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  1. 🏠
  2. Special Needs Plans
  3. North Carolina
  4. Wayne County

2026 Medicare Special Needs Plans in Wayne County, NC

Last update: August 26, 2026.

Wayne County, NC has 19 Medicare Special Needs Plans available in 2026. These plans serve approximately 4,918 beneficiaries, and roughly 81% achieve 4-star ratings or higher based on CMS data.

Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Wayne County, NC to compare other coverage categories available in your area.

  • D-SNP Plans
  • C-SNP Plans
  • I-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

Average Monthly Premium: $24.18/mo
$0 Premium Plans: 3
Average MOOP: $8,313 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix): 4+ Stars: 81% · 3 Stars: 19% · Below 3: 0%
Average Part D Deductible: $560.26
Total SNP Enrollment: 4,918
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UHC Dual Complete NC-S3 (D-SNP) — 1,797 enrollees
2. UHC Complete Care NC-28 (C-SNP) — 963 enrollees
3. UHC Dual Complete NC-D001 (D-SNP) — 844 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Wayne County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

  • Total D-SNP Plans: 13
  • Average Monthly Premium: $26.98/mo
  • Beneficiaries Enrolled: 3,687
  • $0 Premium Plans: 0
  • Zero Cost Plans: 8
  • Top D-SNP by Enrollment: UHC Dual Complete NC-S3 (D-SNP) — 1,797 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Wayne County, North Carolina
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Dual Select H1036-307
☆☆☆☆☆
$13 9250.00 $615 H1036-307-0
Humana Gold Plus SNP-DE H1036-167
☆☆☆☆☆
$14 9250.00 $615 H1036-167-0
Humana Gold Plus SNP-DE H1036-331
☆☆☆☆☆
$20 9250.00 $615 H1036-331-0
Aetna Medicare Dual
☆☆☆☆☆
$36 9250.00 $615 H3146-002-0
UHC Dual Complete NC-D001
☆☆☆☆☆
$25 9250.00 $615 H5253-041-0
UHC Dual Complete NC-S001
☆☆☆☆☆
$36 9250.00 $615 H1889-005-0
UHC Dual Complete NC-S2
☆☆☆☆☆
$36 9250.00 $615 H1889-034-0
UHC Dual Complete NC-S3
☆☆☆☆☆
$36 9250.00 $615 H5253-184-0
UHC Dual Complete NC-V001
☆☆☆☆☆
$36 5900.00 $615 H5253-116-0
Healthy Blue + Medicare
☆☆☆☆☆
$19 9250.00 $615 H9147-001-0
Humana Dual Select H5525-072
☆☆☆☆☆
$34 9250.00 $615 H5525-072-0
HumanaChoice SNP-DE H5525-036
☆☆☆☆☆
$30 9250.00 $615 H5525-036-0
Liberty Medicare Dual Plan
☆☆☆☆☆
$15 7550.00 $615 H6351-005-0
What is the most popular D-SNP plan in Wayne County?

UHC Dual Complete NC-S3 (D-SNP) is the top D-SNP in Wayne County, with 1,797 enrollees.

What is the total number of D-SNP plans in Wayne County?

There are 13 D-SNP plans in 2026, covering 3,687 enrollees.

I-SNP Plans (Institutional Special Needs Plans)

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

  • Total I-SNP Plans: 3
  • Average Monthly Premium: $36.20/mo
  • Beneficiaries Enrolled: 56
  • $0 Premium Plans: 0
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: UHC Nursing Home Plan NC-F001 (I-SNP) — 56 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 I-SNP Medicare Plans available in Wayne County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo Network
Longevity Health Plan
☆☆☆☆☆
$36 9250.00 $615 H5374-001-0
UHC Nursing Home Plan NC-F001
☆☆☆☆☆
$36 9250.00 $615 H0710-034-0
Liberty Medicare Advantage Nursing Home Plan
☆☆☆☆☆
$36 6800.00 $615 H6351-001-0
What is the total number of I-SNP plans in Wayne County?

Wayne County has 3 I-SNP plans for 2026, with 56 enrollees.

How much do I-SNP plans cost in Wayne County?

The typical I-SNP premium in Wayne County is $36.20, and 0 plans have no monthly premium.

C-SNP Plans (Chronic Condition Special Needs Plans)

Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.

Total C-SNP Plans
3
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
1,175
$0 Premium C-SNPs
3
Average MOOP
$5,817
Most Popular C-SNP
UHC Complete Care NC-28 (C-SNP) with 963 enrollees
C-SNPs Without Drug Coverage
0
Comparison table of 2026 C-SNP Medicare Plans available in Wayne County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo Network
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
$0 9250.00 $450 H1036-308-0
UHC Complete Care NC-28
☆☆☆☆☆
$0 4200.00 $355 H5253-189-0
Liberty Medicare Advantage
☆☆☆☆☆
$0 4000.00 $0 H6351-004-0

What is the typical premium for C-SNP plans in Wayne County?

C-SNP plans in Wayne County cost $0.00 per month.

Which C-SNP plan do most beneficiaries choose in Wayne County?

The most popular C-SNP plan in Wayne County is UHC Complete Care NC-28 (C-SNP), with 963 enrollees.

How many Chronic Condition SNP plans are offered in Wayne County?

In 2026, Wayne County offers 3 C-SNP plans with 1,175 enrollees.

  • 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 Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 20 August, 2026
  • Medicare.gov, "Your coverage options" — Last accessed 22 August, 2026
  • Medicare.gov, "Joining a plan" — Last accessed 24 August, 2026

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.

Data provenance documentation is maintained in alignment 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.

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