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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.

At a Glance

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. For a broader perspective, explore North Carolina Medicare Advantage plans, including statewide premiums, out-of-pocket costs, CMS ratings, and enrollment comparisons.

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

2027 PPO Medicare Advantage plans in Wilkes County, North Carolina (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Blue Medicare Freedom+
☆☆☆☆☆
 $0 $9,850 N/A H3404-004-0
Blue Medicare PPO Enhanced
☆☆☆☆☆
 $45 $6,900 $700 H3404-003-1
HumanaChoice H7617-122
☆☆☆☆☆
 $13 $9,850 $700 H7617-122-0
AARP Medicare Advantage from UHC NC-0016
☆☆☆☆☆
 $53 $4,450 $595 H2406-034-0
AARP Medicare Advantage from UHC NC-0017
☆☆☆☆☆
 $0 $7,150 $685 H2406-098-0
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $7,150 N/A H5521-241-0
Aetna Medicare Enhanced
☆☆☆☆☆
 $25 $6,750 $500 H5521-139-0
Aetna Medicare Signature Giveback
☆☆☆☆☆
 $0 $7,500 $700 H5521-348-0
DEVOTED CHOICE 008 NC
☆☆☆☆☆
 $0 $5,900 $650 H9700-008-0
DEVOTED CHOICE GIVEBACK 009 NC
☆☆☆☆☆
 $0 $9,850 $461 H9700-009-0
DEVOTED CHOICE MA ONLY 007 NC
☆☆☆☆☆
 $0 $9,250 N/A H9700-007-0
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
HealthTeam Advantage Eagle Plan
☆☆☆☆☆
 $0 $8,500 N/A H9808-009-0
HealthTeam Advantage Vitality Plan
☆☆☆☆☆
 $0 $5,200 $595 H9808-010-0
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
HealthSpring True Choice
☆☆☆☆☆
 $0 $6,900 $500 H7849-113-3
Wellcare Assist Open
☆☆☆☆☆
 $0 $6,500 $700 H1914-009-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
 $0 $8,850 N/A H1914-011-0
Wellcare Simple Open
☆☆☆☆☆
 $0 $7,150 $700 H1914-007-0
Alignment Health AVA 001
☆☆☆☆☆
 $20 $3,900 $0 H7074-001-0

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 generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.

  • Total HMO Plans 11
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 485
  • $0 Premium HMO Plans 11
  • Average MOOP $6,109
  • Top HMO by Enrollment HealthSpring Preferred Savings (HMO) — 115 enrollees
  • HMO Plans Without Drug Coverage 1

2027 HMO Medicare Advantage plans in Wilkes County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-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 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

2027 HMO-POS Medicare Advantage plans in Wilkes County, North Carolina (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-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 typical premium for HMO-POS plans in Wilkes?

HMO-POS plans in Wilkes cost $6.92 per month on average.

Which HMO-POS plan has the most members 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 options are offered without prescription drug coverage in Wilkes?

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.

Medicare Advantage Plan Ratings in Wilkes County, NC (2027)
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.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Wilkes County, North Carolina, including communities such as Boomer, Ferguson, Hays, Millers Creek, Moravian Falls, North Wilkesboro, Purlear, Roaring River, Ronda, Thurmond, Traphill, Wilkesboro, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .