- Entity
- county:north-carolina-wilkes-37193
- Digest
- 2026-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
- 28
- HMO Plans
- 10
- HMO-POS Plans
- 10
- PFFS Plans
- 0
- Average Monthly Premium
- 14.34
- Average MOOP
- 6395.85
- Average Part D Deductible
- 429.86
- $0 Premium Plans
- 35
- Plans Without Part D Coverage
- 11
- Average CMS Star Rating
- 3.98
- $0 Premium Plan Share
- 72.92
- 5-Star Plan Share
- 7
- 4+ Star Plan Share
- 66
- 3-Star Plan Share
- 34
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 8
- PPO Average Monthly Premium
- 20.54
- PPO Average MOOP
- 7089.32
- PPO Enrollment
- 1619
- PPO $0 Premium Plans
- 19
- PPO Plans Without Part D Coverage
- 8
- HMO Average Monthly Premium
- 4.62
- HMO Average MOOP
- 5335
- HMO Enrollment
- 488
- HMO $0 Premium Plans
- 8
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 6.7
- HMO-POS Average MOOP
- 5515
- HMO-POS Enrollment
- 6461
- HMO-POS $0 Premium Plans
- 8
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:north-carolina-wilkes-37193
- Digest
- 2026-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
H5296-003-0 -
Alignment Health Platinum Select
H5296-010-0 -
Alignment Health smartHMO
H5296-006-0 -
AARP Medicare Advantage Access from UHC NC-23
H2001-084-0 -
Aetna Medicare Eagle Giveback
H5521-241-0 -
Aetna Medicare Enhanced
H5521-139-0 -
Aetna Medicare Signature Giveback
H5521-348-0 -
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-1 -
Humana Gold Plus Giveback H1036-318
H1036-318-0 -
Humana Gold Plus H1036-335
H1036-335-2 -
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 Prime
H3146-007-0 -
Aetna Medicare Value Plus
H3146-006-0 -
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 -
HealthSpring Courage
H9725-005-0 -
HealthSpring Preferred
H9725-009-3 -
HealthSpring Preferred Plus
H9725-017-3 -
HealthSpring Preferred Savings
H9725-015-3 -
HealthTeam Advantage Eagle Plan
H9808-009-0 -
HealthTeam Advantage Vitality Plan
H9808-010-0 -
Humana Full Access R0110-005
R0110-005-0 -
Humana USAA Honor Giveback
H5525-065-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice Giveback H5525-035
H5525-035-0 -
HumanaChoice H5525-049
H5525-049-0 -
HumanaChoice H5525-050
H5525-050-0 -
HumanaChoice H5525-070
H5525-070-0 -
HumanaChoice H5525-083
H5525-083-0 -
HumanaChoice R0110-004
R0110-004-0 -
Wellcare Assist Open
H1914-009-0 -
Wellcare Giveback Open
H1914-010-0 -
Wellcare Patriot Giveback Open
H1914-011-0 -
Wellcare Simple
H4073-001-0 -
Wellcare Simple Open
H1914-007-0 -
HealthSpring True Choice
H7849-113-3 -
Alignment Health AVA
H7074-001-0 -
DEVOTED CHOICE 008 NC
H9700-008-0 -
DEVOTED CHOICE GIVEBACK 009 NC
H9700-009-0 -
DEVOTED CHOICE MA ONLY 007 NC
H9700-007-0
-
Alignment Health Platinum
- Total Standard Medicare Advantage Enrollment
- 8568
2026 Medicare Advantage Plans in Wilkes County, NC
Last update: .
In Wilkes County, NC, there are 48 Medicare Advantage plans available for 2026. Of these, 35 offer a $0 monthly premium, and about 66% 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 Wilkes County, NC. Or explore all Medicare Options available in Wilkes 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 28
- Average Monthly Premium $20.54/mo
- Total PPO Enrollment 1,619
- $0 Premium PPO Plans 19
- Average MOOP $7,089
- Top PPO by Enrollment Blue Medicare PPO Enhanced (PPO) — 578 enrollees
- PPO Plans Without Drug Coverage 8
What is the total number of PPO plans offered in Wilkes?
There are 28 PPO plans in 2026, covering 1,619 beneficiaries.
How much do PPO plans cost in Wilkes?
The average PPO premium in Wilkes is $20.54 per month, with 19 plans offering $0 premiums.
What is the most popular PPO plan in Wilkes?
Blue Medicare PPO Enhanced (PPO) is the top PPO in Wilkes, with 578 enrollees.
What is the number of PPO plans without Part D coverage in Wilkes?
There are 8 PPO plans in Wilkes 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
- 10
- Average Monthly Premium
- $4.62/mo
- Total HMO Enrollment
- 488
- $0 Premium HMO Plans
- 8
- Average MOOP
- $5,335
- Top HMO by Enrollment
- Aetna Medicare Value Plus (HMO) — 104 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Alignment Health Platinum | $0 | $3,900 | $0 | H5296-003-0 | |
| Alignment Health Platinum Select | $0 | $5,900 | $225 | H5296-010-0 | |
| Alignment Health smartHMO | $0 | $3,400 | $615 | H5296-006-0 | |
| Aetna Medicare Prime | $0 | $5,200 | $615 | H3146-007-0 | |
| Aetna Medicare Value Plus | $32 | $5,500 | $615 | H3146-006-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-1 | |
| HealthSpring Courage | $0 | $6,750 | N/A | H9725-005-0 | |
| HealthSpring Preferred | $0 | $3,500 | $295 | H9725-009-3 | |
| HealthSpring Preferred Plus | $14 | $3,250 | $200 | H9725-017-3 | |
| HealthSpring Preferred Savings | $0 | $6,700 | $0 | H9725-015-3 |
What is the average monthly premium for HMO plans?
HMO plans in Wilkes cost $4.62 per month on average.
Which HMO plan is most popular in Wilkes?
The most popular HMO plan in Wilkes is Aetna Medicare Value Plus (HMO), with 104 enrollees.
How many HMO plans in Wilkes do not include drug coverage?
There are 1 HMO plans in Wilkes 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 H1036-318 | $0 | $9,250 | $450 | H1036-318-0 | |
| Humana Gold Plus H1036-335 | $0 | $3,950 | $250 | H1036-335-2 | |
| AARP Medicare Advantage from UHC NC-0021 | $37 | $4,200 | $355 | H5253-037-0 | |
| AARP Medicare Advantage from UHC NC-0022 | $0 | $5,400 | $440 | H5253-038-0 | |
| AARP Medicare Advantage from UHC NC-24 | $0 | $5,400 | $520 | H5253-185-0 | |
| AARP Medicare Advantage Patriot No Rx NC-MA02 | $0 | $7,900 | N/A | H5253-040-0 | |
| Blue Medicare Enhanced | $30 | $4,200 | $100 | H3449-024-1 | |
| Blue Medicare Essential Plus | $0 | $6,750 | $615 | H3449-023-4 | |
| Blue Medicare Medical Only | $0 | $3,900 | N/A | H3449-012-0 | |
| Wellcare Simple | $0 | $4,200 | $615 | H4073-001-0 |
What is the leading HMO-POS plan in Wilkes?
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) is the top HMO-POS in Wilkes, with 2,199 enrollees.
What is the number of HMO-POS plans without Part D coverage in Wilkes?
2 HMO-POS plans in Wilkes do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Wilkes County, NC for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 3 | 7% |
| 4 Stars (includes 5 Stars) | 29 | 66% |
| 3 Stars | 15 | 34% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 8% |
| Average Rating | 3.98 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 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.
This page follows data provenance practices aligned with the 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.