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HomeMedicare AdvantageNorth CarolinaPlan changes 2027

Medicare Advantage plans changing or leaving North Carolina counties for 2027

29 Medicare Advantage plans are leaving North Carolina for 2027 and 41 are changing, each plan counted once. Across the state's 100 counties that is 900 county-level plan listings ending and 1,465 changing. Pick your county for its numbers.

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2027 PLAN ALERT

Medicare Advantage plans in your area are changing or leaving for 2027.

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Annual Enrollment: Oct 15 – Dec 7

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BEFORE YOU ENROLL

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900Leavingoffered last year, not this year
1,465Changingoffered both years, listing differs
2,365Totalplans leaving or changing
MM
ED
AI
By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● North Carolina
Medicare AdvantageNorth Carolina
Video: SHVETS production on Pexels

North Carolina counties, most changes first

CountyLeavingChangingTotal
Davidson County142640
Forsyth County152540
Guilford County152540
Johnston County192140
Avery County172239
Wake County192039
Buncombe County162238
Mitchell County182038
Chatham County152237
Davie County122537
Henderson County152237
Madison County162137
McDowell County162137
Mecklenburg County191837
Orange County122335
Transylvania County161935
Wilkes County112334
Alamance County121931
Cabarrus County141731
Yancey County161531
Burke County151530
Randolph County111930
Gaston County111829
Polk County161329
Rockingham County101929
Union County121729
Catawba County111728
Durham County111627
Stokes County81927
Cleveland County111526
Montgomery County101626
Rowan County81826
Rutherford County131326
Columbus County91625
Iredell County91625
Lincoln County101525
Yadkin County81725
Alexander County81624
Anson County81624
Caswell County71724
Franklin County81624
Person County81624
Vance County81624
Cumberland County71623
Harnett County71623
Haywood County81523
Hoke County71623
Lee County81523
Moore County71623
Swain County91423
Alleghany County91322
Bladen County71522
Caldwell County71522
Clay County101222
Graham County91322
Granville County71522
Richmond County71522
Scotland County71522
Stanly County71522
Warren County71522
Ashe County81321
Greene County81321
Jackson County81321
Pender County81321
Robeson County71421
Sampson County71421
Watauga County81321
Duplin County71320
Macon County81220
Nash County61420
Surry County61420
Wilson County71320
Brunswick County51318
Cherokee County81018
Jones County71118
Martin County61218
Gates County61117
New Hanover County71017
Wayne County51217
Edgecombe County51116
Halifax County51116
Northampton County61016
Tyrrell County7916
Currituck County51015
Hertford County51015
Lenoir County51015
Washington County6915
Beaufort County5914
Hyde County6814
Pamlico County5914
Pasquotank County6814
Camden County5813
Perquimans County6713
Pitt County31013
Bertie County5712
Chowan County3912
Dare County4610
Onslow County358
Carteret County347
Craven County347

Also for North Carolina: plans rated 4 stars or higher in the 2027 CMS Star Ratings, by North Carolina county · every state’s 2027 changes · North Carolina Medicare Advantage by city.

What to do before December 7

If you are in a Medicare Advantage plan today, your plan must send you an Annual Notice of Change by September 30 that spells out exactly what is different for 2027. Read it before the Annual Enrollment Period (Open Enrollment), which runs October 15 through December 7.

If your plan is leaving your county, you will get a separate notice and a Special Enrollment Period to choose new coverage. If you do nothing, you may be returned to Original Medicare without drug coverage, so it is worth acting during the window.

A licensed agent can check your doctors and prescriptions against the plans that will actually operate in your county next year. For unbiased help, contact Medicare.gov or 1-800-MEDICARE.

Watch

The Medicare Advantage changes for 2027 in North Carolina, in 29 seconds

Transcript. Good evening. Across the country Medicare Advantage Plans are changing or all together leaving some states in 2027. That's right, in North Carolina, 29 plans are leaving and 41 are changing. But there is some good news as 33 new plans are entering the market with a fresh set of benefits to choose from. The bottom line: take a few minutes to compare Medicare Advantage plans in your area and see if your plan is affected.

Live session

Medicare Annual/Open Enrollment, live: questions on the 2027 changes in North Carolina

Medicare Annual/Open Enrollment 2027 live, day 8, morning: Medicare Advantage changes by state. Live Oct. 22, 2026, 6:41 p.m. ET; the recording plays here afterward. Program-level information only; no plan is recommended.

Good to know

Frequently asked questions

Why do the numbers differ so much from county to county?
Medicare Advantage plans are approved county by county, so a plan can leave one county and stay in the next. Each county's count reflects only the plans approved for that county.
What does “changing” mean for 2027?
A plan offered in both 2026 and 2027 whose 2027 listing differs on premium, drug deductible, plan type, or plan name. The count is neutral: it does not say whether a change helps or hurts any particular member.
Do you list which plans are leaving?
No. We publish area-level counts only, never plan names, premiums or benefits. Your Annual Notice of Change, Medicare.gov, 1-800-MEDICARE, or a licensed agent can tell you about a specific plan.
These counts come from comparing the two official CMS Medicare Advantage Landscape files for 2026 and 2027. A plan counts as leaving when it was offered in the county for 2026 and is not offered there for 2027. A plan counts as changing when it is offered in both years but its 2027 listing differs on something a member would notice: the premium, the drug deductible, the plan type, or the plan name. Only the counts are shown here. This page does not name plans, list premiums or benefits, or recommend anything.
Sources & further reading

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Medicare plans in your area changing for 2027 — check yoursCall