H5521-241-000 Local PPO
Exact segment geography Aetna Medicare Eagle (PPO)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H5521-241-000 — Open exact plan page → H5521-139-000 Local PPO
Exact segment geography Aetna Medicare Enhanced (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $25 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H5521-139-000 — Open exact plan page → H3146-002-000 HMO
Exact segment geography Aetna Medicare Full Dual (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3146-002-000 — Open exact plan page → H5521-236-000 Local PPO
Exact segment geography Aetna Medicare Signature (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5521-236-000 — Open exact plan page → H5521-348-000 Local PPO
Exact segment geography Aetna Medicare Signature Giveback (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,500 in-network
- Drug coverage
- Reported
H5521-348-000 — Open exact plan page → H3146-006-000 HMO
Exact segment geography Aetna Medicare Value Plus (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3146-006-000 — Open exact plan page → H7074-001-000 Local PPO
Exact segment geography Alignment Health AVA 001 (PPO)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $20 / month
- MOOP
- $3,900 in-network
- Drug coverage
- Reported
H7074-001-000 — Open exact plan page → H5296-004-000 HMOPOS
Exact segment geography Alignment Health Duals+ 004 (HMO-POS D-SNP)
Alignment Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5296-004-000 — Open exact plan page → H5296-011-000 HMO
Exact segment geography Alignment Health Heart & Diabetes 011 (HMO C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,400 in-network
- Drug coverage
- Reported
H5296-011-000 — Open exact plan page → H5296-009-000 HMOPOS
Exact segment geography Alignment Health Heart & Diabetes Plus 009 (HMO-POS C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $4.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5296-009-000 — Open exact plan page → H5296-010-000 HMO
Exact segment geography Alignment Health Platinum 010 (HMO)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,300 in-network
- Drug coverage
- Reported
H5296-010-000 — Open exact plan page → H5296-006-000 HMO
Exact segment geography Alignment Health Smart 006 (HMO)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,400 in-network
- Drug coverage
- Reported
H5296-006-000 — Open exact plan page → H3449-024-003 HMOPOS
Exact segment geography Blue Medicare Enhanced (HMO-POS)
Blue Cross and Blue Shield of North Carolina
Prescription-drug coverage reported
- Premium
- $57 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H3449-024-003 — Open exact plan page → H3449-027-002 HMO
Exact segment geography Blue Medicare Essential (HMO)
Blue Cross and Blue Shield of North Carolina
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3449-027-002 — Open exact plan page → H3449-023-005 HMOPOS
Exact segment geography Blue Medicare Essential Plus (HMO-POS)
Blue Cross and Blue Shield of North Carolina
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3449-023-005 — Open exact plan page → H3404-004-000 Local PPO
Exact segment geography Blue Medicare Freedom+ (PPO)
Blue Cross and Blue Shield of North Carolina
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
H3404-004-000 — Open exact plan page → H3449-012-000 HMOPOS
Exact segment geography Blue Medicare Medical Only (HMO-POS)
Blue Cross and Blue Shield of North Carolina
- Premium
- $0 / month
- MOOP
- $3,900 in-network
- Drug coverage
- Not reported
H3449-012-000 — Open exact plan page → H3404-003-002 Local PPO
Exact segment geography Blue Medicare PPO Enhanced (PPO)
Blue Cross and Blue Shield of North Carolina
Prescription-drug coverage reported
- Premium
- $70 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H3404-003-002 — Open exact plan page → H9147-001-000 HMOPOS
Exact segment geography Healthy Blue + Medicare (HMO-POS D-SNP)
Blue Cross and Blue Shield of North Carolina
Dual-EligiblePrescription-drug coverage reported
- Premium
- $13.20 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9147-001-000 — Open exact plan page → H5299-018-000 HMO
Exact segment geography DEVOTED C-SNP ENHANCED 018 NC (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,600 in-network
- Drug coverage
- Reported
H5299-018-000 — Open exact plan page → H5299-034-000 HMO
Exact segment geography DEVOTED C-SNP GIVEBACK EXTRAS 034 NC (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5299-034-000 — Open exact plan page → H5299-015-000 HMO
Exact segment geography DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5299-015-000 — Open exact plan page → H9700-005-000 Local PPO
Exact segment geography DEVOTED CHOICE 005 NC (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,300 in-network
- Drug coverage
- Reported
H9700-005-000 — Open exact plan page → H9700-006-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 006 NC (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9700-006-000 — Open exact plan page → H9700-007-000 Local PPO
Exact segment geography DEVOTED CHOICE MA ONLY 007 NC (PPO)
Devoted Health
- Premium
- $0 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Not reported
H9700-007-000 — Open exact plan page → H5299-029-000 HMO
Exact segment geography DEVOTED CORE 029 NC (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,950 in-network
- Drug coverage
- Reported
H5299-029-000 — Open exact plan page → H5299-009-000 HMO
Exact segment geography DEVOTED DUAL 009 NC (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H5299-009-000 — Open exact plan page → H5299-013-000 HMO
Exact segment geography DEVOTED DUAL FULL 013 NC (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5299-013-000 — Open exact plan page → H5299-006-000 HMO
Exact segment geography DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5299-006-000 — Open exact plan page → H5299-030-000 HMO
Exact segment geography DEVOTED GIVEBACK 030 NC (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5299-030-000 — Open exact plan page → H5299-044-000 HMO
Exact segment geography DEVOTED GIVEBACK EXTRAS 044 NC (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5299-044-000 — Open exact plan page → H1036-307-000 HMO
Exact segment geography Humana Dual Select H1036-307 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1036-307-000 — Open exact plan page → H5525-072-000 Local PPO
Exact segment geography Humana Dual Select H5525-072 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5525-072-000 — Open exact plan page → R0110-005-000 Regional PPO
Exact segment geography Humana Full Access (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $158 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
R0110-005-000 — Open exact plan page → H8145-004-000 PFFS
Exact segment geography Humana Gold Choice H8145-004 (PFFS)
Humana
Prescription-drug coverage reported
- Premium
- $43 / month
- MOOP
- Not reported
- Drug coverage
- Reported
H8145-004-000 — Open exact plan page → H1036-308-000 HMO
Exact segment geography Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Humana
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1036-308-000 — Open exact plan page → H1036-343-000 HMOPOS
Exact segment geography Humana Gold Plus Giveback H1036-343 (HMO-POS)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1036-343-000 — Open exact plan page → H1036-137-000 HMOPOS
Exact segment geography Humana Gold Plus H1036-137 (HMO-POS)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1036-137-000 — Open exact plan page → H1036-335-002 HMOPOS
Exact segment geography Humana Gold Plus H1036-335 (HMO-POS)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,950 in-network
- Drug coverage
- Reported
H1036-335-002 — Open exact plan page → H6622-026-000 HMOPOS
Exact segment geography Humana Gold Plus H6622-026 (HMO-POS)
Humana
Prescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6622-026-000 — Open exact plan page → H1036-167-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1036-167-000 — Open exact plan page → H1036-331-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1036-331-000 — Open exact plan page → H5216-343-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
H5216-343-000 — Open exact plan page → H5525-065-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
H5525-065-000 — Open exact plan page → R0110-006-000 Regional PPO
Exact segment geography Humana USAA Honor Giveback (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
R0110-006-000 — Open exact plan page → H5216-017-000 Local PPO
Exact segment geography HumanaChoice Giveback H5216-017 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-017-000 — Open exact plan page → H5525-035-000 Local PPO
Exact segment geography HumanaChoice Giveback H5525-035 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5525-035-000 — Open exact plan page → H5216-211-000 Local PPO
Exact segment geography HumanaChoice H5216-211 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $67 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-211-000 — Open exact plan page → H5525-070-000 Local PPO
Exact segment geography HumanaChoice H5525-070 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5525-070-000 — Open exact plan page → H7617-122-000 Local PPO
Exact segment geography HumanaChoice H7617-122 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $13 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-122-000 — Open exact plan page → R0110-004-000 Regional PPO
Exact segment geography HumanaChoice R0110-004 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
R0110-004-000 — Open exact plan page → H5525-036-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5525-036-000 — Open exact plan page → H5253-080-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $57 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5253-080-000 — Open exact plan page → H5253-185-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC NC-24 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-185-000 — Open exact plan page → H5253-105-000 HMOPOS
Exact segment geography AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,300 in-network
- Drug coverage
- Reported
H5253-105-000 — Open exact plan page → H5253-040-000 HMOPOS
Exact segment geography AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $9,300 in-network
- Drug coverage
- Not reported
H5253-040-000 — Open exact plan page → H5253-186-000 HMOPOS
Exact segment geography UHC Complete Care NC-25 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,400 in-network
- Drug coverage
- Reported
H5253-186-000 — Open exact plan page → H5253-116-000 HMOPOS
Exact segment geography UHC Dual Advantage NC-V1 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5253-116-000 — Open exact plan page → H1889-005-000 Local PPO
Exact segment geography UHC Dual Complete NC-Q1 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-005-000 — Open exact plan page → H5253-217-001 HMOPOS
Exact segment geography UHC Dual Complete NC-Q2 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5253-217-001 — Open exact plan page → H1889-034-000 Local PPO
Exact segment geography UHC Dual Complete NC-S2 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-034-000 — Open exact plan page → H5253-216-001 HMOPOS
Exact segment geography UHC Dual Complete NC-S3 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $3.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5253-216-001 — Open exact plan page → H1914-009-000 Local PPO
Exact segment geography Wellcare Assist Open (PPO)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H1914-009-000 — Open exact plan page → H4073-004-000 HMOPOS
Exact segment geography Wellcare Carolina Complete Dual Liberty (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4073-004-000 — Open exact plan page → H1914-008-000 Local PPO
Exact segment geography Wellcare Carolina Complete Dual Liberty Open (PPO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1914-008-000 — Open exact plan page → H4073-003-000 HMOPOS
Exact segment geography Wellcare Carolina Complete Dual Reserve (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H4073-003-000 — Open exact plan page → H1914-011-000 Local PPO
Exact segment geography Wellcare Patriot Giveback Open (PPO)
Wellcare
- Premium
- $0 / month
- MOOP
- $8,850 in-network
- Drug coverage
- Not reported
H1914-011-000 — Open exact plan page → H4073-001-000 HMOPOS
Exact segment geography Wellcare Simple (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H4073-001-000 — Open exact plan page → H1914-007-000 Local PPO
Exact segment geography Wellcare Simple Open (PPO)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H1914-007-000 — Open exact plan page →