- Entity
- county:north-carolina-wake-37183
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/north-carolina/wake/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 47
- PPO Plans
- 22
- HMO Plans
- 14
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 14.68
- Average MOOP
- 6412.79
- Average Part D Deductible
- 450.39
- $0 Premium Plans
- 35
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 3.97
- $0 Premium Plan Share
- 74.47
- 5-Star Plan Share
- 7
- 4+ Star Plan Share
- 65
- 3-Star Plan Share
- 35
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 2
- PPO Average Monthly Premium
- 27.14
- PPO Average MOOP
- 7202.32
- PPO Enrollment
- 13724
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 3.79
- HMO Average MOOP
- 5375
- HMO Enrollment
- 13144
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 3.64
- HMO-POS Average MOOP
- 6154.55
- HMO-POS Enrollment
- 27946
- HMO-POS $0 Premium Plans
- 10
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:north-carolina-wake-37183
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/north-carolina/wake/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-wake-37183-landscape-stats
- Plans Indexed
- 47
- Standard Medicare Advantage Plans
-
-
Alignment Health Platinum
H5296-003-0 -
Alignment Health Platinum Select
H5296-010-0 -
Alignment Health smartHMO
H5296-006-0 -
AARP Medicare Advantage Access from UHC NC-23
H2001-084-0 -
Aetna Medicare Eagle Giveback
H5521-241-0 -
Aetna Medicare Signature
H5521-609-0 -
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-2 -
Humana Gold Plus Giveback H1036-318
H1036-318-0 -
Humana Gold Plus H1036-233
H1036-233-0 -
Humana Gold Plus H1036-335
H1036-335-2 -
AARP Medicare Advantage from UHC NC-0007
H5253-039-0 -
AARP Medicare Advantage from UHC NC-0015
H5253-117-0 -
AARP Medicare Advantage from UHC NC-0016
H2406-034-0 -
AARP Medicare Advantage from UHC NC-0017
H2406-098-0 -
AARP Medicare Advantage Giveback from UHC NC-14
H5253-110-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Signature
H3146-004-0 -
Aetna Medicare Signature Care
H3146-021-0 -
Aetna Medicare Value Plus
H3146-006-0 -
Blue Medicare Choice
H3449-026-0 -
Blue Medicare Enhanced
H3449-024-2 -
Blue Medicare Essential
H3449-027-2 -
Blue Medicare Essential Plus
H3449-023-2 -
Blue Medicare Medical Only
H3449-012-0 -
HealthSpring Courage
H9725-005-0 -
HealthSpring Preferred
H9725-009-4 -
HealthSpring Preferred Plus
H9725-017-4 -
HealthSpring Preferred Savings
H9725-015-4 -
HealthSpring Preferred Select
H9725-014-0 -
Experience Health Medicare Advantage
H3777-002-0 -
Humana Full Access R0110-005
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
Humana USAA Honor Giveback
H5525-065-0 -
HumanaChoice Giveback H5525-035
H5525-035-0 -
HumanaChoice H5216-211
H5216-211-0 -
HumanaChoice H5525-050
H5525-050-0 -
HumanaChoice H5525-070
H5525-070-0 -
HumanaChoice H5525-083
H5525-083-0 -
HumanaChoice R0110-004
R0110-004-0 -
Wellcare Assist Open
H1914-009-0 -
Wellcare Giveback Open
H1914-010-0 -
Wellcare Patriot Giveback Open
H1914-011-0 -
Wellcare Simple
H4073-001-0 -
Wellcare Simple Open
H1914-007-0 -
HealthSpring True Choice
H7849-113-4 -
Alignment Health AVA
H7074-001-0
-
Alignment Health Platinum
- Total Standard Medicare Advantage Enrollment
- 54814
2026 Medicare Advantage Plans in Wake County, NC
Last update: .
For 2026, Wake County, NC includes 47 Medicare Advantage plans. Enrollment across these plans totals approximately 54,814, with 35 $0 premium options and 65% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Wake County, NC are summarized separately. Visit Medicare Options in Wake County, NC to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 22
- Average Monthly Premium
- $27.14/mo
- Total PPO Enrollment
- 13,724
- $0 Premium PPO Plans
- 14
- Average MOOP
- $7,202
- Top PPO by Enrollment
- Blue Medicare PPO Enhanced (PPO) — 4,935 enrollees
- PPO Plans Without Drug Coverage
- 6
- What is the average monthly premium for PPO plans in Wake?
- PPO plans in Wake cost $27.14 per month on average.
- Which PPO plan has the highest enrollment in Wake?
- The most popular PPO plan in Wake is Blue Medicare PPO Enhanced (PPO), with 4,935 enrollees.
- How many PPO plans in Wake do not include prescription drug coverage?
- 6 PPO plans in Wake do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Alignment Health Platinum | $0 | $3,900 | $0 | H5296-003-0 | |
| Alignment Health Platinum Select | $0 | $5,900 | $225 | H5296-010-0 | |
| Alignment Health smartHMO | $0 | $3,400 | $615 | H5296-006-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H3146-004-0 | |
| Aetna Medicare Signature Care | $0 | $6,350 | $615 | H3146-021-0 | |
| Aetna Medicare Value Plus | $32 | $5,500 | $615 | H3146-006-0 | |
| Blue Medicare Choice | $0 | $4,200 | $615 | H3449-026-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-2 | |
| HealthSpring Courage | $0 | $6,750 | N/A | H9725-005-0 | |
| HealthSpring Preferred | $0 | $3,550 | $295 | H9725-009-4 | |
| HealthSpring Preferred Plus | $14 | $3,300 | $200 | H9725-017-4 | |
| HealthSpring Preferred Savings | $0 | $6,700 | $0 | H9725-015-4 | |
| HealthSpring Preferred Select | $0 | $3,200 | $295 | H9725-014-0 | |
| Experience Health Medicare Advantage | $7 | $6,500 | $615 | H3777-002-0 |
What is the total number of HMO plans offered in Wake?
There are 14 HMO plans in 2026, covering 13,144 enrollees.
How much do HMO plans cost in Wake?
The average HMO premium in Wake is $3.79 per month, with 11 plans offering $0 premiums.
What is the top HMO by enrollment in Wake?
Alignment Health Platinum (HMO) is the top HMO in Wake, with 2,664 enrollees.
What is the number of HMO plans without Part D coverage in Wake?
1 HMO plans in Wake do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 11
- Average Monthly Premium
- $3.64/mo
- Total HMO-POS Enrollment
- 27,946
- $0 Premium HMO-POS Plans
- 10
- Average MOOP
- $6,155
- Top HMO-POS by Enrollment
- Blue Medicare Essential Plus (HMO-POS) — 10,347 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-318 | $0 | $9,250 | $450 | H1036-318-0 | |
| Humana Gold Plus H1036-233 | $0 | $9,250 | $350 | H1036-233-0 | |
| Humana Gold Plus H1036-335 | $0 | $3,950 | $250 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0007 | $0 | $6,200 | $520 | H5253-039-0 | |
| AARP Medicare Advantage from UHC NC-0015 | $0 | $4,200 | $440 | H5253-117-0 | |
| AARP Medicare Advantage Giveback from UHC NC-14 | $0 | $9,250 | $600 | H5253-110-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $7,900 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $40 | $4,200 | $100 | H3449-024-2 | |
| Blue Medicare Essential Plus | $0 | $5,400 | $615 | H3449-023-2 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Wellcare Simple | $0 | $4,200 | $615 | H4073-001-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Wake cost $3.64 per month on average.
Which HMO-POS plan is most popular in Wake?
The most popular HMO-POS plan in Wake is Blue Medicare Essential Plus (HMO-POS), with 10,347 enrollees.
How many HMO-POS plans in Wake do not include drug coverage?
There are 2 HMO-POS plans in Wake without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Wake County, NC (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 3 | 7% |
| 4 Stars (includes 5 Stars) | 30 | 65% |
| 3 Stars | 16 | 35% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.97 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.