Medicare Advantage plans in Wilson County, NC: what changed for 2027
For 2027, Wilson County in North Carolina has 13 Medicare Advantage plans that include drug coverage, compared with 17 in 2026, according to the CMS plan landscape files.
Advantage plans with drug coverage13-4 from 2026
Advantage plans without drug coverage7no change
Special Needs Plans20-1 from 2026
$0 premium plans with drug coverage7-2 from 2026
Median out-of-pocket limit$7,1502026: $6,700
Plans rated 4 stars or more10no change
4 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 0 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, 11,549 of the 21,303 people eligible for Medicare in Wilson County were enrolled in a Medicare Advantage or other Medicare health plan, 54.2%. A year earlier it was 10,978 of 20,893 (52.5%).
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 (13)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $7,150 | 4 of 5 |
| AARP Medicare Advantage from UHC NC-15 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $4,450 | 4 of 5 |
| Aetna Medicare Value Plus (HMO) | Aetna Medicare | HMO | $0 | $5,500 | 3.5 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 | $9,850 | 4 of 5 |
| HumanaChoice Giveback H5525-035 (PPO) | Humana | PPO | $0 | $9,850 | 4 of 5 |
| Wellcare Simple (HMO-POS) | Wellcare | HMO-POS | $0 | $6,700 | 3.5 of 5 |
| HumanaChoice H5525-070 (PPO) | Humana | PPO | $13.30 | $9,850 | 4 of 5 |
| HumanaChoice H5525-049 (PPO) | Humana | PPO | $52.00 | $9,850 | 4 of 5 |
| Blue Medicare Enhanced (HMO-POS) | Blue Cross and Blue Shield of North Carolina | HMO-POS | $57.00 | $4,900 | 4 of 5 |
| AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | UnitedHealthcare | HMO-POS | $66.00 | $6,400 | 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 (7)
| 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 |
| 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 |
Special Needs Plans for 2027 (20)
| 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 |
| 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 |
| Liberty Medicare Advantage (HMO C-SNP) | Liberty Medicare Advantage | HMO C-SNP · Chronic or Disabling Condition | $0 | $3,800 | 3.5 of 5 |
| UHC Complete Care NC-28 (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP · Chronic or Disabling Condition | $0 | $4,450 | 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 |
| UHC Dual Complete NC-S3 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $3.80 | $9,850 | 4 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 |
| Humana Dual Select H5525-072 (PPO D-SNP) | Humana | PPO D-SNP · Dual-Eligible | $13.30 | $9,850 | 4 of 5 |
| Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) | Liberty Medicare Advantage | HMO I-SNP · Institutional | $13.30 | $6,800 | 3.5 of 5 |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan | HMO I-SNP · Institutional | $13.30 | $9,850 | 5 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 |
| Liberty Medicare Dual Plan (HMO D-SNP) | Liberty Medicare Advantage | HMO D-SNP · Dual-Eligible | $17.50 | $7,550 | 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.