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Humana's 2027 Medicare Advantage lineup in Raleigh: what's new, what's not returning

Raleigh, N.C. — October 2026. Humana's Medicare Advantage lineup for Wake County shifts a little next year: two plans are new, two will not return, and one has been renamed. If you are on a Humana plan in Raleigh, your Annual Notice of Change (ANOC) spells out exactly what is different for 2027. The window to make a change for January 1 coverage runs October 15 through December 7, 2026.

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2027 plan lineupRaleigh, NC
Video: Eaktas06 Video by Eaktas06 on Pixabay

Key takeaways

  • Humana will offer 18 Medicare Advantage plans in Wake County for 2027, including six Special Needs Plans, and all 18 include drug coverage.
  • Two Humana plans are new for 2027, two 2026 plans are not returning, and one has been renamed; the specifics for your plan are in your ANOC.
  • The Annual Enrollment Period runs October 15 – December 7, 2026, and any change you make takes effect January 1, 2027.
  • Check each plan against your own doctors and prescriptions on medicare.gov's Plan Finder before you decide — a plan's network and drug list can change year to year.

MyMedicarePlans.org is an independent consumer site. We are not Humana, and we are not Medicare. Humana is one of nine carriers offering Medicare Advantage plans in Wake County for 2027 — together those carriers offer 63 plans — so this article is a snapshot of just one carrier's roster.

Humana's 2027 plans in Wake County, by type

Raleigh sits in Wake County, where Medicare Advantage availability is set. For 2027, Humana's 18 plans here break down as:

Every one of Humana's 2027 plans in the county includes Part D prescription drug coverage. The table on this page lists each plan by name and type.

The plan-type label matters because it shapes how you use the plan. HMO plans generally ask you to use in-network providers and often require a referral to see a specialist. HMO-POS plans are HMOs with a limited "point-of-service" option to go out of network for certain services. PPO plans typically let you see out-of-network providers, usually at a higher cost share. None of that is a recommendation — it is just how CMS defines the categories.

Special Needs Plans in the Humana lineup

Six of Humana's 18 Wake County plans for 2027 are Special Needs Plans (SNPs). These are built for people who meet specific eligibility rules:

You cannot simply pick a SNP the way you pick a general MA plan — you have to qualify. If you think you might, Medicare.gov or 1-800-MEDICARE can confirm.

What's new, what's not returning, and what's renamed

For 2027, Humana's Wake County roster has three kinds of changes:

The table below shows every 2027 plan with its type and SNP status. We are not listing which specific plans are new, leaving or renamed in prose because the point of this article is to send you to the authoritative source for your own plan: your mailed ANOC and the Plan Finder.

How to check a plan against your doctors and prescriptions

Before December 7, 2026, it is worth spending 20 minutes doing this check — even if you plan to stay put.

1. Gather your prescriptions. Write down the drug name, dose and how often you take it. 2. List your doctors and preferred pharmacy. Include specialists you see regularly. 3. Go to medicare.gov/plan-compare. Log in with your Medicare account so your drugs save between visits. Enter your ZIP code (any Raleigh ZIP in Wake County will do), then filter by Medicare Advantage. 4. Add your drugs and pharmacy. The tool will show each plan's estimated yearly drug cost based on your list. 5. Check the network. Click into a plan and search for each of your doctors by name. Networks and formularies change every January 1. 6. Call to confirm. For anything that matters, call the plan directly using the number on medicare.gov, or call 1-800-MEDICARE (TTY 1-877-486-2048), available 24/7.

If you prefer paper, your plan's Evidence of Coverage and provider directory on the carrier's website are the official documents.

2027 Part D figures worth knowing

Two Part D numbers are set for 2027 and apply to any Medicare drug plan, including the drug coverage built into Humana's MA plans:

The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, have not been announced yet. CMS typically publishes those in the fall, usually in November.

If paying drug costs in a single month is a strain, remember the Medicare Prescription Payment Plan — an optional program that lets you spread your Part D out-of-pocket costs across the calendar year in monthly bills instead of at the pharmacy counter.

If you do nothing

Nothing happens automatically to a Humana enrollee whose plan is returning for 2027 — your coverage renews January 1 with the changes described in your ANOC. If your plan is one of the two not returning, you need to pick a new plan during AEP (or use the Special Enrollment Period triggered by the non-renewal) to avoid a gap in Medicare Advantage coverage.

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 Wake County

53% are on Medicare Advantage
(MA penetration in Wake County)
53%
47%
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

Humana Medicare Advantage plans in Wake County for 2027

CMS lists 18 Humana Medicare Advantage plans in Wake County for 2027, alphabetically by carrier. 8 other carriers also offer plans there.

PlanTypeDrug coverageFor 2027
Humana 18 plans
Humana Dual Select H1036-307 (HMO D-SNP)HMO D-SNPYesReturning
Humana Dual Select H5525-072 (PPO D-SNP)PPO D-SNPYesReturning
Humana Full Access (Regional PPO)PPOYesRenamed
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)HMO C-SNPYesReturning
Humana Gold Plus Giveback H1036-318 (HMO-POS)HMO-POSYesReturning
Humana Gold Plus Giveback H1036-343 (HMO-POS)HMO-POSYesNew
Humana Gold Plus H1036-137 (HMO-POS)HMO-POSYesNew
Humana Gold Plus H1036-233 (HMO-POS)HMO-POSYesReturning
Humana Gold Plus H1036-335 (HMO-POS)HMO-POSYesReturning
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)HMO D-SNPYesReturning
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP)HMO D-SNPYesReturning
Humana USAA Honor Giveback (PPO)PPOYesReturning
Humana USAA Honor Giveback (Regional PPO)PPOYesReturning
HumanaChoice Giveback H5525-035 (PPO)PPOYesReturning
HumanaChoice H5216-211 (PPO)PPOYesReturning
HumanaChoice H5525-070 (PPO)PPOYesReturning
HumanaChoice R0110-004 (Regional PPO)PPOYesReturning
HumanaChoice SNP-DE H5525-036 (PPO D-SNP)PPO 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

How Humana Medicare Advantage plans in Wake County break down for 2027

18
Medicare Advantage plans
4
HMO plans
5
HMO-POS plans
9
PPO plans
5
Dual Special Needs (D-SNP)
1
Chronic-condition (C-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.

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Medicare Advantage companies in Wake 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
Alignment Healthcare Usa LLCRegional—Yes
Blue Cross Blue Shield (HCSC)Regional—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

How many Humana Medicare Advantage plans are available in Raleigh for 2027?
Humana is offering 18 Medicare Advantage plans in Wake County, which is the county Raleigh sits in, for 2027. That includes 4 HMO, 5 HMO-POS and 9 PPO plans, and all 18 include Part D drug coverage. Six of them are Special Needs Plans.
What should I do if my Humana plan is not returning in 2027?
You will receive a non-renewal notice from Humana. That notice triggers a Special Enrollment Period, and you can also use the Annual Enrollment Period (October 15 – December 7, 2026) to choose a new plan. If you take no action, you will revert to Original Medicare on January 1 and may need to add a stand-alone Part D plan separately.
Where can I see every carrier's plans, not just Humana's?
The Medicare Plan Finder at medicare.gov shows every Medicare Advantage and Part D plan available in your ZIP code, from all nine carriers offering MA in Wake County for 2027. You can filter, compare and run your own drug list through the tool.
When do changes I make during AEP take effect?
Any plan change you make between October 15 and December 7, 2026 takes effect January 1, 2027. After that, Medicare Advantage members have one more window — the Medicare Advantage Open Enrollment Period, January 1 – March 31 — to switch to a different MA plan or return to Original Medicare. ## Where to get official answers **medicare.gov/plan-compare** — the official Plan Finder, with your drugs and doctors. **1-800-MEDICARE (TTY 1-877-486-2048)** — 24 hours a day, 7 days a week. **Your plan's Annual Notice of Change and Evidence of Coverage** — mailed each fall; also on the carrier's website. Humana's 2027 Raleigh roster is just one piece of what is available in Wake County. Take the time before December 7 to check your plan against your own doctors and prescriptions — that is the one comparison that actually matches your life.
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 Raleigh

Content Integrity Standards

  • No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
  • No plan rankings or recommendations. This is educational content. We don't rank, score, or recommend specific plans.
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  • Inline sourcing. Facts and figures are cited to primary sources — CMS, SSA, and Medicare.gov.
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This page was last updated: October 2026.

Medicare plans in your area changing for 2027 — check yoursCall