- Entity
- county:south-carolina-sumter-45085
- 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/sumter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 31
- PPO Plans
- 19
- HMO Plans
- 5
- HMO-POS Plans
- 7
- PFFS Plans
- 0
- Average Monthly Premium
- 10.31
- Average MOOP
- 7962.9
- Average Part D Deductible
- 523.64
- $0 Premium Plans
- 23
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 3.74
- $0 Premium Plan Share
- 74.19
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 48
- 3-Star Plan Share
- 52
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 11.46
- PPO Average MOOP
- 8160.53
- PPO Enrollment
- 4075
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 4.46
- HMO Average MOOP
- 8420
- HMO Enrollment
- 2035
- 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
- 1165
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:south-carolina-sumter-45085
- 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/sumter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-south-carolina-sumter-45085-landscape-stats
- Plans Indexed
- 31
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-279-0 -
Aetna Medicare Enhanced
H5521-251-0 -
Aetna Medicare Signature
H5521-245-0 -
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 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
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 7275
2026 Medicare Advantage Plans in Sumter County, SC
Last update: .
In Sumter County, SC, there are 31 Medicare Advantage plans available for 2026. Of these, 23 offer a $0 monthly premium, and about 48% 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 Sumter County, SC. Or explore all Medicare Options available in Sumter 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 19
- Average Monthly Premium $11.46/mo
- Total PPO Enrollment 4,075
- $0 Premium PPO Plans 14
- Average MOOP $8,161
- Top PPO by Enrollment Humana USAA Honor Giveback (PPO) — 780 enrollees
- PPO Plans Without Drug Coverage 7
What is the total number of PPO plans offered in Sumter?
There are 19 PPO plans in 2026, covering 4,075 beneficiaries.
How much do PPO plans cost in Sumter?
The average PPO premium in Sumter is $11.46 per month, with 14 plans offering $0 premiums.
What is the most popular PPO plan in Sumter?
Humana USAA Honor Giveback (PPO) is the top PPO in Sumter, with 780 enrollees.
What is the number of PPO plans without Part D coverage in Sumter?
There are 7 PPO plans in Sumter 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
- 2,035
- $0 Premium HMO Plans
- 4
- Average MOOP
- $8,420
- Top HMO by Enrollment
- Humana Gold Plus Giveback H5619-169 (HMO) — 620 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 Sumter cost $4.46 per month on average.
Which HMO plan is most popular in Sumter?
The most popular HMO plan in Sumter is Humana Gold Plus Giveback H5619-169 (HMO), with 620 enrollees.
How many HMO plans in Sumter do not include drug coverage?
There are 0 HMO plans in Sumter 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 Sumter?
AARP Medicare Advantage from UHC SC-0005 (HMO-POS) is the top HMO-POS in Sumter, with 474 enrollees.
What is the number of HMO-POS plans without Part D coverage in Sumter?
2 HMO-POS plans in Sumter do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Sumter 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) | 15 | 48% |
| 3 Stars | 16 | 52% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.74 | |
* 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.