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 → H5521-169-000 Local PPO
Exact segment geography Aetna Medicare Enhanced (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $24 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5521-169-000 — 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 → H5521-243-000 Local PPO
Exact segment geography Aetna Medicare Signature (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H5521-243-000 — 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 → 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 → H5299-014-000 HMO
Exact segment geography DEVOTED C-SNP ENHANCED 014 NC (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,200 in-network
- Drug coverage
- Reported
H5299-014-000 — Open exact plan page → H5299-033-000 HMO
Exact segment geography DEVOTED C-SNP GIVEBACK EXTRAS 033 NC (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,100 in-network
- Drug coverage
- Reported
H5299-033-000 — 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 → H9700-008-000 Local PPO
Exact segment geography DEVOTED CHOICE 008 NC (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H9700-008-000 — Open exact plan page → H9700-009-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 009 NC (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9700-009-000 — 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 → H5299-023-000 HMO
Exact segment geography DEVOTED CORE 023 NC (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,700 in-network
- Drug coverage
- Reported
H5299-023-000 — 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 → H5299-024-000 HMO
Exact segment geography DEVOTED GIVEBACK 024 NC (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5299-024-000 — Open exact plan page → H5299-042-000 HMO
Exact segment geography DEVOTED GIVEBACK EXTRAS 042 NC (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,100 in-network
- Drug coverage
- Reported
H5299-042-000 — Open exact plan page → H9808-009-000 Local PPO
Exact segment geography HealthTeam Advantage Eagle Plan (PPO)
HealthTeam Advantage
- Premium
- $0 / month
- MOOP
- $8,500 in-network
- Drug coverage
- Not reported
H9808-009-000 — Open exact plan page → H9808-010-000 Local PPO
Exact segment geography HealthTeam Advantage Vitality Plan (PPO)
HealthTeam Advantage
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,200 in-network
- Drug coverage
- Reported
H9808-010-000 — 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 → H5525-034-000 Local PPO
Exact segment geography Humana Full Access H5525-034 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $148 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5525-034-000 — 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 → H6622-061-000 HMOPOS
Exact segment geography Humana Gold Plus H6622-061 (HMO-POS)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6622-061-000 — 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 → 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 → 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 → H5525-049-000 Local PPO
Exact segment geography HumanaChoice H5525-049 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $52 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5525-049-000 — 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 → H6351-004-000 HMO
Exact segment geography Liberty Medicare Advantage (HMO C-SNP)
Liberty Medicare Advantage
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,800 in-network
- Drug coverage
- Reported
H6351-004-000 — Open exact plan page → H6351-001-000 HMO
Exact segment geography Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
Liberty Medicare Advantage
InstitutionalPrescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $6,800 in-network
- Drug coverage
- Reported
H6351-001-000 — Open exact plan page → H6351-005-000 HMO
Exact segment geography Liberty Medicare Dual Plan (HMO D-SNP)
Liberty Medicare Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17.50 / month
- MOOP
- $7,550 in-network
- Drug coverage
- Reported
H6351-005-000 — Open exact plan page → H4676-001-000 HMO
Exact segment geography Troy Medicare (HMO)
Troy Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,950 in-network
- Drug coverage
- Reported
H4676-001-000 — Open exact plan page → H4676-002-000 HMO
Exact segment geography Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
Troy Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $13.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4676-002-000 — Open exact plan page → H2001-090-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC NC-0001 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H2001-090-000 — Open exact plan page → H2001-102-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC NC-0004 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $34 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H2001-102-000 — Open exact plan page → H2406-115-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC NC-0019 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $31 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H2406-115-000 — Open exact plan page → H5253-187-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC NC-26 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5253-187-000 — Open exact plan page → H2001-103-000 Local PPO
Exact segment geography AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $8,900 in-network
- Drug coverage
- Not reported
H2001-103-000 — 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 → H5253-188-000 HMOPOS
Exact segment geography UHC Complete Care NC-27 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5253-188-000 — 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 →