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Medicare Advantage

Wellcare's 2027 Medicare Advantage lineup in Durham: 7 plans, 2 gone, 3 renamed

DURHAM, N.C. — Fall 2026. If you have a Wellcare Medicare Advantage plan in Durham, or you are weighing one for next year, the carrier's local lineup is shifting. For plan year 2027, Wellcare is offering 7 Medicare Advantage plans in Durham County — down from 9 this year — with three plans carrying new names and two not returning. The Annual Enrollment Period runs October 15 through December 7, 2026, and anything you change in that window takes effect January 1, 2027.

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Key takeaways

  • Wellcare is offering 7 Medicare Advantage plans in Durham County for 2027: 3 HMO-POS and 4 PPO, including 3 Dual-eligible Special Needs Plans (D-SNPs).
  • Two Wellcare plans from 2026 are not returning for 2027, and three plans have been renamed under the "Carolina Complete" banner — your Annual Notice of Change (ANOC) spells out what that means for you.
  • Six of the seven 2027 Wellcare plans include Part D drug coverage; one PPO does not.
  • You have until December 7, 2026 to switch, and the Medicare Plan Finder at medicare.gov is the place to check any plan against your doctors and prescriptions.
2027 plan lineupDurham, NC
Video: Kampus Production Video by Kampus Production on Pexels
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.

MyMedicarePlans.org is an independent news and education site. We are not Wellcare, and Wellcare is one of 11 carriers offering Medicare Advantage plans in Durham County next year (69 plans in all). This article walks through only Wellcare's slice so you can see exactly what it is selling in Durham for 2027.

How many Wellcare Medicare Advantage plans are offered in Durham for 2027?

Wellcare is offering 7 Medicare Advantage plans in Durham County for plan year 2027. By plan type, that breaks down to 3 HMO-POS plans and 4 PPO plans. Three of the seven are Dual-eligible Special Needs Plans (D-SNPs), designed for people who have both Medicare and full Medicaid. Six include Part D prescription drug coverage; one PPO is offered without drug coverage.

Durham sits inside Durham County, and Medicare plan availability is set at the county level, so every Durham resident sees the same Wellcare menu. The full plan-by-plan table on this page lists each one by name and type.

Which Wellcare plans are new, renamed, or not returning in Durham County for 2027?

For 2027 in Durham County, Wellcare is not launching any new Medicare Advantage plans, is retiring 2 plans from its 2026 lineup, and has renamed 3 continuing plans. The three renamed plans are the D-SNPs now branded "Carolina Complete":

A rename is more than a label swap in some cases: benefits, cost sharing, networks and drug lists can change too. The Annual Notice of Change (ANOC) that Wellcare mails to current members in September spells out exactly what is different for your plan next year. If you cannot find your copy, you can request one from the carrier directly.

The two plans not returning for 2027 are no longer available for enrollment on January 1. If you are in one of them, Wellcare will send a non-renewal notice telling you the plan is ending, and you have a Special Enrollment Period to pick something else. Doing nothing means losing that plan's coverage, so this is one case where it pays to open the mail.

What kinds of plans is Wellcare offering in Durham for 2027?

Wellcare's 2027 Durham lineup splits into three buckets:

Six of the seven plans bundle Part D drug coverage. One PPO is a "medical-only" plan without drug coverage — if you enroll in that one and want prescription coverage, you generally cannot add a stand-alone Part D plan to a Medicare Advantage plan that includes drug coverage, so your options are different. Call 1-800-MEDICARE before you decide.

How do I check a Wellcare plan against my doctors and prescriptions before December 7?

The fastest, most accurate way is the Medicare Plan Finder at medicare.gov/plan-compare. You can enter your ZIP code, add your prescription drugs with dosages, and add your doctors and preferred pharmacies. Plan Finder then shows you, side by side, which Durham County plans cover each drug, what tier it falls on, and whether a provider is in network for a given plan.

A short checklist before you commit:

1. Pull your ANOC. If you have a Wellcare plan now, read the Annual Notice of Change for 2027. Pay attention to any renamed plan — the "Carolina Complete" rebrand means a different plan ID. 2. Confirm every doctor. Networks can change year to year. Call each provider's office and ask whether they will accept the specific 2027 plan you are considering. 3. Price your drugs. Run each prescription through Plan Finder. In 2027, Part D out-of-pocket costs are capped at $2,400 for the year (up from $2,100 in 2026), and the maximum Part D deductible is $700 (up from $615 in 2026). 4. Check your pharmacy. Preferred vs. standard pharmacy status affects what you pay. 5. Ask about extras. Dental, vision, hearing, fitness and over-the-counter benefits vary by plan. Verify the specifics in the plan's Summary of Benefits or Evidence of Coverage.

If you want help from a human, call 1-800-MEDICARE (TTY 1-877-486-2048), available 24 hours a day, seven days a week.

What happens if I do nothing by December 7, 2026?

If your current Wellcare plan is being offered again in 2027, you stay enrolled automatically with the 2027 changes described in your ANOC. If your plan is one of the two Wellcare plans not returning, Wellcare will notify you in writing and you will need to pick another plan — you will have a Special Enrollment Period to do so, but you should not wait until the last minute.

Also keep in mind two 2027 figures CMS has not yet published: the Part B standard premium and deductible, and the IRMAA income brackets for higher earners. CMS typically announces these in the fall, usually November. The 2027 Part D national base beneficiary premium is $41.33 — that is a formula input, not what any specific plan charges.

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.

2027 plan lineup

Wellcare Medicare Advantage plans in Durham County for 2027

CMS lists 7 Wellcare Medicare Advantage plans in Durham County for 2027, alphabetically by carrier. 10 other carriers also offer plans there.

PlanTypeDrug coverageFor 2027
Centene (WellCare) 7 plans
Wellcare Assist Open (PPO)PPOYesReturning
Wellcare Carolina Complete Dual Liberty (HMO-POS D-SNP)HMO-POS D-SNPYesRenamed
Wellcare Carolina Complete Dual Liberty Open (PPO D-SNP)PPO D-SNPYesRenamed
Wellcare Carolina Complete Dual Reserve (HMO-POS D-SNP)HMO-POS D-SNPYesRenamed
Wellcare Patriot Giveback Open (PPO)PPONoReturning
Wellcare Simple (HMO-POS)HMO-POSYesReturning
Wellcare Simple Open (PPO)PPOYesReturning

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

How Wellcare Medicare Advantage plans in Durham County break down for 2027

7
Medicare Advantage plans
3
HMO-POS plans
4
PPO plans
3
Dual Special Needs (D-SNP)

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

Is MyMedicarePlans.org part of Wellcare?
No. MyMedicarePlans.org is an independent consumer news and education site. We are not Wellcare, Centene, or Medicare, and we do not sell insurance. For plan enrollment and member services, contact Wellcare directly, use medicare.gov, or call 1-800-MEDICARE.
My Wellcare plan has a new name for 2027 — did my benefits change too?
Maybe. Three Wellcare D-SNPs in Durham County were renamed under the "Carolina Complete" banner for 2027. A rename can come with changes to cost sharing, drug lists, provider networks or extra benefits. Read the Annual Notice of Change (ANOC) your plan mailed in September, or request a copy from Wellcare.
Can I switch plans after December 7, 2026?
Yes, in limited situations. Medicare Advantage members have a separate Open Enrollment Period from January 1 through March 31, 2027, when you can make one change — switch to another Medicare Advantage plan or drop back to Original Medicare and add a stand-alone Part D plan. Special Enrollment Periods also apply if you move, lose other coverage, or your plan is non-renewed.
How many other carriers offer Medicare Advantage plans in Durham County for 2027?
Ten other carriers offer Medicare Advantage plans in Durham County next year, for a county-wide total of 69 plans across all carriers. Wellcare is one option among many; the right choice depends on your doctors, prescriptions and budget. --- For personalized help, visit **medicare.gov** or call **1-800-MEDICARE** (TTY 1-877-486-2048), 24 hours a day, seven days a week. To review a specific plan's benefits, request the Evidence of Coverage and provider and pharmacy directories from the carrier.

Watch

The Medicare Advantage changes for 2027 in every state, in 30 seconds

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: Wellcare's Durham County plan list, plan types, SNP designations, drug coverage, and the count of plans new, renamed and not returning for 2027.
  • CMS — 2027 Part D parameters: the $2,400 out-of-pocket cap, $700 maximum deductible, and $41.33 national base beneficiary premium.
  • Medicare.gov — Annual Enrollment Period dates, Medicare Plan Finder, and 1-800-MEDICARE.

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.

Content Integrity Standards

  • No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
  • No plan recommendations. This is educational content. We don't score or recommend specific plans; any Star Ratings shown are Medicare's own CMS ratings, stated as published.
  • AI-assisted, human-reviewed. Articles are produced with AI-assisted tools and reviewed by the responsible desk before publishing.
  • Inline sourcing. Facts and figures are cited to primary sources — CMS, SSA, and Medicare.gov.
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  • Not a government site. MyMedicarePlans.org is privately owned and not affiliated with or endorsed by Medicare or any government agency.

This page was last updated: October 2026.

Medicare plans in your area changing for 2027 — check yoursCall