What CMS data shows for North Carolina
We name companies on one page only, built from CMS plan and enrollment data with the files cited: North Carolina plans ending in 2027. It shows which companies are leaving which counties, which plans are ending, and how many people are affected in each county. In summary:
- Companies leaving counties: two companies stop selling regular Medicare Advantage plans in some North Carolina counties, affecting at least 2,781 members. One leaves 13 counties: Avery, Buncombe, Burke, Henderson, Madison, McDowell, Mitchell, Polk, Transylvania and Yancey in western North Carolina, plus Wake, Johnston and Chatham. The other leaves Rutherford County.
- Plans ending: six companies end some plans in counties where they keep others, affecting at least 27,873 more people across much of the state.
- Still available: statewide, CMS lists 16 companies and 106 Medicare Advantage plans open to everyone for 2027. Wake County still has 35 plans open to everyone, Buncombe 44 and Rutherford 35.
How to tell if you're affected
| Letter you got | What it means |
|---|---|
| Plan non-renewal notice | Your plan is leaving Medicare or your county. You must choose new coverage. |
| Annual Notice of Change | Your plan continues with changes for 2027. Review it. |
| Letter saying you'll be moved to another plan from the same company | Your plan is being replaced. Check that the new plan covers your doctors and drugs. |
State Health Plan retirees in the Plan's group Medicare Advantage coverage are not in these individual plans; check with the Plan before joining any other plan. See State Health Plan retirees and Medicare.
What to do if your plan is leaving
- Keep your letter. It shows your special enrollment period and your right to buy Medigap without health questions.
- List your doctors and medicines. Have the list ready before you compare.
- Compare your options. Another Medicare Advantage plan in your county, or Original Medicare with a Part D plan and a Medigap policy. See plans for your ZIP code.
- Choose by December 31, 2026. Coverage then starts January 1, 2027. The special enrollment period runs through February 28, 2027, but later choices leave a gap.
If you do nothing, you go back to Original Medicare on January 1, without drug coverage. Step-by-step help is on my plan is ending in 2027. To compare plans from the companies they work with, you can request a call from a licensed insurance agent.
Related questions
My plan is ending. What do I do?
Deadlines and steps.
Do I get guaranteed Medigap?
Your 63-day right.
When is open enrollment?
October 15 to December 7, 2026.
Sources
- CMS — Medicare Advantage and Part D Landscape files, contract years 2026 and 2027
- CMS — Medicare Advantage and Part D contract and enrollment data (October 2026 enrollment)
- CMS — Plan crosswalks (2027 plan crosswalk)
- Medicare.gov — Special Enrollment Periods (plan contract not renewed)
- Medicare.gov — When can I buy a Medigap policy?
More questions in this guide
- Can I change my Medicare plan after open enrollment ends?
- Can I switch from Medicare Advantage back to Original Medicare in North Carolina?
- Do I get a guaranteed right to buy Medigap if my plan leaves North Carolina?
- My Medicare Advantage plan is ending in 2027 in North Carolina. What do I do?
- What is the Medicare Advantage Open Enrollment Period?
- When is Medicare open enrollment in North Carolina?
Part of the guide: Medicare Open Enrollment in North Carolina (2027 Plans) · All questions
Frequently asked questions
How many companies offer Medicare Advantage in North Carolina for 2027?
The CMS 2027 Landscape file lists 16 companies offering Medicare Advantage plans open to everyone somewhere in North Carolina. Which ones serve you depends on your county.
Is any North Carolina county losing Medicare Advantage entirely?
No. Every one of North Carolina's 100 counties still has Medicare Advantage plans open to everyone in 2027, and Original Medicare is available everywhere.
Is my Medigap policy affected?
No. These changes are about Medicare Advantage plans. A Medigap policy is guaranteed renewable as long as you pay the premium, even if the company stops selling it to new customers.
My plan sent a letter about changes, not ending. What now?
That's likely your Annual Notice of Change, which lists next year's changes. Your plan continues unless you switch; open enrollment runs through December 7, 2026.
Medicare in your North Carolina county
Plans, local agents and help, county by county: Wake · Mecklenburg · Guilford · Forsyth · Durham · Cumberland · Buncombe · Union · Johnston · Cabarrus · New Hanover · Gaston · Onslow · Iredell · Alamance · Pitt · Davidson · Brunswick · Catawba · Rowan · All 100 counties →
