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Medicare plans in Wake 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, Wake County, North Carolina has 74 Medicare plans (27 Medicare Advantage with drug coverage, 8 without, 11 standalone Part D, 28 Special Needs) from 10 carriers. 45 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,400.
What changed vs 2026
- 15 fewer plans than 2026
- Carriers exited: Experience Health
- $0-premium plans up 6
Market snapshot
- Residents 65 and older
- 151,920
- Residents 60–64, aging in over the next five years
- 66,014
- Medicare eligibles
- 190,079
- Medicare Advantage penetration
- 52.7%
- Plans per 1,000 residents 65+
- 0.5
Carriers by number of plans
- Humana — 21 plans
- UnitedHealthcare — 15 plans
- Blue Cross and Blue Shield of North Carolina — 9 plans
- Wellcare — 9 plans
- Aetna Medicare — 7 plans
- Alignment Health Plan — 6 plans
- Liberty Medicare Advantage — 3 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 |
|---|---|---|---|---|---|---|---|
| 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 |
| 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 | |
| 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 |
Showing 10 of 74 plans.
Nearby counties
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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.