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Written by David Bynon [3], Medicare Analyst since 2012.  Last updated May 1, 2025

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Medicare Advantage
 » 
North Carolina
 » 
Hyde County

Guide to Medicare Advantage Plans in Hyde County, NC for 2025

List of Plans | Plan Overview | Benefits | How to Choose | Enrollment | FAQ

There are 26 Medicare Advantage plans available in Hyde County, NC for the 2025 plan year, including 18 plans with $0 premiums. Most plans include prescription drug coverage. These counts exclude Special Needs Plans.

Not in Hyde County? Enter your ZIP code to see plans in your area.

  • Top 3 Plans by Enrollment:
    1. Blue Medicare Essential Plus (HMO-POS) — 49 enrollees
    2. HumanaChoice Giveback H5525-035 (PPO) — 38 enrollees
    3. AARP Medicare Advantage from UHC NC-0001 (PPO) — 33 enrollees
  • Average Monthly Premium: $21.58
  • Average Maximum Out-of-Pocket Limit: $7,271
  • Average Prescription Drug Deductible: $378.61
  • Ratings (Plan Mix): 4+ Stars: 65% · 3 Stars: 35% · Below 3: 0%
  • Plan Type Breakdown 15 PPO · 6 HMO-POS · 2 HMO · 3 REGIONAL PPO

Hyde County, North Carolina Medicare Advantage Plans

Medicare Advantage Plans in Hyde County, NC for 2024
Plan Name Type Premium MOOP Rx Ded. Rating
Aetna Medicare Eagle* PPO $0 $6,750 N/A
☆☆☆☆☆
Aetna Medicare Essential* PPO $0 $7,500 $590
☆☆☆☆☆
Aetna Medicare Value* PPO $0 $6,750 $250
☆☆☆☆☆
Blue Medicare Enhanced* HMO-POS $40 $3,700 $0
☆☆☆☆☆
Blue Medicare Essential* HMO $0 $8,300 $590
☆☆☆☆☆
Blue Medicare Essential Plus* HMO-POS $0 $5,200 $375
☆☆☆☆☆
Blue Medicare Freedom+* PPO $0 $9,350 N/A
☆☆☆☆☆
Blue Medicare Medical Only* HMO-POS $0 $3,900 N/A
☆☆☆☆☆
AARP Medicare Advantage Access from UHC NC-23 PPO $247 $3,000 $570
☆☆☆☆☆
AARP Medicare Advantage from UHC NC-0001 PPO $0 $6,700 $255
☆☆☆☆☆
AARP Medicare Advantage from UHC NC-0004 PPO $22 $5,900 $255
☆☆☆☆☆
AARP Medicare Advantage from UHC NC-0019 PPO $27 $6,700 $420
☆☆☆☆☆
AARP Medicare Advantage from UHC NC-26 HMO-POS $0 $4,900 $340
☆☆☆☆☆
AARP Medicare Advantage Patriot No Rx NC-MA01 PPO $0 $7,900 N/A
☆☆☆☆☆
AARP Medicare Advantage Patriot No Rx NC-MA02 HMO-POS $0 $7,900 N/A
☆☆☆☆☆
Aetna Medicare Value Plus HMO $15 $5,500 $250
☆☆☆☆☆
Humana Gold Plus H1036-291 HMO-POS $0 $6,750 $250
☆☆☆☆☆
Humana Full Access R0110-005 Regional PPO $128 $9,350 $480
☆☆☆☆☆
Humana USAA Honor Giveback PPO $0 $9,350 N/A
☆☆☆☆☆
Humana USAA Honor Giveback Regional PPO $0 $9,350 N/A
☆☆☆☆☆
HumanaChoice Giveback H5525-035 PPO $0 $9,350 $450
☆☆☆☆☆
HumanaChoice H5525-049 PPO $31 $9,350 $350
☆☆☆☆☆
HumanaChoice H5525-050 PPO $0 $9,350 $350
☆☆☆☆☆
HumanaChoice H5525-070 PPO $51 $9,350 $590
☆☆☆☆☆
HumanaChoice H5525-083 PPO $0 $9,350 $450
☆☆☆☆☆
HumanaChoice R0110-004 Regional PPO $0 $7,550 N/A
☆☆☆☆☆
**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 Hyde County
Average Monthly Premium
$21.58
Plans with $0 Premium
18
Average MOOP Limit
$7,271 ($9,350 max. in 2025)
Average Rx Deductible
$378.61
Plans Without Drug Coverage
4 (standalone North Carolina Part D plans)
Plans with 5-Star Ratings
No 5-star plans available.
Stars  Ratings (Plan Mix)
4+ Stars: 65% · 3 Stars: 35% · Below 3: 0%
Plans Available
26 (excluding Hyde County SNP plans)
Plan Type Breakdown
15 PPO · 6 HMO-POS · 2 HMO · 3 REGIONAL PPO
Countywide Enrollments
250 (excluding SNP plans)
Top 3 Plans by Enrollment
1. Blue Medicare Essential Plus (HMO-POS) — 49 enrollees
2. HumanaChoice Giveback H5525-035 (PPO) — 38 enrollees
3. AARP Medicare Advantage from UHC NC-0001 (PPO) — 33 enrollees

Data Sources: CY2025 Landscape, PBP Benefits, Star Ratings Data, Monthly Enrollment by CPSC, and SimpleMaps U.S. Counties. Enrollment data last updated April 7, 2025. County demographic data last updated April 5, 2025.

Understanding Your Medicare Advantage Options

Medicare Advantage Plans, also known as Medicare Part C, are private health plans that provide all-in-one coverage, including Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). On top of the core benefits, many of the plans in Hyde County throw in some nice extras - think prescription drug coverage, dental, vision, and wellness programs - making them a solid choice for those in Hyde County looking for something more than Original Medicare.

🏥 Health Maintenance Organization (HMO) Plans

HMO plan members must use the plan's network of doctors and hospitals in Hyde 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 11 residents enrolled in HMO plans in this county. The most popular plan is Aetna Medicare Value Plus .

🔓 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 133 Hyde County residents enrolled in PPO plans. The most popular of these plans by enrollments is HumanaChoice Giveback H5525-035 .

🔀 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 106 residents enrolled in HMO-POS plans in this Hyde County. The most popular plan by enrollments is Blue Medicare Essential Plus .

If you qualify for Original Medicare or Medicare Advantage in Hyde County but don't know where to begin, we have licensed insurance agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions (Mon-Fri 5am-6pm, Sat 6am-5pm PST) and help you get enrolled. There's no obligation.

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 Hyde 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 26 Medicare Advantage Plans available in Hyde 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

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 Hyde County.

📅 Initial Enrollment Period (IEP)

This is your first opportunity to enroll in a Medicare Advantage Plan when you first become eligible for Medicare. Your Initial Enrollment Period lasts for seven months, starting three months before your 65th birthday.

🗓️ Annual Enrollment Period (AEP)

Occurs every year from October 15 to December 7. During the Annual Enrollment Period, you can switch, drop, or join a Medicare Advantage Plan.

🔁 Open Enrollment Period (OEP)

From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare if you’re already enrolled in a Medicare Advantage Plan.

For more detailed information on the enrollment periods and how to enroll, visit our comprehensive guide on Medicare Advantage Plan Enrollment.

Are you ready to enroll? Do you still have questions? Our licensed insurance agents are ready to help with no obligation. Call 1-855-728-0510 (TTY 711) for assistance, Mon-Fri 5am-6pm, Sat 6am-5pm PST.

Frequently Asked Questions

What are the most popular Medicare Advantage plan types in Hyde County?

Based on the 2025 plan data, PPO plans are the most common in Hyde County. The full breakdown of plan types is: 15 PPO · 6 HMO-POS · 2 HMO · 3 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 Hyde County is $7,271 for 2025.

Do any Medicare Advantage plans in Hyde County have 5-star ratings?

No 5-star rated Medicare Advantage plans are available in Hyde County for the 2025 plan year. However, 65% of plans have a rating of 4 stars or higher.

What is the average monthly premium for Medicare Advantage plans in Hyde County?

The average monthly premium for Medicare Advantage plans in Hyde County is $21.58. A total of 18 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.

H5521 241, H5521 348, H5521 243, H3449 024 3, H3449 027 2, H3449 023 5, H3404 004, H3449 012, H2001 084, H2001 090, H2001 102, H2406 115, H5253 187, H2001 103, H5253 040, H3146 006, H1036 291, R0110 005, H5525 065, R0110 006, H5525 035, H5525 049, H5525 050, H5525 070, H5525 083, R0110 004

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 Engelhard, Fairfield, and all other areas of Hyde County, North Carolina, including the following zip codes: 27810, 27824, 27826, 27860, 27875, 27885, 27960.

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, "What's Medicare Supplement Insurance (Medigap)?", 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.

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On This Page

  • List of Plans
  • Plan Overview
  • Benefits
  • How to Choose
  • Enrollment
Are you ready to enroll?
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[3]About the Author

David Bynon is a Medicare analyst, published author, and U.S. Navy veteran with over 40 years of experience in cryptology, cybersecurity, and healthcare systems. Since founding MedicareWire in 2012, he has provided unbiased, data-driven Medicare plan research to assist seniors in making informed decisions.

Previously, David served as Vice President of Global Systems at Sony Pictures Entertainment and Director of Systems and Networks at HealthNet, focusing on secure HMO and Medicare infrastructures. His military career includes serving as Command Chief at TACRON-11, earning multiple Navy Commendation Medals and other commendations.

Connect with David on LinkedIn or view his Amazon Author Profile. His latest book, Why Medicare Advantage Plans Are Bad, is available on Amazon.

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