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Medicare plans in Durham County, NC — 2027
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 2027, Durham County, North Carolina has 80 Medicare plans (31 Medicare Advantage with drug coverage, 10 without, 11 standalone Part D, 28 Special Needs) from 11 carriers. 49 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,800.
What changed vs 2026
- 6 fewer plans than 2026
- Carriers exited: Experience Health
- $0-premium plans up 12
- Average star rating down 0.1
Market snapshot
- Residents 65 and older
- 48,164
- Residents 60–64, aging in over the next five years
- 18,787
- Medicare eligibles
- 56,660
- Medicare Advantage penetration
- 52.0%
- Plans per 1,000 residents 65+
- 1.7
Carriers by number of plans
- Humana — 23 plans
- UnitedHealthcare — 15 plans
- Blue Cross and Blue Shield of North Carolina — 9 plans
- Wellcare — 9 plans
- Aetna Medicare — 7 plans
- HealthSpring — 7 plans
- Liberty Medicare Advantage — 3 plans
- HealthTeam Advantage — 2 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| UHC Nursing Home Plan NC-F001 (PPO I-SNP) (H0710-034-0) | UnitedHealthcare | SNP | PPO I-SNP | $0 | $700 | $9,850 | 5.0 |
| Longevity Health Plan (HMO I-SNP) (H5374-001-0) | Longevity Health Plan | SNP | HMO I-SNP | $13.30 | $700 | $9,850 | 5.0 |
| Blue Medicare Freedom+ (PPO) (H3404-004-0) | Blue Cross and Blue Shield of North Carolina | MA | PPO | $0 | $9,850 | 4.5 | |
| Humana Dual Select H1036-307 (HMO D-SNP) (H1036-307-0) | Humana | SNP | HMO D-SNP | $0 | $200 | $9,850 | 4.5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) (H1036-308-0) | Humana | SNP | HMO C-SNP | $0 | $550 | $9,850 | 4.5 |
| Humana Gold Plus Giveback H1036-318 (HMO-POS) (H1036-318-0) | Humana | MA-PD | HMO-POS | $0 | $700 | $9,850 | 4.5 |
| Humana Gold Plus Giveback H1036-343 (HMO-POS) (H1036-343-0) | Humana | MA-PD | HMO-POS | $0 | $700 | $9,850 | 4.5 |
| Humana Gold Plus H1036-137 (HMO-POS) (H1036-137-0) | Humana | MA-PD | HMO-POS | $0 | $450 | $9,850 | 4.5 |
| Humana Gold Plus H1036-335 (HMO-POS) (H1036-335-2) | Humana | MA-PD | HMO-POS | $0 | $700 | $3,950 | 4.5 |
| Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) (H1036-167-0) | Humana | SNP | HMO D-SNP | $0 | $0 | $9,850 | 4.5 |
Showing 10 of 80 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 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.