Plans ending in 2027 · North Carolina
Medicare Advantage Plans Ending in North Carolina for 2027, County by County
15 general Medicare Advantage plans sold in North Carolina in 2026 do not appear anywhere in the CMS 2027 plan file. 100 of 100 counties lose at least one plan. Pick your county below for the exact list, the members on each plan, what remains, and the calendar.
Sources: CMS CY2026 and CY2027 landscape files, compared by Contract Plan ID; CMS CPSC enrollment, September 2026. General = MA and MA-PD rows with SNP indicator No. North Carolina has 11 stand-alone drug plans for 2027.
By county
| County | Plans gone | Discontinued | Left the county | Members on ending plans | Plans 2026 → 2027 |
|---|---|---|---|---|---|
| Wake County | 14 | 10 | 4 | 6,310 | 47 → 35 |
| Cabarrus County | 9 | 6 | 3 | 4,888 | 44 → 43 |
| Mecklenburg County | 12 | 12 | 0 | 2,369 | 56 → 50 |
| Cleveland County | 7 | 5 | 2 | 2,117+ | 46 → 43 |
| Buncombe County | 11 | 7 | 4 | 2,064+ | 49 → 44 |
| Johnston County | 13 | 7 | 6 | 1,724+ | 46 → 36 |
| Forsyth County | 9 | 9 | 0 | 1,553 | 60 → 56 |
| Durham County | 8 | 8 | 0 | 1,183 | 46 → 41 |
| Guilford County | 9 | 9 | 0 | 1,112 | 60 → 57 |
| Rutherford County | 9 | 5 | 4 | 1,108 | 38 → 35 |
| Cherokee County | 6 | 4 | 2 | 1,108 | 30 → 28 |
| Columbus County | 5 | 4 | 1 | 966+ | 41 → 40 |
| Lee County | 5 | 4 | 1 | 890+ | 33 → 31 |
| Montgomery County | 7 | 4 | 3 | 754+ | 41 → 39 |
| Wilson County | 4 | 3 | 1 | 627 | 24 → 20 |
| Pender County | 4 | 3 | 1 | 610 | 35 → 38 |
| Yancey County | 11 | 6 | 5 | 592+ | 45 → 38 |
| Burke County | 10 | 6 | 4 | 588+ | 45 → 39 |
| Orange County | 9 | 9 | 0 | 575+ | 54 → 48 |
| Davidson County | 8 | 8 | 0 | 537+ | 60 → 57 |
| Iredell County | 6 | 5 | 1 | 528+ | 51 → 50 |
| McDowell County | 11 | 7 | 4 | 406+ | 49 → 44 |
| Union County | 7 | 7 | 0 | 391+ | 50 → 47 |
| Chatham County | 10 | 6 | 4 | 368+ | 47 → 38 |
| Henderson County | 10 | 6 | 4 | 322+ | 48 → 44 |
| Brunswick County | 3 | 3 | 0 | 322 | 34 → 38 |
| Haywood County | 5 | 5 | 0 | 319+ | 39 → 40 |
| Clay County | 6 | 5 | 1 | 303+ | 36 → 36 |
| Macon County | 5 | 5 | 0 | 294+ | 31 → 30 |
| Alamance County | 8 | 8 | 0 | 286+ | 55 → 53 |
| Catawba County | 5 | 5 | 0 | 268 | 50 → 49 |
| Cumberland County | 4 | 4 | 0 | 267 | 38 → 40 |
| Gaston County | 6 | 6 | 0 | 256 | 47 → 47 |
| Madison County | 11 | 7 | 4 | 245+ | 47 → 42 |
| Swain County | 6 | 5 | 1 | 223+ | 37 → 35 |
| Polk County | 10 | 6 | 4 | 210+ | 41 → 35 |
| New Hanover County | 3 | 3 | 0 | 209 | 33 → 37 |
| Randolph County | 7 | 7 | 0 | 206+ | 55 → 54 |
| Granville County | 4 | 4 | 0 | 196+ | 33 → 32 |
| Pasquotank County | 4 | 3 | 1 | 193+ | 26 → 25 |
| Transylvania County | 11 | 7 | 4 | 192+ | 45 → 40 |
| Northampton County | 4 | 3 | 1 | 189+ | 27 → 24 |
| Mitchell County | 11 | 7 | 4 | 183+ | 45 → 38 |
| Stanly County | 4 | 4 | 0 | 179+ | 40 → 39 |
| Vance County | 5 | 5 | 0 | 178+ | 34 → 32 |
| Graham County | 6 | 5 | 1 | 176+ | 37 → 35 |
| Gates County | 4 | 3 | 1 | 173+ | 28 → 27 |
| Jackson County | 5 | 5 | 0 | 168+ | 36 → 37 |
| Franklin County | 5 | 5 | 0 | 165+ | 36 → 33 |
| Davie County | 6 | 6 | 0 | 157+ | 56 → 55 |
| Rowan County | 5 | 5 | 0 | 152+ | 50 → 51 |
| Lincoln County | 5 | 5 | 0 | 151+ | 49 → 48 |
| Dare County | 2 | 2 | 0 | 142 | 19 → 20 |
| Bertie County | 3 | 2 | 1 | 140+ | 22 → 20 |
| Scotland County | 4 | 4 | 0 | 127+ | 35 → 32 |
| Moore County | 4 | 4 | 0 | 116 | 39 → 39 |
| Camden County | 3 | 3 | 0 | 112+ | 23 → 21 |
| Nash County | 3 | 3 | 0 | 111+ | 24 → 23 |
| Harnett County | 4 | 4 | 0 | 110 | 35 → 35 |
| Currituck County | 3 | 3 | 0 | 108+ | 27 → 27 |
| Robeson County | 4 | 4 | 0 | 99+ | 34 → 32 |
| Avery County | 12 | 7 | 5 | 93+ | 49 → 43 |
| Greene County | 5 | 4 | 1 | 86+ | 33 → 29 |
| Rockingham County | 6 | 6 | 0 | 82+ | 53 → 53 |
| Duplin County | 4 | 4 | 0 | 72+ | 32 → 30 |
| Jones County | 5 | 4 | 1 | 70+ | 31 → 27 |
| Person County | 5 | 5 | 0 | 70+ | 47 → 46 |
| Perquimans County | 4 | 3 | 1 | 68+ | 25 → 24 |
| Wilkes County | 6 | 6 | 0 | 64+ | 48 → 48 |
| Stokes County | 5 | 5 | 0 | 64+ | 52 → 51 |
| Sampson County | 4 | 4 | 0 | 61+ | 31 → 30 |
| Alleghany County | 6 | 5 | 1 | 59+ | 38 → 38 |
| Halifax County | 3 | 3 | 0 | 54+ | 29 → 28 |
| Washington County | 4 | 3 | 1 | 53+ | 26 → 23 |
| Alexander County | 5 | 5 | 0 | 52+ | 49 → 48 |
| Wayne County | 3 | 3 | 0 | 51+ | 23 → 22 |
| Yadkin County | 5 | 5 | 0 | 49+ | 50 → 49 |
| Hoke County | 4 | 4 | 0 | 47+ | 37 → 36 |
| Bladen County | 4 | 4 | 0 | 44+ | 39 → 39 |
| Richmond County | 4 | 4 | 0 | 42+ | 38 → 36 |
| Beaufort County | 3 | 3 | 0 | 42+ | 24 → 23 |
| Pamlico County | 3 | 3 | 0 | 42+ | 26 → 26 |
| Caldwell County | 4 | 4 | 0 | 38+ | 42 → 42 |
| Watauga County | 5 | 4 | 1 | 36+ | 33 → 30 |
| Warren County | 4 | 4 | 0 | 36+ | 34 → 33 |
| Ashe County | 5 | 4 | 1 | 34+ | 33 → 34 |
| Edgecombe County | 3 | 3 | 0 | 31+ | 27 → 26 |
| Craven County | 1 | 1 | 0 | 29 | 14 → 13 |
| Martin County | 4 | 4 | 0 | 28+ | 33 → 32 |
| Hertford County | 3 | 3 | 0 | 28+ | 27 → 26 |
| Surry County | 3 | 3 | 0 | 28+ | 29 → 31 |
| Hyde County | 4 | 3 | 1 | 26+ | 26 → 25 |
| Lenoir County | 3 | 3 | 0 | 26+ | 25 → 24 |
| Onslow County | 1 | 1 | 0 | 26 | 15 → 14 |
| Caswell County | 4 | 4 | 0 | 12+ | 46 → 46 |
| Pitt County | 1 | 1 | 0 | 11 | 22 → 21 |
| Anson County | 5 | 5 | 0 | fewer than 11 each | 48 → 47 |
| Tyrrell County | 5 | 4 | 1 | fewer than 11 each | 30 → 28 |
| Carteret County | 1 | 1 | 0 | fewer than 11 each | 12 → 11 |
| Chowan County | 1 | 1 | 0 | fewer than 11 each | 23 → 23 |
The discontinued plans, statewide
| Plan (2026) | Plan ID | Type | Counties sold in | Members, September 2026 |
|---|---|---|---|---|
| Alignment Health Platinum Alignment Health Plan | H5296-003 | HMO | 16 | 5,132 (+1 county under 11) |
| AARP Medicare Advantage from UHC NC-0008 UnitedHealthcare | H5253-079 | HMO-POS | 17 | 3,605 |
| HumanaChoice H5525-050 Humana | H5525-050 | PPO | 93 | 3,522 (+16 counties under 11) |
| Blue Medicare Choice Blue Cross and Blue Shield of North Carolina | H3449-026 | HMO | 8 | 2,796 |
| HealthSpring Preferred Plus HealthSpring | H9725-017 | HMO | 37 | 2,696 (+16 counties under 11) |
| HealthSpring Preferred Select HealthSpring | H9725-014 | HMO | 8 | 1,960 |
| Experience Health Medicare Advantage Experience Health | H3777-002 | HMO | 8 | 1,945 |
| Aetna Medicare Signature Care Aetna Medicare | H3146-021 | HMO | 14 | 1,350 (+1 county under 11) |
| HumanaChoice H5525-083 Humana | H5525-083 | PPO | 94 | 1,085 (+53 counties under 11) |
| Wellcare Giveback Open Wellcare | H1914-010 | PPO | 70 | 1,033 (+35 counties under 11) |
| AARP Medicare Advantage Access from UHC NC-23 UnitedHealthcare | H2001-084 | PPO | 99 | 771 (+66 counties under 11) |
| Erickson Advantage Signature UnitedHealthcare | H5652-001 | HMO-POS | 1 | 156 |
| Erickson Advantage Liberty UnitedHealthcare | H5652-008 | HMO-POS | 1 | 39 |
| Erickson Advantage Liberty no Rx UnitedHealthcare | H5652-002 | HMO-POS | 1 | 21 |
| Erickson Advantage Freedom UnitedHealthcare | H5652-006 | HMO-POS | 1 | 17 |
Plans with no row anywhere in the CMS 2027 file. Members are summed across the North Carolina counties where CMS reports a count. Plans re-issued under a new ID appear here and as "new" on the county pages.
What a member of an ending plan does next
- Keep the letter. A non-renewing plan must notify you by mail at least 90 days before it ends (42 CFR § 422.506), on or about October 2 for December 31.
- Choose between October 15 and December 7 so new coverage starts January 1 (Medicare.gov): another Advantage plan, or Original Medicare with a drug plan and, if you want it, Medigap.
- The Medigap door is open: Plan A, B, D, G, K or L with no health questions, from 60 days before to 63 days after the plan ends, November 1, 2026 through March 4, 2027 (Medicare.gov).
- If you miss December 7, a discontinued plan gives you a Special Enrollment Period through February 28 (42 CFR § 422.62), with January spent in Original Medicare.
Holding a letter in North Carolina?
Brian Penner is licensed in North Carolina and works by phone. Bring the letter, your doctors and your prescriptions, and we will compare the plans we offer in your county against all three doors. No cost, no pressure. We do not offer every plan available in your area.
Book a phone appointment →How we know all this: the Medicare On Main Data Desk built these pages from the CMS CY2026 and CY2027 landscape files compared by Contract Plan ID, CMS's September 2026 county-level enrollment report, and the federal rules and Medicare.gov pages on non-renewal notices, enrollment periods and Medigap guaranteed-issue rights. Carrier names are factual reporting, not endorsement or criticism. This is education, not advice; confirm plans, costs and eligibility with a licensed agent or Medicare.gov.
Frequently asked questions
Which Medicare Advantage plans are ending in North Carolina for 2027?
15 general (non-Special-Needs) Medicare Advantage plans sold somewhere in North Carolina in 2026 have no row anywhere in the CMS 2027 plan file and are being discontinued, led by Alignment Health Platinum (H5296-003), AARP Medicare Advantage from UHC NC-0008 (H5253-079), HumanaChoice H5525-050 (H5525-050). Other plans continue elsewhere but left particular counties. The county pages list each one with its 2026 premium, cap, star rating and September 2026 enrollment.
How many North Carolina counties are affected?
100 of the 100 counties with a Medicare Advantage plan in 2026 or 2027 lose at least one general plan for 2027; 100 lose a plan that is discontinued everywhere. Every county is affected.
How many people in North Carolina are on a plan that is ending?
Summing CMS's September 2026 county enrollment for every ending plan in every county gives 42,269 members, not counting counties where CMS suppresses a plan's count because it is under 11. The figure includes employer-group members, so the number of individuals choosing a new plan is somewhat lower.
What should I do if my plan is on the list?
Keep the non-renewal letter dated on or about October 2. Choose 2027 coverage between October 15 and December 7: another Medicare Advantage plan, or Original Medicare with a stand-alone drug plan and, if you want it, a Medigap policy. A plan leaving Medicare or your area gives you a guaranteed-issue right to Medigap Plan A, B, D, G, K or L from 60 days before to 63 days after it ends, November 1, 2026 through March 4, 2027.
Can Medicare On Main help in North Carolina?
Yes, by phone. Brian Penner is licensed in North Carolina; see our license verification page. We do not offer every plan available in your area, and we will say so when Medicare.gov, 1-800-MEDICARE or your State Health Insurance Assistance Program is the better next call.