Medicare Advantage in North Carolina: 1,096,794 members, 14 carriers, UnitedHealth in front.
UnitedHealth holds 35.5% of North Carolina’s visible Medicare Advantage members, ahead of Humana at 25.3% and CuraCor Solutions Corp. at 16.6%. The market grew +4.4% (+45,980 members) from Nov 2025 to Oct 2026 and stepped +1.6% at the 2026 election period. 57.9% of the state's Medicare beneficiaries are in a Medicare Advantage plan.
Every carrier with members in North Carolina
Ranked by visible members in Oct 2026. The twelve-month change runs Nov 2025 to Oct 2026; the election step is the carrier’s own December-to-January change. Counties led counts counties where the carrier has the most visible members and at least one other carrier is visible. UnitedHealth leads 69 of the 100 counties with a lead. At the election period Devoted stepped up most (+223.8%) and Aetna (CVS) stepped down most (−9.7%).
| # | Carrier | Members | Share | Twelve months | Election step | Counties led | Rating | $0 premium | Plans |
|---|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealth | 388,989 | 35.5% | −6.3% | −4.6% | 69 of 100 | 3.99 | 85% | 33 |
| 2 | Humana | 277,155 | 25.3% | +10.3% | +7.5% | 26 of 100 | 4.33 | 97% | 30 |
| 3 | CuraCor Solutions Corp. | 181,520 | 16.6% | +10.8% | +5.3% | 4 of 100 | 4.08 | 67% | 9 |
| 4 | Aetna (CVS) | 124,319 | 11.3% | −5.8% | −9.7% | 1 of 96 | 3.86 | 96% | 18 |
| 5 | Devoted | 38,026 | 3.5% | +327.1% | +223.8% | 0 of 49 | 4.22 | 100% | 20 |
| 6 | Health Care Service Corporation | 32,153 | 2.9% | +14.9% | +3.4% | 0 of 36 | 3.00 | 100% | 8 |
| 7 | Risant Health, Inc. | 22,594 | 2.1% | −0.5% | −3.6% | 0 of 20 | 3.66 | 96% | 4 |
| 8 | Alignment Healthcare USA, LLC | 15,577 | 1.4% | +84.6% | +41.5% | 0 of 15 | 4.50 | 100% | 7 |
| 9 | Centene | 10,780 | 1.0% | +17.4% | +28.9% | 0 of 65 | 3.28 | 100% | 9 |
| 10 | Liberty Healthcare Insurance | 2,975 | 0.3% | −3.1% | −2.3% | 0 of 33 | 3.50 | 100% | 2 |
| 11 | Troy Holdings, Inc. | 1,530 | 0.1% | +13.8% | +21.3% | 0 of 21 | 3.00 | 100% | 2 |
| 12 | Longevity Health Founders, LLC | 870 | 0.1% | −24.1% | −3.1% | 0 of 22 | 5.00 | 100% | 1 |
| 13 | UNICO Services, Inc. | 243 | 0.0% | −1.6% | −3.7% | 0 of 10 | – | 100% | 1 |
| 14 | Rifkin Managed Care Holding, LLC | 63 | 0.0% | −20.3% | −5.8% | 0 of 3 | – | – | 2 |
North Carolina county by county
100 counties with visible members, largest first. A county’s leader is the carrier with the most visible members there; a county with one visible carrier shows no leader, because the others are suppressed, not absent. Penetration is Medicare Advantage members as a share of the county’s Medicare beneficiaries.
| County | Visible members | Carriers | Leader | Leader share | MA penetration | Dual eligibles |
|---|---|---|---|---|---|---|
| Mecklenburg | 80,284 | 10 | UnitedHealth | 39.1% | 55.4% | 26,329 |
| Wake | 70,218 | 9 | UnitedHealth | 30.1% | 52.7% | 18,685 |
| Guilford | 68,140 | 12 | UnitedHealth | 33.6% | 72.0% | 18,581 |
| Forsyth | 50,449 | 12 | UnitedHealth | 33.6% | 69.3% | 12,985 |
| Cumberland | 30,485 | 8 | Humana | 38.6% | 58.1% | 13,952 |
| Gaston | 26,994 | 8 | UnitedHealth | 29.1% | 63.4% | 8,617 |
| Davidson | 26,666 | 11 | UnitedHealth | 32.1% | 71.3% | 6,344 |
| Buncombe | 25,459 | 11 | Humana | 34.4% | 48.3% | 8,657 |
| Alamance | 23,116 | 9 | UnitedHealth | 33.2% | 71.3% | 6,562 |
| Randolph | 22,577 | 8 | UnitedHealth | 29.5% | 72.6% | 5,370 |
| Brunswick | 22,282 | 8 | Humana | 45.8% | 44.4% | 4,032 |
| Durham | 21,939 | 9 | UnitedHealth | 33.8% | 52.0% | 7,191 |
| Iredell | 21,828 | 9 | UnitedHealth | 36.4% | 60.0% | 5,117 |
| Cabarrus | 21,474 | 9 | UnitedHealth | 31.5% | 62.8% | 5,529 |
| Catawba | 21,369 | 9 | UnitedHealth | 29.5% | 59.5% | 5,744 |
| Rowan | 19,683 | 10 | UnitedHealth | 37.1% | 65.6% | 5,400 |
| Union | 19,482 | 10 | UnitedHealth | 30.6% | 53.3% | 4,368 |
| Johnston | 19,462 | 8 | UnitedHealth | 42.4% | 57.0% | 5,907 |
| New Hanover | 18,388 | 8 | Humana | 60.0% | 45.3% | 6,016 |
| Rockingham | 17,391 | 9 | UnitedHealth | 39.7% | 76.7% | 4,992 |
| Robeson | 17,191 | 7 | UnitedHealth | 41.6% | 75.0% | 8,834 |
| Pitt | 15,072 | 6 | UnitedHealth | 41.2% | 56.9% | 7,787 |
| Henderson | 14,023 | 9 | UnitedHealth | 44.1% | 47.3% | 3,435 |
| Cleveland | 13,403 | 7 | UnitedHealth | 34.7% | 62.7% | 4,879 |
| Caldwell | 12,434 | 7 | UnitedHealth | 38.1% | 68.8% | 4,044 |
| Surry | 12,216 | 6 | UnitedHealth | 59.3% | 74.2% | 3,912 |
| Onslow | 12,190 | 3 | UnitedHealth | 63.5% | 45.1% | 4,871 |
| Wayne | 12,102 | 5 | UnitedHealth | 57.7% | 58.2% | 5,317 |
| Nash | 12,090 | 5 | UnitedHealth | 52.5% | 60.0% | 4,916 |
| Moore | 12,034 | 8 | Humana | 37.5% | 50.5% | 2,750 |
| Harnett | 11,617 | 7 | UnitedHealth | 32.0% | 56.3% | 4,204 |
| Wilkes | 11,548 | 8 | UnitedHealth | 54.6% | 67.9% | 3,621 |
| Burke | 11,224 | 7 | UnitedHealth | 37.9% | 65.4% | 4,021 |
| Lincoln | 11,182 | 8 | UnitedHealth | 33.9% | 61.0% | 2,794 |
| Wilson | 9,529 | 7 | UnitedHealth | 48.9% | 54.2% | 4,261 |
| Craven | 9,272 | 4 | UnitedHealth | 64.0% | 42.0% | 3,577 |
| Orange | 8,911 | 9 | UnitedHealth | 31.2% | 52.0% | 2,415 |
| Haywood | 8,792 | 8 | Humana | 51.7% | 53.9% | 2,559 |
| Rutherford | 8,765 | 6 | Humana | 43.0% | 59.2% | 3,089 |
| Stokes | 8,254 | 8 | UnitedHealth | 37.2% | 70.8% | 1,775 |
| Stanly | 8,126 | 6 | UnitedHealth | 42.2% | 64.2% | 2,564 |
| Chatham | 8,025 | 8 | UnitedHealth | 39.6% | 49.6% | 1,650 |
| Franklin | 7,795 | 7 | UnitedHealth | 32.3% | 59.4% | 2,477 |
| Halifax | 7,721 | 5 | UnitedHealth | 44.7% | 61.6% | 4,063 |
| Edgecombe | 7,692 | 4 | UnitedHealth | 49.3% | 67.6% | 3,996 |
| Sampson | 7,253 | 7 | UnitedHealth | 35.8% | 63.9% | 2,931 |
| Columbus | 6,997 | 8 | Humana | 42.7% | 60.4% | 3,430 |
| Davie | 6,860 | 10 | UnitedHealth | 33.7% | 67.1% | 1,355 |
| Lenoir | 6,808 | 5 | UnitedHealth | 53.1% | 57.7% | 4,075 |
| McDowell | 6,721 | 8 | UnitedHealth | 34.6% | 64.0% | 2,381 |
| Pender | 6,717 | 6 | Humana | 50.9% | 52.4% | 2,088 |
| Vance | 6,538 | 5 | UnitedHealth | 33.2% | 68.5% | 3,016 |
| Carteret | 6,467 | 4 | CuraCor Solutions Corp. | 58.1% | 41.4% | 2,159 |
| Beaufort | 6,449 | 4 | CuraCor Solutions Corp. | 45.5% | 54.6% | 2,659 |
| Lee | 6,409 | 7 | UnitedHealth | 36.6% | 56.4% | 2,329 |
| Yadkin | 6,349 | 9 | UnitedHealth | 41.0% | 74.8% | 1,468 |
| Richmond | 6,079 | 7 | UnitedHealth | 50.4% | 62.8% | 2,719 |
| Granville | 5,888 | 6 | Humana | 35.3% | 57.3% | 2,240 |
| Duplin | 5,510 | 5 | UnitedHealth | 36.4% | 56.2% | 2,383 |
| Person | 5,325 | 7 | UnitedHealth | 31.4% | 62.7% | 1,774 |
| Alexander | 5,199 | 8 | UnitedHealth | 38.5% | 64.1% | 1,257 |
| Cherokee | 4,871 | 5 | Humana | 41.5% | 52.4% | 1,648 |
| Hoke | 4,791 | 7 | Humana | 39.7% | 59.0% | 1,906 |
| Scotland | 4,734 | 6 | UnitedHealth | 46.7% | 66.0% | 2,136 |
| Macon | 4,680 | 5 | Aetna (CVS) | 29.9% | 45.6% | 1,523 |
| Bladen | 4,560 | 8 | UnitedHealth | 34.3% | 65.3% | 1,980 |
| Transylvania | 4,463 | 9 | UnitedHealth | 33.6% | 51.2% | 1,055 |
| Montgomery | 3,552 | 8 | Humana | 43.8% | 68.7% | 1,339 |
| Pasquotank | 3,412 | 4 | Humana | 59.3% | 45.4% | 1,690 |
| Caswell | 3,271 | 7 | UnitedHealth | 39.1% | 64.8% | 1,136 |
| Ashe | 3,264 | 6 | CuraCor Solutions Corp. | 31.0% | 50.2% | 1,449 |
| Martin | 3,248 | 4 | UnitedHealth | 38.4% | 59.7% | 1,504 |
| Anson | 3,116 | 8 | Humana | 37.0% | 67.1% | 1,482 |
| Jackson | 2,956 | 6 | Humana | 40.7% | 49.6% | 1,358 |
| Watauga | 2,932 | 4 | CuraCor Solutions Corp. | 36.5% | 47.0% | 929 |
| Hertford | 2,828 | 4 | UnitedHealth | 43.0% | 58.2% | 1,661 |
| Madison | 2,816 | 8 | Humana | 35.0% | 57.3% | 1,095 |
| Northampton | 2,786 | 4 | UnitedHealth | 38.2% | 59.6% | 1,312 |
| Bertie | 2,720 | 4 | UnitedHealth | 45.6% | 56.2% | 1,576 |
| Warren | 2,667 | 6 | Humana | 33.8% | 66.6% | 1,105 |
| Yancey | 2,452 | 7 | UnitedHealth | 35.4% | 53.9% | 929 |
| Polk | 2,371 | 7 | UnitedHealth | 34.6% | 42.1% | 716 |
| Mitchell | 1,994 | 8 | UnitedHealth | 43.7% | 56.5% | 817 |
| Greene | 1,902 | 6 | UnitedHealth | 39.9% | 62.0% | 868 |
| Avery | 1,801 | 5 | UnitedHealth | 51.6% | 55.5% | 740 |
| Currituck | 1,737 | 4 | Humana | 53.0% | 32.9% | 624 |
| Dare | 1,666 | 3 | UnitedHealth | 46.7% | 25.6% | 659 |
| Clay | 1,619 | 5 | Humana | 43.0% | 44.9% | 557 |
| Alleghany | 1,596 | 6 | Humana | 36.1% | 57.2% | 568 |
| Washington | 1,570 | 4 | UnitedHealth | 44.7% | 56.0% | 812 |
| Chowan | 1,495 | 4 | UnitedHealth | 43.2% | 44.3% | 780 |
| Pamlico | 1,433 | 4 | UnitedHealth | 45.1% | 42.7% | 499 |
| Perquimans | 1,403 | 4 | Humana | 52.5% | 43.9% | 622 |
| Swain | 1,339 | 6 | Humana | 42.8% | 43.5% | 775 |
| Jones | 1,305 | 4 | UnitedHealth | 47.2% | 61.2% | 597 |
| Graham | 980 | 6 | Humana | 49.8% | 58.1% | 481 |
| Gates | 943 | 4 | Humana | 46.9% | 43.8% | 448 |
| Camden | 497 | 4 | Humana | 47.5% | 33.9% | 223 |
| Hyde | 396 | 4 | UnitedHealth | 40.7% | 53.9% | 264 |
| Tyrrell | 165 | 4 | UnitedHealth | 57.6% | 48.7% | 212 |
North Carolina's twelve months
Visible Medicare Advantage members in North Carolina each month, Nov 2025 to Oct 2026. The December-to-January step is the election period; the rest of the year moves on new eligibles, special enrollment and deaths.
What 2027 does to North Carolina
The fate assigned to every plan for 2027, joined to the members in it today. A plan that ends sends its members to choose again; a plan dropping counties keeps the plan but not every county, and which counties is not stated.
members in North Carolina are in plans that end for 2027.
- Health Care Service Corporation4,666
- Humana4,597
- Risant Health, Inc.3,644
- CuraCor Solutions Corp.2,782
- Centene1,014
- UnitedHealth972
- Rifkin Managed Care Holding, LLC63
members are in plans that keep selling in North Carolina but drop at least one county for 2027.
- Humana · 7 plans148,744
- Aetna (CVS) · 6 plans48,503
- Health Care Service Corporation · 6 plans27,487
- CuraCor Solutions Corp. · 1 plans25,210
- UnitedHealth · 2 plans3,155
The plans on sale in North Carolina for 2027
Benefit design weighted by each plan’s members today, so a figure is what the market’s members are offered, not a count of plans. The rating is the 2027 overall Star Rating, weighted the same way.
of members are in a plan with no monthly premium
median out-of-pocket maximum, member weighted
2027 overall, member weighted
- UnitedHealth3.99 stars · 85% at $0 · $4,900 max
- Humana4.33 stars · 97% at $0 · $9,850 max
- CuraCor Solutions Corp.4.08 stars · 67% at $0 · $5,900 max
- Aetna (CVS)3.86 stars · 96% at $0 · $5,900 max
- Devoted4.22 stars · 100% at $0 · $9,250 max
- Health Care Service Corporation3.00 stars · 100% at $0 · $3,900 max
- Risant Health, Inc.3.66 stars · 96% at $0 · $4,900 max
The read on every carrier in North Carolina is in Carrier Command.
A monthly position page for each of the 14 carriers here: risk and rebate against the market, Stars levers, the election-period forecast, county standing and the written read. Launching for Medicare Advantage plans.
Other states
Every state has its own page; the largest carriers have one nationally.
- Alabama
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Puerto Rico
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
UnitedHealth in every state · Humana in every state · CuraCor Solutions Corp. in every state · All states and carriers
How these numbers are made
- Members are visible members: CMS suppresses any plan-county cell of ten or fewer, so small counties undercount. Market share excludes employer group plans.
- Enrollment is Oct 2026; the twelve months run Nov 2025 to Oct 2026; the election step compares December 2025 with January 2026.
- Plan fates are the ones assigned for contract year 2027; benefit design is the 2027 filing; the rating is the 2027 overall Star Rating of each carrier's contracts, weighted by members in North Carolina.
- A carrier is a parent organization; its brands in North Carolina may carry other names. The rank 1st to 14th counts every parent with visible members in 2026.
- Every figure comes from public CMS data as Livmor reads it, and the page is rebuilt when a new month posts. Livmor Carrier Command, public CMS data.