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2027 Medicare Special Needs Plans in Wilkes County, NC

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In Wilkes County, NC, there are 36 Medicare Special Needs Plans available for 2027. Approximately 1,274 beneficiaries are enrolled, and about 61% are rated 4 stars or higher based on CMS quality ratings.

Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Wilkes County, NC to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$4.42/mo
Plans with $0 Premium
23
Average MOOP Limit
$8,539 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 61% · 3 Stars: 39% · Below 3: 0%
Average Part D Deductible
$607.14
Total SNP Enrollment
1,274
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. UHC Complete Care NC-25 (C-SNP) — 351 enrollees
2. Humana Gold Plus SNP-DE H1036-331 (D-SNP) — 212 enrollees
3. UHC Dual Advantage NC-V1 (D-SNP) — 145 enrollees

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

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 22
  • Average Monthly Premium: $5.20/mo
  • Beneficiaries Enrolled: 780
  • $0 Premium Plans: 13
  • Zero Cost Plans: 13
  • Top D-SNP by Enrollment: Humana Gold Plus SNP-DE H1036-331 (D-SNP) — 212 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Wilkes County, North Carolina
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Alignment Health Duals+ 004
☆☆☆☆☆
 $13 9850.00 $700 H5296-004-0
DEVOTED DUAL 009 NC
☆☆☆☆☆
 $0 6750.00 $700 H5299-009-0
DEVOTED DUAL FULL 013 NC
☆☆☆☆☆
 $0 9850.00 $700 H5299-013-0
DEVOTED DUAL PLUS 006 NC
☆☆☆☆☆
 $0 9850.00 $700 H5299-006-0
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 H5253-217-2
UHC Dual Complete NC-S3
☆☆☆☆☆
 $4 9850.00 $700 H5253-216-2
Aetna Medicare Full Dual
☆☆☆☆☆
 $0 9850.00 $700 H3146-002-0
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
HealthSpring TotalCare
☆☆☆☆☆
 $13 9850.00 $700 H9725-003-0
HealthSpring TotalCare Plus
☆☆☆☆☆
 $13 9850.00 $700 H9725-013-0
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 total number of D-SNP plans in Wilkes County?

There are 22 D-SNP plans in 2027, covering 780 enrollees.

How much do D-SNP plans cost in Wilkes County?

The average D-SNP premium in Wilkes County is $5.20 per month, with 13 plans offering $0 premiums.

What is the most popular D-SNP plan in Wilkes County?

Humana Gold Plus SNP-DE H1036-331 (D-SNP) is the top D-SNP in Wilkes County, with 212 enrollees.

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

There are 22 D-SNP plans in 2027, covering 780 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
5
Average Monthly Premium
$7.98/mo
Beneficiaries Enrolled
46
$0 Premium Plans
2
Average MOOP
$8,020
Top I-SNP by Enrollment
UHC Nursing Home Plan NC-F001 (I-SNP) — 46 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Wilkes County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo Network
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
Provider Partners North Carolina Advantage Plan
☆☆☆☆☆
 $13 9850.00 $700 H4439-001-0
Provider Partners North Carolina Community Plan
☆☆☆☆☆
 $0 3750.00 $700 H4439-004-0
Provider Partners North Carolina Essential Plan
☆☆☆☆☆
 $13 9850.00 $700 H4439-005-0
What is the most popular I-SNP plan in Wilkes County?

UHC Nursing Home Plan NC-F001 (I-SNP) is the top I-SNP in Wilkes County, with 46 enrollees.

What is the total number of I-SNP plans in Wilkes County?

There are 5 I-SNP plans in 2027, covering 46 enrollees.

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 9
  • Average Monthly Premium $0.53/mo
  • Beneficiaries Enrolled 448
  • $0 Premium C-SNPs 8
  • Average MOOP $6,728
  • Most Popular C-SNP UHC Complete Care NC-25 (C-SNP) with 351 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Wilkes County, North Carolina
Health Plan Name CMS Rating* Premium Per 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
DEVOTED C-SNP ENHANCED 014 NC
☆☆☆☆☆
 $0 6200.00 $461 H5299-014-0
DEVOTED C-SNP GIVEBACK EXTRAS 045 NC
☆☆☆☆☆
 $0 6750.00 $700 H5299-045-0
DEVOTED C-SNP PLUS 015 NC
☆☆☆☆☆
 $0 9850.00 $461 H5299-015-0
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
 $0 9850.00 $550 H1036-308-0
UHC Complete Care NC-25
☆☆☆☆☆
 $0 6400.00 $685 H5253-186-0
Liberty Medicare Advantage
☆☆☆☆☆
 $0 3800.00 $0 H6351-004-0
HealthSpring Achieve
☆☆☆☆☆
 $0 4450.00 $500 H9725-020-0

What is the average monthly premium for C-SNP plans in Wilkes County?

C-SNP plans in Wilkes County cost $0.53 per month.

Which C-SNP plan has the highest enrollment in Wilkes County?

The most popular C-SNP plan in Wilkes County is UHC Complete Care NC-25 (C-SNP), with 351 enrollees.

How many C-SNP plans are available in Wilkes County?

In 2027, Wilkes County offers 9 C-SNP plans with 448 enrollees.

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 .

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