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Medicare plans in Transylvania 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, Transylvania County, North Carolina has 82 Medicare plans (30 Medicare Advantage with drug coverage, 10 without, 11 standalone Part D, 31 Special Needs) from 11 carriers. 52 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,400.
What changed vs 2026
- 6 fewer plans than 2026
- Carriers entered: AmeriHealth Caritas VIP Care
- $0-premium plans up 15
Market snapshot
- Residents 65 and older
- 10,426
- Residents 60–64, aging in over the next five years
- 2,979
- Medicare eligibles
- 10,895
- Medicare Advantage penetration
- 51.2%
- Plans per 1,000 residents 65+
- 7.9
Carriers by number of plans
- Humana — 22 plans
- Devoted Health — 12 plans
- UnitedHealthcare — 12 plans
- Blue Cross and Blue Shield of North Carolina — 9 plans
- Wellcare — 9 plans
- Aetna Medicare — 6 plans
- Alignment Health Plan — 6 plans
- PruittHealth Premier — 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 |
|---|---|---|---|---|---|---|---|
| Alignment Health Heart & Diabetes 011 (HMO C-SNP) (H5296-011-0) | Alignment Health Plan | SNP | HMO C-SNP | $0 | $250 | $3,400 | 4.5 |
| Alignment Health Platinum 010 (HMO) (H5296-010-0) | Alignment Health Plan | MA-PD | HMO | $0 | $225 | $4,300 | 4.5 |
| Alignment Health Smart 006 (HMO) (H5296-006-0) | Alignment Health Plan | MA-PD | HMO | $0 | $700 | $3,400 | 4.5 |
| Blue Medicare Freedom+ (PPO) (H3404-004-0) | Blue Cross and Blue Shield of North Carolina | MA | PPO | $0 | $9,850 | 4.5 | |
| DEVOTED C-SNP ENHANCED 018 NC (HMO C-SNP) (H5299-018-0) | Devoted Health | SNP | HMO C-SNP | $0 | $461 | $5,600 | 4.5 |
| DEVOTED C-SNP GIVEBACK EXTRAS 034 NC (HMO C-SNP) (H5299-034-0) | Devoted Health | SNP | HMO C-SNP | $0 | $700 | $7,150 | 4.5 |
| DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) (H5299-015-0) | Devoted Health | SNP | HMO C-SNP | $0 | $461 | $9,850 | 4.5 |
| DEVOTED CORE 029 NC (HMO) (H5299-029-0) | Devoted Health | MA-PD | HMO | $0 | $650 | $4,950 | 4.5 |
| DEVOTED DUAL 009 NC (HMO D-SNP) (H5299-009-0) | Devoted Health | SNP | HMO D-SNP | $0 | $700 | $6,750 | 4.5 |
| DEVOTED DUAL FULL 013 NC (HMO D-SNP) (H5299-013-0) | Devoted Health | SNP | HMO D-SNP | $0 | $700 | $9,850 | 4.5 |
Showing 10 of 82 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.