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Jump to a region: The Triangle · Charlotte area · Piedmont Triad · Western North Carolina · The Sandhills · Eastern North Carolina · Coast and Outer Banks
Plans open to everyone are Medicare Advantage plans, with or without drug coverage, that anyone with Medicare in the county can join. Source: CMS Landscape files, 2026 and 2027.
The Triangle
The Triangle around Raleigh, Durham and Chapel Hill.
| County | Largest towns | Plans open to everyone | Change from 2026 | Special needs plans |
|---|---|---|---|---|
| Chatham County | Siler City, Pittsboro | 38 | -9 | 26 |
| Durham County | Durham, Chapel Hill | 41 | -5 | 28 |
| Franklin County | Louisburg, Franklinton | 33 | -3 | 22 |
| Granville County | Oxford, Butner | 32 | -1 | 21 |
| Harnett County | Dunn, Angier | 35 | same | 24 |
| Johnston County | Clayton, Smithfield | 36 | -10 | 25 |
| Lee County | Sanford, Broadway | 31 | -2 | 20 |
| Orange County | Chapel Hill, Carrboro | 48 | -6 | 26 |
| Person County | Roxboro | 46 | -1 | 27 |
| Vance County | Henderson, Kittrell | 32 | -2 | 21 |
| Wake County | Raleigh, Cary | 35 | -12 | 28 |
| Warren County | Norlina, Warrenton | 33 | -1 | 20 |
Charlotte area
The Charlotte area.
| County | Largest towns | Plans open to everyone | Change from 2026 | Special needs plans |
|---|---|---|---|---|
| Anson County | Wadesboro, Polkton | 47 | -1 | 28 |
| Cabarrus County | Concord, Kannapolis | 43 | -1 | 41 |
| Cleveland County | Shelby, Kings Mountain | 43 | -3 | 26 |
| Gaston County | Gastonia, Mount Holly | 47 | same | 36 |
| Iredell County | Mooresville, Statesville | 50 | -1 | 28 |
| Lincoln County | Lincolnton, Maiden | 48 | -1 | 29 |
| Mecklenburg County | Charlotte, Huntersville | 50 | -6 | 39 |
| Rowan County | Salisbury, Kannapolis | 51 | +1 | 35 |
| Stanly County | Albemarle, Locust | 39 | -1 | 23 |
| Union County | Indian Trail, Monroe | 47 | -3 | 38 |
Piedmont Triad
The Piedmont Triad around Greensboro, Winston-Salem and High Point.
| County | Largest towns | Plans open to everyone | Change from 2026 | Special needs plans |
|---|---|---|---|---|
| Alamance County | Burlington, Graham | 53 | -2 | 34 |
| Caswell County | Yanceyville, Milton | 46 | same | 25 |
| Davidson County | Thomasville, Lexington | 57 | -3 | 39 |
| Davie County | Mocksville, Bermuda Run | 55 | -1 | 38 |
| Forsyth County | Winston-Salem, Kernersville | 56 | -4 | 41 |
| Guilford County | Greensboro, High Point | 57 | -3 | 40 |
| Randolph County | Asheboro, Archdale | 54 | -1 | 33 |
| Rockingham County | Eden, Reidsville | 53 | same | 35 |
| Stokes County | King, Walnut Cove | 51 | -1 | 33 |
| Surry County | Mount Airy, Elkin | 31 | +2 | 25 |
| Yadkin County | Yadkinville, Jonesville | 49 | -1 | 30 |
Western North Carolina
Western North Carolina, among the mountains and foothills that run from Murphy and Asheville to Boone and Hickory.
| County | Largest towns | Plans open to everyone | Change from 2026 | Special needs plans |
|---|---|---|---|---|
| Alexander County | Taylorsville | 48 | -1 | 27 |
| Alleghany County | Sparta | 38 | same | 26 |
| Ashe County | Jefferson, West Jefferson | 34 | +1 | 23 |
| Avery County | Banner Elk, Newland | 43 | -6 | 26 |
| Buncombe County | Asheville, Black Mountain | 44 | -5 | 35 |
| Burke County | Morganton, Valdese | 39 | -6 | 30 |
| Caldwell County | Lenoir, Sawmills | 42 | same | 29 |
| Catawba County | Hickory, Newton | 49 | -1 | 34 |
| Cherokee County | Andrews, Murphy | 28 | -2 | 21 |
| Clay County | Hayesville | 36 | same | 23 |
| Graham County | Robbinsville, Lake Santeetlah | 35 | -2 | 24 |
| Haywood County | Waynesville, Canton | 40 | +1 | 32 |
| Henderson County | Hendersonville, Fletcher | 44 | -4 | 33 |
| Jackson County | Sylva, Webster | 37 | +1 | 25 |
| Macon County | Franklin, Highlands | 30 | -1 | 24 |
| Madison County | Mars Hill, Marshall | 42 | -5 | 27 |
| McDowell County | Marion, Old Fort | 44 | -5 | 31 |
| Mitchell County | Spruce Pine, Bakersville | 38 | -7 | 31 |
| Polk County | Tryon, Columbus | 35 | -6 | 31 |
| Rutherford County | Forest City, Spindale | 35 | -3 | 25 |
| Swain County | Bryson City | 35 | -2 | 25 |
| Transylvania County | Brevard, Rosman | 40 | -5 | 31 |
| Watauga County | Boone, Blowing Rock | 30 | -3 | 20 |
| Wilkes County | North Wilkesboro, Wilkesboro | 48 | same | 36 |
| Yancey County | Burnsville | 38 | -7 | 25 |
The Sandhills
The Sandhills, the region around Fayetteville, Fort Bragg, Southern Pines and Lumberton.
| County | Largest towns | Plans open to everyone | Change from 2026 | Special needs plans |
|---|---|---|---|---|
| Cumberland County | Fayetteville, Hope Mills | 40 | +2 | 24 |
| Hoke County | Raeford, Red Springs | 36 | -1 | 21 |
| Montgomery County | Troy, Biscoe | 39 | -2 | 26 |
| Moore County | Pinehurst, Southern Pines | 39 | same | 23 |
| Richmond County | Rockingham, Hamlet | 36 | -2 | 24 |
| Robeson County | Lumberton, Red Springs | 32 | -2 | 22 |
| Scotland County | Laurinburg, Wagram | 32 | -3 | 23 |
Eastern North Carolina
Eastern North Carolina, on the coastal plain that reaches from Greenville and Rocky Mount to New Bern and Elizabeth City.
| County | Largest towns | Plans open to everyone | Change from 2026 | Special needs plans |
|---|---|---|---|---|
| Beaufort County | Washington, Belhaven | 23 | -1 | 14 |
| Bertie County | Windsor, Aulander | 20 | -2 | 17 |
| Bladen County | Elizabethtown, Bladenboro | 39 | same | 28 |
| Camden County | Elizabeth City | 21 | -2 | 14 |
| Chowan County | Edenton | 23 | same | 14 |
| Columbus County | Whiteville, Tabor City | 40 | -1 | 27 |
| Craven County | New Bern, Havelock | 13 | -1 | 9 |
| Duplin County | Wallace, Warsaw | 30 | -2 | 18 |
| Edgecombe County | Rocky Mount, Tarboro | 26 | -1 | 15 |
| Gates County | Gatesville | 27 | -1 | 14 |
| Greene County | Snow Hill, Hookerton | 29 | -4 | 19 |
| Halifax County | Roanoke Rapids, Enfield | 28 | -1 | 17 |
| Hertford County | Ahoskie, Murfreesboro | 26 | -1 | 14 |
| Jones County | Maysville, Pollocksville | 27 | -4 | 15 |
| Lenoir County | Kinston, La Grange | 24 | -1 | 17 |
| Martin County | Williamston, Robersonville | 32 | -1 | 18 |
| Nash County | Rocky Mount, Nashville | 23 | -1 | 19 |
| Northampton County | Gaston, Garysburg | 24 | -3 | 14 |
| Pasquotank County | Elizabeth City | 25 | -1 | 14 |
| Perquimans County | Hertford, Winfall | 24 | -1 | 14 |
| Pitt County | Greenville, Winterville | 21 | -1 | 20 |
| Sampson County | Clinton, Roseboro | 30 | -1 | 21 |
| Tyrrell County | Columbia | 28 | -2 | 15 |
| Washington County | Plymouth, Roper | 23 | -3 | 14 |
| Wayne County | Goldsboro, Mount Olive | 22 | -1 | 19 |
| Wilson County | Wilson, Elm City | 20 | -4 | 20 |
Coast and Outer Banks
The coast and Outer Banks, which run from Wilmington and Jacksonville to Morehead City, Ocracoke and Kitty Hawk.
| County | Largest towns | Plans open to everyone | Change from 2026 | Special needs plans |
|---|---|---|---|---|
| Brunswick County | Leland, Oak Island | 38 | +4 | 25 |
| Carteret County | Morehead City, Beaufort | 11 | -1 | 9 |
| Currituck County | Moyock, Currituck | 27 | same | 15 |
| Dare County | Kill Devil Hills, Kitty Hawk | 20 | +1 | 10 |
| Hyde County | Swan Quarter, Ocracoke | 25 | -1 | 17 |
| New Hanover County | Wilmington, Carolina Beach | 37 | +4 | 29 |
| Onslow County | Jacksonville, Holly Ridge | 14 | -1 | 7 |
| Pamlico County | Bayboro, Oriental | 26 | same | 14 |
| Pender County | Surf City, Burgaw | 38 | +3 | 26 |
