Understanding Medicare Special Needs Plans in Wilson County, North Carolina
In Wilson County, NC, Medicare beneficiaries have access to 20 Special Needs Plans (SNPs) in 2027. Among them, 12 are available at a $0 premium. About 1,863 people in the County are enrolled, with 55% of SNPs rated 4 stars or higher. These plans are designed for individuals with specific healthcare needs, including dual eligibility for Medicare and Medicaid, chronic conditions, or long-term care requirements.
To see how SNPs fit with your other Medicare choices, explore all Medicare coverage options in Wilson County, NC.
Page last revised:
Enrollment data refreshed: October 5, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana Dual Select H1036-307 | $0 | HMO D-SNP | H1036 307 0 | |
| Humana Gold Plus SNP-DE H1036-167 | $0 | HMO D-SNP | H1036 167 0 | |
| Humana Gold Plus SNP-DE H1036-331 | $0 | HMO D-SNP | H1036 331 0 | |
| Humana Dual Select H5525-072 | $13 | PPO D-SNP | H5525 072 0 | |
| HumanaChoice SNP-DE H5525-036 | $0 | PPO D-SNP | H5525 036 0 | |
| UHC Dual Advantage NC-V1 | $13 | HMO-POS D-SNP | H5253 116 0 | |
| UHC Dual Complete NC-Q2 | $0 | HMO-POS D-SNP | H5253 217 1 | |
| UHC Dual Complete NC-S3 | $4 | HMO-POS D-SNP | H5253 216 1 | |
| Aetna Medicare Full Dual | $0 | HMO D-SNP | H3146 002 0 | |
| Liberty Medicare Dual Plan | $18 | HMO D-SNP | H6351 005 0 | |
| UHC Dual Complete NC-Q1 | $0 | PPO D-SNP | H1889 005 0 | |
| UHC Dual Complete NC-S2 | $0 | PPO D-SNP | H1889 034 0 | |
| Wellcare Carolina Complete Dual Liberty | $0 | HMO-POS D-SNP | H4073 004 0 | |
| Wellcare Carolina Complete Dual Reserve | $13 | HMO-POS D-SNP | H4073 003 0 | |
| Healthy Blue + Medicare | $13 | HMO-POS D-SNP | H9147 001 0 |
What is the total number of D-SNP options in Wilson County?
Wilson County has 15 D-SNP options for 2027, serving 1,060 members.
How much do D-SNP plans cost on average in Wilson County?
The mean monthly D-SNP premium in Wilson County is $4.96, with 9 at no cost.
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.
- Total I-SNP Plans
- 2
- Average Premium
- $13.30/mo
- Beneficiaries Enrolled
- 21
- $0 Premium I-SNPs
- 0
- Average MOOP
- $16,650
- Most Popular I-SNP
- Longevity Health Plan (I-SNP) with 21 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Longevity Health Plan | $13 | HMO I-SNP | H5374 001 0 | |
| Liberty Medicare Advantage Nursing Home Plan | $13 | HMO I-SNP | H6351 001 0 |
What is the total number of I-SNP options in Wilson County?
There are 2 I-SNP plans in 2027, covering 21 beneficiaries.
How much do I-SNP plans cost on average in Wilson County?
The average I-SNP premium is $13.30, with 0 costing $0.
What I-SNP plan has the highest enrollment in Wilson County?
Longevity Health Plan (I-SNP) is the most popular I-SNP in Wilson County, with 21 enrollees.
What is the total number of I-SNP options in Wilson County?
There are 2 I-SNP plans in 2027, covering 21 beneficiaries.
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 3
- Average Premium $0.00/mo
- Beneficiaries Enrolled 782
- $0 Premium C-SNPs 3
- Average MOOP $12,067
- Most Popular C-SNP UHC Complete Care NC-28 (C-SNP) with 598 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H1036 308 0 | |
| UHC Complete Care NC-28 | $0 | HMO-POS C-SNP | H5253 189 0 | |
| Liberty Medicare Advantage | $0 | HMO C-SNP | H6351 004 0 |
- What is the average premium for C-SNP plans in Wilson County?
- On average, C-SNP plans in Wilson County cost $0.00 per month.
- Which C-SNP is the most popular in Wilson County?
- The leading C-SNP in Wilson County is UHC Complete Care NC-28 (C-SNP), with 598 members.
- How many C-SNP plans are available in Wilson County?
- In 2027, Wilson County offers 3 C-SNPs with 782 enrollees.
Medicare Special Needs Plans have with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): Each fall, from October 15 to December 7, Medicare beneficiaries can review their coverage and make changes for the next plan year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
Ways to Enroll in Medicare Advantage Special Needs Plans
- Consult a Licensed Agent: Call a licensed insurance agent at 1-833-748-3201 (TTY 711), available Mon-Fri 8AM-10PM, Sat 9AM-8PM EST, for help reviewing your Medicare options.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely 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 Elm City, Lucama, Sims, Stantonsburg, Wilson, and all other areas of Wilson 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 Wilson 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, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 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.