Medicare Advantage Plans for North Carolina

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? North Carolina Enrollees
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No 150,846
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-037-0 		HMOPOS $200 Yes No No Yes Yes No 62,912
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-038-0 		HMOPOS $160 Yes No No Yes Yes No 59,614
UnitedHealthcare UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
R1548-001-0 		Regional PPO $2,100 Yes $2,500 No No Yes Yes No 45,645
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-081-0 		Local PPO $0 No 38,692
Humana Humana Gold Plus H1036-291 (HMO)
H1036-291-0 		HMO $200 Yes No No Yes No No 38,483
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5253-041-0 		HMOPOS $2,640 Yes $3,600 No No Yes Yes No 34,297
Humana Humana Gold Plus H1036-137 (HMO)
H1036-137-0 		HMO $200 Yes No No Yes No No 33,025
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential Plus (HMO)
H3449-023-5 		HMO $280 Yes No No Yes No No 29,289
Humana HumanaChoice H5525-035 (PPO)
H5525-035-0 		Local PPO $60 Yes No No Yes No No 25,075
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO Enhanced (PPO)
H3404-003-2 		Local PPO $280 Yes No No Yes No No 21,476
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-170-0 		Local PPO $0 No 19,381
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $100 Yes No No Yes No No 15,523
CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA HealthTeam Advantage Plan I (PPO)
H9808-004-0 		Local PPO $0 Yes No No Yes No No 14,059
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No 13,396
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $120 Yes No No Yes No No 13,248
Cigna Cigna Preferred Medicare (HMO)
H9725-001-0 		HMO $120 Yes $1,400 No No No No No 11,624
Humana HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
H5525-036-0 		Local PPO $800 Yes No No Yes No No 10,768
Humana Humana Gold Plus H6622-025 (HMO-POS)
H6622-025-0 		HMOPOS $60 Yes No No Yes No No 10,740
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-018-0 		Local PPO $200 Yes No No Yes Yes No 10,618
Blue Cross and Blue Shield of North Carolina Blue Medicare Enhanced (HMO)
H3449-024-3 		HMO $380 Yes No No Yes No No 10,526
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-039-0 		HMOPOS $160 Yes No No Yes Yes No 10,081
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3146-001-0 		HMOPOS $180 Yes $2,500 No No Yes No No 9,382
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-079-0 		HMOPOS $0 Yes No No Yes Yes No 9,156
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-004-0 		Local PPO $0 Yes No No Yes Yes No 9,067
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 9,009
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No 8,903
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $200 Yes No No Yes Yes No 8,716
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-169-0 		Local PPO $180 Yes $2,500 No No Yes No No 8,712
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-168-0 		Local PPO $0 No 8,589
Humana Humana Gold Plus H6622-061 (HMO)
H6622-061-0 		HMO $240 Yes No No Yes No No 7,575
Humana Humana Honor R1390-003 (Regional PPO)
R1390-003-0 		Regional PPO $300 Yes No No Yes No No 7,353
Humana Humana Gold Plus H1036-233 (HMO)
H1036-233-0 		HMO $200 Yes No No Yes No No 7,216
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-017-0 		Local PPO $160 Yes No No Yes Yes No 7,210
Humana Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)
H1036-167-0 		HMO $800 Yes No No Yes No No 7,105
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3146-004-0 		HMOPOS $180 Yes $2,500 No No Yes No No 6,675
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-018-0 		Local PPO $160 Yes No No Yes Yes No 6,619
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-236-0 		Local PPO $180 No 5,849
Humana Humana Gold Plus SNP-DE H1036-168 (HMO D-SNP)
H1036-168-0 		HMO $1,000 Yes No No Yes No No 5,298
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No 5,172
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $100 Yes No No Yes No No 4,894
Humana Humana Gold Plus H6622-060 (HMO)
H6622-060-0 		HMO $200 Yes No No Yes No No 4,893
Humana Humana Gold Plus H6622-026 (HMO-POS)
H6622-026-0 		HMOPOS $180 Yes No No Yes No No 4,084
Blue Cross and Blue Shield of North Carolina Blue Medicare Medical Only (HMO)
H3449-012-0 		HMO $400 Yes No No Yes No No 4,038
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential (HMO)
H3449-025-0 		HMO $0 Yes No No Yes No No 4,023
Humana Humana Gold Plus H6622-057 (HMO)
H6622-057-0 		HMO $200 Yes No No Yes No No 3,877
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-080-0 		HMOPOS $200 Yes No No Yes Yes No 3,856
FirstMedicare Direct FirstMedicare Direct POS Plus (HMO-POS)
H6306-011-3 		HMOPOS $0 Yes No No Yes No No 3,844
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $280 Yes $1,000 No No Yes Yes No 3,366
Cigna Cigna Preferred Plus Medicare (HMO)
H9725-006-0 		HMO $120 Yes $1,400 No No No No No 3,326

Counties in North Carolina

County Medicare Advantage Enrolless
Alamance 21,311
Alexander 4,367
Alleghany 1,493
Anson 2,540
Ashe 2,914
Avery 1,682
Beaufort 4,650
Bertie 1,866
Bladen 3,795
Brunswick 16,698
Buncombe 24,548
Burke 11,164
Cabarrus 17,529
Caldwell 10,708
Camden 442
Carteret 4,494
Caswell 3,473
Catawba 16,908
Chatham 9,373
Cherokee 3,867
Chowan 1,160
Clay 1,363
Cleveland 11,087
Columbus 5,338
Craven 5,042
Cumberland 22,307
Currituck 1,247
Dare 1,566
Davidson 24,250
Davie 6,189
Duplin 4,076
Durham 20,886
Edgecombe 5,310
Forsyth 45,268
Franklin 6,285
Gaston 23,604
Gates 704
Graham 889
Granville 5,449
Greene 1,524
Guilford 61,494
Halifax 5,699
Harnett 9,040
Haywood 7,910
Henderson 13,140
Hertford 2,030
Hoke 3,421
Hyde 408
Iredell 17,350
Jackson 3,375
Johnston 16,099
Jones 903
Lee 5,003
Lenoir 5,015
Lincoln 8,609
Macon 3,981
Madison 2,615
Martin 2,260
McDowell 5,557
Mecklenburg 66,838
Mitchell 1,903
Montgomery 2,836
Moore 10,506
Nash 8,526
New Hanover 15,442
Northampton 2,112
Onslow 6,098
Orange 10,843
Pamlico 1,019
Pasquotank 2,666
Pender 5,160
Perquimans 1,073
Person 4,761
Pitt 11,396
Polk 2,097
Randolph 20,709
Richmond 4,458
Robeson 12,657
Rockingham 15,669
Rowan 17,464
Rutherford 7,103
Sampson 5,891
Scotland 3,887
Stanly 6,906
Stokes 7,750
Surry 10,783
Swain 1,114
Transylvania 4,150
Tyrrell 248
Union 15,523
Vance 5,179
Wake 66,270
Warren 2,465
Washington 1,267
Watauga 3,699
Wayne 9,774
Wilkes 10,204
Wilson 7,058
Yadkin 5,907
Yancey 2,389
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