2026 Medicare Advantage Plans in Wayne County, NC
Last update: . Enrollment data updated: May 2, 2026
In Wayne County, NC, there are 23 Medicare Advantage plans available for 2026. Of these, 15 offer a $0 monthly premium, and about 61% 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 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Access from UHC NC-23 | $255 | $3,000 | $600 | H2001-084-0 | |
| Aetna Medicare Eagle Giveback | $0 | $6,750 | N/A | H5521-241-0 | |
| Blue Medicare Freedom+ | $0 | $9,250 | N/A | H3404-004-0 | |
| Blue Medicare PPO Enhanced | $53 | $6,300 | $100 | H3404-003-2 | |
| Humana Full Access R0110-005 | $117 | $9,250 | $615 | R0110-005-0 | |
| Humana USAA Honor Giveback | $0 | $9,250 | N/A | R0110-006-0 | |
| Humana USAA Honor Giveback | $0 | $9,250 | N/A | H5525-065-0 | |
| HumanaChoice Giveback H5525-035 | $0 | $9,250 | $450 | H5525-035-0 | |
| HumanaChoice H5525-049 | $29 | $9,250 | $350 | H5525-049-0 | |
| HumanaChoice H5525-050 | $0 | $9,250 | $350 | H5525-050-0 | |
| HumanaChoice H5525-070 | $24 | $9,250 | $615 | H5525-070-0 | |
| HumanaChoice H5525-083 | $0 | $9,250 | $450 | H5525-083-0 | |
| HumanaChoice R0110-004 | $0 | $7,000 | N/A | R0110-004-0 |
What is the total number of PPO plans offered in Wayne?
Wayne County has 13 PPO plans for 2026, with 1,352 enrolled.
How much do PPO plans cost in Wayne?
The typical PPO premium in Wayne is $36.77, and 8 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
- 2
- Average Monthly Premium
- $16.10/mo
- Total HMO Enrollment
- 790
- $0 Premium HMO Plans
- 1
- Average MOOP
- $7,375
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 487 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Value Plus | $32 | $5,500 | $615 | H3146-006-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-2 |
- What is the average monthly premium for HMO plans?
- HMO plans in Wayne cost $16.10 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 487 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 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 8
- Average Monthly Premium $12.63/mo
- Total HMO-POS Enrollment 5,001
- $0 Premium HMO-POS Plans 6
- Average MOOP $5,525
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC NC-0015 (HMO-POS) — 1,646 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 H1036-335 | $0 | $3,950 | $250 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0011 | $0 | $6,700 | $520 | H5253-103-0 | |
| AARP Medicare Advantage from UHC NC-0012 | $54 | $5,900 | $520 | H5253-104-0 | |
| AARP Medicare Advantage from UHC NC-0015 | $0 | $4,200 | $440 | H5253-117-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $7,900 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $47 | $4,200 | $100 | H3449-024-3 | |
| Blue Medicare Essential Plus | $0 | $7,450 | $615 | H3449-023-5 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 |
What is the total number of HMO-POS plans in Wayne?
There are 8 HMO-POS plans in 2026, covering 5,001 enrollees.
How much do HMO-POS plans cost in Wayne?
The average HMO-POS premium in Wayne is $12.63 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Wayne?
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) is the top HMO-POS in Wayne, with 1,646 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 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 14 | 61% |
| 3 Stars | 9 | 39% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.91 | |
* 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 May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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.