Medicare Advantage plans in Madison County, NC: what changed for 2027
For 2027, Madison County in North Carolina has 32 Medicare Advantage plans that include drug coverage, compared with 36 in 2026, according to the CMS plan landscape files.
Advantage plans with drug coverage32-4 from 2026
Advantage plans without drug coverage10-1 from 2026
Special Needs Plans27-2 from 2026
$0 premium plans with drug coverage22-1 from 2026
Median out-of-pocket limit$7,3252026: $6,100
Plans rated 4 stars or more26+7 from 2026
Companies no longer offering Advantage plans here in 2027
- Health Care Service Corporation
If you are in one of their plans, you should have received a notice. You can choose a new plan during Open Enrollment, and special enrollment rules can apply when a plan leaves your area.
11 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 6 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.
How many people here are in Medicare Advantage
In October 2026, 3,652 of the 6,379 people eligible for Medicare in Madison County were enrolled in a Medicare Advantage or other Medicare health plan, 57.3%. A year earlier it was 3,551 of 6,325 (56.1%).
CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
Advantage plans with drug coverage for 2027 (32)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $9,300 | 4 of 5 |
| AARP Medicare Advantage from UHC NC-24 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $7,150 | 4 of 5 |
| Aetna Medicare Signature (PPO) | Aetna Medicare | PPO | $0 | $9,850 | 4 of 5 |
| Aetna Medicare Signature Giveback (PPO) | Aetna Medicare | PPO | $0 | $7,500 | 4 of 5 |
| Aetna Medicare Value Plus (HMO) | Aetna Medicare | HMO | $0 | $5,500 | 3.5 of 5 |
| Alignment Health Platinum 010 (HMO) | Alignment Health Plan | HMO | $0 | $4,300 | 4.5 of 5 |
| Alignment Health Smart 006 (HMO) | Alignment Health Plan | HMO | $0 | $3,400 | 4.5 of 5 |
| Blue Medicare Essential (HMO) | Blue Cross and Blue Shield of North Carolina | HMO | $0 | $9,850 | 4 of 5 |
| Blue Medicare Essential Plus (HMO-POS) | Blue Cross and Blue Shield of North Carolina | HMO-POS | $0 | $7,000 | 4 of 5 |
| DEVOTED CHOICE 005 NC (PPO) | Devoted Health | PPO | $0 | $5,300 | 4 of 5 |
| DEVOTED CHOICE GIVEBACK 006 NC (PPO) | Devoted Health | PPO | $0 | $9,850 | 4 of 5 |
| DEVOTED CORE 029 NC (HMO) | Devoted Health | HMO | $0 | $4,950 | 4.5 of 5 |
| DEVOTED GIVEBACK 030 NC (HMO) | Devoted Health | HMO | $0 | $9,850 | 4.5 of 5 |
| DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | Devoted Health | HMO | $0 | $7,150 | 4.5 of 5 |
| Humana Gold Plus Giveback H1036-343 (HMO-POS) | Humana | HMO-POS | $0 | $9,850 | 4.5 of 5 |
| Humana Gold Plus H1036-137 (HMO-POS) | Humana | HMO-POS | $0 | $9,850 | 4.5 of 5 |
| Humana Gold Plus H1036-335 (HMO-POS) | Humana | HMO-POS | $0 | $3,950 | 4.5 of 5 |
| HumanaChoice Giveback H5216-017 (PPO) | Humana | PPO | $0 | $9,850 | 4 of 5 |
| HumanaChoice Giveback H5525-035 (PPO) | Humana | PPO | $0 | $9,850 | 4 of 5 |
| Wellcare Assist Open (PPO) | Wellcare | PPO | $0 | $6,500 | 3 of 5 |
| Wellcare Simple (HMO-POS) | Wellcare | HMO-POS | $0 | $6,700 | 3.5 of 5 |
| Wellcare Simple Open (PPO) | Wellcare | PPO | $0 | $7,150 | 3 of 5 |
| HumanaChoice H7617-122 (PPO) | Humana | PPO | $13.00 | $9,850 | 4.5 of 5 |
| Humana Gold Plus H6622-026 (HMO-POS) | Humana | HMO-POS | $13.30 | $9,850 | 4 of 5 |
| HumanaChoice H5525-070 (PPO) | Humana | PPO | $13.30 | $9,850 | 4 of 5 |
| Alignment Health AVA 001 (PPO) | Alignment Health Plan | PPO | $20.00 | $3,900 | Not Enough Data Available |
| Humana Gold Choice H8145-004 (PFFS) | Humana | PFFS | $43.00 | $9,850 | 4 of 5 |
| Blue Medicare Enhanced (HMO-POS) | Blue Cross and Blue Shield of North Carolina | HMO-POS | $50.00 | $4,900 | 4 of 5 |
| AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | UnitedHealthcare | HMO-POS | $57.00 | $5,900 | 4 of 5 |
| HumanaChoice H5216-211 (PPO) | Humana | PPO | $67.00 | $9,850 | 4 of 5 |
| Blue Medicare PPO Enhanced (PPO) | Blue Cross and Blue Shield of North Carolina | PPO | $70.00 | $6,900 | 4.5 of 5 |
| Humana Full Access (Regional PPO) | Humana | Regional PPO | $158.00 | $9,850 | 3.5 of 5 |
Advantage plans without drug coverage for 2027 (10)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | UnitedHealthcare | HMO-POS | Not listed | $9,300 | 4 of 5 |
| Aetna Medicare Eagle (PPO) | Aetna Medicare | PPO | Not listed | $7,150 | 4 of 5 |
| Blue Medicare Freedom+ (PPO) | Blue Cross and Blue Shield of North Carolina | PPO | Not listed | $9,850 | 4.5 of 5 |
| Blue Medicare Medical Only (HMO-POS) | Blue Cross and Blue Shield of North Carolina | HMO-POS | Not listed | $3,900 | 4 of 5 |
| DEVOTED CHOICE MA ONLY 007 NC (PPO) | Devoted Health | PPO | Not listed | $9,250 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $9,850 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $9,850 | 4 of 5 |
| Humana USAA Honor Giveback (Regional PPO) | Humana | Regional PPO | Not listed | $9,850 | 3.5 of 5 |
| HumanaChoice R0110-004 (Regional PPO) | Humana | Regional PPO | Not listed | $9,850 | 3.5 of 5 |
| Wellcare Patriot Giveback Open (PPO) | Wellcare | PPO | Not listed | $8,850 | 3 of 5 |
Special Needs Plans for 2027 (27)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Full Dual (HMO D-SNP) | Aetna Medicare | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Alignment Health Heart & Diabetes 011 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP · Chronic or Disabling Condition | $0 | $3,400 | 4.5 of 5 |
| DEVOTED C-SNP ENHANCED 018 NC (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $5,600 | 4.5 of 5 |
| DEVOTED C-SNP GIVEBACK EXTRAS 034 NC (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $7,150 | 4.5 of 5 |
| DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 4.5 of 5 |
| DEVOTED DUAL 009 NC (HMO D-SNP) | Devoted Health | HMO D-SNP · Dual-Eligible | $0 | $6,750 | 4.5 of 5 |
| DEVOTED DUAL FULL 013 NC (HMO D-SNP) | Devoted Health | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4.5 of 5 |
| DEVOTED DUAL PLUS 006 NC (HMO D-SNP) | Devoted Health | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4.5 of 5 |
| Humana Dual Select H1036-307 (HMO D-SNP) | Humana | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4.5 of 5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | Humana | HMO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 4.5 of 5 |
| Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) | Humana | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4.5 of 5 |
| Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) | Humana | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4.5 of 5 |
| HumanaChoice SNP-DE H5525-036 (PPO D-SNP) | Humana | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| UHC Complete Care NC-25 (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP · Chronic or Disabling Condition | $0 | $6,400 | 4 of 5 |
| UHC Dual Complete NC-Q1 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| UHC Dual Complete NC-Q2 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| UHC Dual Complete NC-S2 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Wellcare Carolina Complete Dual Liberty (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Wellcare Carolina Complete Dual Liberty Open (PPO D-SNP) | Wellcare | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 3 of 5 |
| UHC Dual Complete NC-S3 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $3.80 | $9,850 | 4 of 5 |
| Humana Dual Select H6622-027 (HMO-POS D-SNP) | Humana | HMO-POS D-SNP · Dual-Eligible | $4.10 | $9,850 | 4 of 5 |
| Alignment Health Heart & Diabetes Plus 009 (HMO-POS C-SNP) | Alignment Health Plan | HMO-POS C-SNP · Chronic or Disabling Condition | $4.80 | $9,850 | 4.5 of 5 |
| Healthy Blue + Medicare (HMO-POS D-SNP) | Blue Cross and Blue Shield of North Carolina | HMO-POS D-SNP · Dual-Eligible | $13.20 | $9,850 | 3 of 5 |
| Alignment Health Duals+ 004 (HMO-POS D-SNP) | Alignment Health Plan | HMO-POS D-SNP · Dual-Eligible | $13.30 | $9,850 | 4.5 of 5 |
| Humana Dual Select H5525-072 (PPO D-SNP) | Humana | PPO D-SNP · Dual-Eligible | $13.30 | $9,850 | 4 of 5 |
| UHC Dual Advantage NC-V1 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $13.30 | $5,900 | 4 of 5 |
| Wellcare Carolina Complete Dual Reserve (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $13.30 | $9,250 | 3.5 of 5 |
Stand-alone Part D drug plans are offered statewide: see North Carolina drug plans.
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.