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The 2023 Medicare Advantage Plans in Martin County NC.
2022 Martin County North Carolina
Medicare Advantage Plans
There are 20 Medicare Advantage Plans available in Martin County NC from 5 different health insurance providers. 6 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3600 and the highest out of pocket is $7550. Martin County North Carolina residents can also pick from 3 Medicare Special Needs Plans. The best Medicare Advantage plan in Martin County North Carolina received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars.
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| Name ⇅ | Premium | Deductible | MOOP | Gap | Plan Rating |
Click for Formulary |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) (H2577-004) | $0 | $95.00 | $6,700 | Yes | Browse Formulary | |
| AARP Medicare Advantage Choice Plan 2 (PPO) (H2577-018) | $26.00 | $0 | $5,900 | Yes | Browse Formulary | |
| Blue Medicare Enhanced (HMO) (H3449-024) | $49.00 | $0 | $4,900 | Yes | Browse Formulary | |
| Blue Medicare Essential (HMO) (H3449-027) | $0 | $375.00 | $5,900 | Yes | Browse Formulary | |
| Blue Medicare Essential Plus (HMO) (H3449-023) | $26.00 | $195.00 | $5,900 | Yes | Browse Formulary | |
| Blue Medicare PPO Enhanced (PPO) (H3404-003) | $49.00 | $0 | $5,900 | Yes | Browse Formulary | |
| HumanaChoice H5525-026 (PPO) (H5525-026) | $72.00 | $265.00 | $6,700 | No | Browse Formulary | |
| HumanaChoice H5525-049 (PPO) (H5525-049) | $25.00 | $95.00 | $5,900 | No | Browse Formulary | |
| HumanaChoice H5525-050 (PPO) (H5525-050) | $0 | $265.00 | $6,200 | No | Browse Formulary | |
| HumanaChoice R1390-002 (Regional PPO) (R1390-002) | $98.80 | $480.00 | $7,550 | No | Browse Formulary |
Return to 2022 Medicare Advantage Plans in North Carolina
McDowell County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (PPO) (H2577-019) | $0 | Local PPO * | $3,600 | |
| Blue Medicare Freedom+ (PPO) (H3404-004) | $0 | Local PPO * | $7,550 | |
| Blue Medicare Medical Only (HMO) (H3449-012) | $0 | Local HMO * | $3,900 | |
| Exemplar Health Freedom 1 (MSA) (H9295-001) | MSA * | $- | NA | |
| Exemplar Health Freedom 2 (MSA) (H9295-002) | MSA * | $- | NA | |
| Exemplar Health Freedom 3 (MSA) (H9295-003) | MSA * | $- | NA | |
| Humana Honor R1390-003 (Regional PPO) (R1390-003) | $0 | Regional PPO * | $7,550 | |
| HumanaChoice R1390-001 (Regional PPO) (R1390-001) | $0 | Regional PPO * | $6,950 | |
| Lasso Healthcare Growth (MSA) (H1924-001) | MSA * | $- | NA | |
| Lasso Healthcare Growth Plus (MSA) (H1924-004) | MSA * | $- | NA |
2022 Medicare Special Needs Plans in Martin county North Carolina
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Healthy Blue + Medicare (HMO D-SNP) | $35.80 | $480.0 | Few Generics | Dual-Eligible | Too New |
| HumanaChoice SNP-DE H5525-036 (PPO D-SNP) | $33.70 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) | $35.70 | $480.0 | No Gap Coverage | Dual-Eligible |
Plan Type Is the type of organization offering the Medicare Plan.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type- (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
GAP
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.