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HomeMedicare AdvantageNorth CarolinaDurham11 Durham Medicare Advantage plans won't be back in 2027: how to tell if yours is one

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11 Durham Medicare Advantage plans won't be back in 2027: how to tell if yours is one

For 2027, Durham is looking at 69 Medicare Advantage plans: 6 new, 11 gone since 2026, and 25 still here but changed on premium, deductible, plan type or name, 9 of them under a new name. Below, how the lineup shifted in Durham County and what to compare, with no plan ranked or recommended.

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Key takeaways

  • Eleven Medicare Advantage plans offered in Durham County for 2026 are not returning for 2027, and members should receive a non-renewal letter from their plan by early October 2026.
  • If you do nothing, your coverage does not vanish — you drop back to Original Medicare (Part A and Part B) on January 1, 2027, with no Part D drug coverage attached.
  • Members of a non-renewed plan get a Special Enrollment Period that runs from the notice through February 28, 2027, to pick a new Medicare Advantage plan or move to Original Medicare with a Part D plan.
  • The Annual Enrollment Period runs October 15 – December 7, 2026, and any choice made in that window takes effect January 1, 2027.
Not returning for 2027Durham, NC
Video: HieuNghiaMini Video by HieuNghiaMini on Pixabay
Key facts: Medicare in Durham, North Carolina (data as of 2026-06-01)
FactFigureSource
Medicare Advantage plans offered in Durham County (2026)74CMS
Medicare Advantage plans offered in Durham County (2027)69CMS
Plans not returning for 2027 / new for 202711 / 6CMS
Organizations offering Medicare Advantage in Durham County (2026)12CMS
Share of eligible beneficiaries in Medicare Advantage, Durham County52%CMS
Residents age 65 and older, Durham County48,164U.S. Census Bureau
Part B standard monthly premium (2026)$202.90Medicare.gov
Part D out-of-pocket cap (2026)$2,100CMS
Part D out-of-pocket cap (2027)$2,400CMS
Annual Enrollment Period (for 2027 coverage)October 15 – December 7, 2026Medicare.gov
Medicare Advantage Open Enrollment PeriodJanuary 1 – March 31Medicare.gov

Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.

Durham, N.C. — Fall 2026. Eleven Medicare Advantage plans sold in Durham County this year are not on the Centers for Medicare & Medicaid Services' 2027 landscape file for the county, which means members of those plans will need to pick something else for next year. The notice arrives by mail, and the window to act is wider than the regular enrollment period.

Durham is in Durham County, where CMS lists 74 Medicare Advantage plans from 12 carriers for 2026 and 69 plans from 11 carriers for 2027. The 11 plans below are the ones offered in 2026 that are not returning for 2027.

Which Durham Medicare Advantage plans are not returning for 2027?

Based on the CMS Medicare Advantage Landscape Source Files for 2026 and 2027, these 11 plans are offered in Durham County for 2026 and are not on the 2027 file for the county:

If your plan is not on this list, it is expected to renew for 2027 — but it may still change benefits, costs or network. Those changes are described in your plan's Annual Notice of Change.

How can I tell if my Durham plan is one of the 11 not returning for 2027?

Your plan is required to mail you a non-renewal notice (sometimes called a "plan termination letter") by early October 2026. If you are a member of one of the 11 plans listed above, watch your mail — it will be a plain envelope from your current carrier, not from Medicare.

The letter will say the plan will not be offered in 2027, that your coverage ends December 31, 2026, and that you have a Special Enrollment Period to choose something new. It will also list a few of the carrier's other plans you could switch into, but you are not required to pick one of those; you can choose any plan available in Durham County, from any carrier.

If you are not sure whether a letter you received is a non-renewal, call the number on the back of your member ID card, or call 1-800-MEDICARE (TTY 1-877-486-2048).

What happens if I do nothing after my Durham Advantage plan ends?

If you are in one of the 11 non-renewed plans and you make no choice by December 31, 2026, you are automatically moved to Original Medicare — Part A (hospital) and Part B (medical) — on January 1, 2027. You are not left uninsured, but there are two things to know:

1. Original Medicare does not include prescription drug coverage. If you want Part D, you must enroll in a stand-alone Part D plan. 2. Original Medicare has no annual out-of-pocket maximum. Many people pair it with a Medicare Supplement (Medigap) policy to cover the coinsurance.

Doing nothing is a valid choice for some people, but it is a choice — not a continuation of what you had.

What is the Special Enrollment Period for a non-renewed plan in 2027?

Members of a Medicare Advantage plan that is not being renewed get a Special Enrollment Period that runs from the time of the notice through February 28, 2027. During that window you can:

You also have a federal Medigap guaranteed-issue right triggered by the non-renewal. That means for a limited time you can buy certain Medicare Supplement policies without medical underwriting — insurers cannot turn you down or charge you more because of health history. The specific plans you qualify for, and the exact window, are set by federal rules and administered under North Carolina law; the North Carolina Department of Insurance can confirm the state-specific details.

If you simply want to pick a new Advantage plan during the regular season, the Annual Enrollment Period (October 15 – December 7, 2026) also works, and the new coverage starts January 1, 2027.

What else is changing about Medicare in 2027?

A few program-level numbers are already set by CMS for 2027:

The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, have not been announced yet; CMS typically publishes them in November. The coverage gap (the old "donut hole") remains eliminated, and the Medicare Prescription Payment Plan — the optional way to spread drug costs over the year in level monthly payments — is still available.

For Durham County overall, CMS lists 69 Medicare Advantage plans from 11 carriers for 2027, with 6 new plans and 9 renamed plans in addition to the 11 that are not returning. If your plan is renaming or changing, the specifics will be in your Annual Notice of Change.

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Durham County

52% are on Medicare Advantage
(MA penetration in Durham County)
52%
48%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

Not returning for 2027

Medicare Advantage plans in Durham County not returning for 2027

These 11 plans are offered in Durham County for 2026 and are not in CMS’s 2027 file for the county. A member of one of them gets a non-renewal letter from the plan and has a Special Enrollment Period to choose new coverage.

PlanTypeDrug coverageFor 2027
Aetna (CVS Health) 1 plan
Aetna Medicare Signature Care (HMO)HMOYesReturning
Centene (WellCare) 2 plans
Wellcare Dual Access (HMO-POS D-SNP)HMO-POS D-SNPYesReturning
Wellcare Giveback Open (PPO)PPOYesReturning
Experience Health 1 plan
Experience Health Medicare Advantage (HMO)HMOYesReturning
HealthSpring 2 plans
HealthSpring Preferred Plus (HMO)HMOYesReturning
HealthSpring Preferred Select (HMO)HMOYesReturning
Humana 2 plans
HumanaChoice H5525-050 (PPO)PPOYesReturning
HumanaChoice H5525-083 (PPO)PPOYesReturning
UnitedHealthcare 3 plans
AARP Medicare Advantage Access from UHC NC-23 (PPO)PPOYesReturning
UHC Dual Complete NC-D001 (HMO-POS D-SNP)HMO-POS D-SNPYesReturning
UHC Dual Complete NC-S3 (HMO-POS D-SNP)HMO-POS D-SNPYesReturning

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

The 2027 choices, by type

HMO, PPO and Special Needs Plans in Durham County for 2027

69
Medicare Advantage plans
11
Carriers
22
HMO plans
20
HMO-POS plans
27
PPO plans
20
Dual Special Needs (D-SNP)
3
Chronic-condition (C-SNP)
  • Aetna (CVS Health) 6 plans: HMO, PPO
  • Blue Cross and Blue Shield of North Carolina 7 plans: HMO, HMO-POS, PPO
  • Centene (WellCare) 7 plans: HMO-POS, PPO
  • HealthSpring 6 plans: HMO, PPO
  • HealthTeam Advantage 2 plans: PPO
  • Humana 20 plans: HMO, HMO-POS, PPO
  • Liberty Medicare Advantage 3 plans: HMO
  • Longevity Health Plan 1 plan: HMO
  • PruittHealth Premier 2 plans: HMO
  • Troy Medicare 2 plans: HMO
  • UnitedHealthcare 13 plans: HMO-POS, PPO

HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also cover out-of-network care, at a higher share; PFFS plans pay any provider that accepts the plan’s terms. Special Needs Plans serve people with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

Compare with a licensed agent

See Medicare options serving Durham & speak with a licensed agent

Medicare Advantage companies in Durham County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
HumanaNational—Yes
UnitedHealthcareNational—Yes
Curacor Solutions CorpRegional—Yes
Aetna (CVS Health)National—Yes
Blue Cross Blue Shield (HCSC)Regional—Yes
Centene (WellCare)National—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

When will I get the non-renewal letter if my Durham plan is ending?
Plans are required to mail the non-renewal notice by early October 2026. If you believe you are in one of the 11 plans not returning and you have not seen a letter by mid-October, call the number on your member ID card or 1-800-MEDICARE to confirm.
Do I have to pick a plan from the same carrier the letter suggests?
No. The letter may list a few of the carrier's other options, but during your Special Enrollment Period you can choose any Medicare Advantage plan available in Durham County, switch to Original Medicare with a stand-alone Part D plan, or add a Medigap policy under your guaranteed-issue right.
What is the deadline to pick a new plan?
If you use the Annual Enrollment Period, the deadline is December 7, 2026, for coverage starting January 1, 2027. If you use the Special Enrollment Period that comes with a non-renewal, you have through February 28, 2027. Earlier is better so there is no gap in prescription coverage on January 1.
Where can I compare the 2027 plans available in Durham County?
Use the Medicare Plan Finder at medicare.gov to enter your ZIP code, your prescriptions and your preferred providers, and compare 2027 plans side by side. You can also call 1-800-MEDICARE (TTY 1-877-486-2048), 24 hours a day, seven days a week.
Sources & further reading
  • CMS — MA Landscape Source File (plan-level availability by county)
  • CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
  • CMS — Medicare enrollment periods (medicare.gov)

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Also for Durham

Sources and methodology

Figures cited in this article

  • CMS — Medicare Advantage Landscape Source Files, plan years 2026 and 2027: the Durham County plan counts and the list of plans not returning for 2027.
  • Medicare.gov — Annual Enrollment Period dates, Special Enrollment Period rules for non-renewed plans, and Medigap guaranteed-issue rights.
  • CMS — 2027 Part D parameters (out-of-pocket cap, maximum deductible, national base beneficiary premium).

How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.

By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

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This page was last updated: October 2026.

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