Medicare Advantage plans in North Carolina, 2027
163 Medicare Advantage plans are sold in North Carolina for 2027 (155 in 2026); 106 are open to everyone and 85 of those have a $0 premium everywhere they are sold. 34,446 North Carolina members in September 2026 were in plans that end or leave their county for 2027.
What changes in North Carolina for 2027?
| In the state | 2026 | 2027 | Change |
|---|---|---|---|
| Plans sold in the state | 155 | 163 | ▲up 8 |
| Plans open to everyone | 102 | 106 | ▲up 4 |
| Plans with a $0 premium everywhere they are sold | 74 | 85 | ▲up 11 |
| Plans that lower the Part B premium | 39 | 39 | no change |
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 companies sell the most plans in North Carolina?
Plans open to everyone, by parent company and the brands it sells under, 2027
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which North Carolina counties lose the most?
Plans end in or leave North Carolina counties 585 times for 2027. Counties with the most members in those plans come first; each links to its 2027 plan list.
| County | Plans open to all | $0 premium | Plans that end or leave | Their members here |
|---|---|---|---|---|
| Cabarrus | 43 | 35 | 11 | 4,899 |
| Mecklenburg | 50 | 41 | 16 | 2,369 |
| Wake | 35 | 28 | 13 | 2,286 |
| Guilford | 57 | 46 | 11 | 2,283 |
| Cleveland | 43 | 35 | 8 | 2,117 |
| Forsyth | 56 | 45 | 11 | 1,644 |
| Johnston | 36 | 26 | 15 | 1,233 |
| Randolph | 54 | 44 | 8 | 1,054 |
| Cherokee | 28 | 22 | 5 | 982 |
| Columbus | 40 | 30 | 6 | 966 |
| Rutherford | 35 | 27 | 9 | 873 |
| Lee | 31 | 21 | 4 | 855 |
| Montgomery | 39 | 29 | 7 | 754 |
| Davidson | 57 | 45 | 10 | 663 |
| Alamance | 53 | 43 | 9 | 657 |
| Wilson | 20 | 14 | 4 | 627 |
| Pender | 38 | 28 | 6 | 610 |
| Rockingham | 53 | 43 | 7 | 593 |
| Iredell | 50 | 42 | 6 | 528 |
| Buncombe | 44 | 34 | 11 | 461 |
| Yancey | 38 | 29 | 12 | 427 |
| Union | 47 | 39 | 9 | 391 |
| Brunswick | 38 | 29 | 3 | 322 |
| Durham | 41 | 33 | 6 | 311 |
| Clay | 36 | 30 | 6 | 278 |
| Catawba | 49 | 40 | 8 | 268 |
| Cumberland | 40 | 30 | 4 | 267 |
| Gaston | 47 | 38 | 8 | 256 |
| Burke | 39 | 33 | 11 | 213 |
| New Hanover | 37 | 29 | 5 | 209 |
| Henderson | 44 | 34 | 11 | 198 |
| Pasquotank | 25 | 19 | 4 | 193 |
| Northampton | 24 | 16 | 4 | 189 |
| Stanly | 39 | 30 | 4 | 179 |
| Swain | 35 | 27 | 5 | 176 |
| Gates | 27 | 18 | 4 | 173 |
| Rowan | 51 | 42 | 5 | 152 |
| Lincoln | 48 | 40 | 7 | 151 |
| Dare | 20 | 14 | 2 | 142 |
| Bertie | 20 | 15 | 3 | 140 |
| Polk | 35 | 29 | 12 | 139 |
| Macon | 30 | 23 | 4 | 138 |
| Graham | 35 | 28 | 5 | 131 |
| Scotland | 32 | 22 | 4 | 127 |
| Moore | 39 | 28 | 4 | 116 |
| Camden | 21 | 15 | 3 | 112 |
| Davie | 55 | 44 | 8 | 112 |
| Nash | 23 | 17 | 3 | 111 |
| Harnett | 35 | 26 | 4 | 110 |
| Currituck | 27 | 19 | 3 | 108 |
| Robeson | 32 | 24 | 4 | 99 |
| Vance | 32 | 23 | 4 | 99 |
| McDowell | 44 | 35 | 11 | 95 |
| Greene | 29 | 21 | 5 | 86 |
| Haywood | 40 | 32 | 4 | 86 |
| Duplin | 30 | 23 | 4 | 72 |
| Jones | 27 | 19 | 5 | 70 |
| Chatham | 38 | 29 | 11 | 68 |
| Perquimans | 24 | 19 | 4 | 68 |
| Orange | 48 | 37 | 6 | 65 |
| Stokes | 51 | 41 | 5 | 64 |
| Sampson | 30 | 23 | 4 | 61 |
| Alleghany | 38 | 32 | 6 | 59 |
| Transylvania | 40 | 32 | 11 | 55 |
| Franklin | 33 | 25 | 4 | 54 |
| Halifax | 28 | 20 | 3 | 54 |
| Washington | 23 | 16 | 4 | 53 |
| Alexander | 48 | 41 | 5 | 52 |
| Wayne | 22 | 16 | 3 | 51 |
| Yadkin | 49 | 40 | 5 | 49 |
| Hoke | 36 | 26 | 4 | 47 |
| Bladen | 39 | 30 | 4 | 44 |
| Beaufort | 23 | 17 | 3 | 42 |
| Pamlico | 26 | 19 | 3 | 42 |
| Richmond | 36 | 27 | 4 | 42 |
| Jackson | 37 | 30 | 4 | 41 |
| Mitchell | 38 | 30 | 13 | 40 |
| Caldwell | 42 | 35 | 4 | 38 |
| Madison | 42 | 32 | 11 | 37 |
| Warren | 33 | 23 | 4 | 36 |
| Watauga | 30 | 23 | 5 | 36 |
| Ashe | 34 | 27 | 5 | 34 |
| Wilkes | 48 | 38 | 7 | 33 |
| Edgecombe | 26 | 18 | 3 | 31 |
| Craven | 13 | 10 | 1 | 29 |
| Hertford | 26 | 19 | 3 | 28 |
| Martin | 32 | 23 | 4 | 28 |
| Surry | 31 | 23 | 3 | 28 |
| Hyde | 25 | 19 | 4 | 26 |
| Lenoir | 24 | 17 | 3 | 26 |
| Onslow | 14 | 10 | 1 | 26 |
| Granville | 32 | 24 | 3 | 13 |
| Caswell | 46 | 36 | 4 | 12 |
| Person | 46 | 37 | 4 | 12 |
| Avery | 43 | 32 | 12 | 11 |
| Pitt | 21 | 14 | 1 | 11 |
| Anson | 47 | 40 | 5 | 0 |
| Carteret | 11 | 8 | 1 | 0 |
| Chowan | 23 | 16 | 1 | 0 |
| Tyrrell | 28 | 22 | 5 | 0 |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which large plans sold in North Carolina end?
| 2026 plan | Brand | Members in all states, Sept. 2026 |
|---|---|---|
| Erickson Advantage SignatureH5652-001 | UnitedHealthcare | 4,520 |
| HealthTeam Advantage Diabetes & Heart CareH2624-001 | HealthTeam Advantage | 3,661 |
| HumanaChoiceH5525-050 | Humana | 3,636 |
| Blue Medicare ChoiceH3449-026 | Blue Cross and Blue Shield of North Carolina | 2,820 |
| HealthSpring Preferred PlusH9725-017 | HealthSpring | 2,754 |
| HealthSpring Preferred SelectH9725-014 | HealthSpring | 1,973 |
| HumanaChoiceH5525-083 | Humana | 1,365 |
| Wellcare Giveback OpenH1914-010 | Wellcare | 1,236 |
| AARP Medicare Advantage Access from UHC NC-23H2001-084 | UnitedHealthcare | 1,082 |
| Erickson Advantage LibertyH5652-008 | UnitedHealthcare | 1,044 |
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).
Which plans in North Carolina lower the Part B premium?
39 plans open to everyone and sold in at least one North Carolina county pay part of the Part B premium in 2027; the largest reduction comes first.
| 2027 plan | Brand | Monthly reduction |
|---|---|---|
| Devoted Giveback 012 NCH5299-012 | Devoted Health | $195 |
| Devoted Giveback 002 NCH5299-002 | Devoted Health | $190.70 |
| AARP Medicare Advantage Patriot No Rx NC-MA02H5253-040 | UnitedHealthcare | $190 |
| Devoted Choice Giveback 002 NCH9700-002 | Devoted Health | $184.70 |
| Devoted Choice MA Only 007 NCH9700-007 | Devoted Health | $184.70 |
| Devoted Choice Giveback 004 NCH9700-004 | Devoted Health | $180.70 |
| AARP Medicare Advantage Patriot No Rx NC-MA01H2001-103 | UnitedHealthcare | $180 |
| HealthSpring Preferred SavingsH9725-015 | HealthSpring | $179 best in its area |
| Alignment Health Smart 013H5296-013 | Alignment Health Plan | $175 |
| Wellcare Patriot Giveback OpenH1914-011 | Wellcare | $175 |
| Devoted Choice Giveback 006 NCH9700-006 | Devoted Health | $172.80 |
| Devoted Giveback 030 NCH5299-030 | Devoted Health | $171 |
| Devoted Giveback 022 NCH5299-022 | Devoted Health | $166 |
| Humana USAA Honor GivebackH5525-065 | Humana | $165 |
| Devoted Choice Giveback 009 NCH9700-009 | Devoted Health | $163 |
| Devoted Giveback 024 NCH5299-024 | Devoted Health | $161 |
| HealthTeam Advantage Eagle PlanH9808-009 | HealthTeam Advantage | $150 |
| Humana USAA Honor GivebackH5216-343 | Humana | $126 |
| Aetna Medicare EagleH5521-241 | Aetna Medicare | $120 |
| Alignment Health Smart 006H5296-006 | Alignment Health Plan | $119 |
Show the other 19 giveback plans
| 2027 plan | Brand | Monthly reduction |
|---|---|---|
| Humana Gold Plus GivebackH1036-318 | Humana | $118 |
| HealthSpring CourageH9725-005 | HealthSpring | $115 |
| HumanaChoice GivebackH5525-035 | Humana | $110 |
| AARP Medicare Advantage Giveback from UHC NC-14H5253-110 | UnitedHealthcare | $84 |
| HumanaChoice GivebackH5216-017 | Humana | $79 |
| Blue Medicare Freedom+H3404-004 | Blue Cross and Blue Shield of North Carolina | $76 |
| Devoted Giveback Extras 038 NCH5299-038 | Devoted Health | $70 |
| Devoted Giveback Extras 039 NCH5299-039 | Devoted Health | $70 |
| Devoted Giveback Extras 041 NCH5299-041 | Devoted Health | $70 |
| Devoted Giveback Extras 042 NCH5299-042 | Devoted Health | $70 |
| Devoted Giveback Extras 044 NCH5299-044 | Devoted Health | $70 |
| Humana Gold Plus GivebackH1036-343 | Humana | $67 |
| Humana USAA Honor GivebackR0110-006 | Humana | $52 |
| AARP Medicare Advantage Giveback from UHC NC-13H5253-105 | UnitedHealthcare | $51 |
| Blue Medicare EssentialH3449-027 | Blue Cross and Blue Shield of North Carolina | $51 best in its area |
| Blue Medicare Medical OnlyH3449-012 | Blue Cross and Blue Shield of North Carolina | $35 |
| Aetna Medicare Signature GivebackH5521-348 | Aetna Medicare | $30 |
| HealthSpring PreferredH9725-009 | HealthSpring | $5 best in its area |
| Humana Gold PlusH1036-335 | Humana | $1 best in its area |
Source: CMS plan benefit package files, 2027 and 2026; CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
1,353,169 of North Carolina's 2,336,840 people with Medicare were in a Medicare Advantage plan in September 2026 (58%).
What else should you check?
- Every plan not offered in 2027By company and state
- Part B giveback plansWhere they are sold
- Every statePlan counts for 2027