North Carolina Medicare Plans 2027 | Medicare Plan Lookup

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Browse Medicare plans by county

These counties have named exact plan-segment medical geography entries in the current Contract Year 2027 release. Contract-level and standalone Part D geography is kept out of county cards; partial-county entries remain labeled for verification.

State plan directory

Plans reported in North Carolina

Plan and service-area labels below are reproduced from CMS records; county availability, eligibility, and enrollment rules can vary. Plan types represented include Employer/Union Only Direct Contract PDP, HMO, HMOPOS, Local PPO, MSA, Medicare Prescription Drug Plan, National Pace, PFFS, Regional PPO.

H4439-004-000HMO

Provider Partners Health Plans

Provider Partners North Carolina Community Plan (HMO I-SNP) · Select North Carolina Counties

Special Needs Plan

H4439-004-000 — Provider Partners North Carolina Community Plan (HMO I-SNP) — Select North Carolina Counties

H4439-005-000HMO

Provider Partners Health Plans

Provider Partners North Carolina Essential Plan (HMO I-SNP) · Select North Carolina Counties

Special Needs Plan

H4439-005-000 — Provider Partners North Carolina Essential Plan (HMO I-SNP) — Select North Carolina Counties

H4497-801-000Local PPO

Medical Mutual of Ohio

MedMutual Advantage EGWP (Calendar Year) (PPO) · Ohio Regions

Employer/retiree group

H4497-801-000 — MedMutual Advantage EGWP (Calendar Year) (PPO) — Ohio Regions

H4497-802-000Local PPO

Medical Mutual of Ohio

MedMutual Advantage EGWP (Non-Calendar Year) (PPO) · Ohio Regions

Employer/retiree group

H4497-802-000 — MedMutual Advantage EGWP (Non-Calendar Year) (PPO) — Ohio Regions

H4497-803-000Local PPO

Medical Mutual of Ohio

MedMutual Advantage EGWP (MA-Only) (PPO) · Ohio Regions

Employer/retiree group

H4497-803-000 — MedMutual Advantage EGWP (MA-Only) (PPO) — Ohio Regions

H4513-821-000HMO

HealthSpring

HealthSpring Preferred (HMO) · Nationwide

Employer/retiree group

H4513-821-000 — HealthSpring Preferred (HMO) — Nationwide

H4523-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Texas

Employer/retiree group

H4523-801-000 — Aetna Medicare Plan (HMO) — Texas

H4523-802-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · Texas

Employer/retiree group

H4523-802-000 — Aetna Medicare Plan w/Rx (HMO) — Texas

H4523-805-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Texas

Employer/retiree group

H4523-805-000 — Aetna Medicare Plan (HMO) — Texas

H4605-801-000Local PPO

Regence BlueCross BlueShield of Utah

Regence MedAdvantage (PPO) · Nationwide except territories

Employer/retiree group

H4605-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories

H4605-802-000Local PPO

Regence BlueCross BlueShield of Utah

Regence MedAdvantage + Rx (PPO) · Nationwide except territories

Employer/retiree group

H4605-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories

H4676-001-000HMO

Troy Medicare

Troy Medicare (HMO) · Piedmont and Mountain Regions

H4676-001-000 — Troy Medicare (HMO) — Piedmont and Mountain Regions

H4676-002-000HMO

Troy Medicare

Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) · Piedmont and Mountain Regions

Special Needs Plan

H4676-002-000 — Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) — Piedmont and Mountain Regions

H4711-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Colorado and Nevada

Employer/retiree group

H4711-801-000 — Aetna Medicare Plan (HMO) — Colorado and Nevada

H4714-001-000National Pace

PACE of the Southern Piedmont

PACE of the Southern Piedmont- Duals (PACE) · Mecklenburg, Cabarrus, Stanly, and Union counties.

H4714-001-000 — PACE of the Southern Piedmont- Duals (PACE) — Mecklenburg, Cabarrus, Stanly, and Union counties.

H4714-002-000National Pace

PACE of the Southern Piedmont

PACE of the Southern Piedmont- Medicare Only (PACE) · Mecklenburg, Cabarrus, Stanly, and Union counties.

H4714-002-000 — PACE of the Southern Piedmont- Medicare Only (PACE) — Mecklenburg, Cabarrus, Stanly, and Union counties.

H4835-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Arizona

Employer/retiree group

H4835-801-000 — Aetna Medicare Plan (HMO) — Arizona

H4875-803-000Local PPO

Priority Health Medicare

PriorityMedicare PPO EG Non-Calendar Year (PPO) · National

Employer/retiree group

H4875-803-000 — PriorityMedicare PPO EG Non-Calendar Year (PPO) — National

H4875-804-000Local PPO

Priority Health Medicare

PriorityMedicare PPO EG Calendar Year (PPO) · National

Employer/retiree group

H4875-804-000 — PriorityMedicare PPO EG Calendar Year (PPO) — National

H4875-805-000Local PPO

Priority Health Medicare

PriorityMedicare PPO No RX EGWP Calendar (PPO) · National

Employer/retiree group

H4875-805-000 — PriorityMedicare PPO No RX EGWP Calendar (PPO) — National

H4875-806-000Local PPO

Priority Health Medicare

PriorityMedicare PPO No RX EGWP Non-Calendar (PPO) · National

Employer/retiree group

H4875-806-000 — PriorityMedicare PPO No RX EGWP Non-Calendar (PPO) — National

H4875-807-000Local PPO

Priority Health Medicare

PriorityMedicare EG Calendar Year $50 Part B PPO (PPO) · United States and its territories

Employer/retiree group

H4875-807-000 — PriorityMedicare EG Calendar Year $50 Part B PPO (PPO) — United States and its territories

H4875-810-000Local PPO

Priority Health Medicare

PriorityMedicare EG Calendar Year $125 Buy Back (PPO) · United States and its territories

Employer/retiree group

H4875-810-000 — PriorityMedicare EG Calendar Year $125 Buy Back (PPO) — United States and its territories

H4882-801-000Local PPO

HealthPartners

HealthPartners Group MAPD CY (PPO) · All States Excluding Cost Counties

Employer/retiree group

H4882-801-000 — HealthPartners Group MAPD CY (PPO) — All States Excluding Cost Counties

H4882-803-000Local PPO

HealthPartners

HealthPartners Group MA Only (PPO) · All States Excluding Cost Counties

Employer/retiree group

H4882-803-000 — HealthPartners Group MA Only (PPO) — All States Excluding Cost Counties

H4882-804-000Local PPO

HealthPartners

HealthPartners Group II MAPD CY (PPO) · All States Excluding Cost Counties

Employer/retiree group

H4882-804-000 — HealthPartners Group II MAPD CY (PPO) — All States Excluding Cost Counties

H4882-805-000Local PPO

HealthPartners

HealthPartners Group II MA Only (PPO) · All States Excluding Cost Counties

Employer/retiree group

H4882-805-000 — HealthPartners Group II MA Only (PPO) — All States Excluding Cost Counties

H4882-806-000Local PPO

HealthPartners

HealthPartners Group III MAPD CY (PPO) · All States Excluding Cost Counties

Employer/retiree group

H4882-806-000 — HealthPartners Group III MAPD CY (PPO) — All States Excluding Cost Counties

H4909-804-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-804-000 — Anthem Medicare Preferred (PPO) — National

H4909-805-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-805-000 — Anthem Medicare Preferred (PPO) — National

H4909-810-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-810-000 — Anthem Medicare Preferred (PPO) — National

H4909-811-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-811-000 — Anthem Medicare Preferred (PPO) — National

H4909-812-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-812-000 — Anthem Medicare Preferred (PPO) — National

H4909-814-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-814-000 — Anthem Medicare Preferred (PPO) — National

H4909-815-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-815-000 — Anthem Medicare Preferred (PPO) — National

H4909-817-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-817-000 — Anthem Medicare Preferred (PPO) — National

H4909-818-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

Employer/retiree group

H4909-818-000 — Anthem Medicare Preferred (PPO) — National

H4937-801-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO

Employer/retiree group

H4937-801-000 — Blue Shield Medicare (PPO) — GMAPD PPO

H4937-802-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO

Employer/retiree group

H4937-802-000 — Blue Shield Medicare (PPO) — GMAPD PPO

H4937-803-000Local PPO

Blue Shield of California

Blue Shield Medicare without Rx (PPO) · GMA-only PPO

Employer/retiree group

H4937-803-000 — Blue Shield Medicare without Rx (PPO) — GMA-only PPO

H4937-804-000Local PPO

Blue Shield of California

Blue Shield Medicare without Rx (PPO) · GMA-only PPO

Employer/retiree group

H4937-804-000 — Blue Shield Medicare without Rx (PPO) — GMA-only PPO

H4937-805-000Local PPO

Blue Shield of California

CCPOA Medical Plan Medicare (PPO) · GMAPD PPO for CCPOA Only

Employer/retiree group

H4937-805-000 — CCPOA Medical Plan Medicare (PPO) — GMAPD PPO for CCPOA Only

H4937-806-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO Part B Only

Employer/retiree group

H4937-806-000 — Blue Shield Medicare (PPO) — GMAPD PPO Part B Only

H4937-807-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO Part B Only

Employer/retiree group

H4937-807-000 — Blue Shield Medicare (PPO) — GMAPD PPO Part B Only

H4937-808-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO

Employer/retiree group

H4937-808-000 — Blue Shield Medicare (PPO) — GMAPD PPO

H4937-809-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO

Employer/retiree group

H4937-809-000 — Blue Shield Medicare (PPO) — GMAPD PPO

H4937-810-000Local PPO

Blue Shield of California

CCPOA Medical Plan Medicare (PPO) · GMA-only PPO for CCPOA Only

Employer/retiree group

H4937-810-000 — CCPOA Medical Plan Medicare (PPO) — GMA-only PPO for CCPOA Only

H4961-801-000Local PPO

Alignment Health Plan

Alignment Health Plan Retiree Options (PPO) · National

Employer/retiree group

H4961-801-000 — Alignment Health Plan Retiree Options (PPO) — National

H4961-802-000Local PPO

Alignment Health Plan

Alignment Health Plan Retiree Options (PPO) · National

Employer/retiree group

H4961-802-000 — Alignment Health Plan Retiree Options (PPO) — National

H4961-803-000Local PPO

Alignment Health Plan

Alignment Health Plan Retiree Options (PPO) · National

Employer/retiree group

H4961-803-000 — Alignment Health Plan Retiree Options (PPO) — National

H4961-804-000Local PPO

Alignment Health Plan

Alignment Health Plan Retiree Options (PPO) · National

Employer/retiree group

H4961-804-000 — Alignment Health Plan Retiree Options (PPO) — National

H4982-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · California

Employer/retiree group

H4982-801-000 — Aetna Medicare Plan (HMO) — California

H5009-801-000Local PPO

Regence BlueShield

Regence MedAdvantage (PPO) · Nationwide except territories

Employer/retiree group

H5009-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories

H5009-802-000Local PPO

Regence BlueShield

Regence MedAdvantage + Rx (PPO) · Nationwide except territories

Employer/retiree group

H5009-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories

H5042-807-000Local PPO

CDPHP Medicare Advantage

Medicare Blue PPO Group (PPO) · National and Puerto Rico

Employer/retiree group

H5042-807-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H5042-808-000Local PPO

CDPHP Medicare Advantage

Medicare Blue PPO Group (PPO) · National and Puerto Rico

Employer/retiree group

H5042-808-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H5042-809-000Local PPO

CDPHP Medicare Advantage

Medicare Blue PPO Group (PPO) · National and Puerto Rico

Employer/retiree group

H5042-809-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H5042-811-000Local PPO

CDPHP Medicare Advantage

Univera Medicare PPO Group (PPO) · National and Puerto Rico

Employer/retiree group

H5042-811-000 — Univera Medicare PPO Group (PPO) — National and Puerto Rico

H5042-812-000Local PPO

CDPHP Medicare Advantage

Univera Medicare PPO Group (PPO) · National and Puerto Rico

Employer/retiree group

H5042-812-000 — Univera Medicare PPO Group (PPO) — National and Puerto Rico

H5106-806-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MAPD WV Performance (PPO) · ALL WV COUNTIES

Employer/retiree group

H5106-806-000 — Freedom Blue PPO MAPD WV Performance (PPO) — ALL WV COUNTIES

H5106-807-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MA WV Calendar (PPO) · ALL WV COUNTIES

Employer/retiree group

H5106-807-000 — Freedom Blue PPO MA WV Calendar (PPO) — ALL WV COUNTIES

H5106-808-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MAPD WV Incentive (PPO) · ALL WV COUNTIES

Employer/retiree group

H5106-808-000 — Freedom Blue PPO MAPD WV Incentive (PPO) — ALL WV COUNTIES

H5106-810-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MAPD WV ASO CALENDAR (PPO) · ALL WV COUNTIES

Employer/retiree group

H5106-810-000 — Freedom Blue PPO MAPD WV ASO CALENDAR (PPO) — ALL WV COUNTIES

H5215-806-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 19 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-806-000 — Network Health Employer CY Pharmacy 19 Giveback (PPO) — Wisconsin

H5215-807-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer (PPO) · Wisconsin

Employer/retiree group

H5215-807-000 — Network Health Employer (PPO) — Wisconsin

H5215-808-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy (PPO) · Wisconsin

Employer/retiree group

H5215-808-000 — Network Health Employer CY Pharmacy (PPO) — Wisconsin

H5215-809-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy (PPO) · Wisconsin

Employer/retiree group

H5215-809-000 — Network Health Employer Pharmacy (PPO) — Wisconsin

H5215-810-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 19 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-810-000 — Network Health Employer 19 Giveback (PPO) — Wisconsin

H5215-811-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 19 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-811-000 — Network Health Employer Pharmacy 19 Giveback (PPO) — Wisconsin

H5215-812-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 10 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-812-000 — Network Health Employer 10 Giveback (PPO) — Wisconsin

H5215-813-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 10 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-813-000 — Network Health Employer CY Pharmacy 10 Giveback (PPO) — Wisconsin

H5215-814-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 10 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-814-000 — Network Health Employer Pharmacy 10 Giveback (PPO) — Wisconsin

H5215-815-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 15 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-815-000 — Network Health Employer 15 Giveback (PPO) — Wisconsin

H5215-816-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 15 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-816-000 — Network Health Employer CY Pharmacy 15 Giveback (PPO) — Wisconsin

H5215-817-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 15 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-817-000 — Network Health Employer Pharmacy 15 Giveback (PPO) — Wisconsin

H5215-818-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 20 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-818-000 — Network Health Employer 20 Giveback (PPO) — Wisconsin

H5215-819-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 20 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-819-000 — Network Health Employer CY Pharmacy 20 Giveback (PPO) — Wisconsin

H5215-820-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 20 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-820-000 — Network Health Employer Pharmacy 20 Giveback (PPO) — Wisconsin

H5215-821-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 25 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-821-000 — Network Health Employer 25 Giveback (PPO) — Wisconsin

H5215-822-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 25 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-822-000 — Network Health Employer CY Pharmacy 25 Giveback (PPO) — Wisconsin

H5215-823-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 25 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-823-000 — Network Health Employer Pharmacy 25 Giveback (PPO) — Wisconsin

H5215-824-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 5 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-824-000 — Network Health Employer 5 Giveback (PPO) — Wisconsin

H5215-825-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 5 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-825-000 — Network Health Employer CY Pharmacy 5 Giveback (PPO) — Wisconsin

H5215-826-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 5 Giveback (PPO) · Wisconsin

Employer/retiree group

H5215-826-000 — Network Health Employer Pharmacy 5 Giveback (PPO) — Wisconsin

H5216-017-000Local PPO

Humana

HumanaChoice Giveback H5216-017 (PPO) · Select counties in North Carolina

H5216-017-000 — HumanaChoice Giveback H5216-017 (PPO) — Select counties in North Carolina

H5216-211-000Local PPO

Humana

HumanaChoice H5216-211 (PPO) · Select Counties in North Carolina

H5216-211-000 — HumanaChoice H5216-211 (PPO) — Select Counties in North Carolina

H5216-343-000Local PPO

Humana

Humana USAA Honor Giveback (PPO) · Select Counties in North Carolina

H5216-343-000 — Humana USAA Honor Giveback (PPO) — Select Counties in North Carolina

H5216-805-000Local PPO