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Medicare Advantage Plans in Guilford County, North Carolina

Below are Medicare Advantage plans available to residents of Guilford county, North Carolina. 11 carriers offer 35 plans throughout the county of Guilford. Residents may choose plans from carriers such as Humana Medical Plan Inc., Southeast Community Care and Blue Cross and Blue Shield of North Carolina. 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 Guilford county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Guilford

Carrier	Plan Title	Plan Type
Humana Medical Plan Inc.	Humana Gold Plus H1036-138 (HMO-POS) (H1036-138)	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. $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 Authorization rules may apply. $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 H1036-168 (HMO SNP) (H1036-168)	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.*
Southeast Community Care	Southeast Community Care - Plus (HMO) (H2899-003)	HMO
Premium and Other Important Information $4 950 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 Authorization rules may apply. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 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 H3405-002 (PPO) (H3405-002)	Local Preferred Provider Organization
Premium and Other Important Information $4 900 out-of-pocket limit for Medicare-covered services. $7 300 out-of-pocket limit for Medicare-covered services. $27 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. $35 copay for each in-area network urgent care Medicare-covered visit $15 to $35 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% 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	AARP MedicareComplete Plus (HMO-POS) (H3456-001)	HMO with POS Option
Premium and Other Important Information Package: 1 - Dental Platinum 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 $4 750 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 $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.
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.
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 Health Care Insurance Company Inc.	Universal Hassle-Free (PPO) (H5096-001)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 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 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 specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal Health Care Insurance Company Inc.	Universal Hassle-Free MA Only (PPO) (H5096-002)	Local Preferred Provider Organization
Premium and Other Important Information Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 10.00. $6 700 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 $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal American Corp.	Today's Options Advantage Plus 250A (PPO) (H5378-182)	Local Preferred Provider Organization
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $62 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 Advantage Plus 650B (PPO) (H5378-190)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 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 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
UnitedHealthcare	AARP MedicareComplete Choice (PPO) (H5516-001)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - Fitness Rider: $13 monthly premium in addition to your $45 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. $10 000 out-of-pocket limit for Medicare-covered services. $45 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. $30 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $45 copay for each specialist visit
Fidelis SecureCare of North Carolina	Fidelis Secure Comfort (HMO SNP) (H5575-005)	HMO
Premium and Other Important Information In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply. $6 700 out-of-pocket limit for Medicare-covered services. $625 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply. $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 Authorization rules may apply. $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each specialist visit for Medicare-covered benefits.
Fidelis SecureCare of North Carolina	Fidelis Secure Comfort Plus (HMO SNP) (H5575-006)	HMO
Premium and Other Important Information $750 out-of-pocket limit for Medicare-covered services. $625 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply. $98 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. $0 copay for each primary care doctor visit for Medicare-covered benefits. $0 copay for each specialist doctor visit for Medicare-covered benefits.
Fidelis SecureCare of North Carolina	Fidelis Secure Independence (HMO SNP) (H5575-007)	HMO
Premium and Other Important Information $500 out-of-pocket limit for Medicare-covered services. $120 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. $0 copay for each primary care doctor visit for Medicare-covered benefits. $0 copay for each specialist doctor visit for Medicare-covered benefits.
Fidelis SecureCare of North Carolina	Fidelis Secure Freedom (HMO SNP) (H5575-011)	HMO
Premium and Other Important Information In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply. $6 700 out-of-pocket limit for Medicare-covered services. $375 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply. $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 Authorization rules may apply. $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each specialist visit for Medicare-covered benefits.
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
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $20.00 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
Universal American Corp.	Today's Options Premier 400 (PFFS) (H6169-011)	Private Fee for Service
Premium and Other Important Information $6 700 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. $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) (H6169-021)	Private Fee for Service
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $72 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 450B (PFFS) (H6169-031)	Private Fee for Service
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $27 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
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
Universal Health Care Insurance Company Inc.	Any Any Any Gold (PFFS) (H8098-001)	Private Fee for Service
Premium and Other Important Information $6 700 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 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. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal Health Care Insurance Company Inc.	Any Any Any Gold MA Only (PFFS) (H8098-003)	Private Fee for Service
Premium and Other Important Information Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00. $6 700 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. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay 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

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

• Cary, NC Medicare Advantage Plans
• Charlotte, NC Medicare Advantage Plans
• Fayetteville, NC Medicare Advantage Plans
• Greensboro, NC Medicare Advantage Plans

• High Point, NC Medicare Advantage Plans
• Raleigh, NC Medicare Advantage Plans
• Wilmington, NC Medicare Advantage Plans
• Winston Salem, NC Medicare Advantage Plans