Medicare Advantage Plans for North Carolina

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? North Carolina Enrollees
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 172,425
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-037-0 		HMOPOS $260 No Yes No Yes Yes No 60,682
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5253-041-0 		HMOPOS $3,660 No Yes $3,600 No Yes Yes No 56,583
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-038-0 		HMOPOS $200 No Yes No Yes Yes No 53,262
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential Plus (HMO-POS)
H3449-023-5 		HMOPOS $280 No Yes No Yes No No 50,831
Humana Humana Gold Plus H1036-291 (HMO-POS)
H1036-291-0 		HMOPOS $200 No Yes No Yes No No 39,809
Humana Humana Gold Plus H1036-137 (HMO-POS)
H1036-137-0 		HMOPOS $200 No Yes No Yes No No 33,129
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-081-0 		Local PPO $180 No No 29,267
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-170-0 		Local PPO $300 No No 27,003
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO Enhanced (PPO)
H3404-003-2 		Local PPO $280 No Yes No Yes No No 23,361
Humana HumanaChoice H5525-035 (PPO)
H5525-035-0 		Local PPO $0 No Yes No Yes No No 22,134
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-117-0 		HMOPOS $200 No Yes No Yes Yes No 15,736
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA HealthTeam Advantage Plan I (PPO)
H9808-004-0 		Local PPO $0 No Yes No Yes No No 13,325
Humana HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
H5525-036-0 		Local PPO $0 No Yes No Yes No No 13,226
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $300 No Yes No Yes Yes No 12,308
Humana Humana Gold Plus H6622-025 (HMO-POS)
H6622-025-0 		HMOPOS $200 No Yes No Yes No No 11,658
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 11,506
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3146-001-0 		HMOPOS $360 No Yes $2,500 No Yes No No 11,502
UnitedHealthcare AARP Medicare Advantage Choice Flex Plan 1 (PPO)
H2228-018-0 		Local PPO $200 No Yes No Yes Yes No 10,539
Blue Cross and Blue Shield of North Carolina Blue Medicare Enhanced (HMO-POS)
H3449-024-3 		HMOPOS $380 No Yes No Yes No No 10,527
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 10,285
Humana Humana Gold Plus H6622-061 (HMO-POS)
H6622-061-0 		HMOPOS $200 No Yes No Yes No No 10,235
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $100 No Yes No Yes No No 9,916
Cigna Cigna Preferred Medicare (HMO)
H9725-009-2 		HMO $120 No Yes $1,400 No No No No 9,803
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-004-0 		Local PPO $0 No Yes No Yes Yes No 9,787
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-006-0 		HMO $420 No Yes $2,500 No Yes No No 9,313
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 9,116
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-018-0 		Local PPO $160 No Yes No Yes Yes No 8,969
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $200 No Yes No Yes No No 8,879
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-079-0 		HMOPOS $160 No Yes No Yes Yes No 8,812
Humana Humana Gold Plus H6622-060 (HMO-POS)
H6622-060-0 		HMOPOS $200 No Yes No Yes No No 8,731
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-005-0 		Local PPO $3,360 No Yes $3,600 No Yes Yes No 8,513
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 8,467
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $300 No Yes No Yes No No 7,913
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-039-0 		HMOPOS $200 No Yes No Yes Yes No 7,784
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-236-0 		Local PPO $300 No No 7,195
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-168-0 		Local PPO $180 No No 7,169
Humana Humana Gold Plus H1036-233 (HMO-POS)
H1036-233-0 		HMOPOS $200 No Yes No Yes No No 7,115
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3146-004-0 		HMOPOS $300 No Yes $2,500 No Yes No No 7,068
Humana Humana Gold Plus SNP-DE H1036-167 (HMO-POS D-SNP)
H1036-167-0 		HMOPOS $0 No Yes No Yes No No 7,012
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-169-0 		Local PPO $600 No Yes $2,500 No Yes No No 6,832
Humana HumanaChoice H5216-017 (PPO)
H5216-017-0 		Local PPO $0 No Yes No Yes No No 6,614
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential (HMO)
H3449-027-2 		HMO $0 No Yes No Yes No No 6,596
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-243-0 		Local PPO $420 No Yes $2,500 No Yes No No 6,128
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 5,546
Humana HumanaChoice H5525-050 (PPO)
H5525-050-0 		Local PPO $200 No Yes No Yes No No 5,510
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-017-0 		Local PPO $160 No Yes No Yes Yes No 5,357
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $356 No Yes $1,500 No Yes Yes Yes 5,289
Humana Humana Gold Plus SNP-DE H1036-168 (HMO-POS D-SNP)
H1036-168-0 		HMOPOS $0 No Yes No Yes No No 5,137
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-103-0 		HMOPOS $160 No Yes No Yes Yes No 4,906

Counties in North Carolina

County Medicare Advantage Enrolless
Alamance 30,143
Alexander 7,045
Alleghany 2,703
Anson 4,292
Ashe 6,517
Avery 3,626
Beaufort 10,264
Bertie 4,003
Bladen 6,135
Brunswick 45,786
Buncombe 51,480
Burke 18,072
Cabarrus 29,099
Caldwell 16,724
Camden 1,146
Carteret 13,783
Caswell 5,310
Catawba 30,000
Chatham 17,630
Cherokee 7,910
Chowan 2,992
Clay 3,140
Cleveland 19,428
Columbus 10,179
Craven 16,383
Cumberland 37,918
Currituck 3,782
Dare 7,320
Davidson 33,984
Davie 9,348
Duplin 8,143
Durham 41,406
Edgecombe 9,762
Forsyth 65,781
Franklin 11,345
Gaston 38,463
Gates 1,726
Graham 1,675
Granville 9,823
Greene 3,128
Guilford 85,911
Halifax 9,994
Harnett 15,952
Haywood 14,592
Henderson 28,139
Hertford 3,923
Hoke 5,191
Hyde 835
Iredell 30,370
Jackson 7,092
Johnston 29,135
Jones 1,789
Lee 9,626
Lenoir 10,308
Lincoln 16,966
Macon 9,209
Madison 4,652
Martin 4,942
McDowell 9,581
Mecklenburg 124,041
Mitchell 3,463
Montgomery 4,961
Moore 21,481
Nash 17,430
New Hanover 40,443
Northampton 4,143
Onslow 15,892
Orange 20,494
Pamlico 3,074
Pasquotank 5,853
Pender 10,882
Perquimans 2,795
Person 8,471
Pitt 24,175
Polk 5,074
Randolph 28,219
Richmond 7,863
Robeson 18,368
Rockingham 21,218
Rowan 26,948
Rutherford 13,447
Sampson 9,972
Scotland 6,173
Stanly 11,937
Stokes 10,551
Surry 15,144
Swain 2,659
Transylvania 8,428
Tyrrell 615
Union 29,929
Vance 8,143
Wake 131,052
Warren 4,035
Washington 2,529
Watauga 7,771
Wayne 17,496
Wilkes 15,568
Wilson 13,814
Yadkin 8,106
Yancey 4,311
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