2026 Medicare Advantage Plans in Wake County, NC
Last update: . Enrollment data updated: June 13, 2026
Wake County, NC has 47 Medicare Advantage plans available in 2026. These include 35 plans with no monthly premium, and roughly 65% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Wake County, NC. Or explore all Medicare Options available in Wake County, NC.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 22
- Average Monthly Premium $27.14/mo
- Total PPO Enrollment 13,740
- $0 Premium PPO Plans 14
- Average MOOP $7,202
- Top PPO by Enrollment Blue Medicare PPO Enhanced (PPO) — 4,947 enrollees
- PPO Plans Without Drug Coverage 6
What is the most popular PPO plan in Wake?
Blue Medicare PPO Enhanced (PPO) is the top PPO in Wake, with 4,947 enrollees.
What is the number of PPO plans without Part D coverage in Wake?
There are 6 PPO plans in Wake without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 14
- Average Monthly Premium
- $3.79/mo
- Total HMO Enrollment
- 12,950
- $0 Premium HMO Plans
- 11
- Average MOOP
- $5,375
- Top HMO by Enrollment
- Alignment Health Platinum (HMO) — 2,714 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 typical premium for HMO plans in Wake?
HMO plans in Wake cost $3.79 per month on average.
Which HMO plan do most beneficiaries choose in Wake?
The most popular HMO plan in Wake is Alignment Health Platinum (HMO), with 2,714 enrollees.
How many HMO options are offered without prescription drug coverage in Wake?
There are 1 HMO plans in Wake without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 11
- Average Monthly Premium $3.64/mo
- Total HMO-POS Enrollment 27,819
- $0 Premium HMO-POS Plans 10
- Average MOOP $6,155
- Top HMO-POS by Enrollment Blue Medicare Essential Plus (HMO-POS) — 10,273 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 total number of HMO-POS plans in Wake?
In 2026, Wake has 11 HMO-POS plans with 27,819 enrollees.
How much do HMO-POS plans cost in Wake?
The typical HMO-POS premium in Wake is $3.64, and 10 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Wake County, NC for 2026.
| 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 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment 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.