Compare Greenville County South Carolina
Medicare Advantage Plans

A Medicare Advantage Plan in Greenville County, SC can provide additional benefits above and beyond Original Medicare. There are 55 Medicare Advantage Plans (Part-C) available in Greenville County from 12 different health insurance providers to compare in 2023. 27 of these Medicare Advantage Plans offer additional gap coverage to help avoid the “donut hole”. The plan with the lowest out-of-pocket expense is $2900 and the highest out-of-pocket is $8300. Greenville County South Carolina qualifying beneficiaries can also pick from 21 Medicare Special Needs Plans. The highest rated Medicare Advantage Plan in Greenville County South Carolina received a 4.5 overall star rating from CMS.



Most Popular Plans by Enrollment in Greenville County, South Carolina

Plan Name Plan ID Marketing Name Monthly
Premium
Enrollment
AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-006
UnitedHealthcare $0 32296
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001
UnitedHealthcare $49.00 27701
AARP Medicare Advantage Plan 1 (HMO-POS)
H8748-002
UnitedHealthcare $0 19801
Aetna Medicare Premier Plan (PPO)
H5521-140
Aetna Medicare $0 18559
Wellcare Giveback Open (PPO)
H7326-003
Wellcare $0 16281


2023 Medicare Advantage Plans in Greenville County, SC

(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)


Name ⇅ Monthly
Premium
Deductible MOOP Gap 2023 Plan
Stars
Rating
Wellcare Prime by Absolute Total Care (Medicare-Medicaid
(H1723-001)

$0 $0 $- YesNA
Wellcare No Premium Value (HMO)
(H1416-056)

$0 $0 $7,550 No
Wellcare No Premium Open (PPO)
(H7326-001)

$0 $100.00 $5,500 Yes
Wellcare No Premium (HMO)
(H4847-001)

$0 $0 $5,200 Yes
Wellcare Giveback Open (PPO)
(H7326-003)

$0 $90.00 $6,700 Yes
Wellcare Assist Open (PPO)
(H7326-007)

$15.70 $505.00 $6,000 No
Wellcare Assist (HMO)
(H4847-005)

$14.90 $505.00 $6,500 No
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
(R2604-001)

$49.00 $295.00 $6,700 Yes
Molina Medicare Choice Care (HMO)
(H8176-003)

$0 $125.00 $8,300 No
Molina Dual Options (Medicare-Medicaid Plan)
(H2533-001)

$0 $0 $- YesNA
HumanaChoice R3392-004 (Regional PPO)

$0 $195.00 $7,550 No
HumanaChoice R3392-002 (Regional PPO)

$103.00 $340.00 $6,700 No
HumanaChoice H5216-347 (PPO)

$0 $0 $5,900 Yes
HumanaChoice H5216-346 (PPO)

$32.00 $250.00 $6,700 No
HumanaChoice H5216-345 (PPO)

$0 $0 $7,550 Yes
HumanaChoice H5216-280 (PPO)

$36.70 $505.00 $7,550 Yes
HumanaChoice H5216-279 (PPO)

$0 $0 $2,900 Yes
HumanaChoice H5216-154 (PPO)

$0 $400.00 $7,550 No
Humana Gold Plus H5619-152 (HMO)

$0 $0 $7,550 Yes
Humana Gold Plus H5178-001 (HMO)

$110.00 $420.00 $6,700 NoNA
Humana Gold Choice H8145-069 (PFFS)

$9.00 $340.00 $- No
First Choice VIP Care Plus (Medicare-Medicaid Plan)
(H8213-001)

$0 $0 $- YesNA
Devoted CORE Upstate (HMO)
(H3041-001)

$0 $0 $5,900 YesToo New
Devoted CHOICE Upstate (PPO)
(H7028-001)

$0 $0 $5,900 YesToo New
Devoted CHOICE GIVEBACK Upstate (PPO)
(H7028-002)

$0 $395.00 $6,700 YesToo New
Clear Spring Health Select Plan (HMO)
(H9403-004)

$0 $0 $6,700 NoNA
Clear Spring Health Gold Plus (PPO)
(H2334-005)

$0 $200.00 $6,500 NoNA
Cigna True Choice Medicare (PPO)
(H7849-018)

$0 $0 $6,300 No
Cigna Preferred Plus Medicare (HMO)
(H7020-006)

$22.00 $0 $4,500 No
Cigna Preferred Medicare (HMO)
(H7020-004)

$0 $0 $5,100 No
BlueCross Total Value (PPO)
(H8003-004)

$0 $25.00 $6,900 Yes
BlueCross Total (PPO)
(H8003-001)

$19.00 $0 $6,500 Yes
BlueCross Secure (HMO)
(H7165-001)

$0 $0 $6,500 YesNA
Aetna Medicare Value Plus Plan (HMO)
(H3146-011)

$22.00 $95.00 $6,900 Yes
Aetna Medicare Prime Plan (HMO-POS)
(H3146-014)

$0 $0 $5,900 Yes
Aetna Medicare Premier Plus Plan (PPO)
(H5521-319)

$0 $0 $5,950 Yes
Aetna Medicare Premier Plan (PPO)
(H5521-140)

$0 $150.00 $6,700 Yes
AARP Medicare Advantage Plan 2 (HMO-POS)
(H8748-025)

$24.00 $0 $4,500 Yes
AARP Medicare Advantage Plan 1 (HMO-POS)
(H8748-002)

$0 $0 $5,900 Yes
AARP Medicare Advantage Choice Rebate (PPO)
(H2577-005)

$0 $95.00 $6,700 Yes
AARP Medicare Advantage Choice Plan 2 (PPO)
(H2577-026)

$29.00 $295.00 $6,900 Yes
AARP Medicare Advantage Choice Plan 1 (PPO)
(H2577-006)

$0 $0 $5,900 Yes






South Carolina Part-C Plans Without Drug Coverage





Medicare Special Needs Plans in Greenville County South Carolina

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special
Needs
Type
2023 Plan
Stars
Rating
Wellcare Dual Liberty Open (PPO D-SNP)
(H7326-006)
   $23.70 $505.00  No Dual-Eligible
Wellcare Dual Liberty (HMO D-SNP)
(H4847-004)
   $37.80 $505.00  No Dual-Eligible
Wellcare Dual Access (HMO D-SNP)
(H1416-036)
   $30.10 $505.00  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP)
(H0710-053)
   $37.80 $505.00  No Institutional
UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
(R2604-002)
   $9.50 $505.00  No Chronic or Disabling Condition
UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
(R2604-003)
   $15.00 $0  Yes Chronic or Disabling Condition
UnitedHealthcare Dual Complete Select (PPO D-SNP)
(H0271-056)
   $37.80 $505.00  No Dual-Eligible
UnitedHealthcare Dual Complete Choice (PPO D-SNP)
(H0271-016)
   $37.80 $505.00  No Dual-Eligible
UnitedHealthcare Assisted Living Plan (PPO I-SNP)
(H0710-068)
   $37.80 $0  No Institutional
NHC Advantage (HMO I-SNP)
(H4172-001)
   $35.70 $505.00  No InstitutionalNA
Molina Medicare Complete Care (HMO D-SNP)
(H8176-001)
   $37.80 $505.00  No Dual-Eligible
HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
(H5216-277)
   $37.80 $505.00  No Dual-Eligible
HumanaChoice - Diabetes and Heart (PPO C-SNP)
(H5216-244)
   $0 $145.00  Yes Chronic or Disabling Condition
Humana Together in Health (PPO I-SNP)
(H5216-243)
   $35.20 $505.00  No Institutional
Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP)
(H5619-153)
   $36.20 $505.00  No Dual-Eligible
Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
(H5619-082)
   $37.80 $505.00  No Dual-Eligible
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
(H5619-087)
   $0 $195.00  No Chronic or Disabling Condition
First Choice VIP Care (HMO D-SNP)
(H4739-001)
   $37.80 $505.00  No Dual-EligibleToo New
Clear Spring Health Silver Plan (HMO C-SNP)
(H9403-003)
   $0 $250.00  No Chronic or Disabling ConditionNA
Clear Spring Health Deluxe Plan (HMO D-SNP)
(H9403-001)
   $37.00 $505.00  No Dual-EligibleNA
Aetna Medicare Assure Plan (HMO D-SNP)
(H3146-016)
   $21.10 $505.00  No Dual-Eligible



Types of MA Plan in SC


HMO - Health Maintenance Organization. A Health Maintenance Organization manages your Part A and Part B health insurance benefits. In most cases you need to choose a primary care doctor. Health Maintenance Organization's offers services through a network of contracted hospitals, doctors and other providers, and the plan pays the providers directly. You generally must receive all Healthcare from the plan providers or through referrals from the plan provider. Emergency care, and out-of-area urgent care is still covered. An HMO-POS plan allows you to get some services out-of-network.

PPO - Preferred Provider Organization. A Preferred Provider Organization offers a network of doctors, hospitals, and other providers you can choose from. Because providers are preferred, you can save money by using in network providers or usually pay a higher cost to use out-of-network providers. A primary care doctor is not required.

PFFS - Private Fee For Service. A Private Fee For Service plan allows you greater flexibility in choosing a South Carolina provider. You may obtain covered services from any Medicare eligible provider who is willing to accept the plan's terms. The Healthcare provider must agree to accept the plan's terms before each visit. Some of these plans have a network of approved providers that have agreed to treat plan members.

SNP - Special Needs Plan. A Special Needs Plan is for individuals who receive Medicare and Medicaid, have specific severe or disabling chronic conditions or reside in a licensed nursing home or skilled facility. SNP plans must provide prescription drug coverage to Greenville County South Carolina residents.

Cost - Cost Plan. A cost plan doesn't replace your Original Medicare. It offers additional benefits to Original Medicare. If the cost plan doesn't include prescription drug coverage, you can enroll in a Part-D plan separately.





Can I get help in the coverage gap in Greenville County, SC?


Yes. 27 Medicare Advantage Plans in Greenville County offer additional gap coverage. Once in the coverage gap, you’ll pay no more than 25% of the cost for brand-name and generic prescription drugs. If you choose a drug plan that includes coverage in the gap, you may get a discount applied to the drug's price.

Are there Medicare Advantage Plans in Greenville County, SC?


There are 55 Medicare Advantage Plans available in Greenville County, South Carolina from 12 different health insurance providers. These plans offer additional benefits that aren't available through Original Medicare. Medicare beneficiaries who are interested in a Part-C policy may choose among many plans to compare versus Greenwood County Medicare Advantage Plans.



How much is a Medicare Plan in Greenville County, SC?


Individuals who are interested in a Medicare Advantage Plan in South Carolina may choose among many cost options depending on your necessary benefits. The lowest plan premium is $0 and the highest premium is $110. The deductibles in Greenville County range from $0-$505. The plan with the lowest out-of-pocket (MOOP) expense is $2900 and the highest out-of-pocket is $8300.



Things to consider when choosing a MA Plan in Greenville


  • Are you eligible for a Medicare Advantage Plan?

  • How much are the premiums, deductibles, and other costs?

  • Is there a yearly limit on what you could pay out-of-pocket?

  • Does the plan cover your prescription drugs?

  • Will you hit the prescription drug coverage gap?

  • Is your pharmacy in the plan’s network?

  • Will your prescription drugs require prior authorization?

  • How well does the plan cover the services you need like vision, hearing, or dental?

  • Are your doctors in-network?

  • Will you need to be referred to see a specialist?

  • Does the plan cover services from out-of-network providers?

  • How does the plan compare to your current coverage?

  • Do you want to juggle multiple Medicare plans?


Special Needs Plan in Greenville County Explained


C-SNP - Chronic Condition SNP. These plans help individuals receive customized care to fit their unique health care needs. You may qualify for C-SNP if you have one or more specific severe or disabling chronic conditions like:

  • Stroke
  • Certain neurologic disorders
  • Certain chronic and disabling mental health conditions
  • HIV/AIDS
  • Certain chronic lung disorders
  • Diabetes mellitus
  • End-Stage Renal Disease (ESRD)
  • End-stage liver disease
  • Certain severe hematologic disorders
  • Chronic alcohol and other drug dependence
  • Certain cardiovascular disorders
  • Cancer
  • Chronic heart failure
  • Certain autoimmune disorders
  • Dementia

I-SNP - Institutional SNP. These plans require 90 days or longer stay in a facility, or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF), a LTC nursing facility (NF), an intermediate care facility for individuals with intellectual disabilities, or an inpatient psychiatric facility.

D-SNP - Dual Eligible SNP. South Carolina Medicare and Medicaid enrollees who have limited income and resources may get help paying for their premiums and out-of-pocket medical expenses from Medicaid. Eligibility is based on a percentage of Federal Poverty Levels.


When to sign up for a South Carolina Medicare Advantage Plan?


Below mentioned are the types of the enrollment period, along with the instructions on what to do during this period:

Initial Enrollment Period (IEP). This period starts 3 months prior to the month you will turn 65. It ends after 3 months you have turned 65. At this stage, you can sign up for a South Carolina Medicare Advantage Plan.

Annual Enrollment Period (AEP). Also known as the Open Enrollment Period, it starts on the 15th of October and ends on the 7th of December. At this stage, you can either sign up for the plan, switch or leave your current plan.

Special Enrollment Period (SEP). This enrollment period depends on the personal circumstances of the beneficiaries, like if you move or lose insurance coverage. Check to determine if you qualify to modify your plan.

Open Enrollment Period. Jan 1 – Mar 31. If you’re enrolled in a South Carolina Medicare Advantage Plan, you can switch to a different Medicare Part-C Plan in Greenville County, SC or switch to Original Medicare once during this time.

5-star Special Enrollment Period. Dec 8 - Nov 30. If a Centers for Medicare and Medicaid Services (CMS) 5-star plan is available in your area you can switch to the 5-star plan once during this period.



Check for CMS Star Ratings

Centers for Medicare & Medicaid Service (CMS) assesses the quality of medical services of Medicare Advantage Plan using a 5-star rating system. A report is released yearly for the public to assess the quality of healthcare services. Thus, if you are searching for the highest Medicare Advantage Plan in your state, research the CMS ratings and costs of the plans report for further information.


Can I get a Medicare Advantage Plans in Greenville County, SC?

Yes. There are 55 Medicare Advantage Plans available in Greenville County, South Carolina from 12 different health insurance providers. These plans offer additional benefits that aren't available through Original Medicare.

How much is a Medicare Plan in Greenville County, South Carolina?

South Carolina residents who are interested in a Medicare Advantage Plan may choose among many cost options depending on your necessary benefits. The lowest plan premium is $0 and the highest premium is $110. The deductibles in Greenville County range from $0-$505

Can I get help in the coverage gap in Greenville County, SC?

Yes. 27 Medicare Advantage Plans in Greenville County offer additional gap coverage. Once in the coverage gap, you’ll pay no more than 25% of the cost for brand-name and generic prescription drugs. If you choose a drug plan that includes coverage in the gap, you may get a discount applied to the drug's price.

What is the most popular plan in Greenville, SC?

The most popular plan by enrollment in Greenville is the AARP Medicare Advantage Choice Plan 1 (PPO) with 32296 enrollment.



Source: CMS. Data as of Oct 1, 2022.
Plans are subject to change as contracts are finalized.
Includes 2023 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2023, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.