Medicare Advantage HMO plans in South Carolina
There are 37 Medicare Advantage HMO plans in South Carolina from 10 carriers, averaging 3.41 out of 5 stars across the 33 plans CMS has rated. 75% of those with a published premium charge $0 a month (28 of 37); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 37 HMO plans in South Carolina that publish one, the in-network out-of-pocket maximum has a median of $8,200 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $8,286, which sits above the median — the spread is not symmetric, so the median is the better guide.
HMO plans in South Carolina rate below the national average.
The 33 rated HMO plans here average 3.41 stars against a national median of 3.75. That is a reason to compare carefully rather than to rule the state out — 7 plans here still rate 4 stars or better, and the rating describes the contract, not any one plan's benefits.
South Carolina HMO plans rank 44th of 49 on star rating.
Across the 33 rated plans here the average overall rating is 3.41 stars, 44th highest of the 49 states with HMO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated HMO plans in South Carolina
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| Senior Care (HMO I-SNP)NHC Advantage · Institutional SNP | 4.5★ | $5,000 | $0 |
| DEVOTED CORE 001 SC (HMO)Devoted Health | 4.5★ | $5,900 | $0 |
| NHC Advantage (HMO I-SNP)NHC Advantage · Institutional SNP | 4.5★ | $9,850 | $12.20 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · Chronic or Disabling Condition SNP | 4★ | $9,850 | $0 |
| Humana Gold Plus Giveback H5619-169 (HMO)Humana | 4★ | $9,850 | $0 |
Showing 5 of 37. See all South CarolinaMedicare Advantage plans →
HMO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Aetna MedicareCVS Health Corporation | 9 | 3.5 | 4 |
| HealthSpringHealth Care Service Corporation | 8 | 3.0 | 1 |
| HumanaHumana Inc. | 5 | 4.0 | 2 |
| WellcareCentene Corporation | 5 | 3.0 | 1 |
| UnitedHealthcareUnitedHealth Group, Inc. | 3 | 3.5 | — |
| Molina Healthcare of South CarolinaMolina Healthcare, Inc. | 2 | 2.5 | 2 |
| NHC AdvantageMissouri Healthcare Advisors, LLC | 2 | 4.5 | 2 |
| Devoted HealthDevoted Health, Inc. | 1 | 4.5 | — |
| First Choice VIP Care (HMO D-SNP)Independence Health Group, Inc. | 1 | — | 1 |
| PruittHealth PremierUNICO Services, Inc. | 1 | — | 1 |
How HMO compares
States with similar HMO star ratings
South Carolina Medicare Advantage HMO plans, answered
How much do Medicare Advantage HMO plans cost in South Carolina?
What are the star ratings for South Carolina HMO plans?
How many Medicare Advantage HMO plans are available in South Carolina?
Do South Carolina HMO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in South Carolina?
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