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Medicare plans in Wake County, NC — 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, Wake County, North Carolina has 89 Medicare plans (38 Medicare Advantage with drug coverage, 9 without, 12 standalone Part D, 30 Special Needs) from 11 carriers. 30 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,000.
Market snapshot
- Residents 65 and older
- 151,920
- Residents 60–64, aging in over the next five years
- 66,014
- Medicare eligibles
- 189,332
- Medicare Advantage penetration
- 52.8%
- Plans per 1,000 residents 65+
- 0.6
Carriers by number of plans
- Humana — 21 plans
- UnitedHealthcare — 16 plans
- Wellcare — 11 plans
- Blue Cross and Blue Shield of North Carolina — 10 plans
- HealthSpring — 10 plans
- Aetna Medicare — 8 plans
- Alignment Health Plan — 7 plans
- Liberty Medicare Advantage — 3 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 Care (HMO C-SNP) (H5296-011-0) | Alignment Health Plan | SNP | HMO C-SNP | $0 | $250 | $3,400 | 5.0 |
|---|
| Alignment Health Platinum (HMO) (H5296-003-0) | Alignment Health Plan | MA-PD | HMO | $0 | $0 | $3,900 | 5.0 |
|---|
| Alignment Health Platinum Select (HMO) (H5296-010-0) | Alignment Health Plan | MA-PD | HMO | $0 | $225 | $5,900 | 5.0 |
|---|
| Alignment Health smartHMO (HMO) (H5296-006-0) | Alignment Health Plan | MA-PD | HMO | $0 | $615 | $3,400 | 5.0 |
|---|
| Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) (H5296-009-0) | Alignment Health Plan | SNP | HMO-POS C-SNP | $36.20 | $615 | $9,250 | 5.0 |
|---|
| Alignment Health NC Duals (HMO-POS D-SNP) (H5296-004-0) | Alignment Health Plan | SNP | HMO-POS D-SNP | $36.20 | $615 | $9,250 | 5.0 |
|---|
| Longevity Health Plan (HMO I-SNP) (H5374-001-0) | Longevity Health Plan | SNP | HMO I-SNP | $36.20 | $615 | $9,250 | 5.0 |
|---|
| Aetna Medicare Signature (HMO) (H3146-004-0) | Aetna Medicare | MA-PD | HMO | $0 | $615 | $6,750 | 4.5 |
|---|
| Aetna Medicare Signature (PPO) (H5521-609-0) | Aetna Medicare | MA-PD | PPO | $0 | $615 | $6,750 | 4.5 |
|---|
| Aetna Medicare Signature Care (HMO) (H3146-021-0) | Aetna Medicare | MA-PD | HMO | $0 | $615 | $6,350 | 4.5 |
|---|
Showing 10 of 89 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.