Medicare plan changes in North Carolina for 2027
Across 100 counties in North Carolina, the 2027 CMS file lists 2,648 county listings of Medicare Advantage plans with drug coverage, compared with 2,822 in 2026. By our count, 0 counties have none in 2027, including counties that do not appear in the CMS file at all.
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.
By county
| County | 2026 plans | 2027 plans | Change | Companies leaving |
|---|---|---|---|---|
| Alamance County | 43 | 41 | -2 | None |
| Alexander County | 37 | 36 | -1 | None |
| Alleghany County | 26 | 27 | +1 | None |
| Anson County | 35 | 34 | -1 | None |
| Ashe County | 23 | 25 | +2 | None |
| Avery County | 38 | 33 | -5 | Health Care Service Corporation |
| Beaufort County | 16 | 15 | -1 | None |
| Bertie County | 14 | 12 | -2 | None |
| Bladen County | 28 | 28 | +0 | None |
| Brunswick County | 24 | 28 | +4 | None |
| Buncombe County | 38 | 34 | -4 | Health Care Service Corporation |
| Burke County | 34 | 29 | -5 | Health Care Service Corporation |
| Cabarrus County | 33 | 32 | -1 | None |
| Caldwell County | 32 | 32 | +0 | None |
| Camden County | 15 | 13 | -2 | None |
| Carteret County | 8 | 7 | -1 | None |
| Caswell County | 35 | 35 | +0 | None |
| Catawba County | 39 | 38 | -1 | None |
| Chatham County | 37 | 29 | -8 | Health Care Service Corporation |
| Cherokee County | 21 | 19 | -2 | None |
| Chowan County | 15 | 15 | +0 | None |
| Clay County | 26 | 26 | +0 | None |
| Cleveland County | 35 | 32 | -3 | None |
| Columbus County | 30 | 29 | -1 | None |
| Craven County | 8 | 7 | -1 | None |
| Cumberland County | 30 | 31 | +1 | None |
| Currituck County | 19 | 19 | +0 | None |
| Dare County | 12 | 12 | +0 | None |
| Davidson County | 48 | 45 | -3 | None |
| Davie County | 44 | 43 | -1 | None |
| Duplin County | 23 | 21 | -2 | None |
| Durham County | 36 | 31 | -5 | None |
| Edgecombe County | 19 | 18 | -1 | None |
| Forsyth County | 48 | 44 | -4 | None |
| Franklin County | 28 | 25 | -3 | None |
| Gaston County | 35 | 35 | +0 | None |
| Gates County | 20 | 19 | -1 | None |
| Graham County | 27 | 25 | -2 | None |
| Granville County | 25 | 24 | -1 | None |
| Greene County | 24 | 20 | -4 | None |
| Guilford County | 48 | 45 | -3 | None |
| Halifax County | 21 | 20 | -1 | None |
| Harnett County | 27 | 27 | +0 | None |
| Haywood County | 29 | 30 | +1 | None |
| Henderson County | 37 | 34 | -3 | Health Care Service Corporation |
| Hertford County | 19 | 18 | -1 | None |
| Hoke County | 28 | 27 | -1 | None |
| Hyde County | 18 | 17 | -1 | None |
| Iredell County | 39 | 38 | -1 | None |
| Jackson County | 26 | 27 | +1 | None |
| Johnston County | 37 | 28 | -9 | Health Care Service Corporation |
| Jones County | 22 | 18 | -4 | None |
| Lee County | 26 | 24 | -2 | None |
| Lenoir County | 17 | 16 | -1 | None |
| Lincoln County | 37 | 36 | -1 | None |
| Macon County | 22 | 21 | -1 | None |
| Madison County | 36 | 32 | -4 | Health Care Service Corporation |
| Martin County | 24 | 23 | -1 | None |
| McDowell County | 38 | 34 | -4 | Health Care Service Corporation |
| Mecklenburg County | 43 | 38 | -5 | None |
| Mitchell County | 34 | 28 | -6 | Health Care Service Corporation |
| Montgomery County | 31 | 29 | -2 | None |
| Moore County | 30 | 30 | +0 | None |
| Nash County | 17 | 16 | -1 | None |
| New Hanover County | 23 | 27 | +4 | None |
| Northampton County | 19 | 16 | -3 | None |
| Onslow County | 9 | 8 | -1 | None |
| Orange County | 44 | 38 | -6 | None |
| Pamlico County | 18 | 18 | +0 | None |
| Pasquotank County | 18 | 17 | -1 | None |
| Pender County | 25 | 28 | +3 | None |
| Perquimans County | 17 | 16 | -1 | None |
| Person County | 36 | 35 | -1 | None |
| Pitt County | 14 | 13 | -1 | None |
| Polk County | 30 | 25 | -5 | Health Care Service Corporation |
| Randolph County | 43 | 42 | -1 | None |
| Richmond County | 29 | 27 | -2 | None |
| Robeson County | 25 | 23 | -2 | None |
| Rockingham County | 41 | 41 | +0 | None |
| Rowan County | 38 | 39 | +1 | None |
| Rutherford County | 28 | 26 | -2 | CVS Health Corporation |
| Sampson County | 23 | 22 | -1 | None |
| Scotland County | 25 | 22 | -3 | None |
| Stanly County | 29 | 28 | -1 | None |
| Stokes County | 40 | 39 | -1 | None |
| Surry County | 22 | 24 | +2 | None |
| Swain County | 27 | 25 | -2 | None |
| Transylvania County | 34 | 30 | -4 | Health Care Service Corporation |
| Tyrrell County | 21 | 19 | -2 | None |
| Union County | 38 | 35 | -3 | None |
| Vance County | 26 | 24 | -2 | None |
| Wake County | 38 | 27 | -11 | Health Care Service Corporation |
| Warren County | 25 | 24 | -1 | None |
| Washington County | 18 | 15 | -3 | None |
| Watauga County | 23 | 21 | -2 | None |
| Wayne County | 16 | 15 | -1 | None |
| Wilkes County | 37 | 37 | +0 | None |
| Wilson County | 17 | 13 | -4 | None |
| Yadkin County | 38 | 37 | -1 | None |
| Yancey County | 34 | 28 | -6 | Health Care Service Corporation |
Stand-alone Part D drug plans in North Carolina for 2027
11 plans in 2027, compared with 12 in 2026. Lowest monthly drug plan premium: $5.30 (2026: $3.60).
| Plan | Company | Monthly premium | Deductible | Star rating |
|---|---|---|---|---|
| Wellcare Value Script (PDP) | Wellcare | $5.30 | $700 | Not Applicable |
| Wellcare Classic (PDP) | Wellcare | $7.30 | $700 | Not Applicable |
| Humana Basic Rx Plan (PDP) | Humana | $12.30 | $700 | Not Applicable |
| Humana Value Rx Plan (PDP) | Humana | $51.30 | $687 | Not Applicable |
| Blue Medicare Rx Standard (PDP) | Blue Cross and Blue Shield of North Carolina | $92.10 | $700 | Not Applicable |
| Humana Premier Rx Plan (PDP) | Humana | $130.20 | $350 | Not Applicable |
| SilverScript Choice (PDP) | Aetna Medicare | $143.50 | $700 | Not Applicable |
| HealthSpring Assurance Rx (PDP) | HealthSpring | $143.90 | $700 | Not Applicable |
| AARP Medicare Rx Saver from UHC (PDP) | UnitedHealthcare | $150.20 | $700 | Not Applicable |
| AARP Medicare Rx Preferred from UHC (PDP) | UnitedHealthcare | $203.90 | $300 | Not Applicable |
| Blue Medicare Rx Enhanced (PDP) | Blue Cross and Blue Shield of North Carolina | $239.20 | $0 | Not Applicable |
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)
- US Census Bureau, 2024 Gazetteer Files, counties
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.