
- $8,420
- Top HMO by Enrollment
- Humana Gold Plus H5619-152 (HMO) — 1,743 enrollees
- HMO Plans Without Drug Coverage
- 0
| 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 Richland cost $4.46 per month on average.
Which HMO plan is most popular in Richland?
The most popular HMO plan in Richland is Humana Gold Plus H5619-152 (HMO), with 1,743 enrollees.
How many HMO plans in Richland do not include drug coverage?
There are 0 HMO plans in Richland 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.
| 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 Richland?
AARP Medicare Advantage from UHC SC-0005 (HMO-POS) is the top HMO-POS in Richland, with 597 enrollees.
What is the number of HMO-POS plans without Part D coverage in Richland?
2 HMO-POS plans in Richland 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
- 260
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,700
- Top PFFS by Enrollment
- Humana Gold Choice H8145-069 (PFFS) — 260 enrollees
- PFFS Plans Without Drug Coverage
- 0
| 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 Richland?
PFFS plans in Richland cost $27.00 per month on average.
Which PFFS plan has the most enrollment in Richland?
The most popular PFFS plan in Richland is Humana Gold Choice H8145-069 (PFFS), with 260 enrollees.
How many PFFS options are available without prescription drug coverage in Richland?
There are 0 PFFS plans in Richland without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Richland 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) | 20 | 53% |
| 3 Stars | 18 | 47% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.83 | |
* 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 .
- 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
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