Free tool · public CMS data
North Carolina Medicare Advantage market share
In September 2026, 1,331,757 North Carolina Medicare beneficiaries were enrolled in a Medicare Advantage plan across 103 parent carriers and 100 counties, led by Humana Inc. with 33.5% of counted enrollment.
Data month
September 2026
Advantage enrollees
1,331,757
+3.4% vs September 2025
Parent carriers
103
Advantage penetration
55.3%
CMS Medicare Monthly Enrollment, 2024
Carriers in North Carolina
CMS Monthly Enrollment by Contract/Plan/State/County (CPSC) · September 2026
| # | Parent organisation | Enrollees | Share | Counties | vs September 2025 |
|---|---|---|---|---|---|
| 1 | Humana Inc. | 446,037 | 33.5% | 100 | +6.0% |
| 2 | UnitedHealth Group, Inc. | 423,744 | 31.8% | 100 | -6.0% |
| 3 | CuraCor Solutions Corp. | 183,592 | 13.8% | 100 | +11.2% |
| 4 | CVS Health Corporation | 144,737 | 10.9% | 100 | -5.4% |
| 5 | Devoted Health, Inc. | 37,115 | 2.8% | 65 | +320.3% |
| 6 | Health Care Service Corporation | 32,899 | 2.5% | 100 | +13.7% |
| 7 | Risant Health, Inc. | 22,539 | 1.7% | 41 | -0.2% |
| 8 | Alignment Healthcare USA, LLC | 15,358 | 1.2% | 100 | +87.5% |
| 9 | Centene Corporation | 10,777 | 0.8% | 83 | +17.0% |
| 10 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 3,807 | 0.3% | 100 | +4.4% |
| 11 | Liberty Healthcare Insurance | 2,988 | 0.2% | 60 | +5.1% |
| 12 | Highmark Health | 2,642 | 0.2% | 100 | +3.2% |
| 13 | Elevance Health, Inc. | 2,583 | 0.2% | 100 | +1.4% |
| 14 | Troy Holdings, Inc. | 1,557 | 0.1% | 47 | +13.8% |
| 15 | Longevity Health Founders, LLC | 876 | 0.1% | 57 | -22.0% |
| 16 | UNICO Services, Inc. | 244 | 0.0% | 24 | +8.0% |
| 17 | CareFirst, Inc. | 93 | 0.0% | 100 | +32.9% |
| 18 | Rifkin Managed Care Holding, LLC | 50 | 0.0% | 15 | -31.5% |
| 19 | California Physicians' Service | 47 | 0.0% | 100 | +17.5% |
| 20 | Lifetime Healthcare, Inc. | 36 | 0.0% | 100 | +9.1% |
| 21 | Horizon Mutual Holdings, Inc | 23 | 0.0% | 100 | +109.1% |
| 22 | MVP Health Care, Inc. | 13 | 0.0% | 100 | 0.0% |
| 23 | Allina Health and Aetna Insurance Holding Company | 0 | 0.0% | 100 | — |
| 24 | Astiva Health Holdings Incorporated | 0 | 0.0% | 2 | — |
| 25 | Athena Healthcare Holdings, LLC | 0 | 0.0% | 6 | — |
| 26 | Aultman Health Foundation | 0 | 0.0% | 100 | — |
| 27 | Aware Integrated, Inc. | 0 | 0.0% | 100 | — |
| 28 | Banner Health | 0 | 0.0% | 2 | — |
| 29 | Baystate Health, Inc. | 0 | 0.0% | 100 | — |
| 30 | Blue Cross & Blue Shield of Rhode Island | 0 | 0.0% | 100 | — |
| 31 | Blue Cross and Blue Shield of Massachusetts, Inc. | 0 | 0.0% | 100 | — |
| 32 | Blue Cross Blue Shield of Arizona | 0 | 0.0% | 1 | — |
| 33 | Blue Cross Blue Shield of Kansas | 0 | 0.0% | 100 | — |
| 34 | Blue Cross Blue Shield of Nebraska | 0 | 0.0% | 100 | — |
| 35 | BlueCross BlueShield of Alabama | 0 | 0.0% | 100 | — |
| 36 | BlueCross BlueShield of South Carolina (BCBSSC) | 0 | 0.0% | 100 | — |
| 37 | BlueCross BlueShield of Tennessee | 0 | 0.0% | 100 | — |
| 38 | BMC Health System, Inc. | 0 | 0.0% | 1 | — |
| 39 | Cambia Health Solutions, Inc. | 0 | 0.0% | 100 | — |
| 40 | CAPITAL BLUE CROSS | 0 | 0.0% | 100 | — |
| 41 | CareSource | 0 | 0.0% | 16 | — |
| 42 | Central Mass Health Holding LLC | 0 | 0.0% | 1 | — |
| 43 | Champion Health Plans-USA, LLC. | 0 | 0.0% | 1 | — |
| 44 | CHRISTUS Health | 0 | 0.0% | 1 | — |
| 45 | Clover Health Holdings, Inc. | 0 | 0.0% | 11 | — |
| 46 | Corewell Health | 0 | 0.0% | 100 | — |
| 47 | Curana Health Holdings, LLC | 0 | 0.0% | 2 | — |
| 48 | DLP Marquette Health Plan, LLC | 0 | 0.0% | 1 | — |
| 49 | DOCTORS HEALTHCARE PLANS, INC. | 0 | 0.0% | 2 | — |
| 50 | Elderplan, Inc. | 0 | 0.0% | 6 | — |
| 51 | EmblemHealth, Inc. | 0 | 0.0% | 100 | — |
| 52 | Fallon Community Health Plan, Inc. | 0 | 0.0% | 100 | — |
| 53 | Fenyx Health Holdings, Inc. | 0 | 0.0% | 100 | — |
| 54 | General Catalyst Group Management Holdings LP | 0 | 0.0% | 100 | — |
| 55 | Gold Kidney Health Plan | 0 | 0.0% | 1 | — |
| 56 | Guidewell Mutual Holding Corporation | 0 | 0.0% | 100 | — |
| 57 | Hawaii Medical Service Association | 0 | 0.0% | 100 | — |
| 58 | Health First Shared Services, Inc. | 0 | 0.0% | 3 | — |
| 59 | Healthfirst, Inc. | 0 | 0.0% | 100 | — |
| 60 | HealthPartners, Inc. | 0 | 0.0% | 100 | — |
| 61 | Henry Ford Health System | 0 | 0.0% | 100 | — |
| 62 | Imperial Health Plan of California | 0 | 0.0% | 6 | — |
| 63 | Independence Health Group, Inc. | 0 | 0.0% | 100 | — |
| 64 | Independent Health Association, Inc. | 0 | 0.0% | 100 | — |
| 65 | INLAND EMPIRE HEALTH PLAN | 0 | 0.0% | 2 | — |
| 66 | Intermountain Health Care, Inc. | 0 | 0.0% | 1 | — |
| 67 | Johns Hopkins Healthcare LLC | 0 | 0.0% | 100 | — |
| 68 | Kaiser Foundation Health Plan, Inc. | 0 | 0.0% | 29 | — |
| 69 | LifeBridge Health, Inc. | 0 | 0.0% | 2 | — |
| 70 | Local Initiative Health Authority for LA County | 0 | 0.0% | 1 | — |
| 71 | Louisiana Health Service & Indemnity Company | 0 | 0.0% | 100 | — |
| 72 | Martin's Point Health Care, Inc. | 0 | 0.0% | 100 | — |
| 73 | Mass General Brigham Incorporated | 0 | 0.0% | 2 | — |
| 74 | Medica Holding Company | 0 | 0.0% | 100 | — |
| 75 | MEDICAL MUTUAL OF OHIO | 0 | 0.0% | 100 | — |
| 76 | Mercy Care | 0 | 0.0% | 2 | — |
| 77 | MHH Healthcare, L.P. | 0 | 0.0% | 7 | — |
| 78 | Missouri Healthcare Advisors, LLC | 0 | 0.0% | 3 | — |
| 79 | Molina Healthcare, Inc. | 0 | 0.0% | 9 | — |
| 80 | Montage Health | 0 | 0.0% | 1 | — |
| 81 | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | 0 | 0.0% | 2 | — |
| 82 | Network Health, Inc. | 0 | 0.0% | 100 | — |
| 83 | New York City Health and Hospitals Corporation | 0 | 0.0% | 1 | — |
| 84 | PacificSource | 0 | 0.0% | 2 | — |
| 85 | Point32Health, Inc. | 0 | 0.0% | 7 | — |
| 86 | Presbyterian Healthcare Services | 0 | 0.0% | 2 | — |
| 87 | Sanford Health | 0 | 0.0% | 2 | — |
| 88 | SCAN Group | 0 | 0.0% | 15 | — |
| 89 | Sentara Health Care (SHC) | 0 | 0.0% | 9 | — |
| 90 | Sharp Healthcare | 0 | 0.0% | 2 | — |
| 91 | The Health Plan of West Virginia, Inc. | 0 | 0.0% | 100 | — |
| 92 | The Regents of the University of California | 0 | 0.0% | 1 | — |
| 93 | Thomas Jefferson University | 0 | 0.0% | 4 | — |
| 94 | Trinity Health Corporation | 0 | 0.0% | 4 | — |
| 95 | Triton Health Systems, L.L.C. | 0 | 0.0% | 1 | — |
| 96 | Universal Health Services, Inc. | 0 | 0.0% | 4 | — |
| 97 | University of Wisconsin Hospitals and Clincs Autho | 0 | 0.0% | 1 | — |
| 98 | UPMC Health System | 0 | 0.0% | 100 | — |
| 99 | USAble Mutual Insurance Company | 0 | 0.0% | 100 | — |
| 100 | Verda Healthcare, Inc. | 0 | 0.0% | 1 | — |
| 101 | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | 0 | 0.0% | 1 | — |
| 102 | Visiting Nurse Service of New York | 0 | 0.0% | 2 | — |
| 103 | West Virginia United Health System, Inc. | 0 | 0.0% | 1 | — |
County view
Leading carrier and Advantage enrollment in each North Carolina county. Penetration is from CMS Medicare Monthly Enrollment, 2024.
| County | Advantage enrollees | Leading carrier | Leader share | Carriers | Penetration |
|---|---|---|---|---|---|
| Wake | 99,453 | Humana Inc. | 29.5% | 68 | 51.1% |
| Mecklenburg | 93,232 | UnitedHealth Group, Inc. | 37.4% | 70 | 53.6% |
| Guilford | 78,702 | UnitedHealth Group, Inc. | 32.4% | 64 | 68.8% |
| Forsyth | 57,574 | UnitedHealth Group, Inc. | 31.6% | 62 | 66.3% |
| Cumberland | 35,528 | Humana Inc. | 42.5% | 58 | 53.1% |
| Buncombe | 32,478 | Humana Inc. | 41.8% | 56 | 47.0% |
| Gaston | 31,381 | Humana Inc. | 30.1% | 57 | 61.2% |
| Brunswick | 30,382 | Humana Inc. | 43.6% | 60 | 41.7% |
| Davidson | 29,720 | Humana Inc. | 35.0% | 55 | 70.7% |
| Durham | 29,057 | Humana Inc. | 38.1% | 59 | 50.3% |
| Alamance | 27,373 | UnitedHealth Group, Inc. | 30.9% | 59 | 68.9% |
| Iredell | 25,109 | UnitedHealth Group, Inc. | 34.0% | 59 | 57.2% |
| Cabarrus | 25,059 | Humana Inc. | 35.2% | 59 | 60.5% |
| Randolph | 24,899 | Humana Inc. | 28.2% | 54 | 73.1% |
| New Hanover | 24,816 | Humana Inc. | 61.0% | 61 | 42.3% |
| Johnston | 24,807 | UnitedHealth Group, Inc. | 36.3% | 56 | 55.7% |
| Catawba | 24,524 | Humana Inc. | 31.2% | 57 | 58.0% |
| Union | 22,967 | UnitedHealth Group, Inc. | 28.9% | 59 | 51.6% |
| Rowan | 22,823 | UnitedHealth Group, Inc. | 33.6% | 55 | 63.8% |
| Robeson | 19,573 | UnitedHealth Group, Inc. | 36.9% | 53 | 69.2% |
| Pitt | 19,508 | UnitedHealth Group, Inc. | 32.5% | 55 | 53.4% |
| Rockingham | 19,361 | UnitedHealth Group, Inc. | 37.2% | 54 | 74.3% |
| Henderson | 17,321 | UnitedHealth Group, Inc. | 39.7% | 55 | 45.7% |
| Cleveland | 15,756 | Humana Inc. | 40.5% | 53 | 59.9% |
| Moore | 15,183 | Humana Inc. | 43.3% | 56 | 48.8% |
| Wayne | 15,151 | UnitedHealth Group, Inc. | 47.2% | 52 | 53.9% |
| Onslow | 14,797 | UnitedHealth Group, Inc. | 53.7% | 61 | 39.3% |
| Burke | 14,460 | Humana Inc. | 36.8% | 54 | 61.3% |
| Nash | 14,395 | UnitedHealth Group, Inc. | 46.1% | 54 | 55.1% |
| Orange | 14,306 | Humana Inc. | 39.2% | 57 | 49.5% |
| Harnett | 14,260 | Humana Inc. | 38.2% | 58 | 54.7% |
| Caldwell | 14,017 | UnitedHealth Group, Inc. | 34.7% | 53 | 63.6% |
| Surry | 13,281 | UnitedHealth Group, Inc. | 55.2% | 54 | 68.1% |
| Lincoln | 13,142 | Humana Inc. | 33.1% | 56 | 55.2% |
| Wilkes | 13,032 | UnitedHealth Group, Inc. | 48.7% | 55 | 67.1% |
| Chatham | 11,769 | UnitedHealth Group, Inc. | 32.0% | 55 | 53.1% |
| Craven | 11,700 | UnitedHealth Group, Inc. | 53.5% | 54 | 36.4% |
| Wilson | 11,395 | UnitedHealth Group, Inc. | 41.4% | 54 | 54.1% |
| Haywood | 10,468 | Humana Inc. | 54.8% | 55 | 51.7% |
| Rutherford | 10,460 | Humana Inc. | 50.4% | 52 | 55.1% |
| Stanly | 9,992 | UnitedHealth Group, Inc. | 35.6% | 55 | 60.4% |
| Franklin | 9,499 | Humana Inc. | 33.1% | 53 | 55.9% |
| Carteret | 9,270 | CuraCor Solutions Corp. | 40.6% | 52 | 38.4% |
| Stokes | 9,147 | UnitedHealth Group, Inc. | 34.8% | 53 | 71.0% |
| Halifax | 8,969 | UnitedHealth Group, Inc. | 39.1% | 51 | 59.0% |
| Sampson | 8,681 | Humana Inc. | 30.6% | 52 | 59.1% |
| Lenoir | 8,676 | UnitedHealth Group, Inc. | 41.8% | 53 | 53.3% |
| Edgecombe | 8,532 | UnitedHealth Group, Inc. | 44.2% | 50 | 60.3% |
| Pender | 8,232 | Humana Inc. | 54.3% | 55 | 48.6% |
| Columbus | 8,217 | Humana Inc. | 48.6% | 54 | 56.3% |
| Beaufort | 7,996 | CuraCor Solutions Corp. | 36.7% | 50 | 51.2% |
| Lee | 7,976 | Humana Inc. | 42.6% | 52 | 52.9% |
| Davie | 7,946 | Humana Inc. | 37.2% | 56 | 64.9% |
| Granville | 7,849 | Humana Inc. | 48.1% | 51 | 56.4% |
| McDowell | 7,741 | UnitedHealth Group, Inc. | 30.4% | 55 | 59.5% |
| Vance | 7,393 | Humana Inc. | 37.2% | 51 | 64.7% |
| Yadkin | 7,071 | UnitedHealth Group, Inc. | 38.5% | 55 | 72.4% |
| Richmond | 6,924 | UnitedHealth Group, Inc. | 44.9% | 56 | 61.0% |
| Duplin | 6,513 | Humana Inc. | 35.0% | 52 | 52.8% |
| Person | 6,375 | Humana Inc. | 36.2% | 55 | 59.6% |
| Alexander | 5,865 | UnitedHealth Group, Inc. | 35.1% | 54 | 62.9% |
| Macon | 5,749 | Humana Inc. | 33.9% | 51 | 43.2% |
| Cherokee | 5,656 | Humana Inc. | 44.4% | 53 | 49.8% |
| Scotland | 5,580 | UnitedHealth Group, Inc. | 40.9% | 53 | 64.3% |
| Bladen | 5,449 | Humana Inc. | 37.8% | 54 | 62.5% |
| Transylvania | 5,339 | UnitedHealth Group, Inc. | 31.5% | 52 | 48.9% |
| Hoke | 5,251 | Humana Inc. | 43.2% | 53 | 56.2% |
| Watauga | 4,875 | Humana Inc. | 44.5% | 51 | 47.5% |
| Jackson | 4,484 | Humana Inc. | 54.5% | 52 | 48.0% |
| Pasquotank | 4,411 | Humana Inc. | 64.8% | 49 | 42.1% |
| Montgomery | 4,224 | Humana Inc. | 51.4% | 53 | 60.7% |
| Ashe | 4,210 | Humana Inc. | 39.7% | 51 | 46.3% |
| Caswell | 4,040 | Humana Inc. | 37.1% | 54 | 66.8% |
| Martin | 3,930 | Humana Inc. | 31.6% | 52 | 55.0% |
| Anson | 3,649 | Humana Inc. | 46.7% | 54 | 62.4% |
| Madison | 3,393 | Humana Inc. | 43.8% | 51 | 54.1% |
| Northampton | 3,293 | Humana Inc. | 34.0% | 49 | 56.0% |
| Hertford | 3,261 | UnitedHealth Group, Inc. | 37.2% | 50 | 53.8% |
| Warren | 3,112 | Humana Inc. | 40.0% | 50 | 57.8% |
| Bertie | 3,108 | UnitedHealth Group, Inc. | 39.3% | 50 | 54.3% |
| Yancey | 2,955 | Humana Inc. | 43.8% | 51 | 52.3% |
| Polk | 2,904 | Humana Inc. | 33.3% | 56 | 40.8% |
| Dare | 2,801 | Humana Inc. | 37.3% | 49 | 25.3% |
| Greene | 2,414 | Humana Inc. | 37.2% | 51 | 55.1% |
| Mitchell | 2,391 | UnitedHealth Group, Inc. | 37.1% | 52 | 53.9% |
| Avery | 2,313 | UnitedHealth Group, Inc. | 41.9% | 51 | 49.0% |
| Currituck | 2,272 | Humana Inc. | 53.5% | 50 | 31.1% |
| Clay | 2,019 | Humana Inc. | 45.5% | 51 | 43.6% |
| Alleghany | 1,986 | Humana Inc. | 46.2% | 51 | 54.7% |
| Pamlico | 1,908 | Humana Inc. | 41.2% | 48 | 39.2% |
| Washington | 1,905 | UnitedHealth Group, Inc. | 36.4% | 48 | 52.1% |
| Chowan | 1,875 | UnitedHealth Group, Inc. | 34.9% | 48 | 42.5% |
| Perquimans | 1,843 | Humana Inc. | 54.7% | 48 | 38.9% |
| Swain | 1,635 | Humana Inc. | 52.0% | 52 | 42.6% |
| Jones | 1,543 | UnitedHealth Group, Inc. | 39.8% | 49 | 50.1% |
| Graham | 1,172 | Humana Inc. | 58.6% | 50 | 53.8% |
| Gates | 1,144 | Humana Inc. | 55.6% | 50 | 41.8% |
| Camden | 716 | Humana Inc. | 59.6% | 48 | 31.9% |
| Hyde | 561 | Humana Inc. | 41.5% | 49 | 52.2% |
| Tyrrell | 303 | Humana Inc. | 55.8% | 49 | 46.2% |
What is missing
CMS suppresses any plan-county cell with fewer than 11 enrollees. Those enrollees are missing from these counts, so every figure is a floor, not an exact total.
What is counted
Counts cover Medicare Advantage contracts only (Local CCP, Regional CCP, PFFS and MSA). Standalone Part D drug plans, cost plans, HCPP and PACE contracts are excluded.
Source: CMS Monthly Enrollment by Contract/Plan/State/County (CPSC).