Understanding Medicare Special Needs Plans in Wilkes County, North Carolina
For 2027, residents of Wilkes County, NC can choose from 36 Special Needs Plan options. Of these, 23 cost nothing beyond the Part B premium. Enrollment in the County is about 1,274, with 61% of SNPs achieving 4 stars or better. SNPs are not available to everyone — eligibility is limited to people with dual Medicare/Medicaid coverage, qualifying chronic conditions, or institutional care needs.
For a broader look at coverage beyond Special Needs Plans, see all Medicare coverage options in Wilkes County, NC.
Last update: . Enrollment data last updated: October 5, 2026
* CMS rates Medicare Advantage plans annually using a 5-star system. Data sources
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are designed for people who qualify for both Medicare and Medicaid. These plans coordinate benefits to reduce costs and provide access to additional support services.
- Total D-SNP Plans
- 22
- Average Premium
- $5.20/mo
- Beneficiaries Enrolled
- 780
- $0 Premium D-SNPs
- 13
- Zero Cost D-SNPs
- 13
- Most Popular D-SNP
- Humana Gold Plus SNP-DE H1036-331 (D-SNP) with 212 enrollees
- D-SNPs Without Drug Coverage
- 0
- What is the average premium for D-SNP plans in Wilkes County?
- On average, D-SNP plans in Wilkes County cost $5.20 per month.
- Which D-SNP is the most popular in Wilkes County?
- The leading D-SNP in Wilkes County is Humana Gold Plus SNP-DE H1036-331 (D-SNP), with 212 members.
- How many D-SNP plans are available in Wilkes County?
- In 2027, Wilkes County offers 22 D-SNPs with 780 enrollees.
Institutional Special Needs Plans (I-SNPs)
These plans cater to individuals residing in long-term care facilities, such as nursing homes, or those requiring extended skilled nursing facility care at home. The CMS website provides more information about I-SNPs and their coverage details.
| Plan Name | CMS Stars* | Premium/Mo | Network | CMS ID |
|---|---|---|---|---|
| UHC Nursing Home Plan NC-F001 | $0 | PPO I-SNP | H0710 034 0 | |
| Liberty Medicare Advantage Nursing Home Plan | $13 | HMO I-SNP | H6351 001 0 | |
| Provider Partners North Carolina Advantage Plan | $13 | HMO I-SNP | H4439 001 0 | |
| Provider Partners North Carolina Community Plan | $0 | HMO I-SNP | H4439 004 0 | |
| Provider Partners North Carolina Essential Plan | $13 | HMO I-SNP | H4439 005 0 |
What is the average premium for I-SNP plans in Wilkes County?
On average, I-SNP plans in Wilkes County cost $7.98 per month.
Which I-SNP is the most popular in Wilkes County?
The leading I-SNP in Wilkes County is UHC Nursing Home Plan NC-F001 (I-SNP), with 46 members.
How many I-SNP plans are available in Wilkes County?
In 2027, Wilkes County offers 5 I-SNPs with 46 enrollees.
Chronic Condition Special Needs Plans (C-SNPs)
These plans are designed for individuals with severe or disabling chronic conditions. C-SNPs excel at coordinating your care among different medical specialists and often include extra benefits like prescription drug plans.
- Total C-SNP Plans
- 9
- Average Premium
- $0.53/mo
- Beneficiaries Enrolled
- 448
- $0 Premium C-SNPs
- 8
- Average MOOP
- $13,456
- Most Popular C-SNP
- UHC Complete Care NC-25 (C-SNP) with 351 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | CMS ID |
|---|---|---|---|---|
| Alignment Health Heart & Diabetes 011 | $0 | HMO C-SNP | H5296 011 0 | |
| Alignment Health Heart & Diabetes Plus 009 | $5 | HMO-POS C-SNP | H5296 009 0 | |
| DEVOTED C-SNP ENHANCED 014 NC | $0 | HMO C-SNP | H5299 014 0 | |
| DEVOTED C-SNP GIVEBACK EXTRAS 045 NC | $0 | HMO C-SNP | H5299 045 0 | |
| DEVOTED C-SNP PLUS 015 NC | $0 | HMO C-SNP | H5299 015 0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H1036 308 0 | |
| UHC Complete Care NC-25 | $0 | HMO-POS C-SNP | H5253 186 0 | |
| Liberty Medicare Advantage | $0 | HMO C-SNP | H6351 004 0 | |
| HealthSpring Achieve | $0 | HMO C-SNP | H9725 020 0 |
What is the total number of C-SNP options in Wilkes County?
There are 9 C-SNP plans in 2027, covering 448 beneficiaries.
How much do C-SNP plans cost on average in Wilkes County?
The average C-SNP premium is $0.53, with 8 costing $0.
What C-SNP plan has the highest enrollment in Wilkes County?
UHC Complete Care NC-25 (C-SNP) is the most popular C-SNP in Wilkes County, with 351 enrollees.
What is the total number of C-SNP options in Wilkes County?
There are 9 C-SNP plans in 2027, covering 448 beneficiaries.
Medicare Advantage Special Needs Plan enrollment follows specific timelines. Understanding these options—whether it’s your first time enrolling or switching plans—helps you choose coverage that matches your health and budget.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Outside the standard enrollment dates, you may qualify for a Special Enrollment Period if specific circumstances apply, including relocation or coverage loss. Learn more
SNP Enrollment Options Explained
- Talk with a Licensed Agent: Our licensed agents can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Mon-Fri 8AM-10PM, Sat 9AM-8PM EST.
- Contact the Plan Provider Directly: Enrollment can also be completed by calling the plan provider’s customer service line or visiting their official website.
- Use Medicare.gov: The official Medicare website, Medicare.gov, lets you review available plans and complete enrollment online.
The D-SNP, C-SNP, and I-SNP plans listed on this page are available to qualifying individuals enrolled in Medicare Part A and Part B living in Boomer, Ferguson, Hays, Millers Creek, Moravian Falls, North Wilkesboro, Purlear, Roaring River, Ronda, Thurmond, Traphill, Wilkesboro, and all other areas of Wilkes County, North Carolina. For a broader statewide overview, see Medicare plan options in North Carolina.
Plans Offered through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare®, Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: CY2027 Landscape (202609.1)
- CMS.gov, Medicare Part C & D Performance — Version: 2027 Star Ratings Data Tables
- CMS.gov, Plan Benefits Package — Version: PBP Benefits-2027
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-09
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
To explore how 2027 Medicare SNP plans available in Wilkes County compare with plans offered elsewhere, you can search the Special Needs Plan directory to review options nationwide using the same authoritative data sources.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.