Ranked by math. Plans ranked on yearly cost from official federal and state data · ads and any paid links never change the order · not a broker; we don’t enroll you · how we’re funded →
2027 plans · CMS data · Ranked by math

$0 Premium Medicare Advantage Plans in North Carolina

Every general-audience Medicare Advantage plan with drug coverage and a $0 monthly premium in North Carolina for 2027, ranked by what it could cost you in a bad year: the in-network out-of-pocket maximum, less any Part B giveback. Pick your county to see the plans sold there.

83$0-premium plans, of 107 with drug coverage
$3,400lowest in-network out-of-pocket max among them
30also pay part of your Part B premium

Showing all 83 plans.

#PlanPremium / monthIn-network max out-of-pocketWorst-case yearStars
1 Alignment Health Smart 006 (HMO)Alignment Health Plan · HMO16 of 100 counties · drug deductible $700Part B giveback $119/mo · Preventive dental · eyewear $50/yr $0−$119 Part B giveback $3,400 $1,972 4.5★
2 Alignment Health Platinum 012 (HMO)Alignment Health Plan · HMO4 of 100 counties · drug deductible $225Dental up to $3,000/yr · eyewear $300/yr · OTC items $240/yr $0 $3,500 $3,500 4.5★
3 HealthSpring Preferred (HMO)HealthSpring · HMO11 of 100 counties · drug deductible $400Part B giveback $5/mo · Dental up to $1,650/yr · eyewear $150/yr · OTC items $80/yr $0−$5 Part B giveback $3,900 $3,840 3★
4 Humana Gold Plus H1036-335 (HMO-POS)Humana · HMO-POS62 of 100 counties · drug deductible $700Part B giveback $1/mo · Dental up to $4,000/yr · eyewear $450/yr $0−$1 Part B giveback $3,950 $3,938 4.5★
5 DEVOTED CORE 001 NC (HMO)Devoted Health · HMO11 of 100 counties · drug deductible $650Dental up to $2,250/yr · eyewear $300/yr · OTC items $200/yr $0 $4,050 $4,050 4.5★
6 Humana Gold Plus H1036-335 (HMO-POS)Humana · HMO-POS7 of 100 counties · drug deductible $700Dental up to $4,000/yr · eyewear $350/yr $0 $4,100 $4,100 4.5★
7 HealthTeam Advantage Thrive Plan (HMO)HealthTeam Advantage · HMO7 of 100 counties · drug deductible $495Dental up to $1,000/yr · eyewear $250/yr $0 $4,200 $4,200 4.5★
8 Alignment Health Platinum 010 (HMO)Alignment Health Plan · HMO16 of 100 counties · drug deductible $225Dental up to $2,000/yr · eyewear $300/yr · OTC items $480/yr $0 $4,300 $4,300 4.5★
9 Alignment Health Smart 013 (HMO)Alignment Health Plan · HMO4 of 100 counties · drug deductible $700Part B giveback $175/mo · Preventive dental · eyewear $50/yr $0−$175 Part B giveback $6,500 $4,400 4.5★
10 AARP Medicare Advantage from UHC NC-15 (HMO-POS)UnitedHealthcare · HMO-POS42 of 100 counties · drug deductible $685Dental up to $1,500/yr · eyewear $75/yr · hearing aids $700/yr $0 $4,450 $4,450 4★
11 HealthSpring Preferred (HMO)HealthSpring · HMO3 of 100 counties · drug deductible $400Dental up to $1,200/yr · eyewear $150/yr · OTC items $120/yr $0 $4,450 $4,450 3★
12 HealthSpring Preferred (HMO)HealthSpring · HMO10 of 100 counties · drug deductible $400Dental up to $1,450/yr · eyewear $150/yr · OTC items $180/yr $0 $4,450 $4,450 3★
13 HealthSpring Preferred Savings (HMO)HealthSpring · HMO11 of 100 counties · drug deductible $600Part B giveback $179/mo · Dental up to $700/yr · eyewear $100/yr $0−$179 Part B giveback $6,750 $4,602 3★
14 DEVOTED CORE 023 NC (HMO)Devoted Health · HMO5 of 100 counties · drug deductible $650Dental up to $3,750/yr · eyewear $300/yr · OTC items $400/yr $0 $4,700 $4,700 4.5★
15 DEVOTED CHOICE 003 NC (PPO)Devoted Health · PPO11 of 100 counties · drug deductible $650Dental up to $2,500/yr · eyewear $300/yr · OTC items $200/yr $0 $4,850 $4,850 4★
16 HealthSpring Preferred Savings (HMO)HealthSpring · HMO10 of 100 counties · drug deductible $600Part B giveback $158/mo · Dental up to $700/yr · eyewear $100/yr $0−$158 Part B giveback $6,750 $4,854 3★
17 DEVOTED GIVEBACK EXTRAS 038 NC (HMO)Devoted Health · HMO11 of 100 counties · drug deductible $700Part B giveback $70/mo · Dental up to $2,500/yr · eyewear $350/yr · OTC items $600/yr $0−$70 Part B giveback $5,700 $4,860 4.5★
18 HealthTeam Advantage Plan I (PPO)HealthTeam Advantage · PPO12 of 100 counties · drug deductible $595Dental up to $750/yr · eyewear $100/yr $0 $4,900 $4,900 3.5★
19 DEVOTED CORE 021 NC (HMO)Devoted Health · HMO4 of 100 counties · drug deductible $650Dental up to $3,750/yr · eyewear $250/yr · OTC items $200/yr $0 $4,950 $4,950 4.5★
20 DEVOTED CORE 029 NC (HMO)Devoted Health · HMO18 of 100 counties · drug deductible $650Dental up to $3,750/yr · eyewear $300/yr · OTC items $260/yr $0 $4,950 $4,950 4.5★
21 DEVOTED CORE 037 NC (HMO)Devoted Health · HMO14 of 100 counties · drug deductible $650Dental up to $4,000/yr · eyewear $300/yr · OTC items $200/yr $0 $4,950 $4,950 4.5★
22 Troy Medicare (HMO)Troy Medicare · HMO35 of 100 counties · drug deductible $0Dental up to $2,000/yr · eyewear $200/yr · OTC items $240/yr $0 $4,950 $4,950 3★
23 Aetna Medicare Prime (HMO)Aetna Medicare · HMO9 of 100 counties · drug deductible $500Dental up to $1,500/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $60/yr $0 $5,200 $5,200 3.5★
24 HealthTeam Advantage Vitality Plan (PPO)HealthTeam Advantage · PPO33 of 100 counties · drug deductible $595Preventive dental · eyewear $125/yr · OTC items $180/yr $0 $5,200 $5,200 3.5★
25 DEVOTED CHOICE 005 NC (PPO)Devoted Health · PPO17 of 100 counties · drug deductible $650Dental up to $2,500/yr · eyewear $300/yr · OTC items $200/yr $0 $5,300 $5,300 4★
26 HealthSpring Preferred Savings (HMO)HealthSpring · HMO3 of 100 counties · drug deductible $600Part B giveback $113/mo · Dental up to $700/yr · eyewear $100/yr $0−$113 Part B giveback $6,750 $5,394 3★
27 Aetna Medicare Signature (HMO)Aetna Medicare · HMO12 of 100 counties · drug deductible $400Dental up to $1,500/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $80/yr $0 $5,500 $5,500 3.5★
28 Aetna Medicare Value Plus (HMO)Aetna Medicare · HMO92 of 100 counties · drug deductible $400Dental up to $1,500/yr · eyewear $200/yr · hearing aids $1,250/yr per ear · OTC items $120/yr $0 $5,500 $5,500 3.5★
29 DEVOTED GIVEBACK 002 NC (HMO)Devoted Health · HMO11 of 100 counties · drug deductible $461Part B giveback $190.70/mo · Dental up to $500/yr · eyewear $200/yr · OTC items $148/yr $0−$190.70 Part B giveback $7,950 $5,662 4.5★
30 AARP Medicare Advantage from UHC NC-0022 (HMO-POS)UnitedHealthcare · HMO-POS30 of 100 counties · drug deductible $685Dental up to $1,250/yr · eyewear $75/yr · hearing aids $700/yr $0 $5,900 $5,900 4★
31 AARP Medicare Advantage from UHC NC-26 (HMO-POS)UnitedHealthcare · HMO-POS33 of 100 counties · drug deductible $685Dental up to $750/yr · eyewear $100/yr · hearing aids $1,000/yr $0 $5,900 $5,900 4★
32 Aetna Medicare Signature (HMO)Aetna Medicare · HMO4 of 100 counties · drug deductible $400Dental up to $2,000/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $60/yr $0 $5,900 $5,900 3.5★
33 Aetna Medicare Signature (HMO)Aetna Medicare · HMO7 of 100 counties · drug deductible $400Dental up to $2,000/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $80/yr $0 $5,900 $5,900 3.5★
34 Aetna Medicare Signature (PPO)Aetna Medicare · PPO29 of 100 counties · drug deductible $500Dental up to $1,250/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $100/yr $0 $5,900 $5,900 4★
35 Aetna Medicare Signature Extra (PPO)Aetna Medicare · PPO17 of 100 counties · drug deductible $500Dental up to $1,750/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $80/yr $0 $5,900 $5,900 4★
36 Blue Medicare Essential Plus (HMO-POS)Blue Cross and Blue Shield of North Carolina · HMO-POS19 of 100 counties · drug deductible $700Dental $0 $5,900 $5,900 4★
37 DEVOTED CHOICE 008 NC (PPO)Devoted Health · PPO8 of 100 counties · drug deductible $650Dental up to $2,500/yr · eyewear $300/yr · OTC items $248/yr $0 $5,900 $5,900 4★
38 DEVOTED GIVEBACK EXTRAS 041 NC (HMO)Devoted Health · HMO4 of 100 counties · drug deductible $700Part B giveback $70/mo · Dental up to $4,000/yr · eyewear $300/yr · OTC items $600/yr $0−$70 Part B giveback $6,750 $5,910 4.5★
39 DEVOTED CHOICE 001 NC (PPO)Devoted Health · PPO13 of 100 counties · drug deductible $461Dental up to $3,000/yr · eyewear $300/yr · OTC items $200/yr $0 $6,150 $6,150 4★
40 DEVOTED GIVEBACK EXTRAS 039 NC (HMO)Devoted Health · HMO14 of 100 counties · drug deductible $700Part B giveback $70/mo · Dental up to $4,250/yr · eyewear $350/yr · OTC items $600/yr $0−$70 Part B giveback $7,050 $6,210 4.5★
41 DEVOTED GIVEBACK EXTRAS 042 NC (HMO)Devoted Health · HMO5 of 100 counties · drug deductible $700Part B giveback $70/mo · Dental up to $4,000/yr · eyewear $350/yr · OTC items $800/yr $0−$70 Part B giveback $7,100 $6,260 4.5★
42 DEVOTED GIVEBACK EXTRAS 044 NC (HMO)Devoted Health · HMO18 of 100 counties · drug deductible $700Part B giveback $70/mo · Dental up to $4,000/yr · eyewear $350/yr · OTC items $660/yr $0−$70 Part B giveback $7,150 $6,310 4.5★
43 Wellcare Assist Open (PPO)Wellcare · PPO70 of 100 counties · drug deductible $700Dental up to $1,500/yr · eyewear $300/yr · hearing aids $750/yr per ear $0 $6,500 $6,500 3★
44 Wellcare Simple (HMO-POS)Wellcare · HMO-POS71 of 100 counties · drug deductible $700Dental up to $4,000/yr · eyewear $200/yr · hearing aids $750/yr per ear $0 $6,700 $6,700 3.5★
45 Aetna Medicare Signature (HMO)Aetna Medicare · HMO4 of 100 counties · drug deductible $500Dental up to $1,000/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $60/yr $0 $6,750 $6,750 3.5★
46 Aetna Medicare Signature (PPO)Aetna Medicare · PPO28 of 100 counties · drug deductible $700Dental up to $1,000/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $60/yr $0 $6,750 $6,750 4★
47 HealthSpring True Choice (PPO)HealthSpring · PPO10 of 100 counties · drug deductible $500Dental up to $950/yr · eyewear $100/yr $0 $6,900 $6,900 3★
48 Blue Medicare Essential Plus (HMO-POS)Blue Cross and Blue Shield of North Carolina · HMO-POS20 of 100 counties · drug deductible $700Dental $0 $7,000 $7,000 4★
49 DEVOTED CHOICE GIVEBACK 002 NC (PPO)Devoted Health · PPO13 of 100 counties · drug deductible $461Part B giveback $184.70/mo · Dental up to $250/yr · eyewear $200/yr · OTC items $96/yr $0−$184.70 Part B giveback $9,250 $7,034 4★
50 DEVOTED CHOICE GIVEBACK 004 NC (PPO)Devoted Health · PPO11 of 100 counties · drug deductible $461Part B giveback $180.70/mo · Dental up to $250/yr · eyewear $200/yr · OTC items $148/yr $0−$180.70 Part B giveback $9,250 $7,082 4★
51 HealthSpring True Choice (PPO)HealthSpring · PPO11 of 100 counties · drug deductible $500Dental up to $800/yr · eyewear $100/yr $0 $7,100 $7,100 3★
52 Aetna Medicare Signature Giveback (PPO)Aetna Medicare · PPO86 of 100 counties · drug deductible $700Part B giveback $30/mo · Dental up to $1,000/yr · eyewear $100/yr · hearing aids $1,250/yr per ear · OTC items $80/yr $0−$30 Part B giveback $7,500 $7,140 4★
53 AARP Medicare Advantage from UHC NC-0001 (PPO)UnitedHealthcare · PPO40 of 100 counties · drug deductible $685Preventive dental · eyewear $100/yr · hearing aids $700/yr $0 $7,150 $7,150 4.5★
54 AARP Medicare Advantage from UHC NC-0007 (HMO-POS)UnitedHealthcare · HMO-POS2 of 100 counties · drug deductible $685Preventive dental · eyewear $75/yr · hearing aids $700/yr $0 $7,150 $7,150 4★
55 AARP Medicare Advantage from UHC NC-0011 (HMO-POS)UnitedHealthcare · HMO-POS14 of 100 counties · drug deductible $685Preventive dental · eyewear $100/yr · hearing aids $1,000/yr $0 $7,150 $7,150 4★
56 AARP Medicare Advantage from UHC NC-0017 (PPO)UnitedHealthcare · PPO36 of 100 counties · drug deductible $685Preventive dental · eyewear $100/yr · hearing aids $700/yr $0 $7,150 $7,150 4★
57 AARP Medicare Advantage from UHC NC-24 (HMO-POS)UnitedHealthcare · HMO-POS25 of 100 counties · drug deductible $685Preventive dental · hearing aids $1,000/yr $0 $7,150 $7,150 4★
58 HealthSpring True Choice (PPO)HealthSpring · PPO3 of 100 counties · drug deductible $500Dental up to $500/yr $0 $7,150 $7,150 3★
59 Wellcare Simple Open (PPO)Wellcare · PPO70 of 100 counties · drug deductible $700Dental up to $1,500/yr · eyewear $200/yr · hearing aids $500/yr per ear $0 $7,150 $7,150 3★
60 DEVOTED GIVEBACK 022 NC (HMO)Devoted Health · HMO4 of 100 counties · drug deductible $650Part B giveback $166/mo · Dental up to $250/yr · eyewear $200/yr $0−$166 Part B giveback $9,300 $7,308 4.5★
61 DEVOTED GIVEBACK 012 NC (HMO)Devoted Health · HMO14 of 100 counties · drug deductible $461Part B giveback $195/mo · Dental up to $500/yr · eyewear $200/yr · OTC items $96/yr $0−$195 Part B giveback $9,850 $7,510 4.5★
62 DEVOTED CHOICE GIVEBACK 006 NC (PPO)Devoted Health · PPO17 of 100 counties · drug deductible $465Part B giveback $172.80/mo · Dental up to $250/yr · eyewear $200/yr $0−$172.80 Part B giveback $9,850 $7,776 4★
63 DEVOTED GIVEBACK 030 NC (HMO)Devoted Health · HMO18 of 100 counties · drug deductible $650Part B giveback $171/mo · Dental up to $250/yr · eyewear $200/yr $0−$171 Part B giveback $9,850 $7,798 4.5★
64 DEVOTED CHOICE GIVEBACK 009 NC (PPO)Devoted Health · PPO8 of 100 counties · drug deductible $461Part B giveback $163/mo · Dental up to $250/yr · eyewear $200/yr $0−$163 Part B giveback $9,850 $7,894 4★
65 DEVOTED GIVEBACK 024 NC (HMO)Devoted Health · HMO5 of 100 counties · drug deductible $650Part B giveback $161/mo · Dental up to $250/yr · eyewear $200/yr $0−$161 Part B giveback $9,850 $7,918 4.5★
66 Blue Medicare Essential Plus (HMO-POS)Blue Cross and Blue Shield of North Carolina · HMO-POS19 of 100 counties · drug deductible $700Dental $0 $8,400 $8,400 4★
67 Humana Gold Plus Giveback H1036-318 (HMO-POS)Humana · HMO-POS40 of 100 counties · drug deductible $700Part B giveback $118/mo · Dental · eyewear $100/yr $0−$118 Part B giveback $9,850 $8,434 4.5★
68 AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)UnitedHealthcare · HMO-POS20 of 100 counties · drug deductible $685Part B giveback $84/mo · Preventive dental · eyewear $100/yr · hearing aids $1,000/yr $0−$84 Part B giveback $9,500 $8,492 4★
69 HumanaChoice Giveback H5525-035 (PPO)Humana · PPO86 of 100 counties · drug deductible $700Part B giveback $110/mo · Dental · eyewear $150/yr $0−$110 Part B giveback $9,850 $8,530 4★
70 AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)UnitedHealthcare · HMO-POS18 of 100 counties · drug deductible $685Part B giveback $51/mo · Dental up to $1,000/yr · hearing aids $1,000/yr $0−$51 Part B giveback $9,300 $8,688 4★
71 HumanaChoice Giveback H5216-017 (PPO)Humana · PPO37 of 100 counties · drug deductible $700Part B giveback $79/mo · Dental · eyewear $100/yr $0−$79 Part B giveback $9,850 $8,902 4★
72 Humana Gold Plus Giveback H1036-343 (HMO-POS)Humana · HMO-POS76 of 100 counties · drug deductible $700Part B giveback $67/mo · Dental · eyewear $150/yr $0−$67 Part B giveback $9,850 $9,046 4.5★
73 Blue Medicare Essential (HMO)Blue Cross and Blue Shield of North Carolina · HMO80 of 100 counties · drug deductible $700Part B giveback $51/mo $0−$51 Part B giveback $9,850 $9,238 4★
74 Blue Medicare Essential (HMO)Blue Cross and Blue Shield of North Carolina · HMO20 of 100 counties · drug deductible $700Part B giveback $36/mo $0−$36 Part B giveback $9,850 $9,418 4★
75 Aetna Medicare Signature (PPO)Aetna Medicare · PPO15 of 100 counties · drug deductible $700Preventive dental · eyewear $100/yr · hearing aids $1,250/yr per ear $0 $9,850 $9,850 4★
76 Aetna Medicare Signature (PPO)Aetna Medicare · PPO2 of 100 counties · drug deductible $700Preventive dental · eyewear $100/yr · hearing aids $1,250/yr per ear $0 $9,850 $9,850 4★
77 Blue Medicare Essential Plus (HMO-POS)Blue Cross and Blue Shield of North Carolina · HMO-POS42 of 100 counties · drug deductible $700Dental $0 $9,850 $9,850 4★
78 Humana Gold Plus H1036-137 (HMO-POS)Humana · HMO-POS70 of 100 counties · drug deductible $450Dental up to $2,500/yr · eyewear $350/yr $0 $9,850 $9,850 4.5★
79 Humana Gold Plus H1036-233 (HMO-POS)Humana · HMO-POS1 of 100 counties · drug deductible $450Dental up to $2,500/yr · eyewear $200/yr $0 $9,850 $9,850 4.5★
80 Humana Gold Plus H6622-025 (HMO-POS)Humana · HMO-POS13 of 100 counties · drug deductible $450Dental up to $1,000/yr · eyewear $300/yr $0 $9,850 $9,850 4★
81 Humana Gold Plus H6622-057 (HMO-POS)Humana · HMO-POS3 of 100 counties · drug deductible $700Dental up to $1,000/yr · eyewear $100/yr $0 $9,850 $9,850 4★
82 Humana Gold Plus H6622-060 (HMO-POS)Humana · HMO-POS9 of 100 counties · drug deductible $450Dental up to $1,000/yr · eyewear $100/yr $0 $9,850 $9,850 4★
83 Humana Gold Plus H6622-061 (HMO-POS)Humana · HMO-POS5 of 100 counties · drug deductible $450Dental up to $1,000/yr · eyewear $100/yr $0 $9,850 $9,850 4★

Worst-case year = 12 × (monthly plan premium − any Part B giveback) + in-network maximum out-of-pocket, for covered Part A and B services. All plans here have a $0 premium, so the order comes down to the out-of-pocket maximum and the giveback. You still pay the Part B premium ($202.90 a month in 2026), and drug costs are capped separately at $2,400 for 2027. Special Needs Plans, Cost plans, employer plans and plans under CMS sanction aren’t listed. Methodology

Before you enroll: check that your doctors are in the plan’s network and how it covers your drugs, in the official Medicare Plan Finder. A plan with a premium can still cost less in a bad year; see every plan in our North Carolina Medicare Advantage ranking.

Questions

How many $0 premium Medicare Advantage plans are in North Carolina for 2027?

83 of the 107 general-audience Medicare Advantage plans with drug coverage in North Carolina have a $0 monthly plan premium for 2027.

Is a $0 premium Medicare Advantage plan free?

No. You still pay the Part B premium ($202.90 a month in 2026 for most people), plus copays and coinsurance when you use care, up to the plan's out-of-pocket maximum. Among North Carolina's $0 plans, the lowest in-network maximum is $3,400 and the median is $6,750.

Which $0 premium plan in North Carolina has the lowest worst-case cost?

Alignment Health Smart 006 (HMO) from Alignment Health Plan, with an in-network out-of-pocket maximum of $3,400 and a Part B giveback of $119 a month. It is sold in 16 of 100 counties.

Do any $0 premium plans in North Carolina also have a Part B giveback?

Yes, 30 of them. See the North Carolina Part B giveback plans.

Sources

  1. CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), from cms.gov; extra benefits (Part B giveback, dental, eyewear, hearing aids, over-the-counter allowance) from the CMS CY 2027 Plan Benefit Package files, cms.gov, yearly amounts as each plan filed them; star ratings from the CMS 2027 Star Ratings Data Tables (October 8, 2026), cms.gov. Ratings are per contract, so plans under the same contract share one rating. General-audience plans only: Special Needs Plans, Cost plans and employer group plans are not ranked.
  2. CMS, 2026 Part B premium — cms.gov.

Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure

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