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Medicare plans in Sumter County, SC — 2026
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2026, Sumter County, South Carolina has 55 Medicare plans (22 Medicare Advantage with drug coverage, 9 without, 11 standalone Part D, 13 Special Needs) from 9 carriers. 17 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $5,000.
Market snapshot
- Residents 65 and older
- 18,606
- Residents 60–64, aging in over the next five years
- 6,720
- Medicare eligibles
- 24,666
- Medicare Advantage penetration
- 50.0%
- Plans per 1,000 residents 65+
- 3
Carriers by number of plans
- Humana — 21 plans
- Wellcare — 9 plans
- Aetna Medicare — 8 plans
- UnitedHealthcare — 7 plans
- Blue Cross Blue Shield of South Carolina — 4 plans
- HealthSpring — 2 plans
- NHC Advantage — 2 plans
- First Choice VIP Care (HMO D-SNP) — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|
| Senior Care (HMO I-SNP) (H4172-003-0) | NHC Advantage | SNP | HMO I-SNP | $0 | $250 | $5,000 | 5.0 |
|---|
| NHC Advantage (HMO I-SNP) (H4172-001-0) | NHC Advantage | SNP | HMO I-SNP | $31 | $615 | $8,100 | 5.0 |
|---|
| Aetna Medicare Signature (HMO) (H3146-014-0) | Aetna Medicare | MA-PD | HMO | $0 | $500 | $8,200 | 4.5 |
|---|
| Aetna Medicare Signature (PPO) (H5521-245-0) | Aetna Medicare | MA-PD | PPO | $0 | $615 | $8,750 | 4.5 |
|---|
| Aetna Medicare Full Dual Care (HMO D-SNP) (H3146-023-0) | Aetna Medicare | SNP | HMO D-SNP | $9.30 | $615 | $9,250 | 4.5 |
|---|
| Aetna Medicare Full Dual (HMO D-SNP) (H3146-016-0) | Aetna Medicare | SNP | HMO D-SNP | $17.30 | $615 | $9,250 | 4.5 |
|---|
| Aetna Medicare Value Plus (HMO) (H3146-011-0) | Aetna Medicare | MA-PD | HMO | $22.30 | $615 | $8,200 | 4.5 |
|---|
| Aetna Medicare Enhanced (PPO) (H5521-251-0) | Aetna Medicare | MA-PD | PPO | $29 | $615 | $8,750 | 4.5 |
|---|
| Aetna Medicare Eagle Giveback (PPO) (H5521-279-0) | Aetna Medicare | MA | PPO | | | $8,200 | 4.5 |
|---|
| AARP Medicare Advantage from UHC SC-0005 (HMO-POS) (H5322-040-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $440 | $6,700 | 4.0 |
|---|
Showing 10 of 55 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.