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North Carolina Medicare plans by county — 2026
100 counties in North Carolina are served by 7,408 Medicare plans from 17 carriers in 2026. 2,071 Medicare Advantage plans have a $0 premium. 1,845,563 residents are 65 or older.
| County | Plans | Carriers | $0 premium | Avg. stars | Residents 65+ | Plans vs. prior year |
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| Alamance County | 101 | 11 | 35 | 4.1 | 30,353 | |
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| Alexander County | 88 | 9 | 29 | 4.0 | 7,721 | |
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| Alleghany County | 75 | 8 | 19 | 4.0 | 3,435 | |
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| Anson County | 88 | 10 | 27 | 4.0 | 4,395 | |
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| Ashe County | 68 | 7 | 16 | 4.0 | 7,343 | |
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| Avery County | 89 | 8 | 27 | 4.0 | 4,180 | |
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| Beaufort County | 50 | 6 | 10 | 4.0 | 11,412 | |
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| Bertie County | 51 | 7 | 10 | 4.1 | 4,340 | |
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| Bladen County | 78 | 10 | 20 | 4.0 | 6,935 | |
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| Brunswick County | 70 | 10 | 17 | 4.2 | 51,604 | |
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| Buncombe County | 98 | 12 | 29 | 4.0 | 58,291 | |
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| Burke County | 89 | 10 | 27 | 4.0 | 19,031 | |
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| Cabarrus County | 93 | 12 | 29 | 4.1 | 32,038 | |
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| Caldwell County | 83 | 9 | 26 | 4.0 | 17,272 | |
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| Camden County | 49 | 6 | 10 | 4.0 | 1,799 | |
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| Carteret County | 32 | 7 | 5 | 4.0 | 18,665 | |
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| Caswell County | 82 | 9 | 25 | 4.1 | 5,168 | |
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| Catawba County | 97 | 11 | 31 | 4.0 | 30,611 | |
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| Chatham County | 88 | 10 | 28 | 4.0 | 20,191 | |
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| Cherokee County | 62 | 7 | 15 | 4.0 | 9,303 | |
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| Chowan County | 49 | 6 | 9 | 4.1 | 3,606 | |
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| Clay County | 72 | 7 | 20 | 4.0 | 3,806 | |
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| Cleveland County | 85 | 7 | 26 | 4.0 | 18,996 | |
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| Columbus County | 81 | 10 | 21 | 4.0 | 10,376 | |
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| Craven County | 34 | 7 | 5 | 4.0 | 21,446 | |
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| Cumberland County | 75 | 9 | 23 | 4.0 | 44,031 | |
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| Currituck County | 53 | 6 | 12 | 4.0 | 5,489 | |
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| Dare County | 40 | 6 | 6 | 3.9 | 9,563 | |
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| Davidson County | 110 | 12 | 39 | 4.2 | 32,898 | |
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| Davie County | 105 | 12 | 36 | 4.1 | 9,775 | |
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| Duplin County | 63 | 7 | 15 | 4.0 | 9,815 | |
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| Durham County | 86 | 12 | 27 | 3.9 | 48,164 | |
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| Edgecombe County | 54 | 7 | 11 | 4.0 | 10,191 | |
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| Forsyth County | 111 | 13 | 40 | 4.2 | 66,134 | |
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| Franklin County | 71 | 10 | 19 | 3.9 | 12,988 | |
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| Gaston County | 92 | 10 | 28 | 4.0 | 38,767 | |
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| Gates County | 54 | 6 | 12 | 4.0 | 2,357 | |
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| Graham County | 73 | 7 | 20 | 4.0 | 2,062 | |
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| Granville County | 67 | 9 | 17 | 3.9 | 10,771 | |
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| Greene County | 65 | 7 | 17 | 4.0 | 3,544 | |
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| Guilford County | 110 | 12 | 40 | 4.2 | 87,184 | |
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| Halifax County | 58 | 7 | 14 | 4.0 | 10,515 | |
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| Harnett County | 72 | 9 | 19 | 3.9 | 19,073 | |
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| Haywood County | 83 | 11 | 22 | 4.0 | 16,106 | |
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| Henderson County | 95 | 11 | 28 | 4.0 | 31,376 | |
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| Hertford County | 53 | 6 | 12 | 4.0 | 4,533 | |
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| Hoke County | 71 | 8 | 18 | 4.0 | 6,285 | |
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| Hyde County | 55 | 7 | 13 | 4.0 | 902 | |
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| Iredell County | 91 | 10 | 30 | 4.0 | 32,939 | |
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| Jackson County | 73 | 8 | 19 | 4.0 | 8,847 | |
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| Johnston County | 87 | 9 | 29 | 4.1 | 32,148 | |
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| Jones County | 58 | 6 | 14 | 4.0 | 2,248 | |
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| Lee County | 66 | 9 | 17 | 3.9 | 11,283 | |
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| Lenoir County | 54 | 7 | 11 | 4.0 | 11,781 | |
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| Lincoln County | 90 | 10 | 29 | 4.0 | 18,062 | |
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| Macon County | 62 | 6 | 15 | 3.9 | 11,079 | |
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| Madison County | 88 | 8 | 26 | 4.0 | 5,079 | |
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| Martin County | 63 | 7 | 16 | 4.0 | 5,532 | |
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| McDowell County | 94 | 11 | 29 | 4.0 | 9,401 | |
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| Mecklenburg County | 106 | 11 | 35 | 4.1 | 137,905 | |
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| Mitchell County | 90 | 10 | 27 | 4.0 | 3,891 | |
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| Montgomery County | 74 | 9 | 20 | 4.0 | 5,787 | |
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| Moore County | 74 | 9 | 20 | 3.9 | 25,231 | |
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| Nash County | 56 | 7 | 11 | 4.0 | 18,623 | |
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| New Hanover County | 69 | 11 | 18 | 4.2 | 44,810 | |
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| Northampton County | 53 | 6 | 12 | 4.0 | 5,013 | |
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| Onslow County | 34 | 6 | 5 | 4.0 | 21,189 | |
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| Orange County | 93 | 11 | 33 | 4.0 | 24,097 | |
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| Pamlico County | 52 | 6 | 12 | 4.0 | 3,786 | |
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| Pasquotank County | 52 | 6 | 12 | 4.0 | 7,612 | |
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| Pender County | 72 | 10 | 18 | 4.2 | 11,932 | |
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| Perquimans County | 51 | 6 | 12 | 4.0 | 3,834 | |
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| Person County | 86 | 11 | 27 | 4.0 | 8,418 | |
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| Pitt County | 53 | 9 | 8 | 4.1 | 25,702 | |
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| Polk County | 86 | 11 | 25 | 4.0 | 6,487 | |
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| Randolph County | 99 | 10 | 34 | 4.1 | 26,888 | |
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| Richmond County | 74 | 10 | 21 | 4.0 | 7,670 | |
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| Robeson County | 69 | 9 | 17 | 3.9 | 18,753 | |
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| Rockingham County | 97 | 10 | 32 | 4.1 | 19,476 | |
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| Rowan County | 92 | 10 | 29 | 4.0 | 26,593 | |
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| Rutherford County | 76 | 8 | 20 | 4.0 | 14,458 | |
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| Sampson County | 65 | 8 | 17 | 3.9 | 10,793 | |
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| Scotland County | 71 | 10 | 16 | 3.9 | 6,178 | |
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| Stanly County | 75 | 7 | 20 | 4.0 | 12,378 | |
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| Stokes County | 94 | 10 | 30 | 4.1 | 10,441 | |
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| Surry County | 60 | 8 | 14 | 4.0 | 14,747 | |
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| Swain County | 74 | 8 | 19 | 3.9 | 2,789 | |
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| Transylvania County | 88 | 10 | 26 | 4.0 | 10,426 | |
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| Tyrrell County | 57 | 6 | 14 | 4.0 | 1,055 | |
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| Union County | 99 | 12 | 33 | 4.1 | 33,972 | |
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| Vance County | 68 | 9 | 17 | 3.9 | 8,163 | |
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| Wake County | 89 | 11 | 30 | 4.1 | 151,920 | |
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| Warren County | 67 | 7 | 16 | 4.0 | 5,212 | |
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| Washington County | 52 | 6 | 11 | 4.0 | 3,030 | |
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| Watauga County | 66 | 7 | 16 | 3.9 | 9,435 | |
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| Wayne County | 54 | 8 | 11 | 4.0 | 20,262 | |
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| Wilkes County | 95 | 11 | 29 | 4.1 | 15,110 | |
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| Wilson County | 57 | 8 | 12 | 4.0 | 15,296 | |
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| Yadkin County | 91 | 10 | 29 | 4.1 | 7,877 | |
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| Yancey County | 84 | 8 | 24 | 3.9 | 5,085 | |
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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.