Medicare Advantage · North Carolina · 2026 plan year

Medicare Advantage in Macon, NC

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Macon, NC for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

47
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$25.15
Avg premium/mo
RSS updates for this county

The short answer

Macon has 47 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 26 reach 4★ or higher, and 15 carry a $0 monthly premium.

47
plans to compare
4.5★
highest CMS rating here
15
$0-premium plans
26
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Macon, NC

Macon, NC (FIPS 37113): 47 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via HUMANA MEDICAL PLAN, INC.. Plan-type mix: 21 Local PPO, 19 HMO POS, 7 HMO. Monthly plan premiums (Part C + D) range $0 – $255.00 (avg $25.15), with 15 $0-premium plans. 47 of 47 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Macon sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.89★ Top 29% higher than 71% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Macon, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaLocal PPO-4.5★
2Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
3Humana Medical Plan, Inc. (SNP)HumanaHMO$04.5★
4Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
5Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
6Humana Medical Plan, Inc. (SNP)HumanaHMO$13.004.5★
7Humana Medical Plan, Inc. (SNP)HumanaHMO$14.204.5★
8Humana Medical Plan, Inc. (SNP)HumanaHMO$20.004.5★
9Aetna Better Health Inc. (GA) (SNP)Aetna MedicareHMO$32.204.5★
10Aetna Better Health Inc. (GA) (SNP)Aetna MedicareHMO$36.204.5★
11Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$255.004.5★
12Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS-4.0★
13Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
14Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS$04.0★
15Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO$04.0★
16Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
17Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
18Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
19Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
20Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$25.304.0★
21Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$36.204.0★
22Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$36.204.0★
23Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$36.204.0★
24Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$36.204.0★
25Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS$40.004.0★
26Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$48.004.0★
27Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO-3.5★
28Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
29Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO-3.5★
30Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$03.5★
31Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$03.5★
32Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$03.5★
33Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
34Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
35Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
36Blue Cross AND Blue Shield OF NC Senior Health (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS$18.703.5★
37Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$24.003.5★
38Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$25.803.5★
39Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$27.503.5★
40Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$29.003.5★
41Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$30.403.5★
42Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$31.003.5★
43Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$32.203.5★
44Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$33.503.5★
45Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$34.803.5★
46Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$36.203.5★
47Humana Insurance Company (SNP)HumanaLocal PPO$54.003.5★

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (26 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Macon, NC?

There are 47 Medicare Advantage plans available in Macon, NC for the 2026 plan year, including 21 Local PPO, 19 HMO POS, 7 HMO. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Macon?

The highest-rated plan in Macon has a CMS star rating of 4.5 out of 5 - HUMANA MEDICAL PLAN, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Macon?

Monthly plan premiums (Part C + D combined) in Macon range from $0 to $255.00, averaging $25.15. 15 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Macon?

Macon has 21 Local PPO, 19 HMO POS, 7 HMO. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare