North Carolina MedicareAdvantage Plans

Are you 64 or older?

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. 17 carriers offer 95 plans throughout the state of North Carolina. Residents may choose plans from carriers such as Unicare Life & Health Ins. Company, AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC INC. and Humana Medical Plan Inc.. 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
Unicare Life & Health Ins. Company SecurityChoice Classic (PFFS) (H0540-001) Private Fee for Service
Unicare Life & Health Ins. Company SecurityChoice Plus (PFFS) (H0540-020) Private Fee for Service
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
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
Humana Insurance Company Humana Gold Choice H2944-195 (PFFS) (H2944-195) 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 H3405-006 (PPO) (H3405-006) Local Preferred Provider Organization
Humana Insurance Company HumanaChoice H3405-007 (PPO) (H3405-007) Local Preferred Provider Organization
Sterling Life Insurance Company Sterling Connect Basic (PFFS) (H3410-001) Private Fee for Service
Sterling Life Insurance Company Sterling Connect 1 (PFFS) (H3410-002) Private Fee for Service
Sterling Life Insurance Company Sterling Connect 2 (PFFS) (H3410-003) 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
SecureHorizons by UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H3456-001) HMO with POS Option
SecureHorizons by UnitedHealthcare Evercare Plan IH (HMO SNP) (H3456-010) HMO
SecureHorizons by UnitedHealthcare Evercare Plan DH (HMO SNP) (H3456-016) HMO
SecureHorizons by UnitedHealthcare AARP MedicareComplete Plus Essential (HMO-POS) (H3456-020) HMO with POS Option
SecureHorizons by UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H3456-023) 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
Sterling Life Insurance Company Sterling Option I (PFFS) (H5006-014) Private Fee for Service
Sterling Life Insurance Company Sterling Option II (PFFS) (H5006-017) Private Fee for Service
Sterling Life Insurance Company Sterling Basic (PFFS) (H5006-018) Private Fee for Service
Universal American Today's Options Advantage 150A powered by CCRx (PPO) (H5378-182) Local Preferred Provider Organization
Universal American Today's Options Advantage 750B powered by CCRx (PPO) (H5378-183) Local Preferred Provider Organization
Universal American Today's Options Advantage 850B powered by CCRx (PPO) (H5378-184) Local Preferred Provider Organization
Universal American Today's Options Advantage 650B powered by CCRx (PPO) (H5378-190) Local Preferred Provider Organization
Universal American Today's Options Premier 800 (PFFS) (H5421-046) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H5421-047) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H5421-048) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H5421-049) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H5421-056) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H5421-057) Private Fee for Service
Universal American Today's Options Premier 850B powered by CCRx (PFFS) (H5421-065) Private Fee for Service
Universal American Today's Options Premier 450A powered by CCRx (PFFS) (H5421-067) Private Fee for Service
Universal American Today's Options Premier 450A powered by CCRx (PFFS) (H5421-068) Private Fee for Service
Universal American Today's Options Premier 850B powered by CCRx (PFFS) (H5421-070) Private Fee for Service
Universal American Today's Options Premier 850F powered by CCRx (PFFS) (H5421-072) Private Fee for Service
Universal American Today's Options Premier 850E powered by CCRx (PFFS) (H5421-073) Private Fee for Service
Universal American Today's Options Premier 850F powered by CCRx (PFFS) (H5421-074) Private Fee for Service
Universal American Today's Options Premier 850F powered by CCRx (PFFS) (H5421-075) Private Fee for Service
SecureHorizons by UnitedHealthcare SecureHorizons MedicareDirect Essential (PFFS) (H5435-001) Private Fee for Service
SecureHorizons by UnitedHealthcare SecureHorizons MedicareDirect Rx (PFFS) (H5435-024) Private Fee for Service
SecureHorizons by 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
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 Platinum (PFFS) (H5820-008) Private Fee for Service
UNIVERSAL HEALTH CARE INSURANCE COMPANY INC. Any Any Any Gold MA Only (PFFS) (H5820-026) Private Fee for Service
UNIVERSAL HEALTH CARE INSURANCE COMPANY INC. e-Any Any Any Gold Direct (PFFS) (H5820-032) 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 Today's Options Premier 100 (PFFS) (H6169-001) Private Fee for Service
Universal American Today's Options Premier 600 (PFFS) (H6169-011) Private Fee for Service
Universal American Today's Options Premier 700 (PFFS) (H6169-012) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H6169-013) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H6169-014) Private Fee for Service
Universal American Today's Options Premier 800 (PFFS) (H6169-015) Private Fee for Service
Universal American Today's Options Premier 150A powered by CCRx (PFFS) (H6169-021) Private Fee for Service
Universal American Today's Options Premier 450A powered by CCRx (PFFS) (H6169-024) Private Fee for Service
Universal American Today's Options Premier 650B powered by CCRx (PFFS) (H6169-031) Private Fee for Service
Universal American Today's Options Premier 750B powered by CCRx (PFFS) (H6169-032) Private Fee for Service
Universal American Today's Options Premier 850F powered by CCRx (PFFS) (H6169-033) Private Fee for Service
Universal American Today's Options Premier 850E powered by CCRx (PFFS) (H6169-034) Private Fee for Service
Universal American Today's Options Premier 850F powered by CCRx (PFFS) (H6169-035) 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
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
Coventry Health Care Advantra Bronze (PPO) (H9847-004) Local Preferred Provider Organization
Sterling Life Insurance Company Sterling Partners (PPO) (H9988-003) Local Preferred Provider Organization
Sterling Life Insurance Company Sterling Partners (PPO) (H9988-004) Local Preferred Provider Organization

North Carolina Plan Data by County

North Carolina Plan Data by City

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