Medicare Advantage plans in Wilkes, NC, 2027
Wilkes, North Carolina has 48 Medicare Advantage plans open to everyone for 2027 (48 in 2026) and 36 special needs plans, according to the CMS landscape files; 38 of the open plans have a $0 premium. 7 plans that served the county in 2026 end or leave it, with 33 members living here in September 2026.
What changes in Wilkes for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 48 | 48 | no change |
| Special needs plans | 35 | 36 | ▲up 1 |
| Plans with a $0 premium | 35 | 38 | ▲up 3 |
| Plans that lower the Part B premium | 22 | 22 | no change |
| Median out-of-pocket limit | $6,250 | $7,150 | ▲up $900 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Wilkes join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Alignment Health Smart 006H5296-006 · HMO | $0 | $3,400 | $119 | 5 of 5 |
| Blue Medicare Medical OnlyH3449-012 · HMO-POS | $0 | $3,900 | $35 | 4 of 5 |
| Humana Gold PlusH1036-335 · HMO-POS | $0 | $3,950 | $1 | 4.5 of 5 |
| Alignment Health Platinum 010H5296-010 · HMO | $0 | $4,300 | none | 5 of 5 |
| HealthSpring PreferredH9725-009 · HMO | $0 | $4,450 | $5 | 4 of 5 |
| Devoted Core 021 NCH5299-021 · HMO | $0 | $4,950 | none | 5 of 5 |
| Aetna Medicare PrimeH3146-007 · HMO | $0 | $5,200 | none | 4.5 of 5 |
| HealthTeam Advantage Vitality PlanH9808-010 · PPO | $0 | $5,200 | none | 4.5 of 5 |
| Aetna Medicare Value PlusH3146-006 · HMO | $0 | $5,500 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC NC-0022H5253-038 · HMO-POS | $0 | $5,900 | none | 4 of 5 |
| Devoted Choice 008 NCH9700-008 · PPO | $0 | $5,900 | none | not rated (too new) |
| Wellcare Assist OpenH1914-009 · PPO | $0 | $6,500 | none | 3.5 of 5 |
| Wellcare SimpleH4073-001 · HMO-POS | $0 | $6,700 | none | 3.5 of 5 |
| Devoted Giveback Extras 041 NCH5299-041 · HMO | $0 | $6,750 | $70 | 5 of 5 |
| HealthSpring CourageH9725-005 · HMO | $0 | $6,750 | $115 | 4 of 5 |
| HealthSpring Preferred SavingsH9725-015 · HMO | $0 | $6,750 | $179 | 4 of 5 |
| HealthSpring True ChoiceH7849-113 · PPO | $0 | $6,900 | none | 3 of 5 |
| Wellcare Simple OpenH1914-007 · PPO | $0 | $7,150 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC NC-0017H2406-098 · PPO | $0 | $7,150 | none | 4 of 5 |
| AARP Medicare Advantage from UHC NC-24H5253-185 · HMO-POS | $0 | $7,150 | none | 4 of 5 |
Show the other 28 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Aetna Medicare EagleH5521-241 · PPO | $0 | $7,150 | $120 | 4.5 of 5 |
| Aetna Medicare Signature GivebackH5521-348 · PPO | $0 | $7,500 | $30 | 4.5 of 5 |
| Blue Medicare Essential PlusH3449-023 · HMO-POS | $0 | $8,400 | none | 4 of 5 |
| HealthTeam Advantage Eagle PlanH9808-009 · PPO | $0 | $8,500 | $150 | 4.5 of 5 |
| Wellcare Patriot Giveback OpenH1914-011 · PPO | $0 | $8,850 | $175 | 3.5 of 5 |
| Devoted Choice MA Only 007 NCH9700-007 · PPO | $0 | $9,250 | $184.70 | not rated (too new) |
| AARP Medicare Advantage Patriot No Rx NC-MA02H5253-040 · HMO-POS | $0 | $9,300 | $190 | 4 of 5 |
| Devoted Giveback 022 NCH5299-022 · HMO | $0 | $9,300 | $166 | 5 of 5 |
| Humana Gold PlusH1036-137 · HMO-POS | $0 | $9,850 | none | 4.5 of 5 |
| Humana Gold Plus GivebackH1036-318 · HMO-POS | $0 | $9,850 | $118 | 4.5 of 5 |
| Humana Gold Plus GivebackH1036-343 · HMO-POS | $0 | $9,850 | $67 | 4.5 of 5 |
| Blue Medicare Freedom+H3404-004 · PPO | $0 | $9,850 | $76 | 4.5 of 5 |
| Blue Medicare EssentialH3449-027 · HMO | $0 | $9,850 | $51 | 4 of 5 |
| HumanaChoice GivebackH5525-035 · PPO | $0 | $9,850 | $110 | 3.5 of 5 |
| Humana USAA Honor GivebackH5525-065 · PPO | $0 | $9,850 | $165 | 3.5 of 5 |
| Devoted Choice Giveback 009 NCH9700-009 · PPO | $0 | $9,850 | $163 | not rated (too new) |
| HumanaChoiceR0110-004 · Regional PPO | $0 | $9,850 | none | 3.5 of 5 |
| Humana USAA Honor GivebackR0110-006 · Regional PPO | $0 | $9,850 | $52 | 3.5 of 5 |
| HumanaChoiceH7617-122 · PPO | $13 | $9,850 | none | 4.5 of 5 |
| HumanaChoiceH5525-070 · PPO | $13.30 | $9,850 | none | 3.5 of 5 |
| Alignment Health AVA 001H7074-001 · PPO | $20 | $3,900 | none | not rated (too little data) |
| Aetna Medicare EnhancedH5521-139 · PPO | $25 | $6,750 | none | 4.5 of 5 |
| Blue Medicare EnhancedH3449-024 · HMO-POS | $41 | $4,900 | none | 4 of 5 |
| AARP Medicare Advantage from UHC NC-0021H5253-037 · HMO-POS | $42 | $4,900 | none | 4 of 5 |
| Blue Medicare PPO EnhancedH3404-003 · PPO | $45 | $6,900 | none | 4.5 of 5 |
| HumanaChoiceH5525-049 · PPO | $52 | $9,850 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC NC-0016H2406-034 · PPO | $53 | $4,450 | none | 4 of 5 |
| Humana Full AccessR0110-005 · Regional PPO | $158 | $9,850 | none | 3.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Wilkes in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| HumanaChoiceH5525-050 | 33 | Not offered |
| Wellcare Giveback OpenH1914-010 | fewer than 11 | Not offered |
| AARP Medicare Advantage Access from UHC NC-23H2001-084 | fewer than 11 | Not offered |
| Provider Partners North Carolina Community PlanH4439-002 | fewer than 11 | Not offered |
| Provider Partners North Carolina Essential PlanH4439-003 | fewer than 11 | Not offered |
| HumanaChoiceH5525-083 | fewer than 11 | Not offered |
| HealthSpring Preferred PlusH9725-017 | fewer than 11 | Not offered |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| Alignment Health Heart & Diabetes 011H5296-011 | Chronic or Disabling Condition | $0 |
| Provider Partners North Carolina Community PlanH4439-004 | Institutional | $0 |
| Liberty Medicare AdvantageH6351-004 | Chronic or Disabling Condition | $0 |
| HealthSpring AchieveH9725-020 | Chronic or Disabling Condition | $0 |
| Devoted C-SNP Enhanced 014 NCH5299-014 | Chronic or Disabling Condition | $0 |
| UHC Complete Care NC-25H5253-186 | Chronic or Disabling Condition | $0 |
| Devoted Dual 009 NCH5299-009 | Dual-Eligible | $0 |
| Devoted C-SNP Giveback Extras 045 NCH5299-045 | Chronic or Disabling Condition | $0 |
| UHC Nursing Home Plan NC-F001H0710-034 | Institutional | $0 |
| Humana Gold Plus SNP-DEH1036-167 | Dual-Eligible | $0 |
| Humana Dual SelectH1036-307 | Dual-Eligible | $0 |
| Humana Gold Plus: Diabetes and HeartH1036-308 | Chronic or Disabling Condition | $0 |
| Humana Gold Plus SNP-DEH1036-331 | Dual-Eligible | $0 |
| UHC Dual Complete NC-Q1H1889-005 | Dual-Eligible | $0 |
| UHC Dual Complete NC-S2H1889-034 | Dual-Eligible | $0 |
| Wellcare Carolina Complete Dual Liberty OpenH1914-008 | Dual-Eligible | $0 |
| Aetna Medicare Full DualH3146-002 | Dual-Eligible | $0 |
| Wellcare Carolina Complete Dual LibertyH4073-004 | Dual-Eligible | $0 |
| UHC Dual Complete NC-Q2H5253-217 | Dual-Eligible | $0 |
| Devoted Dual Plus 006 NCH5299-006 | Dual-Eligible | $0 |
Show the other 16 special needs plans
| Plan | Who can join | Premium |
|---|---|---|
| Devoted Dual Full 013 NCH5299-013 | Dual-Eligible | $0 |
| Devoted C-SNP Plus 015 NCH5299-015 | Chronic or Disabling Condition | $0 |
| HumanaChoice SNP-DEH5525-036 | Dual-Eligible | $0 |
| UHC Dual Complete NC-S3H5253-216 | Dual-Eligible | $3.80 |
| Alignment Health Heart & Diabetes Plus 009H5296-009 | Chronic or Disabling Condition | $4.80 |
| Healthy Blue + MedicareH9147-001 | Dual-Eligible | $13.20 |
| UHC Dual Advantage NC-V1H5253-116 | Dual-Eligible | $13.30 |
| Liberty Medicare Advantage Nursing Home PlanH6351-001 | Institutional | $13.30 |
| Wellcare Carolina Complete Dual ReserveH4073-003 | Dual-Eligible | $13.30 |
| Provider Partners North Carolina Advantage PlanH4439-001 | Institutional | $13.30 |
| Provider Partners North Carolina Essential PlanH4439-005 | Institutional | $13.30 |
| Alignment Health Duals+ 004H5296-004 | Dual-Eligible | $13.30 |
| Humana Dual SelectH5525-072 | Dual-Eligible | $13.30 |
| HealthSpring TotalCareH9725-003 | Dual-Eligible | $13.30 |
| HealthSpring TotalCare PlusH9725-013 | Dual-Eligible | $13.30 |
| Liberty Medicare Dual PlanH6351-005 | Dual-Eligible | $17.50 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Wilkes use Medicare Advantage?
13,262 of the county's 19,520 people with Medicare were in a Medicare Advantage plan in September 2026, 67.9%; in North Carolina as a whole the share is 57.9%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in North CarolinaEvery county of the state
- 11 stand-alone drug plans in North CarolinaIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027