Medicare Advantage Plans for North Carolina
1,682,569 Total Medicare Advantage Enrollees
OTC Supplemental Benefits | Prescription Hearing Aid Coverage | ||||||||||||
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Company | Plan name | Plan type | OTC Supplement | OTC Rolls Over? | Annual OTC Supplement | Coverage? | Covered Amount | Covers OTC Aids? | Coinsurance? | Copay? | Prior Authorization? | Need Referral? | North Carolina Enrollees |
Humana |
Humana Gold Plus H6622-026 (HMO-POS) H6622-026-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 4,391 | |
Wellcare |
Wellcare Giveback Open (PPO) H7175-004-0 |
Local PPO | No | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 4,366 | |
Experience Health |
Experience Health Medicare Advantage (HMO) H3777-001-4 |
HMO | $145 per Quarter | No | $580 | Yes | No | No | Yes | No | No | 4,350 | |
Humana |
HumanaChoice H5525-049 (PPO) H5525-049-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 4,261 | |
UnitedHealthcare |
AARP Medicare Advantage Plan 1 (HMO-POS) H5253-080-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 4,127 | |
Humana |
Humana Gold Plus H6622-057 (HMO-POS) H6622-057-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 4,069 | |
Cigna Healthcare |
Cigna Preferred Plus Medicare (HMO) H9725-006-0 |
HMO | $40 per Quarter | No | $160 | Yes | No | No | Yes | No | No | 4,002 | |
Blue Cross and Blue Shield of North Carolina |
Blue Medicare Medical Only (HMO-POS) H3449-012-0 |
HMOPOS | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 3,981 | |
FirstMedicare Direct |
FirstMedicare Direct POS Plus (HMO-POS) H6306-011-3 |
HMOPOS | $96 per Month | No | $1,152 | Yes | No | No | Yes | No | No | 3,402 | |
Humana |
HumanaChoice H5525-065 (PPO) H5525-065-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 3,175 | ||
Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0 |
Local PPO | No | $0 | No | 3,154 | |||||||
Wellcare |
Wellcare No Premium Open (PPO) H7175-001-0 |
Local PPO | $93 per Quarter | No | $372 | Yes | $1,000 | No | No | Yes | Yes | No | 3,091 |
UnitedHealthcare |
AARP Medicare Advantage Choice (PPO) H2577-016-0 |
Local PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 2,993 | ||
Humana |
HumanaChoice H5216-343 (PPO) H5216-343-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 2,990 | ||
UnitedHealthcare |
AARP Medicare Advantage Rebate (HMO-POS) H5253-110-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 2,930 | ||
Humana |
Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP) H6622-027-0 |
HMOPOS | $2,100 per Month | No | $0 | Yes | No | No | Yes | No | No | 2,496 | |
Humana |
HumanaChoice H5525-034 (PPO) H5525-034-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 2,410 | |
Humana |
HumanaChoice R1390-001 (Regional PPO) R1390-001-0 |
Regional PPO | $45 per Quarter | No | $180 | Yes | No | No | Yes | No | No | 2,406 | |
UnitedHealthcare |
AARP Medicare Advantage Plan 1 (HMO-POS) H5253-104-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 2,237 | |
Aetna Medicare |
Aetna Medicare Assure Plan (HMO D-SNP) H3146-002-0 |
HMO | $165 per Month | Yes | $0 | Yes | $5,000 | No | No | Yes | No | No | 2,189 |
UnitedHealthcare |
UnitedHealthcare Dual Complete Select (HMO-POS D-SNP) H5253-116-0 |
HMOPOS | $72 per Month | No | $0 | Yes | $1,100 | Yes | No | Yes | Yes | No | 2,173 |
Wellcare |
Wellcare Dual Liberty Open (PPO D-SNP) H7175-002-0 |
Local PPO | $144 per Month | Yes | $0 | Yes | $3,000 | No | No | Yes | Yes | No | 2,171 |
Blue Cross and Blue Shield of North Carolina |
Blue Medicare Choice (HMO) H3449-026-0 |
HMO | $85 per Quarter | No | $340 | Yes | No | No | Yes | No | No | 2,145 | |
Aetna Medicare |
Aetna Medicare Essential Plan (PPO) H5521-348-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $2,500 | No | No | Yes | No | No | 2,127 |
UnitedHealthcare |
AARP Medicare Advantage Patriot (PPO) H2577-019-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 2,119 | |
Blue Cross and Blue Shield of North Carolina |
Healthy Blue + Medicare (HMO D-SNP) H9147-001-0 |
HMO | $257 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 2,030 |
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Freedom Blue PPO MA PA CALENDAR (PPO) H3916-801-0 |
Local PPO | No | $0 | No | 2,000 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Rebate (HMO-POS) H5253-105-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 1,829 | ||
UnitedHealthcare |
UnitedHealthcare Nursing Home Plan (PPO I-SNP) H0710-034-0 |
Local PPO | $350 per Quarter | Yes | $1,400 | Yes | $3,600 | Yes | No | Yes | Yes | No | 1,829 |
Alignment Health Plan |
Alignment Health Platinum (HMO-POS) H5296-003-0 |
HMOPOS | $115 per Quarter | No | $460 | Yes | $0 | No | No | No | No | No | 1,810 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-870-0 |
Local PPO | No | $0 | No | 1,773 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Plan 1 (HMO-POS) H5253-102-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 1,739 | |
Aetna Medicare |
Aetna Medicare Value Plan (PPO) H5521-139-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 1,552 |
Aetna Medicare |
Aetna Medicare Prime (HMO-POS) H3146-007-0 |
HMOPOS | $90 per Quarter | No | $360 | Yes | $2,500 | No | No | Yes | No | No | 1,431 |
UnitedHealthcare |
AARP Medicare Advantage Choice Flex Plan 2 (PPO) H2228-127-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | No | No | Yes | Yes | No | 1,366 | |
Aetna Medicare |
Aetna Medicare Eagle Plan (PPO) H5521-241-0 |
Local PPO | $150 per Quarter | No | $600 | Yes | $2,500 | No | No | Yes | No | No | 1,343 |
Humana |
Humana Gold Choice H8145-004 (PFFS) H8145-004-0 |
PFFS | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 1,340 | |
Cigna Healthcare |
Cigna TotalCare (HMO D-SNP) H9725-003-0 |
HMO | $200 per Quarter | No | $800 | Yes | No | No | Yes | No | No | 1,328 | |
Aetna Medicare |
Aetna Medicare Assure Plan (HMO D-SNP) H3146-008-0 |
HMO | $185 per Month | Yes | $0 | Yes | $5,000 | No | No | Yes | No | No | 1,307 |
Troy Medicare |
Troy Medicare (HMO) H4676-001-0 |
HMO | $65 per Quarter | No | $260 | Yes | $750 | No | No | No | No | No | 1,307 |
Troy Medicare |
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) H4676-002-0 |
HMO | $325 per Quarter | No | $1,300 | Yes | $0 | No | No | No | No | No | 1,305 |
Cigna Healthcare |
Cigna True Choice Medicare (PPO) H7849-019-0 |
Local PPO | No | $0 | Yes | $1,500 | No | No | No | No | No | 1,146 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-847-0 |
Local PPO | No | $0 | No | 1,139 | |||||||
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA |
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) H2624-001-0 |
HMO | $60 per Quarter | Yes | $240 | Yes | No | No | Yes | No | No | 1,135 | |
Wellcare |
Wellcare Dual Access (HMO D-SNP) H4073-002-0 |
HMO | $170 per Month | Yes | $0 | Yes | $5,000 | No | No | Yes | Yes | No | 1,132 |
Aetna Medicare |
Aetna Medicare Assure Plan (HMO D-SNP) H3146-003-0 |
HMO | $230 per Month | Yes | $0 | Yes | $5,000 | No | No | Yes | No | No | 1,116 |
Cigna Healthcare |
Cigna True Choice Savings Medicare (PPO) H7849-011-0 |
Local PPO | No | $0 | Yes | $1,400 | No | No | No | No | No | 1,090 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-866-0 |
Local PPO | No | $0 | No | 1,073 | |||||||
Wellcare |
Wellcare Assist Open (PPO) H7175-003-0 |
Local PPO | $125 per Quarter | No | $500 | Yes | $2,000 | No | No | Yes | Yes | No | 1,055 |
Humana |
Humana Gold Plus SNP-DE H1036-276 (HMO-POS D-SNP) H1036-276-0 |
HMOPOS | No | $0 | Yes | No | No | Yes | No | No | 1,011 |