- Entity
- county:north-carolina-wayne-37191
- Digest
- 2027-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/wayne/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 22
- PPO Plans
- 10
- HMO Plans
- 2
- HMO-POS Plans
- 10
- PFFS Plans
- 0
- Average Monthly Premium
- 18.92
- Average MOOP
- 8081.82
- Average Part D Deductible
- 643.67
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 4.02
- $0 Premium Plan Share
- 72.73
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 82
- 3-Star Plan Share
- 18
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 29.33
- PPO Average MOOP
- 9285
- PPO Enrollment
- 1251
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 7675
- HMO Enrollment
- 817
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 12.3
- HMO-POS Average MOOP
- 6960
- HMO-POS Enrollment
- 5010
- HMO-POS $0 Premium Plans
- 8
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:north-carolina-wayne-37191
- Digest
- 2027-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/wayne/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-wayne-37191-landscape-stats
- Plans Indexed
- 22
- Standard Medicare Advantage Plans
-
-
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-2 -
Humana Gold Plus Giveback H1036-343
H1036-343-0 -
Humana Gold Plus H1036-137
H1036-137-0 -
Humana Gold Plus H1036-335
H1036-335-2 -
AARP Medicare Advantage from UHC NC-0011
H5253-103-0 -
AARP Medicare Advantage from UHC NC-0012
H5253-104-0 -
AARP Medicare Advantage from UHC NC-15
H5253-117-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Eagle
H5521-241-0 -
Blue Medicare Enhanced
H3449-024-3 -
Blue Medicare Essential
H3449-027-2 -
Blue Medicare Essential Plus
H3449-023-5 -
Blue Medicare Medical Only
H3449-012-0 -
Humana USAA Honor Giveback
H5525-065-0 -
HumanaChoice Giveback H5525-035
H5525-035-0 -
HumanaChoice H5525-049
H5525-049-0 -
HumanaChoice H5525-070
H5525-070-0 -
Aetna Medicare Value Plus
H3146-006-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0
-
Blue Medicare Freedom+
- Total Standard Medicare Advantage Enrollment
- 7078
2027 Medicare Advantage Plans in Wayne County, NC
Last update: .
In Wayne County, NC, there are 22 Medicare Advantage plans available for 2027. Of these, 16 offer a $0 monthly premium, and about 82% 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 Wayne County, NC. Or explore all Medicare Options available in Wayne 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 10
- Average Monthly Premium $29.33/mo
- Total PPO Enrollment 1,251
- $0 Premium PPO Plans 6
- Average MOOP $9,285
- Top PPO by Enrollment Blue Medicare PPO Enhanced (PPO) — 381 enrollees
- PPO Plans Without Drug Coverage 5
| 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 | |
| Aetna Medicare Eagle | $0 | $7,150 | N/A | H5521-241-0 | |
| Humana USAA Honor Giveback | $0 | $9,850 | N/A | H5525-065-0 | |
| HumanaChoice Giveback H5525-035 | $0 | $9,850 | $700 | H5525-035-0 | |
| HumanaChoice H5525-049 | $52 | $9,850 | $450 | H5525-049-0 | |
| 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 |
What is the total number of PPO plans offered in Wayne?
There are 10 PPO plans in 2027, covering 1,251 beneficiaries.
How much do PPO plans cost in Wayne?
The average PPO premium in Wayne is $29.33 per month, with 6 plans offering $0 premiums.
What is the most popular PPO plan in Wayne?
Blue Medicare PPO Enhanced (PPO) is the top PPO in Wayne, with 381 enrollees.
What is the number of PPO plans without Part D coverage in Wayne?
There are 5 PPO plans in Wayne 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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 817
- $0 Premium HMO Plans
- 2
- Average MOOP
- $7,675
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 503 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Blue Medicare Essential | $0 | $9,850 | $700 | H3449-027-2 | |
| Aetna Medicare Value Plus | $0 | $5,500 | $400 | H3146-006-0 |
What is the average monthly premium for HMO plans?
HMO plans in Wayne cost $0.00 per month on average.
Which HMO plan is most popular in Wayne?
The most popular HMO plan in Wayne is Aetna Medicare Value Plus (HMO), with 503 enrollees.
How many HMO plans in Wayne do not include drug coverage?
There are 0 HMO plans in Wayne without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| 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 H1036-335 | $0 | $3,950 | $700 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0011 | $0 | $7,150 | $685 | H5253-103-0 | |
| AARP Medicare Advantage from UHC NC-0012 | $66 | $6,400 | $685 | H5253-104-0 | |
| AARP Medicare Advantage from UHC NC-15 | $0 | $4,450 | $685 | H5253-117-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $9,300 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $57 | $4,900 | $700 | H3449-024-3 | |
| Blue Medicare Essential Plus | $0 | $9,850 | $700 | H3449-023-5 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 |
What is the leading HMO-POS plan in Wayne?
AARP Medicare Advantage from UHC NC-15 (HMO-POS) is the top HMO-POS in Wayne, with 1,672 enrollees.
What is the number of HMO-POS plans without Part D coverage in Wayne?
2 HMO-POS plans in Wayne do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Wayne County, NC for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 18 | 82% |
| 3 Stars | 4 | 18% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.02 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| 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 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
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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.