Medicare Advantage · North Carolina · 2026 plan year

Medicare Advantage in Durham, NC

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Durham, NC for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

75
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$20.90
Avg premium/mo
RSS updates for this county

The short answer

Durham has 75 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 43 reach 4★ or higher, and 27 carry a $0 monthly premium.

75
plans to compare
5.0★
highest CMS rating here
27
$0-premium plans
43
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Durham, NC

Durham, NC (FIPS 37063): 75 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 5.0/5 via LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.. Plan-type mix: 31 Local PPO, 25 HMO, 19 HMO POS. Monthly plan premiums (Part C + D) range $0 – $255.00 (avg $20.90), with 27 $0-premium plans. 71 of 75 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Durham sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.96★ Top 18% higher than 82% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Durham, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Longevity Health Plan OF North Carolina, Inc. (SNP)Longevity Health PlanHMO$36.205.0★
2Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaLocal PPO-4.5★
3Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
4Care N' Care Insurance Company OF North Carolina (SNP)HealthTeam AdvantageLocal PPO-4.5★
5Humana Medical Plan, Inc. (SNP)HumanaHMO$04.5★
6Humana Medical Plan, Inc. (SNP)HumanaHMO POS$04.5★
7Humana Medical Plan, Inc. (SNP)HumanaHMO POS$04.5★
8Aetna Better Health Inc. (GA) (SNP)Aetna MedicareHMO$04.5★
9Aetna Better Health Inc. (GA) (SNP)Aetna MedicareHMO$04.5★
10Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
11Care N' Care Insurance Company OF North Carolina (SNP)HealthTeam AdvantageLocal PPO$04.5★
12Humana Medical Plan, Inc. (SNP)HumanaHMO$13.004.5★
13Humana Medical Plan, Inc. (SNP)HumanaHMO$14.204.5★
14Humana Medical Plan, Inc. (SNP)HumanaHMO$20.004.5★
15Aetna Better Health Inc. (GA) (SNP)Aetna MedicareHMO$28.204.5★
16Aetna Better Health Inc. (GA) (SNP)Aetna MedicareHMO$32.204.5★
17Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$36.204.5★
18Aetna Better Health Inc. (GA) (SNP)Aetna MedicareHMO$36.204.5★
19Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaLocal PPO$53.004.5★
20Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$255.004.5★
21Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS-4.0★
22Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
23Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO-4.0★
24Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
25Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS$04.0★
26Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO$04.0★
27Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
28Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
29Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
30Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
31Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$04.0★
32Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$04.0★
33Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$04.0★
34Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$14.004.0★
35Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$19.704.0★
36Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$25.304.0★
37Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$28.204.0★
38Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$36.204.0★
39Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$36.204.0★
40Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$36.204.0★
41Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$36.204.0★
42Blue Cross AND Blue Shield OF North Carolina (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS$40.004.0★
43Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$53.004.0★
44Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO-3.5★
45Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO-3.5★
46Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$03.5★
47Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$03.5★
48Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$03.5★
49Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
50Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
51Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
52Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$03.5★
53Blue Cross AND Blue Shield OF North Carolina (SNP)Experience HealthHMO$6.903.5★
54Blue Cross AND Blue Shield OF NC Senior Health (SNP)Blue Cross and Blue Shield of North CarolinaHMO POS$18.703.5★
55Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$24.003.5★
56Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$25.803.5★
57Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$27.503.5★
58Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$29.003.5★
59Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$30.403.5★
60Wellcare Health Insurance OF Connecticut, Inc. (SNP)WellcareLocal PPO$31.003.5★
61Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$32.203.5★
62Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$33.503.5★
63Wellcare Health Insurance OF North Carolina, Inc. (SNP)WellcareHMO POS$36.203.5★
64Humana Insurance Company (SNP)HumanaLocal PPO$54.003.5★
65Troy Health, Inc. (SNP)Troy MedicareHMO$03.0★
66Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareLocal PPO$03.0★
67Troy Health, Inc. (SNP)Troy MedicareHMO$31.303.0★
68Plan 001-Local PPO-N/R
69Plan 002-Local PPO-N/R
70Plan 001-Local PPO-N/R
71Plan 003-Local PPO-N/R
72Liberty Advantage, LLC (SNP)Liberty Medicare AdvantageHMO$0N/R
73Liberty Advantage, LLC (SNP)Liberty Medicare AdvantageHMO$14.70N/R
74Pruitthealth Premier North Carolina, LLC (SNP)PruittHealth PremierHMO$36.20N/R
75Liberty Advantage, LLC (SNP)Liberty Medicare AdvantageHMO$36.20N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (43 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Durham, NC?

There are 75 Medicare Advantage plans available in Durham, NC for the 2026 plan year, including 31 Local PPO, 25 HMO, 19 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Durham?

The highest-rated plan in Durham has a CMS star rating of 5.0 out of 5 - LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Durham?

Monthly plan premiums (Part C + D combined) in Durham range from $0 to $255.00, averaging $20.90. 27 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Durham?

Durham has 31 Local PPO, 25 HMO, 19 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare