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MA Enrollment Explorer / States / North Carolina

Medicare Advantage in North Carolina: enrollment, penetration and market share

1,355,989 people in North Carolina were enrolled in Medicare Advantage in October 2026. 57.9% of the state's 2,342,852 eligible Medicare beneficiaries are in Medicare Advantage, +0.4 pts since October 2025. Humana Inc. is the largest parent organization with 33% of reported enrollment; 33 parent organizations have 11 or more members, and the market's HHI is 2,439 (highly concentrated). Through the 2026 Annual Election Period (December to February), reported MA enrollment in North Carolina changed by +23,757 (+1.8%).

57.9%MA penetration, October 2026
1.36MMA enrollees
33parent organizations (11+ members)
2,439HHI, highly concentrated
Open North Carolina on the market mapMSSP ACOs in North Carolina

Parent organizations in North Carolina

Parent organizationMembersChangeShareShare change
Humana Inc.448,713+25,55733.2%+0.8 pts
UnitedHealth Group, Inc.428,694−28,27531.8%−3.3 pts
CuraCor Solutions Corp.184,423+17,96213.7%+0.9 pts
CVS Health Corporation146,892−8,10910.9%−1.0 pts
Devoted Health, Inc.38,559+29,3852.9%+2.2 pts
Health Care Service Corporation33,661+4,2882.5%+0.2 pts
Risant Health, Inc.22,685−111.7%−0.1 pts
Alignment Healthcare USA, LLC15,732+7,3791.2%+0.5 pts
Centene Corporation12,409+2,0360.9%+0.1 pts
Blue Cross Blue Shield of Michigan Mutual Ins. Co.3,980+1660.3%+0.00 pts
Liberty Healthcare Insurance2,992+890.2%−0.00 pts
Elevance Health, Inc.2,859+610.2%−0.00 pts
Highmark Health2,824+650.2%−0.00 pts
Troy Holdings, Inc.1,568+1910.1%+0.01 pts
Longevity Health Founders, LLC870−277under 0.1%−0.02 pts
CaroMont Health, Inc.386+57under 0.1%+0.00 pts
PACE of the Southern Piedmont, Inc.269+29under 0.1%+0.00 pts
EveryAge252+27under 0.1%+0.00 pts
PIEDMONT HEALTH SERVICES, INC.243−12under 0.1%−0.00 pts
UNICO Services, Inc.243+5under 0.1%−0.00 pts

Change and share change are since October 2025. Shares are of reported enrollment in the CMS State/County/Contract file.

Counties

CountyMA enrolleesPenetrationLeading parent
Wake County100,21952.7%Humana Inc. 29%
Mecklenburg County94,18555.4%UnitedHealth Group, Inc. 37%
Guilford County79,30972.0%UnitedHealth Group, Inc. 32%
Forsyth County57,94569.3%UnitedHealth Group, Inc. 32%
Cumberland County35,96158.1%Humana Inc. 42%
Buncombe County32,93948.3%Humana Inc. 41%
Gaston County31,92163.4%Humana Inc. 30%
Brunswick County30,83944.4%Humana Inc. 43%
Davidson County30,09771.3%Humana Inc. 35%
Durham County29,48452.0%Humana Inc. 38%
Alamance County27,74671.3%UnitedHealth Group, Inc. 31%
Iredell County25,40560.0%UnitedHealth Group, Inc. 34%
Cabarrus County25,39162.9%Humana Inc. 35%
Randolph County25,27272.6%Humana Inc. 28%
New Hanover County25,20245.3%Humana Inc. 60%
Johnston County25,15657.0%UnitedHealth Group, Inc. 36%
Catawba County24,85859.5%Humana Inc. 31%
Union County23,32153.3%UnitedHealth Group, Inc. 29%
Rowan County23,10365.6%UnitedHealth Group, Inc. 33%
Pitt County19,77456.9%UnitedHealth Group, Inc. 33%
Robeson County19,74475.0%UnitedHealth Group, Inc. 37%
Rockingham County19,61876.7%UnitedHealth Group, Inc. 37%
Henderson County17,61147.4%UnitedHealth Group, Inc. 40%
Cleveland County16,06362.7%Humana Inc. 40%
Moore County15,42750.5%Humana Inc. 43%
Wayne County15,35858.2%UnitedHealth Group, Inc. 47%
Onslow County15,12145.0%UnitedHealth Group, Inc. 54%
Burke County14,80565.4%Humana Inc. 36%
Orange County14,62752.0%Humana Inc. 39%
Nash County14,62160.0%UnitedHealth Group, Inc. 46%
Harnett County14,47356.3%Humana Inc. 38%
Caldwell County14,28168.7%UnitedHealth Group, Inc. 34%
Surry County13,52374.2%UnitedHealth Group, Inc. 55%
Lincoln County13,47161.0%Humana Inc. 33%
Wilkes County13,28767.9%UnitedHealth Group, Inc. 48%
Chatham County12,08349.6%UnitedHealth Group, Inc. 32%
Craven County11,94542.0%UnitedHealth Group, Inc. 53%
Wilson County11,54954.2%UnitedHealth Group, Inc. 41%
Rutherford County10,66759.2%Humana Inc. 50%
Haywood County10,61253.9%Humana Inc. 54%
Stanly County10,23264.2%UnitedHealth Group, Inc. 36%
Franklin County9,72359.4%Humana Inc. 33%
Carteret County9,43941.4%CuraCor Solutions Corp. 40%
Stokes County9,37070.8%UnitedHealth Group, Inc. 34%
Halifax County9,10061.6%UnitedHealth Group, Inc. 39%
Sampson County8,82163.9%Humana Inc. 30%
Lenoir County8,79957.7%UnitedHealth Group, Inc. 42%
Edgecombe County8,65367.6%UnitedHealth Group, Inc. 45%
Pender County8,37952.4%Humana Inc. 54%
Columbus County8,37360.4%Humana Inc. 48%
Lee County8,27056.4%Humana Inc. 42%
Davie County8,21567.1%Humana Inc. 37%
Beaufort County8,20554.6%CuraCor Solutions Corp. 36%
Granville County7,98957.3%Humana Inc. 47%
McDowell County7,98564.0%UnitedHealth Group, Inc. 30%
Vance County7,56868.5%Humana Inc. 37%
Yadkin County7,29074.8%Humana Inc. 38%
Richmond County7,08162.9%UnitedHealth Group, Inc. 45%
Duplin County6,64056.2%Humana Inc. 34%
Person County6,62262.7%Humana Inc. 36%
Alexander County6,11764.1%UnitedHealth Group, Inc. 34%
Macon County5,89345.6%Humana Inc. 34%
Cherokee County5,83352.4%Humana Inc. 44%
Scotland County5,75466.0%UnitedHealth Group, Inc. 41%
Bladen County5,63065.3%Humana Inc. 37%
Transylvania County5,57951.2%UnitedHealth Group, Inc. 31%
Hoke County5,46759.0%Humana Inc. 42%
Watauga County5,07947.0%Humana Inc. 44%
Jackson County4,73049.6%Humana Inc. 53%
Pasquotank County4,50945.4%Humana Inc. 64%
Montgomery County4,39268.7%Humana Inc. 50%
Ashe County4,38550.2%Humana Inc. 39%
Caswell County4,25364.8%Humana Inc. 36%
Martin County4,03659.7%UnitedHealth Group, Inc. 32%
Anson County3,85467.1%Humana Inc. 45%
Madison County3,65257.3%Humana Inc. 43%
Northampton County3,40659.6%Humana Inc. 34%
Hertford County3,33758.2%UnitedHealth Group, Inc. 38%
Warren County3,27266.6%Humana Inc. 40%
Bertie County3,20456.2%UnitedHealth Group, Inc. 40%
Yancey County3,20053.9%Humana Inc. 43%
Polk County3,10742.1%Humana Inc. 33%
Dare County2,93825.6%Humana Inc. 37%
Mitchell County2,61556.5%UnitedHealth Group, Inc. 35%
Avery County2,53955.4%UnitedHealth Group, Inc. 40%
Greene County2,52562.0%Humana Inc. 36%
Currituck County2,42532.9%Humana Inc. 52%
Clay County2,18844.9%Humana Inc. 44%
Alleghany County2,16757.2%Humana Inc. 44%
Pamlico County2,05042.7%Humana Inc. 41%
Washington County2,01856.0%UnitedHealth Group, Inc. 36%
Chowan County2,01444.3%UnitedHealth Group, Inc. 35%
Perquimans County1,97043.9%Humana Inc. 54%
Swain County1,85643.5%Humana Inc. 48%
Jones County1,65561.2%UnitedHealth Group, Inc. 39%
Graham County1,33458.1%Humana Inc. 55%
Gates County1,26343.8%Humana Inc. 53%
Camden County85733.9%Humana Inc. 54%
Hyde County68753.9%Humana Inc. 43%
Tyrrell County43248.7%Humana Inc. 49%