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2027 Medicare Advantage Plans in Wayne County, NC

Last update: .

Wayne County, NC has 22 Medicare Advantage plans available in 2027. These include 16 plans with no monthly premium, and roughly 82% are rated at least 4 stars based on CMS data.

At a Glance

Average Monthly Premium: $18.92/mo
$0 Premium Plans: 16
Average MOOP: $8,082 ($9,250 max. in 2027)
Star Ratings (Plan Mix): 4+ Stars: 82% · 3 Stars: 18% · Below 3: 0%
Average Part D Deductible: $643.67
Total MA/MAPD Enrollment: 7,100
Plans with the Highest Enrollment
(as of November 10, 2026)
1. AARP Medicare Advantage from UHC NC-15 (HMO-POS) — 1,675 enrollees
2. Blue Medicare Essential Plus (HMO-POS) — 1,380 enrollees
3. AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) — 785 enrollees

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. To understand how local plans fit into the broader market, visit our North Carolina Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

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 1,253
  • $0 Premium PPO Plans 6
  • Average MOOP $9,285
  • Top PPO by Enrollment Blue Medicare PPO Enhanced (PPO) — 382 enrollees
  • PPO Plans Without Drug Coverage 5

Comparison table of 2027 PPO Medicare Advantage Plans available in Wayne County, North Carolina
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 most popular PPO plan in Wayne?

Blue Medicare PPO Enhanced (PPO) is the top PPO in Wayne, with 382 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
815
$0 Premium HMO Plans
2
Average MOOP
$7,675
Top HMO by Enrollment
Aetna Medicare Value Plus (HMO) — 501 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2027 HMO Medicare Advantage Plans available in Wayne County, North Carolina
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 typical premium for HMO plans in Wayne?

HMO plans in Wayne cost $0.00 per month on average.

Which HMO plan do most beneficiaries choose in Wayne?

The most popular HMO plan in Wayne is Aetna Medicare Value Plus (HMO), with 501 enrollees.

How many HMO options are offered without prescription drug coverage in Wayne?

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 10
  • Average Monthly Premium $12.30/mo
  • Total HMO-POS Enrollment 5,032
  • $0 Premium HMO-POS Plans 8
  • Average MOOP $6,960
  • Top HMO-POS by Enrollment AARP Medicare Advantage from UHC NC-15 (HMO-POS) — 1,675 enrollees
  • HMO-POS Plans Without Drug Coverage 2

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Wayne County, North Carolina
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 total number of HMO-POS plans in Wayne?

In 2027, Wayne has 10 HMO-POS plans with 5,032 enrollees.

How much do HMO-POS plans cost in Wayne?

The typical HMO-POS premium in Wayne is $12.30, and 8 plans have no monthly premium.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Wayne County, NC for 2027.

CMS Star Ratings for Medicare Advantage Plans in Wayne County, NC (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.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Wayne County, North Carolina, including communities such as Goldsboro, Fremont, Pikeville, Dudley, Mount Olive, Seven Springs, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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