North Carolina MedicareAdvantage Plans
HEALTH PLANS FOR SENIORS
Medicare Advantage Plans in North Carolina
Medicare Advantage plans in North Carolina are similar to an HMO and PPO and provide seniors with another Medicare insurance option for coverage.North Carolina Medicare Advantage plans, also called Part C or MA Plans are offered by private companies approved by Medicare. You can join, switch, or drop a Medicare Advantage Plan at these times:
- When you first become eligible for Medicare (3 months before you turn age 65 to 3 months after the month you turn age 65). If you get Medicare due to a disability, you can join during the 3 months before to 3 months after your 25th month of disability.
- Between November 15 – December 31 each year. If you sign up during this period your coverage will begin on January 1 of the following year.
- Between January 1 – March 31 of each year. However, you can't join or switch to a plan with prescription drug coverage during this time unless you already have Medicare prescription drug coverage (Part D). You also can't drop a plan with prescription drug coverage or join, switch, or drop a Medicare Medical Savings Account Plan during this period.
In most cases, you must stay enrolled for that calendar year starting the date your coverage begins. However, in certain situations, you may be able to join, switch, or drop a Medicare Advantage Plan at other times. Some of these situations include the following: If you move out of your plan's service area in North Carolina, or if you have both Medicare and Medicaid.
Medicare Advantage Health Plans in North Carolina
Below are Medicare Advantage plans available to residents of North Carolina. 18 carriers offer 112 plans throughout the state of North Carolina. Residents may choose plans from carriers such as AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC INC., Humana Medical Plan Inc. and LIFE St. Joseph of the Pines. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas.
| Carrier | Plan Title | Plan Type |
|---|---|---|
| AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC INC. | Presidential (PFFS) (H0979-021) | Private Fee for Service |
| AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC INC. | Presidential Plus (PFFS) (H0979-022) | Private Fee for Service |
| Humana Medical Plan Inc. | Humana Gold Plus H1036-137 (HMO-POS) (H1036-137) | HMO with POS Option |
| Humana Medical Plan Inc. | Humana Gold Plus H1036-138 (HMO-POS) (H1036-138) | HMO with POS Option |
| Humana Medical Plan Inc. | Humana Gold Plus SNP-DE H1036-167 (HMO SNP) (H1036-167) | HMO |
| Humana Medical Plan Inc. | Humana Gold Plus SNP-DE H1036-168 (HMO SNP) (H1036-168) | HMO |
| LIFE St. Joseph of the Pines | LIFE St. Joseph of the Pines (PACE) (H1500-001) | National PACE |
| LIFE St. Joseph of the Pines | LIFE St. Joseph of the Pines (PACE) (H1500-002) | National PACE |
| Southeast Community Care | Southeast Community Care - Plus (HMO) (H2899-001) | HMO |
| Southeast Community Care | Southeast Community Care - Dual Plus (HMO SNP) (H2899-002) | HMO |
| Southeast Community Care | Southeast Community Care - Plus (HMO) (H2899-003) | HMO |
| Southeast Community Care | Southeast Community Care - Plus (HMO) (H2899-006) | HMO |
| Southeast Community Care | Southeast Community Care - Plus (HMO) (H2899-009) | HMO |
| Humana Insurance Company | Humana Gold Choice H2944-133 (PFFS) (H2944-133) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H2944-137 (PFFS) (H2944-137) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H2944-194 (PFFS) (H2944-194) | Private Fee for Service |
| Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) (H3404-001) | Local Preferred Provider Organization |
| Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced Freedom (PPO) (H3404-002) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H3405-001 (PPO) (H3405-001) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H3405-002 (PPO) (H3405-002) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H3405-005 (PPO) (H3405-005) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H3405-007 (PPO) (H3405-007) | Local Preferred Provider Organization |
| WindsorSterling | WindsorSterling Silver Connect Plan (PFFS) (H3410-002) | Private Fee for Service |
| WindsorSterling | WindsorSterling Gold Connect Plan (PFFS) (H3410-003) | Private Fee for Service |
| WindsorSterling | WindsorSterling Emerald Connect Plan (PFFS) (H3410-004) | Private Fee for Service |
| Blue Cross and Blue Shield of North Carolina | Blue Medicare HMO Enhanced (HMO) (H3449-005) | HMO |
| Blue Cross and Blue Shield of North Carolina | Blue Medicare HMO Medical Only (HMO) (H3449-012) | HMO |
| Blue Cross and Blue Shield of North Carolina | Blue Medicare HMO Standard (HMO) (H3449-013) | HMO |
| UnitedHealthcare | AARP MedicareComplete Plus (HMO-POS) (H3456-001) | HMO with POS Option |
| UnitedHealthcare | UnitedHealthcare Nursing Home Plan (HMO SNP) (H3456-010) | HMO |
| UnitedHealthcare | UnitedHealthcare Dual Complete (HMO SNP) (H3456-016) | HMO |
| UnitedHealthcare | AARP MedicareComplete Plus Essential (HMO-POS) (H3456-020) | HMO with POS Option |
| UnitedHealthcare | AARP MedicareComplete Plus (HMO-POS) (H3456-023) | HMO with POS Option |
| UnitedHealthcare | AARP MedicareComplete Plus (HMO-POS) (H3456-025) | HMO with POS Option |
| Elderhaus PACE | Elderhaus PACE (PACE) (H3942-001) | National PACE |
| Elderhaus PACE | Elderhaus PACE (PACE) (H3942-002) | National PACE |
| America's 1st Choice Insurance Company of NC | Patriot (PFFS) (H4268-001) | Private Fee for Service |
| America's 1st Choice Insurance Company of NC | Patriot Plus (PFFS) (H4268-002) | Private Fee for Service |
| PACE@Home | PACE at Home - dual (PACE) (H4326-001) | National PACE |
| PACE@Home | PACE at Home - medicare only (PACE) (H4326-002) | National PACE |
| WindsorSterling | WindsorSterling Gold Access Plan (PFFS) (H5006-017) | Private Fee for Service |
| WindsorSterling | WindsorSterling Silver Access Plan (PFFS) (H5006-018) | Private Fee for Service |
| Universal Health Care Insurance Company Inc. | Universal Hassle-Free (PPO) (H5096-001) | Local Preferred Provider Organization |
| Universal Health Care Insurance Company Inc. | Universal Hassle-Free MA Only (PPO) (H5096-002) | Local Preferred Provider Organization |
| Universal American Corp. | Today's Options Advantage Plus 250A (PPO) (H5378-182) | Local Preferred Provider Organization |
| Universal American Corp. | Today's Options Advantage Plus 450B (PPO) (H5378-183) | Local Preferred Provider Organization |
| Universal American Corp. | Today's Options Advantage Plus 450F (PPO) (H5378-184) | Local Preferred Provider Organization |
| Universal American Corp. | Today's Options Advantage Plus 650B (PPO) (H5378-190) | Local Preferred Provider Organization |
| Universal American Corp. | Today's Options Advantage Plus 250A (PPO) (H5378-199) | Local Preferred Provider Organization |
| Universal American Corp. | Today's Options Advantage Plus 250A (PPO) (H5378-200) | Local Preferred Provider Organization |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H5421-046) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H5421-047) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H5421-048) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H5421-049) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H5421-056) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H5421-057) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450B (PFFS) (H5421-065) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H5421-067) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H5421-068) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450B (PFFS) (H5421-070) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450C (PFFS) (H5421-072) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450D (PFFS) (H5421-073) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450E (PFFS) (H5421-074) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450C (PFFS) (H5421-075) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H5421-206) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H5421-207) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H5421-208) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H5421-209) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H5421-210) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H5421-211) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H5421-212) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H5421-213) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H5421-214) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H5421-215) | Private Fee for Service |
| UnitedHealthcare | UnitedHealthcare MedicareDirect Essential (PFFS) (H5435-001) | Private Fee for Service |
| UnitedHealthcare | UnitedHealthcare MedicareDirect Rx (PFFS) (H5435-024) | Private Fee for Service |
| UnitedHealthcare | AARP MedicareComplete Choice (PPO) (H5516-001) | Local Preferred Provider Organization |
| Fidelis SecureCare of North Carolina | Fidelis Secure Comfort (HMO SNP) (H5575-005) | HMO |
| Fidelis SecureCare of North Carolina | Fidelis Secure Comfort Plus (HMO SNP) (H5575-006) | HMO |
| Fidelis SecureCare of North Carolina | Fidelis Secure Independence (HMO SNP) (H5575-007) | HMO |
| Fidelis SecureCare of North Carolina | Fidelis Secure Freedom (HMO SNP) (H5575-011) | HMO |
| UNIVERSAL HEALTH CARE INSURANCE COMPANY INC. | Any Any Any Gold (PFFS) (H5820-002) | Private Fee for Service |
| UNIVERSAL HEALTH CARE INSURANCE COMPANY INC. | Any Any Any Gold MA Only (PFFS) (H5820-026) | Private Fee for Service |
| PACE OF THE TRIAD | PACE of The Triad - Dual (PACE) (H6059-001) | National PACE |
| PACE OF THE TRIAD | PACE of The Triad - Medicare only (PACE) (H6059-002) | National PACE |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H6169-001) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H6169-011) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H6169-012) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H6169-013) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 400 (PFFS) (H6169-015) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H6169-021) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H6169-024) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450B (PFFS) (H6169-031) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450B (PFFS) (H6169-032) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450C (PFFS) (H6169-033) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 450C (PFFS) (H6169-035) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H6169-050) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H6169-051) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier 200 (PFFS) (H6169-052) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H6169-054) | Private Fee for Service |
| Universal American Corp. | Today's Options Premier Plus 250A (PFFS) (H6169-056) | Private Fee for Service |
| America's 1st Choice Insurance Company of NC | Ambassador (PPO) (H6881-001) | Local Preferred Provider Organization |
| America's 1st Choice Insurance Company of NC | Ambassador Plus (PPO) (H6881-002) | Local Preferred Provider Organization |
| Universal Health Care Insurance Company Inc. | Any Any Any Gold (PFFS) (H8098-001) | Private Fee for Service |
| Universal Health Care Insurance Company Inc. | Any Any Any Gold MA Only (PFFS) (H8098-003) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H8145-063 (PFFS) (H8145-063) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H8145-114 (PFFS) (H8145-114) | Private Fee for Service |
| Piedmont Health SeniorCare | Piedmont Health SeniorCare - Dual (PACE) (H9266-001) | National PACE |
| Piedmont Health SeniorCare | Piedmont Health SeniorCare - Medicare only (PACE) (H9266-003) | National PACE |
| Coventry Health Care | Advantra Gold (PPO) (H9847-001) | Local Preferred Provider Organization |
| WindsorSterling | WindsorSterling Gold Plus Plan (PPO) (H9988-004) | Local Preferred Provider Organization |
| WindsorSterling | Fresenius Health Partners (PPO SNP) (H9988-018) | Local Preferred Provider Organization |
North Carolina Plan Data by County
- Alamance, NC Medicare Advantage Plans
- Alexander, NC Medicare Advantage Plans
- Alleghany, NC Medicare Advantage Plans
- Anson, NC Medicare Advantage Plans
- Ashe, NC Medicare Advantage Plans
- Avery, NC Medicare Advantage Plans
- Beaufort, NC Medicare Advantage Plans
- Bertie, NC Medicare Advantage Plans
- Bladen, NC Medicare Advantage Plans
- Brunswick, NC Medicare Advantage Plans
- Buncombe, NC Medicare Advantage Plans
- Burke, NC Medicare Advantage Plans
- Cabarrus, NC Medicare Advantage Plans
- Caldwell, NC Medicare Advantage Plans
- Camden, NC Medicare Advantage Plans
- Carteret, NC Medicare Advantage Plans
- Caswell, NC Medicare Advantage Plans
- Catawba, NC Medicare Advantage Plans
- Chatham, NC Medicare Advantage Plans
- Cherokee, NC Medicare Advantage Plans
- Chowan, NC Medicare Advantage Plans
- Clay, NC Medicare Advantage Plans
- Cleveland, NC Medicare Advantage Plans
- Columbus, NC Medicare Advantage Plans
- Craven, NC Medicare Advantage Plans
- Cumberland, NC Medicare Advantage Plans
- Currituck, NC Medicare Advantage Plans
- Dare, NC Medicare Advantage Plans
- Davidson, NC Medicare Advantage Plans
- Davie, NC Medicare Advantage Plans
- Duplin, NC Medicare Advantage Plans
- Durham, NC Medicare Advantage Plans
- Edgecombe, NC Medicare Advantage Plans
- Forsyth, NC Medicare Advantage Plans
- Franklin, NC Medicare Advantage Plans
- Gaston, NC Medicare Advantage Plans
- Gates, NC Medicare Advantage Plans
- Graham, NC Medicare Advantage Plans
- Granville, NC Medicare Advantage Plans
- Greene, NC Medicare Advantage Plans
- Guilford, NC Medicare Advantage Plans
- Halifax, NC Medicare Advantage Plans
- Harnett, NC Medicare Advantage Plans
- Haywood, NC Medicare Advantage Plans
- Henderson, NC Medicare Advantage Plans
- Hertford, NC Medicare Advantage Plans
- Hoke, NC Medicare Advantage Plans
- Hyde, NC Medicare Advantage Plans
- Iredell, NC Medicare Advantage Plans
- Jackson, NC Medicare Advantage Plans
- Johnston, NC Medicare Advantage Plans
- Jones, NC Medicare Advantage Plans
- Lee, NC Medicare Advantage Plans
- Lenoir, NC Medicare Advantage Plans
- Lincoln, NC Medicare Advantage Plans
- Macon, NC Medicare Advantage Plans
- Madison, NC Medicare Advantage Plans
- Martin, NC Medicare Advantage Plans
- Mcdowell, NC Medicare Advantage Plans
- Mecklenburg, NC Medicare Advantage Plans
- Mitchell, NC Medicare Advantage Plans
- Montgomery, NC Medicare Advantage Plans
- Moore, NC Medicare Advantage Plans
- Nash, NC Medicare Advantage Plans
- New Hanover, NC Medicare Advantage Plans
- Northampton, NC Medicare Advantage Plans
- Onslow, NC Medicare Advantage Plans
- Orange, NC Medicare Advantage Plans
- Pamlico, NC Medicare Advantage Plans
- Pasquotank, NC Medicare Advantage Plans
- Pender, NC Medicare Advantage Plans
- Perquimans, NC Medicare Advantage Plans
- Person, NC Medicare Advantage Plans
- Pitt, NC Medicare Advantage Plans
- Polk, NC Medicare Advantage Plans
- Randolph, NC Medicare Advantage Plans
- Richmond, NC Medicare Advantage Plans
- Robeson, NC Medicare Advantage Plans
- Rockingham, NC Medicare Advantage Plans
- Rowan, NC Medicare Advantage Plans
- Rutherford, NC Medicare Advantage Plans
- Sampson, NC Medicare Advantage Plans
- Scotland, NC Medicare Advantage Plans
- Stanly, NC Medicare Advantage Plans
- Stokes, NC Medicare Advantage Plans
- Surry, NC Medicare Advantage Plans
- Swain, NC Medicare Advantage Plans
- Transylvania, NC Medicare Advantage Plans
- Tyrrell, NC Medicare Advantage Plans
- Union, NC Medicare Advantage Plans
- Vance, NC Medicare Advantage Plans
- Wake, NC Medicare Advantage Plans
- Warren, NC Medicare Advantage Plans
- Washington, NC Medicare Advantage Plans
- Watauga, NC Medicare Advantage Plans
- Wayne, NC Medicare Advantage Plans
- Wilkes, NC Medicare Advantage Plans
- Wilson, NC Medicare Advantage Plans
- Yadkin, NC Medicare Advantage Plans
- Yancey, NC Medicare Advantage Plans
North Carolina Plan Data by City
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