Guide to Medicare Advantage Plans in Baldwin County, AL for 2025
There are 36 Medicare Advantage plans available in Baldwin County, AL for the 2025 plan year, including 27 plans with $0 premiums. Most plans include prescription drug coverage. These counts exclude Special Needs Plans.
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- Top 3 Plans by Enrollment:
1. Blue Advantage Complete (PPO) — 6,949 enrollees
2. AARP Medicare Advantage from UHC AL-0003 (HMO-POS) — 4,533 enrollees
3. Humana Gold Plus H5619-089 (HMO) — 3,151 enrollees - Average Monthly Premium: $14.05
- Average Maximum Out-of-Pocket Limit: $6,144
- Average Prescription Drug Deductible: $342.76
- Ratings (Plan Mix): 4+ Stars: 55% · 3 Stars: 45% · Below 3: 0%
- Plan Type Breakdown 16 PPO · 14 HMO · 4 HMO-POS · 2 REGIONAL PPO
Baldwin County, Alabama Medicare Advantage Plans
📊 At a Glance: Medicare Advantage in Baldwin County
- Average Monthly Premium
- $14.05
- Plans with $0 Premium
- 27
- Average MOOP Limit
- $6,144 ($9,350 max. in 2025)
- Average Rx Deductible
- $342.76
- Plans Without Drug Coverage
- 4 (standalone Alabama Part D plans)
- Plans with 5-Star Ratings
- No 5-star plans available.
- Stars Ratings (Plan Mix)
- 4+ Stars: 55% · 3 Stars: 45% · Below 3: 0%
- Plans Available
- 36 (excluding Baldwin County SNP plans)
- Plan Type Breakdown
- 16 PPO · 14 HMO · 4 HMO-POS · 2 REGIONAL PPO
- Countywide Enrollments
- 23,180 (excluding SNP plans)
- Top 3 Plans by Enrollment
- 1. Blue Advantage Complete (PPO) — 6,949 enrollees
2. AARP Medicare Advantage from UHC AL-0003 (HMO-POS) — 4,533 enrollees
3. Humana Gold Plus H5619-089 (HMO) — 3,151 enrollees
Data Sources: CY2025 Landscape, PBP Benefits, Star Ratings Data, Monthly Enrollment by CPSC, and SimpleMaps U.S. Counties. Enrollment data last updated . County demographic data last updated .
Understanding Your Medicare Advantage Options
Medicare Advantage Plans, or Part C, are health plans provided by private insurers that offer all-in-one coverage, combining Medicare Part A (hospital coverage) and Part B (medical coverage). Many of the 36 plans available to you in Baldwin County also include additional benefits like prescription drug coverage, as well as dental, vision, and wellness services, offering a more comprehensive package than Original Medicare.
🏥 Health Maintenance Organization (HMO) Plans
HMO plan members must use the plan's network of doctors and hospitals in Baldwin County, and typically need a referral to see a specialist. Some Medicare Advantage HMO Plans may have lower costs but offer less flexibility in choosing healthcare providers. There are 6,219 residents enrolled in HMO plans in this county. The most popular plan is Humana Gold Plus H5619-089 .
🔓 Preferred Provider Organization (PPO)
A PPO allows more flexibility in choosing healthcare providers, with the option to see specialists without referrals, though often at a higher cost. Medicare Advantage PPOs usually have higher premiums and out-of-pocket expenses. There are 11,015 Baldwin County residents enrolled in PPO plans. The most popular of these plans by enrollments is Blue Advantage Complete .
🔀 Health Maintenance Organization Point of Sale (HMO-POS)
Medicare HMO-POS plans are a type of HMO that offers a little more flexibility. Like a regular HMO, you typically use the plan's network of doctors and hospitals for care, usually requiring a referral to see specialists. However, an HMO-POS plan lets you receive certain healthcare services outside of the network at a higher cost. There are 5,881 residents enrolled in HMO-POS plans in this Baldwin County. The most popular plan by enrollments is AARP Medicare Advantage from UHC AL-0003 .
Advantages of Enrolling in Medicare Advantage
Enrolling in a Medicare Advantage Plan can offer significant benefits compared to Original Medicare. These plans provide all-in-one coverage, including hospital and medical insurance, and often come with added perks like drug coverage, dental care, and wellness programs. With a Medicare Advantage Plan, you can access a wider range of services while potentially reducing your overall healthcare costs.
Below are some of the key benefits you can enjoy in Baldwin County with a Medicare Advantage Plan:
🧑⚕️Coordinated Care
Plans often include care coordination services, which help you manage your healthcare across different providers and services.
💸 Cost Savings
Many plans have low or $0 premiums and offer capped out-of-pocket costs, providing financial protection against high medical expenses.
🧾 Comprehensive Coverage
Includes Medicare Part A, Part B, and often Part D (prescription drug coverage), along with additional benefits like dental, vision, and hearing.
🧘 Wellness Programs
Many Yavapai County plans offer free gym memberships, wellness programs, and preventive care services. You need to stay healthy, right?
Tips for Selecting a Medicare Advantage Plan
Choosing the right Medicare Advantage Plan out of the 36 plans available in Baldwin County requires careful consideration of several key factors:
🏥1. Provider Network
Verify that your current doctors and preferred hospitals are included in the plan's network. Access to your healthcare providers can significantly impact your care experience.
💊 2. Prescription Drug Coverage
Make sure the plan covers your medications, particularly if you have specific prescriptions you rely on regularly.
💰 3. Costs
Examine the plan's premiums, copayments, and out-of-pocket limits. Compare these costs against your budget to avoid unexpected expenses.
🎁 4. Additional Benefits
Consider what extra services, such as dental, vision, or wellness programs, are important to you, and check if the plan offers them.
⭐ 5. Plan Ratings
Look into the plan's star ratings, which provide insight into the plan's overall quality and member satisfaction.
Learn more about the basics of comparing Medicare Advantage Plans.
Medicare Advantage Enrollment Periods
Making sense of Medicare Advantage enrollment periods can seem overwhelming, but it's worth the effort for better health coverage. Missing these key dates could delay your coverage or limit your plan choices for 2025 in Baldwin County.
📅 Initial Enrollment Period (IEP)
The IEP is a seven-month window surrounding your 65th birthday, allowing you to sign up for a Medicare Advantage Plan as soon as you become eligible for Medicare.
🗓️ Annual Enrollment Period (AEP)
The AEP runs from October 15 to December 7 each year, giving you the opportunity to change, drop, or enroll in a Medicare Advantage Plan.
🔁 Open Enrollment Period (OEP)
Between January 1 and March 31, if you’re already enrolled in a Medicare Advantage Plan, you can switch plans or revert to Original Medicare.
To learn more about the enrollment periods and steps to take, check out our comprehensive Medicare Enrollment guide.
Frequently Asked Questions
What are the most popular Medicare Advantage plan types in Baldwin County?
Based on the 2025 plan data, PPO plans are the most common in Baldwin County. The full breakdown of plan types is: 16 PPO · 14 HMO · 4 HMO-POS · 2 REGIONAL PPO.
How much can I expect to pay out of pocket for Medicare Advantage plans?
The average maximum out-of-pocket limit (MOOP) in Baldwin County is $6,144 for 2025.
Do any Medicare Advantage plans in Baldwin County have 5-star ratings?
No 5-star rated Medicare Advantage plans are available in Baldwin County for the 2025 plan year. However, 55% of plans have a rating of 4 stars or higher.
What is the average monthly premium for Medicare Advantage plans in Baldwin County?
The average monthly premium for Medicare Advantage plans in Baldwin County is $14.05. A total of 27 offer $0 premiums, though costs vary by plan type and benefits.
More About These Plans
Carrier Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
Master Plan Pages by Plan ID
The plan pages listed in the table above have been modified for localization to help consumers identify plans available in their area. Most plans are available in multiple areas. The following list of plan IDs link to each plan's master page.
Plan Availability
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Bay Minette, Daphne, Elberta, Fairhope, Foley, Gulf Shores, Lillian, Loxley, Orange Beach, Perdido, Robertsdale, Seminole, Silverhill, Stapleton, Stockton, Summerdale, and all other areas of Baldwin County, Alabama, including the following zip codes: 36502, 36507, 36511, 36526, 36527, 36530, 36532, 36533, 36535, 36536, 36542, 36547, 36549, 36550, 36551, 36555, 36559, 36561, 36562, 36564, 36567, 36574, 36576, 36577, 36578, 36579, 36580.
Citations & References
- Medicare.gov, "Compare types of Medicare Advantage Plans", Last Accessed 19 March, 2025
- Medicare.gov, "Special Needs Plans (SNP)", Last Accessed 11 June, 2024
- Medicare.gov, "How to compare Medigap policies", Last Accessed 19 March, 2025
- Plan and enrollment data provided by the Centers for Medicare & Medicaid Services (CMS)
- Data processed and interpreted by MedicareWire.com editorial team.
- Read our methodology and sourcing policy.