- Entity
- county:north-carolina-wilkes-37193
- 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/wilkes/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 48
- PPO Plans
- 25
- HMO Plans
- 11
- HMO-POS Plans
- 12
- PFFS Plans
- 0
- Average Monthly Premium
- 9.63
- Average MOOP
- 7341.67
- Average Part D Deductible
- 599.35
- $0 Premium Plans
- 38
- Plans Without Part D Coverage
- 11
- Average CMS Star Rating
- 3.89
- $0 Premium Plan Share
- 79.17
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 68
- 3-Star Plan Share
- 32
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 2
- PPO Average Monthly Premium
- 15.17
- PPO Average MOOP
- 8022
- PPO Enrollment
- 1579
- PPO $0 Premium Plans
- 17
- PPO Plans Without Part D Coverage
- 8
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6109.09
- HMO Enrollment
- 485
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 6.92
- HMO-POS Average MOOP
- 7054.17
- HMO-POS Enrollment
- 6445
- HMO-POS $0 Premium Plans
- 10
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:north-carolina-wilkes-37193
- 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/wilkes/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-wilkes-37193-landscape-stats
- Plans Indexed
- 48
- Standard Medicare Advantage Plans
-
-
Alignment Health Platinum 010
H5296-010-0 -
Alignment Health Smart 006
H5296-006-0 -
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-1 -
DEVOTED CORE 021 NC
H5299-021-0 -
DEVOTED GIVEBACK 022 NC
H5299-022-0 -
DEVOTED GIVEBACK EXTRAS 041 NC
H5299-041-0 -
Humana Gold Plus Giveback H1036-318
H1036-318-0 -
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 -
HumanaChoice H7617-122
H7617-122-0 -
AARP Medicare Advantage from UHC NC-0016
H2406-034-0 -
AARP Medicare Advantage from UHC NC-0017
H2406-098-0 -
AARP Medicare Advantage from UHC NC-0021
H5253-037-0 -
AARP Medicare Advantage from UHC NC-0022
H5253-038-0 -
AARP Medicare Advantage from UHC NC-24
H5253-185-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Eagle
H5521-241-0 -
Aetna Medicare Enhanced
H5521-139-0 -
Aetna Medicare Signature Giveback
H5521-348-0 -
Blue Medicare Enhanced
H3449-024-1 -
Blue Medicare Essential
H3449-027-1 -
Blue Medicare Essential Plus
H3449-023-4 -
Blue Medicare Medical Only
H3449-012-0 -
DEVOTED CHOICE 008 NC
H9700-008-0 -
DEVOTED CHOICE GIVEBACK 009 NC
H9700-009-0 -
DEVOTED CHOICE MA ONLY 007 NC
H9700-007-0 -
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 Prime
H3146-007-0 -
Aetna Medicare Value Plus
H3146-006-0 -
HealthTeam Advantage Eagle Plan
H9808-009-0 -
HealthTeam Advantage Vitality Plan
H9808-010-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0 -
Wellcare Simple
H4073-001-0 -
HealthSpring Courage
H9725-005-0 -
HealthSpring Preferred
H9725-009-3 -
HealthSpring Preferred Savings
H9725-015-3 -
HealthSpring True Choice
H7849-113-3 -
Wellcare Assist Open
H1914-009-0 -
Wellcare Patriot Giveback Open
H1914-011-0 -
Wellcare Simple Open
H1914-007-0 -
Alignment Health AVA 001
H7074-001-0
-
Alignment Health Platinum 010
- Total Standard Medicare Advantage Enrollment
- 8509
2027 Medicare Advantage Plans in Wilkes County, NC
Last update: .
For 2027, Wilkes County, NC includes 48 Medicare Advantage plans. Enrollment across these plans totals approximately 8,509, with 38 $0 premium options and 68% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Wilkes County, NC are summarized separately. Visit Medicare Options in Wilkes County, NC to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 25
- Average Monthly Premium
- $15.17/mo
- Total PPO Enrollment
- 1,579
- $0 Premium PPO Plans
- 17
- Average MOOP
- $8,022
- Top PPO by Enrollment
- Blue Medicare PPO Enhanced (PPO) — 577 enrollees
- PPO Plans Without Drug Coverage
- 8
- What is the average monthly premium for PPO plans in Wilkes?
- PPO plans in Wilkes cost $15.17 per month on average.
- Which PPO plan has the highest enrollment in Wilkes?
- The most popular PPO plan in Wilkes is Blue Medicare PPO Enhanced (PPO), with 577 enrollees.
- How many PPO plans in Wilkes do not include prescription drug coverage?
- 8 PPO plans in Wilkes do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Alignment Health Platinum 010 | $0 | $4,300 | $225 | H5296-010-0 | |
| Alignment Health Smart 006 | $0 | $3,400 | $700 | H5296-006-0 | |
| DEVOTED CORE 021 NC | $0 | $4,950 | $650 | H5299-021-0 | |
| DEVOTED GIVEBACK 022 NC | $0 | $9,300 | $650 | H5299-022-0 | |
| DEVOTED GIVEBACK EXTRAS 041 NC | $0 | $6,750 | $700 | H5299-041-0 | |
| Blue Medicare Essential | $0 | $9,850 | $700 | H3449-027-1 | |
| Aetna Medicare Prime | $0 | $5,200 | $500 | H3146-007-0 | |
| Aetna Medicare Value Plus | $0 | $5,500 | $400 | H3146-006-0 | |
| HealthSpring Courage | $0 | $6,750 | N/A | H9725-005-0 | |
| HealthSpring Preferred | $0 | $4,450 | $400 | H9725-009-3 | |
| HealthSpring Preferred Savings | $0 | $6,750 | $600 | H9725-015-3 |
What is the total number of HMO plans offered in Wilkes?
There are 11 HMO plans in 2027, covering 485 enrollees.
How much do HMO plans cost in Wilkes?
The average HMO premium in Wilkes is $0.00 per month, with 11 plans offering $0 premiums.
What is the top HMO by enrollment in Wilkes?
HealthSpring Preferred Savings (HMO) is the top HMO in Wilkes, with 115 enrollees.
What is the number of HMO plans without Part D coverage in Wilkes?
1 HMO plans in Wilkes do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 12
- Average Monthly Premium
- $6.92/mo
- Total HMO-POS Enrollment
- 6,445
- $0 Premium HMO-POS Plans
- 10
- Average MOOP
- $7,054
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NC-0021 (HMO-POS) — 2,201 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 H1036-335 | $0 | $3,950 | $700 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0021 | $42 | $4,900 | $595 | H5253-037-0 | |
| AARP Medicare Advantage from UHC NC-0022 | $0 | $5,900 | $685 | H5253-038-0 | |
| AARP Medicare Advantage from UHC NC-24 | $0 | $7,150 | $685 | H5253-185-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $9,300 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $41 | $4,900 | $700 | H3449-024-1 | |
| Blue Medicare Essential Plus | $0 | $8,400 | $700 | H3449-023-4 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Wellcare Simple | $0 | $6,700 | $700 | H4073-001-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Wilkes cost $6.92 per month on average.
Which HMO-POS plan is most popular in Wilkes?
The most popular HMO-POS plan in Wilkes is AARP Medicare Advantage from UHC NC-0021 (HMO-POS), with 2,201 enrollees.
How many HMO-POS plans in Wilkes do not include drug coverage?
There are 2 HMO-POS plans in Wilkes without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Wilkes County, NC (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 32 | 68% |
| 3 Stars | 15 | 32% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.89 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
| 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 |
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance 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.