Guide to Medicare Advantage Plans in Clarke County, AL for 2025
There are 18 Medicare Advantage plans available in Clarke County, AL for the 2025 plan year, including 10 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. Humana Gold Plus H5619-089 (HMO) — 715 enrollees
2. Blue Advantage Complete (PPO) — 381 enrollees
3. HumanaChoice H5216-269 (PPO) — 268 enrollees - Average Monthly Premium: $21.19
- Average Maximum Out-of-Pocket Limit: $5,421
- Average Prescription Drug Deductible: $436.15
- Ratings (Plan Mix): 4+ Stars: 41% · 3 Stars: 59% · Below 3: 0%
- Plan Type Breakdown 10 PPO · 4 HMO-POS · 1 HMO · 2 REGIONAL PPO
Clarke County, Alabama Medicare Advantage Plans
| Plan Name | Type | Premium | MOOP | Rx Ded. | Rating |
|---|---|---|---|---|---|
| Aetna Medicare Eagle* | PPO | $0 | $7,900 | N/A | |
| Aetna Medicare Freedom* | PPO | $0 | $7,900 | $590 | |
| Aetna Medicare Value Plus* | PPO | $10 | $9,350 | $590 | |
| AARP Medicare Advantage from UHC AL-0003 | HMO-POS | $0 | $5,400 | $340 | |
| Blue Advantage Choice | PPO | $0 | $5,500 | $440 | |
| Blue Advantage Complete | PPO | $30 | $5,100 | $0 | |
| Blue Advantage Premier | PPO | $153 | $2,900 | $0 | |
| AARP Medicare Advantage from UHC AL-0001 | HMO-POS | $0 | $5,900 | $420 | |
| AARP Medicare Advantage from UHC AL-0002 | HMO-POS | $32 | $4,500 | $340 | |
| AARP Medicare Advantage Patriot No Rx AL-MA01 | HMO-POS | $0 | $5,900 | N/A | |
| Humana Gold Plus H5619-089 | HMO | $0 | $6,100 | $590 | |
| Humana USAA Honor Giveback | PPO | $0 | $4,150 | N/A | |
| Humana Value Plus H5216-179 | PPO | $40 | $3,000 | $590 | |
| HumanaChoice H5216-269 | PPO | $0 | $4,000 | $590 | |
| HumanaChoice H5216-368 | PPO | $10 | $3,000 | $590 | |
| HumanaChoice R0110-017 | Regional PPO | $0 | $4,850 | N/A | |
| HumanaChoice R0110-018 | Regional PPO | $86 | $6,700 | $590 | |
| **Certain PFFS, MSA, and HMO-POS plans have a combined in and out-of-network maximum. Limits are detailed on the plan pages. | |||||
📊 At a Glance: Medicare Advantage in Clarke County
- Average Monthly Premium
- $21.19
- Plans with $0 Premium
- 10
- Average MOOP Limit
- $5,421 ($9,350 max. in 2025)
- Average Rx Deductible
- $436.15
- 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: 41% · 3 Stars: 59% · Below 3: 0%
- Plans Available
- 18 (excluding Clarke County SNP plans)
- Plan Type Breakdown
- 10 PPO · 4 HMO-POS · 1 HMO · 2 REGIONAL PPO
- Countywide Enrollments
- 2,018 (excluding SNP plans)
- Top 3 Plans by Enrollment
- 1. Humana Gold Plus H5619-089 (HMO) — 715 enrollees
2. Blue Advantage Complete (PPO) — 381 enrollees
3. HumanaChoice H5216-269 (PPO) — 268 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 18 plans available to you in Clarke 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 Clarke 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 715 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 870 Clarke 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 433 residents enrolled in HMO-POS plans in this Clarke County. The most popular plan by enrollments is AARP Medicare Advantage from UHC AL-0001 .
Advantages of Enrolling in Medicare Advantage
Many Medicare Advantage Plans offer extra benefits that go beyond Original Medicare, making them an attractive option for some people. These plans provide comprehensive coverage, often including additional services like prescription drug coverage, dental, vision, and wellness programs, all bundled into one plan. By choosing a Medicare Advantage Plan, you can simplify your healthcare and potentially save on costs.
Take a look at the main benefits provided by Medicare Advantage Plans in Clarke County:
🧑⚕️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
When it comes to selecting from the 18 Medicare Advantage Plans available in Clarke County, it’s important to focus on these critical factors:
🏥1. Provider Network
Confirm that your doctors and preferred healthcare facilities are in the plan's network to avoid out-of-network charges.
💊 2. Prescription Drug Coverage
Review the plan's drug coverage to ensure it meets your needs, particularly for any specialty medications.
💰 3. Costs
Compare the overall costs, including premiums, copayments, and maximum out-of-pocket expenses, to find a plan that fits within your budget.
🎁 4. Additional Benefits
Determine which additional benefits are offered and how they align with your personal health and wellness needs.
⭐ 5. Plan Ratings
Research the plan’s star ratings to understand its effectiveness, quality of care, and member satisfaction.
Find out how to effectively compare Medicare Advantage Plans and make an informed choice.
Medicare Advantage Enrollment Periods
Enrolling in a Medicare Advantage Plan is a straightforward process, but timing is crucial to ensure you don't miss out on the benefits. Understanding when you can enroll will help you take full advantage of the options available in Clarke 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 Clarke County?
Based on the 2025 plan data, PPO plans are the most common in Clarke County. The full breakdown of plan types is: 10 PPO · 4 HMO-POS · 1 HMO · 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 Clarke County is $5,421 for 2025.
Do any Medicare Advantage plans in Clarke County have 5-star ratings?
No 5-star rated Medicare Advantage plans are available in Clarke County for the 2025 plan year. However, 41% of plans have a rating of 4 stars or higher.
What is the average monthly premium for Medicare Advantage plans in Clarke County?
The average monthly premium for Medicare Advantage plans in Clarke County is $21.19. A total of 10 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 Coffeeville, Grove Hill, Jackson, Thomasville, Whatley, and all other areas of Clarke County, Alabama, including the following zip codes: 36436, 36446, 36451, 36482, 36524, 36540, 36545, 36727, 36751, 36784.
Citations & References
- Medicare.gov, "Understanding Medicare Advantage Plans", Last Accessed 19 March, 2025
- CMS.gov, "Special Needs Plans (SNP)", Last Accessed 24 May, 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.