Wake County, North Carolina: health insurance

What Wake County residents should know about Medicare, marketplace plans and Medicaid.

Wake County at a glance

StateNorth Carolina
Population (2023 est.)1,190,275
Population rank in North Carolina1 of 100
Land area835 square miles
Major citiesRaleigh, Cary, Apex

Source: U.S. Census Bureau (Population Estimates 2023; Gazetteer 2023).

Why your county matters for coverage

In North Carolina, the health plans you can choose depend on where you live. Medicare Advantage and Part D plans are offered by service area, usually county by county, and marketplace premiums and carriers are set by area as well. Living in Wake County means the options on this page apply to you, and plans in a neighboring county may differ.

  • Medicare: SHIIP (Seniors' Health Insurance Information Program) gives free, unbiased counseling at 855-408-1212. Ask which plans serve Wake County specifically.
  • Marketplace plans: shop through HealthCare.gov (federal Marketplace); enter your Wake County ZIP code to see what is offered.
  • Medicaid: apply through NC Medicaid (NC Department of Health and Human Services).

North Carolina note: North Carolina began accepting Medicaid eligibility determinations from the federal Marketplace in February 2024, part of the state's continued rollout of Medicaid expansion -- an application that starts on HealthCare.gov can now route directly into NC Medicaid without a separate state application.

Questions about Wake County

Are the same Medicare plans offered everywhere in North Carolina?

No. Plans are offered by service area. A plan available in one county may not be offered in Wake County, so check by county.

Where do Wake County residents get free Medicare counseling?

SHIIP (Seniors' Health Insurance Information Program) (855-408-1212) is North Carolina's free SHIP program.

Do I have to enroll if I call?

No. Calling is a conversation about your options, and you are never required to enroll.

Wake County residents: call 855-367-1095

Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.

Call 855-367-1095

Other large counties

Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.

Do it yourself

Prefer to look and enroll yourself?

Compare plans and enroll on your own time. Or call 855-367-1095 any time you want a licensed agent’s help.

Medicare

Medicare Open Enrollment starts October 15th

Take a look at North Carolina plans, or go ahead and enroll yourself. Call if you need any help with your application.

Under 65 · ACA

ACA Open Enrollment opens November 1st

Take a look at North Carolina plans, or go ahead and enroll yourself when it opens. Call if you need any help with your application.

Questions along the way? Call 855-367-1095 for assistance.