- Entity
- county:north-carolina-wilson-37195
- 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/wilson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 24
- PPO Plans
- 13
- HMO Plans
- 2
- HMO-POS Plans
- 9
- PFFS Plans
- 0
- Average Monthly Premium
- 25.47
- Average MOOP
- 7060.42
- Average Part D Deductible
- 460
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.9
- $0 Premium Plan Share
- 66.67
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 58
- 3-Star Plan Share
- 42
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 36.77
- PPO Average MOOP
- 8176.92
- PPO Enrollment
- 1422
- PPO $0 Premium Plans
- 8
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 16.1
- HMO Average MOOP
- 7375
- HMO Enrollment
- 670
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 11.22
- HMO-POS Average MOOP
- 5377.78
- HMO-POS Enrollment
- 3387
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:north-carolina-wilson-37195
- 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/wilson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-wilson-37195-landscape-stats
- Plans Indexed
- 24
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage Access from UHC NC-23
H2001-084-0 -
Aetna Medicare Eagle Giveback
H5521-241-0 -
Blue Medicare Freedom+
H3404-004-0 -
Blue Medicare PPO Enhanced
H3404-003-2 -
Humana Gold Plus H1036-335
H1036-335-2 -
AARP Medicare Advantage from UHC NC-0011
H5253-103-0 -
AARP Medicare Advantage from UHC NC-0012
H5253-104-0 -
AARP Medicare Advantage from UHC NC-0015
H5253-117-0 -
AARP Medicare Advantage Patriot No Rx NC-MA02
H5253-040-0 -
Aetna Medicare Value Plus
H3146-006-0 -
Blue Medicare Enhanced
H3449-024-3 -
Blue Medicare Essential
H3449-027-2 -
Blue Medicare Essential Plus
H3449-023-5 -
Blue Medicare Medical Only
H3449-012-0 -
Humana Full Access R0110-005
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
Humana USAA Honor Giveback
H5525-065-0 -
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 Simple
H4073-001-0
-
AARP Medicare Advantage Access from UHC NC-23
- Total Standard Medicare Advantage Enrollment
- 5479
2026 Medicare Advantage Plans in Wilson County, NC
Last update: .
For 2026, Wilson County, NC includes 24 Medicare Advantage plans. Enrollment across these plans totals approximately 5,479, with 16 $0 premium options and 58% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Wilson County, NC are summarized separately. Visit Medicare Options in Wilson 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
- 13
- Average Monthly Premium
- $36.77/mo
- Total PPO Enrollment
- 1,422
- $0 Premium PPO Plans
- 8
- Average MOOP
- $8,177
- Top PPO by Enrollment
- Blue Medicare PPO Enhanced (PPO) — 495 enrollees
- PPO Plans Without Drug Coverage
- 5
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for PPO plans in Wilson?
- PPO plans in Wilson cost $36.77 per month on average.
- Which PPO plan has the highest enrollment in Wilson?
- The most popular PPO plan in Wilson is Blue Medicare PPO Enhanced (PPO), with 495 enrollees.
- How many PPO plans in Wilson do not include prescription drug coverage?
- 5 PPO plans in Wilson 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 |
|---|---|---|---|---|---|
| Aetna Medicare Value Plus | $32 | $5,500 | $615 | H3146-006-0 | |
| Blue Medicare Essential | $0 | $9,250 | $615 | H3449-027-2 |
What is the total number of HMO plans offered in Wilson?
There are 2 HMO plans in 2026, covering 670 enrollees.
How much do HMO plans cost in Wilson?
The average HMO premium in Wilson is $16.10 per month, with 1 plans offering $0 premiums.
What is the top HMO by enrollment in Wilson?
Aetna Medicare Value Plus (HMO) is the top HMO in Wilson, with 501 enrollees.
What is the number of HMO plans without Part D coverage in Wilson?
0 HMO plans in Wilson 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
- 9
- Average Monthly Premium
- $11.22/mo
- Total HMO-POS Enrollment
- 3,387
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,378
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NC-0015 (HMO-POS) — 1,015 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | |
| Wellcare Simple | $0 | $4,200 | $615 | H4073-001-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Wilson cost $11.22 per month on average.
Which HMO-POS plan is most popular in Wilson?
The most popular HMO-POS plan in Wilson is AARP Medicare Advantage from UHC NC-0015 (HMO-POS), with 1,015 enrollees.
How many HMO-POS plans in Wilson do not include drug coverage?
There are 2 HMO-POS plans in Wilson without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Wilson County, NC (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 14 | 58% |
| 3 Stars | 10 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.9 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 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.