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North Carolina MedicareAdvantage Plans

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Medicare Advantage Plans in Gaston County, North Carolina

Below are Medicare Advantage plans available to residents of Gaston county, North Carolina. 6 carriers offer 15 plans throughout the county of Gaston. Residents may choose plans from carriers such as Humana Medical Plan Inc., Blue Cross and Blue Shield of North Carolina and UnitedHealthcare. 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 Gaston county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Gaston

Carrier Plan Title Plan Type
Humana Medical Plan Inc. Humana Gold Plus H1036-137 (HMO-POS) (H1036-137) HMO with POS Option

    Premium and Other Important Information

    • Package: 1 - MyOption Dental High PPO:
    • Package: 2 - MyOption Dental Low PPO:
    • $26 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
    • $16 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
    • $1 500 plan coverage limit every year for these benefits.
    • $1 000 plan coverage limit every year for these benefits.
    • $4 700 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
    • $10 to $35 copay for each specialist visit for Medicare-covered benefits.
    Humana Medical Plan Inc. Humana Gold Plus SNP-DE H1036-167 (HMO SNP) (H1036-167) 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.
      • $6 700 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

      • $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.*
      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
          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.
                  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
                          Humana Insurance Company Humana Gold Choice H8145-063 (PFFS) (H8145-063) Private Fee for Service

                            Premium and Other Important Information

                            • Package: 1 - MyOption Dental High PPO:
                            • Package: 2 - MyOption Dental Low PPO:
                            • $26 monthly premium in addition to your $42 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 $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                            • $1 500 plan coverage limit every year for these benefits.
                            • $1 000 plan coverage limit every year for these benefits.
                            • $5 500 out-of-pocket limit for Medicare-covered services.
                            • $42 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.
                            • $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.
                            • $20 to $40 copay for each primary care doctor visit
                            • $20 to $40 copay for each specialist visit
                            Humana Insurance Company Humana Gold Choice H8145-114 (PFFS) (H8145-114) Private Fee for Service

                              Premium and Other Important Information

                              • Package: 1 - MyOption Dental High PPO:
                              • Package: 2 - MyOption Dental Low PPO:
                              • $26 monthly premium in addition to your $15 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 $15 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                              • $1 500 plan coverage limit every year for these benefits.
                              • $1 000 plan coverage limit every year for these benefits.
                              • $162 annual deductible. Contact the plan for services that apply.
                              • $6 700 out-of-pocket limit for Medicare-covered services.
                              • $15.00 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.
                              • 20% of the cost for each primary care doctor visit for Medicare-covered benefits.
                              • 20% of the cost for each in-area network urgent care Medicare-covered visit
                              • 20% of the cost 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

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