Medicare Plans

Open Medicare Plan Data.

2027 Medicare Special Needs Plans in Wake County, NC

Last update: .

For 2027, Wake County, NC includes 28 Medicare Special Needs Plans. Enrollment across these plans totals approximately 8,207, with 58% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Wake County, NC to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $4.73/mo
  • $0 Premium Plans: 17
  • Average MOOP: $8,716 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 58% · 3 Stars: 42% · Below 3: 0%
  • Average Part D Deductible: $589.11
  • Total SNP Enrollment: 8,207
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. UHC Complete Care NC-28 (C-SNP) — 2,008 enrollees
    2. Alignment Health Heart & Diabetes 011 (C-SNP) — 1,228 enrollees
    3. Humana Gold Plus SNP-DE H1036-331 (D-SNP) — 939 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Wake County, NC are summarized separately. For a broader perspective, explore North Carolina Medicare Special Needs plans.

Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.

Total D-SNP Plans
18
Average Monthly Premium
$4.87/mo
Beneficiaries Enrolled
4,012
$0 Premium Plans
11
Zero Cost Plans
11
Top D-SNP by Enrollment
Humana Gold Plus SNP-DE H1036-331 (D-SNP) — 939 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Wake County, North Carolina (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Alignment Health Duals+ 004
☆☆☆☆☆
 $13 9850.00 $700 H5296-004-0
Humana Dual Select H1036-307
☆☆☆☆☆
 $0 9850.00 $200 H1036-307-0
Humana Gold Plus SNP-DE H1036-167
☆☆☆☆☆
 $0 9850.00 $0 H1036-167-0
Humana Gold Plus SNP-DE H1036-331
☆☆☆☆☆
 $0 9850.00 $700 H1036-331-0
Humana Dual Select H5525-072
☆☆☆☆☆
 $13 9850.00 $700 H5525-072-0
HumanaChoice SNP-DE H5525-036
☆☆☆☆☆
 $0 9850.00 $550 H5525-036-0
UHC Dual Advantage NC-V1
☆☆☆☆☆
 $13 5900.00 $700 H5253-116-0
UHC Dual Complete NC-Q2
☆☆☆☆☆
 $0 9850.00 $700 H5253-217-1
UHC Dual Complete NC-S3
☆☆☆☆☆
 $4 9850.00 $700 H5253-216-1
Aetna Medicare Full Dual
☆☆☆☆☆
 $0 9850.00 $700 H3146-002-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H3146-022-0
Liberty Medicare Dual Plan
☆☆☆☆☆
 $18 7550.00 $700 H6351-005-0
UHC Dual Complete NC-Q1
☆☆☆☆☆
 $0 9850.00 $700 H1889-005-0
UHC Dual Complete NC-S2
☆☆☆☆☆
 $0 9850.00 $700 H1889-034-0
Wellcare Carolina Complete Dual Liberty
☆☆☆☆☆
 $0 9850.00 $700 H4073-004-0
Wellcare Carolina Complete Dual Reserve
☆☆☆☆☆
 $13 9250.00 $700 H4073-003-0
Healthy Blue + Medicare
☆☆☆☆☆
 $13 9850.00 $700 H9147-001-0
Wellcare Carolina Complete Dual Liberty Open
☆☆☆☆☆
 $0 9850.00 $700 H1914-008-0
What is the average monthly premium for D-SNP plans in Wake County?
D-SNP plans in Wake County cost $4.87 per month.
Which D-SNP plan has the highest enrollment in Wake County?
The most popular D-SNP plan in Wake County is Humana Gold Plus SNP-DE H1036-331 (D-SNP), with 939 enrollees.
How many D-SNP plans are available in Wake County?
In 2027, Wake County offers 18 D-SNP plans with 4,012 enrollees.

Medicare Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.

Total I-SNP Plans
5
Average Monthly Premium
$7.98/mo
Beneficiaries Enrolled
228
$0 Premium Plans
2
Average MOOP
$8,450
Top I-SNP by Enrollment
UHC Nursing Home Plan NC-F001 (I-SNP) — 160 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Wake County, North Carolina (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
Longevity Health Plan
☆☆☆☆☆
 $13 9850.00 $700 H5374-001-0
UHC Nursing Home Plan NC-F001
☆☆☆☆☆
 $0 9850.00 $700 H0710-034-0
Liberty Medicare Advantage Nursing Home Plan
☆☆☆☆☆
 $13 6800.00 $700 H6351-001-0
PruittHealth Premier
☆☆☆☆☆
 $0 5900.00 $350 H6345-003-0
PruittHealth Premier
☆☆☆☆☆
 $13 9850.00 $700 H6345-001-0

What is the average monthly premium for I-SNP plans in Wake County?

I-SNP plans in Wake County cost $7.98 per month.

Which I-SNP plan has the highest enrollment in Wake County?

The most popular I-SNP plan in Wake County is UHC Nursing Home Plan NC-F001 (I-SNP), with 160 enrollees.

How many I-SNP plans are available in Wake County?

In 2027, Wake County offers 5 I-SNP plans with 228 enrollees.

Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.

Total C-SNP Plans
5
Average Monthly Premium
$0.96/mo
Beneficiaries Enrolled
3,967
$0 Premium C-SNPs
4
Average MOOP
$6,270
Most Popular C-SNP
UHC Complete Care NC-28 (C-SNP) with 2,008 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Wake County, North Carolina (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
Alignment Health Heart & Diabetes 011
☆☆☆☆☆
 $0 3400.00 $250 H5296-011-0
Alignment Health Heart & Diabetes Plus 009
☆☆☆☆☆
 $5 9850.00 $700 H5296-009-0
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
 $0 9850.00 $550 H1036-308-0
UHC Complete Care NC-28
☆☆☆☆☆
 $0 4450.00 $595 H5253-189-0
Liberty Medicare Advantage
☆☆☆☆☆
 $0 3800.00 $0 H6351-004-0
What is the total number of C-SNP plans in Wake County?

There are 5 C-SNP plans in 2027, covering 3,967 enrollees.

How much do C-SNP plans cost in Wake County?

The average C-SNP premium in Wake County is $0.96 per month, with 4 plans offering $0 premiums.

What is the most popular C-SNP plan in Wake County?

UHC Complete Care NC-28 (C-SNP) is the top C-SNP in Wake County, with 2,008 enrollees.

What is the total number of C-SNP plans in Wake County?

There are 5 C-SNP plans in 2027, covering 3,967 enrollees.

All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.

Data sources and methodology documentation .

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 .