Medicare Plans

Open Medicare Plan Data.

2027 Medicare Advantage Plans in Wake County, NC

Last update: .

In Wake County, NC, there are 35 Medicare Advantage plans available for 2027. Of these, 28 offer a $0 monthly premium, and about 74% are rated 4 stars or higher based on CMS quality ratings.

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.

At a Glance

Average Monthly Premium
$12.32/mo
Plans with $0 Premium
28
Average MOOP Limit
$7,621 ($9,250 max. in 2027)
Star Ratings (Plan Mix)
4+ Stars: 74% · 3 Stars: 26% · Below 3: 0%
Average Part D Deductible
$613.33
Total MA/MAPD Enrollment
48,594
Plans with the Highest Enrollment
(as of October 5, 2026)
1. Blue Medicare Essential Plus (HMO-POS) — 10,383 enrollees
2. AARP Medicare Advantage from UHC NC-15 (HMO-POS) — 6,353 enrollees
3. Blue Medicare PPO Enhanced (PPO) — 4,914 enrollees

Medicare Advantage PPO Plans

Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.

Total PPO Plans
17
Average Monthly Premium
$22.43/mo
Total PPO Enrollment
13,248
$0 Premium PPO Plans
11
Average MOOP
$8,276
Top PPO by Enrollment
Blue Medicare PPO Enhanced (PPO) — 4,914 enrollees
PPO Plans Without Drug Coverage
6

PPO Medicare Advantage plan comparison – Wake County, North Carolina, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Blue Medicare Freedom+
☆☆☆☆☆
 $0 $9,850 N/A H3404-004-0
Blue Medicare PPO Enhanced
☆☆☆☆☆
 $70 $6,900 $700 H3404-003-2
AARP Medicare Advantage from UHC NC-0016
☆☆☆☆☆
 $53 $4,450 $595 H2406-034-0
AARP Medicare Advantage from UHC NC-0017
☆☆☆☆☆
 $0 $7,150 $685 H2406-098-0
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $7,150 N/A H5521-241-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $9,850 $700 H5521-609-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,850 N/A H5525-065-0
HumanaChoice Giveback H5525-035
☆☆☆☆☆
 $0 $9,850 $700 H5525-035-0
HumanaChoice H5216-211
☆☆☆☆☆
 $67 $9,850 $700 H5216-211-0
HumanaChoice H5525-070
☆☆☆☆☆
 $13 $9,850 $700 H5525-070-0
Humana Full Access
☆☆☆☆☆
 $158 $9,850 $700 R0110-005-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,850 N/A R0110-006-0
HumanaChoice R0110-004
☆☆☆☆☆
 $0 $9,850 N/A R0110-004-0
Wellcare Assist Open
☆☆☆☆☆
 $0 $6,500 $700 H1914-009-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
 $0 $8,850 N/A H1914-011-0
Wellcare Simple Open
☆☆☆☆☆
 $0 $7,150 $700 H1914-007-0
Alignment Health AVA 001
☆☆☆☆☆
 $20 $3,900 $0 H7074-001-0
What is the total number of PPO plans offered in Wake?

Wake County has 17 PPO plans for 2027, with 13,248 enrolled.

How much do PPO plans cost in Wake?

The typical PPO premium in Wake is $22.43, and 11 plans have no monthly premium.

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
5
Average Monthly Premium
$0.00/mo
Total HMO Enrollment
7,341
$0 Premium HMO Plans
5
Average MOOP
$5,960
Top HMO by Enrollment
Alignment Health Smart 006 (HMO) — 2,554 enrollees
HMO Plans Without Drug Coverage
0

HMO Medicare Advantage plan comparison – Wake County, North Carolina, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Alignment Health Platinum 010
☆☆☆☆☆
 $0 $4,300 $225 H5296-010-0
Alignment Health Smart 006
☆☆☆☆☆
 $0 $3,400 $700 H5296-006-0
Blue Medicare Essential
☆☆☆☆☆
 $0 $9,850 $700 H3449-027-2
Aetna Medicare Signature
☆☆☆☆☆
 $0 $6,750 $500 H3146-004-0
Aetna Medicare Value Plus
☆☆☆☆☆
 $0 $5,500 $400 H3146-006-0
What is the average monthly premium for HMO plans?
HMO plans in Wake cost $0.00 per month on average.
Which HMO plan is most popular in Wake?
The most popular HMO plan in Wake is Alignment Health Smart 006 (HMO), with 2,554 enrollees.
How many HMO plans in Wake do not include drug coverage?
There are 0 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 13
  • Average Monthly Premium $3.85/mo
  • Total HMO-POS Enrollment 28,005
  • $0 Premium HMO-POS Plans 12
  • Average MOOP $7,404
  • Top HMO-POS by Enrollment Blue Medicare Essential Plus (HMO-POS) — 10,383 enrollees
  • HMO-POS Plans Without Drug Coverage 2

HMO-POS Medicare Advantage plan comparison – Wake County, North Carolina, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Plus Giveback H1036-318
☆☆☆☆☆
 $0 $9,850 $700 H1036-318-0
Humana Gold Plus Giveback H1036-343
☆☆☆☆☆
 $0 $9,850 $700 H1036-343-0
Humana Gold Plus H1036-137
☆☆☆☆☆
 $0 $9,850 $450 H1036-137-0
Humana Gold Plus H1036-233
☆☆☆☆☆
 $0 $9,850 $450 H1036-233-0
Humana Gold Plus H1036-335
☆☆☆☆☆
 $0 $3,950 $700 H1036-335-2
AARP Medicare Advantage from UHC NC-0007
☆☆☆☆☆
 $0 $7,150 $685 H5253-039-0
AARP Medicare Advantage from UHC NC-15
☆☆☆☆☆
 $0 $4,450 $685 H5253-117-0
AARP Medicare Advantage Giveback from UHC NC-14
☆☆☆☆☆
 $0 $9,500 $685 H5253-110-0
AARP Medicare Advantage Patriot No Rx NC-MA02
☆☆☆☆☆
 $0 $9,300 N/A H5253-040-0
Blue Medicare Enhanced
☆☆☆☆☆
 $50 $4,900 $700 H3449-024-2
Blue Medicare Essential Plus
☆☆☆☆☆
 $0 $7,000 $700 H3449-023-2
Blue Medicare Medical Only
☆☆☆☆☆
 $0 $3,900 N/A H3449-012-0
Wellcare Simple
☆☆☆☆☆
 $0 $6,700 $700 H4073-001-0
What is the total number of HMO-POS plans in Wake?

There are 13 HMO-POS plans in 2027, covering 28,005 enrollees.

How much do HMO-POS plans cost in Wake?

The average HMO-POS premium in Wake is $3.85 per month, with 12 plans offering $0 premiums.

What is the leading HMO-POS plan in Wake?

Blue Medicare Essential Plus (HMO-POS) is the top HMO-POS in Wake, with 10,383 enrollees.

What is the number of HMO-POS plans without Part D coverage in Wake?

2 HMO-POS plans in Wake do not include prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Wake County, NC for 2027.

CMS Star Ratings for Medicare Advantage Plans in Wake County, NC (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 25 74%
3 Stars 9 26%
Below 3 Stars 0 0%
Not Rated 1 3%
Average Rating 3.96

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

Primary CMS datasets used for this Medicare Advantage Plan county resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.

Data sources and methodology documentation.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
Medicare.gov Compare types of Medicare Advantage Plans 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage 25 May, 2025

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .