Health Insurance Online
(888) 309-1425

North Carolina MedicareAdvantage Plans

Are you 64 or older?

Medicare Advantage Plans in Raleigh, North Carolina

Below are Medicare Advantage plans available to residents of Raleigh, North Carolina. 8 carriers offer 25 plans throughout the city of Raleigh. Residents may chose plans from carriers such as Southeast Community Care, Blue Cross and Blue Shield of North Carolina and Humana Insurance Company. 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. To speak to an advisor and find the Medicare Advantage plan in Raleigh that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the city of Raleigh

Carrier Plan Title Plan Type
Southeast Community Care Southeast Community Care - Dual Plus (HMO SNP) (H2899-002) HMO

    Premium and Other Important Information

    • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
    • $0 annual deductible.*
    • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
    • $3 400 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
    • $0 monthly plan premium*

    Doctor Office Visits

    • Authorization rules may apply.
    • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
    • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
    • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
    Southeast Community Care Southeast Community Care - Plus (HMO) (H2899-009) HMO

      Premium and Other Important Information

      • $4 950 out-of-pocket limit for Medicare-covered services.
      • $19 monthly plan premium in addition to your monthly Medicare Part B premium.
      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

      Doctor Office Visits

      • Authorization rules may apply.
      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
      • $45 copay for each specialist visit for Medicare-covered benefits.
      Blue Cross and Blue Shield of North Carolina Blue Medicare PPO Enhanced (PPO) (H3404-001) Local Preferred Provider Organization

        Premium and Other Important Information

        • $3 400 out-of-pocket limit for Medicare-covered services.
        • $5 100 out-of-pocket limit for Medicare-covered services.
        • $47.2 monthly plan premium in addition to your monthly Medicare Part B premium.
        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
        • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

        Doctor Office Visits

        • $15 copay for each primary care doctor visit for Medicare-covered benefits.
        • $40 copay for each in-area network urgent care Medicare-covered visit
        • $40 copay for each specialist visit for Medicare-covered benefits.
        • 20% of the cost for each primary care doctor visit
        • 20% of the cost for each specialist visit
        Blue Cross and Blue Shield of North Carolina Blue Medicare PPO Enhanced Freedom (PPO) (H3404-002) Local Preferred Provider Organization

          Premium and Other Important Information

          • $3 400 out-of-pocket limit for Medicare-covered services.
          • $5 100 out-of-pocket limit for Medicare-covered services.
          • $99.9 monthly plan premium in addition to your monthly Medicare Part B premium.
          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
          • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

          Doctor Office Visits

          • $20 copay for each primary care doctor visit for Medicare-covered benefits.
          • $40 copay for each in-area network urgent care Medicare-covered visit
          • $40 copay for each specialist visit for Medicare-covered benefits.
          • $40 copay for each primary care doctor visit
          • $40 copay for each specialist visit
          Humana Insurance Company HumanaChoice H3405-001 (PPO) (H3405-001) Local Preferred Provider Organization

            Premium and Other Important Information

            • $1 000 annual deductible. Contact the plan for services that apply.
            • Package: 1 - MyOption Dental High PPO:
            • Package: 2 - MyOption Dental Low PPO:
            • Package: 3 - MyOption Vision:
            • Package: 4 - MyOption Plus:
            • $26 monthly premium in addition to your $23 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
            • $16 monthly premium in addition to your $23 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
            • $15 monthly premium in addition to your $23 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
            • $27 monthly premium in addition to your $23 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
            • $1 500 plan coverage limit every year for these benefits.
            • $1 000 plan coverage limit every year for these benefits.
            • $290 plan coverage limit every year for these benefits.
            • $4 900 out-of-pocket limit for Medicare-covered services.
            • $7 300 out-of-pocket limit for Medicare-covered services.
            • $23 monthly plan premium in addition to your monthly Medicare Part B premium.
            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
            • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

            Doctor Office Visits

            • $20 copay for each primary care doctor visit for Medicare-covered benefits.
            • $40 copay for each in-area network urgent care Medicare-covered visit
            • $20 to $40 copay for each specialist visit for Medicare-covered benefits.
            • 35% of the cost for each primary care doctor visit
            • 35% of the cost for each specialist visit
            Blue Cross and Blue Shield of North Carolina Blue Medicare HMO Enhanced (HMO) (H3449-005) HMO

              Premium and Other Important Information

              • $3 400 out-of-pocket limit for Medicare-covered services.
              • $16.4 monthly plan premium in addition to your monthly Medicare Part B premium.
              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

              Doctor Office Visits

              • $5 copay for each primary care doctor visit for Medicare-covered benefits.
              • $35 copay for each in-area network urgent care Medicare-covered visit
              • $35 copay for each specialist visit for Medicare-covered benefits.
              Blue Cross and Blue Shield of North Carolina Blue Medicare HMO Medical Only (HMO) (H3449-012) HMO

                Premium and Other Important Information

                • $2 500 out-of-pocket limit for Medicare-covered services.
                • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                Doctor Office Visits

                • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                • $20 copay for each in-area network urgent care Medicare-covered visit
                • $20 copay for each specialist visit for Medicare-covered benefits.
                Blue Cross and Blue Shield of North Carolina Blue Medicare HMO Standard (HMO) (H3449-013) HMO

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit for Medicare-covered services.
                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                  Doctor Office Visits

                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $35 copay for each in-area network urgent care Medicare-covered visit
                  • $35 copay for each specialist visit for Medicare-covered benefits.
                  UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO SNP) (H3456-010) HMO

                    Premium and Other Important Information

                    • $5 000 out-of-pocket limit for Medicare-covered services.
                    • $33 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                    Doctor Office Visits

                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                    • 20% of the cost for each in-area network urgent care Medicare-covered visit
                    • 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.
                    UnitedHealthcare UnitedHealthcare Dual Complete (HMO SNP) (H3456-016) HMO

                      Premium and Other Important Information

                      • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                      • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                      • $6 700 out-of-pocket limit for Medicare-covered services.*
                      • $28.2 monthly plan premium in addition to your monthly Medicare Part B premium.*

                      Doctor Office Visits

                      • 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
                      • 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit*
                      • 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*
                      UnitedHealthcare AARP MedicareComplete Plus Essential (HMO-POS) (H3456-020) HMO with POS Option

                        Premium and Other Important Information

                        • Package: 1 - Dental Platinum Rider:
                        • Package: 2 - Fitness Rider:
                        • $33 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                        • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                        • $4 200 out-of-pocket limit for Medicare-covered services.
                        • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                        Doctor Office Visits

                        • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $30 copay for each in-area network urgent care Medicare-covered visit
                        • $35 copay for each specialist visit for Medicare-covered benefits.
                        UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H3456-023) HMO with POS Option

                          Premium and Other Important Information

                          • Package: 1 - Dental Platinum Rider:
                          • $33 monthly premium in addition to your $20 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                          • $4 750 out-of-pocket limit for Medicare-covered services.
                          • $20 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                          Doctor Office Visits

                          • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $30 copay for each in-area network urgent care Medicare-covered visit
                          • $40 copay for each specialist visit for Medicare-covered benefits.
                          America's 1st Choice Insurance Company of NC Patriot (PFFS) (H4268-001) Private Fee for Service

                            Premium and Other Important Information

                            • America's 1st Choice Insurance Company of NC will reduce your monthly Medicare Part B premium by up to $ 20.00.
                            • $5 000 annual deductible. Contact the plan for services that apply.
                            • $500 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                            • $3 400 out-of-pocket limit for Medicare-covered services.
                            • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                            • This plan does not allow providers to balance bill (charging more than your cost share amount).

                            Doctor Office Visits

                            • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                            • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $15 copay for each in-area network urgent care Medicare-covered visit
                            • $40 copay for each specialist visit for Medicare-covered benefits.
                            • $15 copay for each primary care doctor visit
                            • $40 copay for each specialist visit
                            America's 1st Choice Insurance Company of NC Patriot Plus (PFFS) (H4268-002) Private Fee for Service

                              Premium and Other Important Information

                              • $5 000 annual deductible. Contact the plan for services that apply.
                              • $500 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                              • $3 400 out-of-pocket limit for Medicare-covered services.
                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                              • This plan does not allow providers to balance bill (charging more than your cost share amount).

                              Doctor Office Visits

                              • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $15 copay for each in-area network urgent care Medicare-covered visit
                              • $45 copay for each specialist visit for Medicare-covered benefits.
                              • $15 copay for each primary care doctor visit
                              • $45 copay for each specialist visit
                              Universal American Corp. Today's Options Advantage Plus 450F (PPO) (H5378-184) Local Preferred Provider Organization

                                Premium and Other Important Information

                                • $6 700 out-of-pocket limit for Medicare-covered services.
                                • $51 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                Doctor Office Visits

                                • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $35 copay for each in-area network urgent care Medicare-covered visit
                                • $50 copay for each specialist visit for Medicare-covered benefits.
                                • $30 copay for each primary care doctor visit
                                • $60 copay for each specialist visit
                                Universal American Corp. Today's Options Advantage Plus 250A (PPO) (H5378-200) Local Preferred Provider Organization

                                  Premium and Other Important Information

                                  • $3 250 out-of-pocket limit for Medicare-covered services.
                                  • $122 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                  • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                  Doctor Office Visits

                                  • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $35 copay for each in-area network urgent care Medicare-covered visit
                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                  • $10 copay for each primary care doctor visit
                                  • $40 copay for each specialist visit
                                  Universal American Corp. Today's Options Premier 400 (PFFS) (H6169-013) Private Fee for Service

                                    Premium and Other Important Information

                                    • $6 700 out-of-pocket limit for Medicare-covered services.
                                    • $50.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                    • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                    Doctor Office Visits

                                    • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                    • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                    • $50 copay for each specialist visit for Medicare-covered benefits.
                                    • $30 copay for each primary care doctor visit
                                    • $60 copay for each specialist visit
                                    Universal American Corp. Today's Options Premier Plus 250A (PFFS) (H6169-024) Private Fee for Service

                                      Premium and Other Important Information

                                      • $3 250 out-of-pocket limit for Medicare-covered services.
                                      • $147 monthly plan premium in addition to your monthly Medicare Part B premium.
                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                      • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                      Doctor Office Visits

                                      • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                      • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $35 copay for each in-area network urgent care Medicare-covered visit
                                      • $30 copay for each specialist visit for Medicare-covered benefits.
                                      • $10 copay for each primary care doctor visit
                                      • $40 copay for each specialist visit
                                      Universal American Corp. Today's Options Premier Plus 450C (PFFS) (H6169-033) Private Fee for Service

                                        Premium and Other Important Information

                                        • $6 700 out-of-pocket limit for Medicare-covered services.
                                        • $87 monthly plan premium in addition to your monthly Medicare Part B premium.
                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                        • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                        Doctor Office Visits

                                        • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                        • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                        • $35 copay for each in-area network urgent care Medicare-covered visit
                                        • $50 copay for each specialist visit for Medicare-covered benefits.
                                        • $30 copay for each primary care doctor visit
                                        • $60 copay for each specialist visit
                                        Universal American Corp. Today's Options Premier 200 (PFFS) (H6169-051) Private Fee for Service

                                          Premium and Other Important Information

                                          • $3 250 out-of-pocket limit for Medicare-covered services.
                                          • $80.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                          • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                          Doctor Office Visits

                                          • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                          • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                          • $35 copay for each in-area network urgent care Medicare-covered visit
                                          • $30 copay for each specialist visit for Medicare-covered benefits.
                                          • $10 copay for each primary care doctor visit
                                          • $40 copay for each specialist visit
                                          America's 1st Choice Insurance Company of NC Ambassador (PPO) (H6881-001) Local Preferred Provider Organization

                                            Premium and Other Important Information

                                            • America's 1st Choice Insurance Company of NC will reduce your monthly Medicare Part B premium by up to $ 20.00.
                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                            • $5 000 annual deductible. Contact the plan for services that apply.
                                            • $5 100 out-of-pocket limit for Medicare-covered services.
                                            • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                            • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                            Doctor Office Visits

                                            • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $10 copay for each in-area network urgent care Medicare-covered visit
                                            • $35 copay for each specialist visit for Medicare-covered benefits.
                                            • 20% of the cost for each primary care doctor visit
                                            • 20% of the cost for each specialist visit
                                            America's 1st Choice Insurance Company of NC Ambassador Plus (PPO) (H6881-002) Local Preferred Provider Organization

                                              Premium and Other Important Information

                                              • $3 400 out-of-pocket limit for Medicare-covered services.
                                              • $5 000 annual deductible. Contact the plan for services that apply.
                                              • $5 100 out-of-pocket limit for Medicare-covered services.
                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                              • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                              Doctor Office Visits

                                              • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                              • $10 copay for each in-area network urgent care Medicare-covered visit
                                              • $40 copay for each specialist visit for Medicare-covered benefits.
                                              • 20% of the cost for each primary care doctor visit
                                              • 20% of the cost for each specialist visit
                                              Coventry Health Care Advantra Gold (PPO) (H9847-001) Local Preferred Provider Organization

                                                Premium and Other Important Information

                                                • $3 900 out-of-pocket limit. All plan services included.
                                                • $6 000 out-of-pocket limit. All plan services included.
                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                Doctor Office Visits

                                                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $30 copay for each in-area network urgent care Medicare-covered visit
                                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                                • $25 copay for each primary care doctor visit
                                                • $40 copay for each specialist visit
                                                WindsorSterling WindsorSterling Gold Plus Plan (PPO) (H9988-004) Local Preferred Provider Organization

                                                  Premium and Other Important Information

                                                  • $4 000 out-of-pocket limit. All plan services included.
                                                  • $50 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                  • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                  Doctor Office Visits

                                                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                                  • $25 copay for each primary care doctor visit
                                                  • $40 copay for each specialist visit
                                                  WindsorSterling Fresenius Health Partners (PPO SNP) (H9988-018) Local Preferred Provider Organization

                                                    Premium and Other Important Information

                                                    • $6 700 out-of-pocket limit. All plan services included.
                                                    • In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply.
                                                    • $600 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                                                    • $32 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                    Doctor Office Visits

                                                    • 20% of the cost for each primary care doctor visit for Medicare-covered benefits.
                                                    • 20% of the cost for each specialist visit for Medicare-covered benefits.

                                                    North Carolina Plan Data by County

                                                    North Carolina Plan Data by City

                                                    ©2012 Health Insurance Online. All rights reserved.