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The 2023 Medicare Advantage Plans in Mecklenburg County NC.
2022 Mecklenburg County North Carolina
Medicare Advantage Plans
There are 45 Medicare Advantage Plans available in Mecklenburg County NC from 9 different health insurance providers. 18 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2600 and the highest out of pocket is $7550. Mecklenburg County North Carolina residents can also pick from 15 Medicare Special Needs Plans. The best Medicare Advantage plan in Mecklenburg County North Carolina received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.
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Return to 2022 Medicare Advantage Plans in North Carolina
Mitchell County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (HMO-POS) (H5253-040) | $0 | Local HMO * | $3,600 | |
| Aetna Medicare Eagle Plan (PPO) (H5521-241) | $0 | Local PPO * | $6,500 | |
| Blue Medicare Freedom+ (PPO) (H3404-004) | $0 | Local PPO * | $7,550 | |
| Blue Medicare Medical Only (HMO) (H3449-012) | $0 | Local HMO * | $3,900 | |
| Cigna Fundamental Medicare (HMO) (H9725-005) | $0 | Local HMO * | $4,900 | |
| Erickson Advantage Liberty without Drugs (HMO-POS) (H5652-002) | $0 | Local HMO * | $6,700 | |
| 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 | |
| Wellcare Patriot No Premium Open (PPO) (H7175-005) | $0 | Local PPO * | $5,500 |
2022 Medicare Special Needs Plans in Mecklenburg county North Carolina
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Aetna Medicare Assure Plan (HMO D-SNP) | $26.40 | $425.0 | No Gap Coverage | Dual-Eligible | |
| Cigna TotalCare (HMO D-SNP) | $35.80 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Erickson Advantage Champion (HMO-POS C-SNP) | $199.0 | $0 | Some Generics | Chronic or Disabling Condition | |
| Erickson Advantage Guardian (HMO-POS I-SNP) | $32.30 | $0 | Some Generics | Institutional | |
| Healthy Blue + Medicare (HMO D-SNP) | $35.80 | $480.0 | Few Generics | Dual-Eligible | Too New |
| Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) | $34.60 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Longevity Health Plan (HMO I-SNP) | $35.80 | $480.0 | No Gap Coverage | Institutional | Too New |
| UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP) | $35.80 | $200.0 | No Gap Coverage | Institutional | |
| UnitedHealthcare Dual Complete (HMO-POS D-SNP) | $35.80 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) | $35.70 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) | $35.80 | $480.0 | No Gap Coverage | Institutional | |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) | $35.80 | $480.0 | No Gap Coverage | Institutional | |
| Wellcare Dual Access (HMO D-SNP) | $30.70 | $480.0 | No Gap Coverage | Dual-Eligible | Too New |
| Wellcare Dual Access Medicare (HMO D-SNP) | $34.00 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Wellcare Dual Liberty Open (PPO D-SNP) | $35.80 | $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.