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Open enrollment 2027 · North Carolina

Medicare Advantage in Gaston County, NC, for 2027.

CMS lists 83 Medicare Advantage plans here for 2027, 3 more than 2026 (80). 31,430 people in the county had an individual Medicare Advantage plan in October 2026.

Sources: CMS CY2027 plan file (October 2026 release), CMS CY2026 plan file (September 2026 release), CMS enrollment by county (CPSC), October 2026, CMS 2027 Plan Crosswalk (October 1, 2026), CMS 2027 Star Ratings Data Tables (October 8, 2026). Member counts are floors because CMS hides counts of 10 or fewer.

The county in numbers

2027 plans833 more than 2026 (80)
$0 premium plans62of 83
Insurers11parent companies
Must pick a plan282their plan ends here
Rated 4 stars or more54of 80 rated plans

Plans that end here for 2027

7 plans with members in the county end or leave it, plus 49 with 10 or fewer members here. CMS moves 2,713 members to another plan, and 23,999 stay in the same plan.

PlanInsurerMembersWhy
HealthSpring Preferred Plus (HMO)Health Care Service93Plan terminated
HumanaChoice H5525-050 (PPO)Humana50Plan terminated
Aetna Medicare Signature Care (HMO)CVS Health46Plan leaves this county
HumanaChoice H5525-083 (PPO)Humana31Plan terminated
Humana Gold Plus H1036-335 (HMO-POS)Humana25Plan leaves this county
Wellcare Giveback Open (PPO)Centene21Plan terminated
AARP Medicare Advantage Access from UHC NC-23 (PPO)UnitedHealth16Plan terminated

Where CMS moves members

2026 plan2027 planMembers
UHC Dual Complete NC-S3 (HMO-POS D-SNP)UHC Dual Complete NC-S3 (HMO-POS D-SNP)1,614
UHC Dual Complete NC-D001 (HMO-POS D-SNP)UHC Dual Complete NC-Q2 (HMO-POS D-SNP)1,076
Wellcare Dual Access (HMO-POS D-SNP)Wellcare Carolina Complete Dual Liberty (HMO-POS D-SNP)23

Who holds the members

  • Humana9,419
  • UnitedHealth8,389
  • CVS Health5,449
  • CuraCor Solutions3,223
  • Devoted Health2,470
  • Health Care Service1,259

Individual Medicare Advantage members by parent company, October 2026.

Top rated plans sold here

  • Longevity Health Plan (HMO I-SNP)Longevity Health Founders5.0
  • UHC Nursing Home Plan NC-F001 (PPO I-SNP)UnitedHealth5.0
  • Alignment Health Duals+ 004 (HMO-POS D-SNP)Alignment Healthcare USA4.5
  • Alignment Health Heart & Diabetes 011 (HMO C-SNP)Alignment Healthcare USA4.5
  • Alignment Health Heart & Diabetes Plus 009 (HMO-POS C-SNP)Alignment Healthcare USA4.5
  • Alignment Health Platinum 012 (HMO)Alignment Healthcare USA4.5
  • Alignment Health Smart 013 (HMO)Alignment Healthcare USA4.5
  • Blue Medicare Freedom+ (PPO)CuraCor Solutions4.5

2027 overall Star Rating, 4.5 or more. Each plan's measure stars are in the county lookup.

See every plan, premium and copay in the free lookup.

Sort all 83 plans, open each plan's benefits and star measures, and see what each insurer paid agents in 2026.

Open Gaston in the lookup

Working this county for AEP?

The AEP 2027 County Kit puts this county and your others in one file: the plans that end, where members land, what is still sold and a crosswalk sheet, with every number tied to its CMS file.

See the AEP 2027 County Kit

All North Carolina county pages. Facts from public CMS files, prepared by Health and Tech Now. Not plan advice. Check a plan's Summary of Benefits before you enroll.