2026 Medicare Advantage Plans in Carter County, TN
Last update: . Enrollment data updated: May 2, 2026
Carter County, TN has 27 Medicare Advantage plans available in 2026. These include 15 plans with no monthly premium, and roughly 56% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Carter County, TN. Or explore all Medicare Options available in Carter County, TN.
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 11
- Average Monthly Premium $27.64/mo
- Total PPO Enrollment 1,516
- $0 Premium PPO Plans 5
- Average MOOP $4,486
- Top PPO by Enrollment BlueAdvantage Sapphire (PPO) — 1,101 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Value Plus H7617-088 | $28 | $4,900 | $615 | H7617-088-0 | |
| UHC Medicare Advantage TC-0001 | $0 | $6,700 | $440 | H2001-104-0 | |
| BlueAdvantage Diamond | $89 | $2,900 | $250 | H7917-011-0 | |
| BlueAdvantage Extra | $28 | $5,100 | $615 | H7917-041-0 | |
| BlueAdvantage Freedom | $0 | $3,200 | N/A | H7917-039-0 | |
| BlueAdvantage Ruby | $46 | $3,250 | $250 | H7917-015-0 | |
| BlueAdvantage Sapphire | $0 | $3,850 | $250 | H7917-031-0 | |
| Humana USAA Honor Giveback | $0 | $3,400 | N/A | H5216-235-0 | |
| Humana Value Plus H5216-180 | $28 | $4,900 | $615 | H5216-180-0 | |
| HumanaChoice R0110-017 | $0 | $4,650 | N/A | R0110-017-0 | |
| HumanaChoice R0110-018 | $86 | $6,500 | $590 | R0110-018-0 |
What is the most popular PPO plan in Carter?
BlueAdvantage Sapphire (PPO) is the top PPO in Carter, with 1,101 enrollees.
What is the number of PPO plans without Part D coverage in Carter?
There are 3 PPO plans in Carter 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
- 4
- Average Monthly Premium
- $21.00/mo
- Total HMO Enrollment
- 1,673
- $0 Premium HMO Plans
- 2
- Average MOOP
- $3,113
- Top HMO by Enrollment
- Humana Gold Plus H4461-041 (HMO) — 705 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H4461-035 | $0 | $3,600 | $590 | H4461-035-0 | |
| Humana Gold Plus H4461-040 | $74 | $1,900 | $615 | H4461-040-0 | |
| Humana Gold Plus H4461-041 | $10 | $3,200 | $615 | H4461-041-0 | |
| Humana USAA Honor Giveback | $0 | $3,750 | N/A | H4461-004-0 |
What is the typical premium for HMO plans in Carter?
HMO plans in Carter cost $21.00 per month on average.
Which HMO plan do most beneficiaries choose in Carter?
The most popular HMO plan in Carter is Humana Gold Plus H4461-041 (HMO), with 705 enrollees.
How many HMO options are offered without prescription drug coverage in Carter?
There are 1 HMO plans in Carter without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements 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 12
- Average Monthly Premium $9.38/mo
- Total HMO-POS Enrollment 3,892
- $0 Premium HMO-POS Plans 8
- Average MOOP $5,534
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC TC-0002 (HMO-POS) — 2,387 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TC-0002 | $0 | $4,200 | $355 | H5253-047-0 | |
| AARP Medicare Advantage from UHC TC-0003 | $42 | $3,500 | $355 | H5253-048-0 | |
| AARP Medicare Advantage Giveback from UHC TC-4 | $0 | $6,700 | $600 | H5253-121-0 | |
| AARP Medicare Advantage Patriot No Rx TC-MA01 | $0 | $3,900 | N/A | H5253-113-0 | |
| Wellcare Assist | $28 | $4,800 | $615 | H1416-042-0 | |
| Wellcare Assist | $24 | $4,800 | $615 | H1416-083-0 | |
| Wellcare Giveback | $0 | $6,700 | $615 | H1416-079-0 | |
| Wellcare Patriot Giveback | $0 | $4,800 | N/A | H1416-061-0 | |
| Wellcare Simple | $0 | $4,800 | $615 | H1416-077-0 | |
| Wellpoint Extra Help | $0 | $9,000 | $390 | H5828-008-0 | |
| Wellpoint Medicare Advantage | $19 | $6,750 | $200 | H5828-013-0 | |
| Wellpoint Medicare Advantage 2 | $0 | $6,460 | $200 | H5828-016-0 |
What is the total number of HMO-POS plans in Carter?
In 2026, Carter has 12 HMO-POS plans with 3,892 enrollees.
How much do HMO-POS plans cost in Carter?
The typical HMO-POS premium in Carter is $9.38, and 8 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Carter County, TN for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 15 | 56% |
| 3 Stars | 12 | 44% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.67 | |
* 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
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