Medicare Advantage Landscapes 2027
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| County Name | Contract Plan Segment ID | Organization Marketing Name | Plan Name | Plan Type | Drug Benefit Category | Total Monthly Premium | Annual Part D Deductible Amount | In-Network Maximum Out-of-Pocket (MOOP) Amount |
|---|---|---|---|---|---|---|---|---|
| Alamance | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Alamance | H3146_039_0 | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | Enhanced | $49.00 | $300.00 | $5,900.00 |
| Alamance | H3146_048_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Alamance | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Alamance | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Alamance | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Alamance | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Alamance | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Alamance | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alamance | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Alamance | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Alamance | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Alamance | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alamance | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Alamance | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Alamance | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Alamance | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Alamance | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Alamance | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Alamance | H7849_113_4 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,150.00 |
| Alamance | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Alamance | H9725_009_4 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Alamance | H9725_015_4 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Alamance | H2624_005_0 | HealthTeam Advantage | HealthTeam Advantage Thrive Plan (HMO) | HMO | Enhanced | $0.00 | $495.00 | $4,200.00 |
| Alamance | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Alamance | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Alamance | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Alamance | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Alamance | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Alamance | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alamance | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Alamance | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alamance | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alamance | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Alamance | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alamance | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alamance | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alamance | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Alamance | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Alamance | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alamance | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Alamance | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alamance | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Alamance | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Alamance | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Alamance | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Alamance | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Alamance | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Alamance | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Alamance | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Alamance | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Alamance | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Alamance | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Alexander | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Alexander | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Alexander | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Alexander | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Alexander | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Alexander | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Alexander | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alexander | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Alexander | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Alexander | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Alexander | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alexander | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Alexander | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Alexander | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Alexander | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Alexander | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Alexander | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Alexander | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Alexander | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Alexander | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Alexander | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Alexander | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Alexander | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Alexander | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Alexander | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alexander | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Alexander | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alexander | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alexander | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Alexander | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alexander | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alexander | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alexander | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Alexander | H6622_057_0 | Humana | Humana Gold Plus H6622-057 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alexander | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Alexander | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alexander | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Alexander | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alexander | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Alexander | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Alexander | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Alexander | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Alexander | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Alexander | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Alexander | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Alexander | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Alexander | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Alexander | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Alleghany | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Alleghany | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Alleghany | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Alleghany | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Alleghany | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alleghany | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Alleghany | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alleghany | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Alleghany | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alleghany | H5299_021_0 | Devoted Health | DEVOTED CORE 021 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Alleghany | H5299_022_0 | Devoted Health | DEVOTED GIVEBACK 022 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,300.00 |
| Alleghany | H5299_041_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 041 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Alleghany | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Alleghany | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| Alleghany | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Alleghany | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Alleghany | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Alleghany | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Alleghany | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Alleghany | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Alleghany | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Alleghany | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Alleghany | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Alleghany | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Alleghany | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alleghany | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Alleghany | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Alleghany | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Alleghany | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Alleghany | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alleghany | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Alleghany | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Alleghany | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Alleghany | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Alleghany | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Alleghany | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Alleghany | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Alleghany | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Anson | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Anson | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Anson | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Anson | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Anson | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Anson | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Anson | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Anson | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Anson | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Anson | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Anson | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Anson | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Anson | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Anson | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Anson | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Anson | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Anson | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Anson | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Anson | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Anson | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Anson | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Anson | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Anson | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Anson | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Anson | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Anson | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Anson | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Anson | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Anson | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Anson | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Anson | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Anson | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Anson | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Anson | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Anson | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Anson | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Anson | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Anson | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Anson | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Anson | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Anson | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Anson | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Anson | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Anson | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Anson | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Anson | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Anson | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Ashe | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Ashe | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Ashe | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Ashe | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Ashe | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Ashe | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Ashe | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Ashe | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Ashe | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Ashe | H5299_021_0 | Devoted Health | DEVOTED CORE 021 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Ashe | H5299_022_0 | Devoted Health | DEVOTED GIVEBACK 022 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,300.00 |
| Ashe | H5299_041_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 041 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Ashe | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Ashe | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| Ashe | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Ashe | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Ashe | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Ashe | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Ashe | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Ashe | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Ashe | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Ashe | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Ashe | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Ashe | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Ashe | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Ashe | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Ashe | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Ashe | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Ashe | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Ashe | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Ashe | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Ashe | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Ashe | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Ashe | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Avery | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Avery | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Avery | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Avery | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Avery | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Avery | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Avery | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Avery | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Avery | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Avery | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Avery | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Avery | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Avery | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Avery | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Avery | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Avery | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Avery | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Avery | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Avery | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Avery | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Avery | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Avery | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Avery | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Avery | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Avery | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Avery | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Avery | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Avery | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Avery | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Avery | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Avery | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Avery | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Avery | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Avery | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Avery | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Avery | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Avery | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Avery | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Avery | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Avery | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Avery | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Avery | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Avery | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Beaufort | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Beaufort | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Beaufort | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Beaufort | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Beaufort | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Beaufort | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Beaufort | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Beaufort | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Beaufort | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Beaufort | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Beaufort | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Beaufort | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Beaufort | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Beaufort | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Beaufort | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Beaufort | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Beaufort | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Beaufort | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Beaufort | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Beaufort | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Beaufort | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Beaufort | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Beaufort | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Bertie | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Bertie | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Bertie | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Bertie | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Bertie | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Bertie | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bertie | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Bertie | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Bertie | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Bertie | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bertie | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Bertie | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Bertie | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bertie | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Bertie | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bertie | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Bertie | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Bertie | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Bertie | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Bertie | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Bladen | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Bladen | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Bladen | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Bladen | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Bladen | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Bladen | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Bladen | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bladen | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Bladen | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Bladen | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Bladen | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Bladen | H5299_023_0 | Devoted Health | DEVOTED CORE 023 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,700.00 |
| Bladen | H5299_024_0 | Devoted Health | DEVOTED GIVEBACK 024 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Bladen | H5299_042_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 042 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,100.00 |
| Bladen | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Bladen | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| Bladen | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Bladen | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Bladen | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Bladen | H5525_034_0 | Humana | Humana Full Access H5525-034 (PPO) | PPO | Enhanced | $148.00 | $700.00 | $9,850.00 |
| Bladen | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Bladen | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Bladen | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bladen | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Bladen | H6622_061_0 | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Bladen | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Bladen | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bladen | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Bladen | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Bladen | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Bladen | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Bladen | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Bladen | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Bladen | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Bladen | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Bladen | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Bladen | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Bladen | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Bladen | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Brunswick | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Brunswick | H3146_049_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Brunswick | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Brunswick | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Brunswick | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Brunswick | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Brunswick | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Brunswick | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Brunswick | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Brunswick | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Brunswick | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Brunswick | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Brunswick | H5299_023_0 | Devoted Health | DEVOTED CORE 023 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,700.00 |
| Brunswick | H5299_024_0 | Devoted Health | DEVOTED GIVEBACK 024 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Brunswick | H5299_042_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 042 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,100.00 |
| Brunswick | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Brunswick | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| Brunswick | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Brunswick | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Brunswick | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Brunswick | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Brunswick | H1036_335_1 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $4,100.00 |
| Brunswick | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Brunswick | H5525_034_0 | Humana | Humana Full Access H5525-034 (PPO) | PPO | Enhanced | $148.00 | $700.00 | $9,850.00 |
| Brunswick | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Brunswick | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Brunswick | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Brunswick | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Brunswick | H6622_061_0 | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Brunswick | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Brunswick | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Brunswick | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Brunswick | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Brunswick | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Brunswick | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Brunswick | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Brunswick | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Brunswick | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Buncombe | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Buncombe | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Buncombe | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Buncombe | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Buncombe | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Buncombe | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Buncombe | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Buncombe | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Buncombe | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Buncombe | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Buncombe | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Buncombe | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Buncombe | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Buncombe | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Buncombe | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Buncombe | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Buncombe | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Buncombe | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Buncombe | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Buncombe | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Buncombe | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Buncombe | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Buncombe | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Buncombe | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Buncombe | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Buncombe | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Buncombe | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Buncombe | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Buncombe | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Buncombe | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Buncombe | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Buncombe | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Buncombe | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Buncombe | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Buncombe | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Buncombe | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Buncombe | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Buncombe | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Buncombe | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Buncombe | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Buncombe | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Buncombe | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Buncombe | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Buncombe | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Burke | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Burke | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Burke | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Burke | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Burke | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Burke | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Burke | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Burke | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Burke | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Burke | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Burke | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Burke | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Burke | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Burke | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Burke | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Burke | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Burke | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Burke | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Burke | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Burke | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Burke | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Burke | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Burke | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Burke | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Burke | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Burke | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Burke | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Burke | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Burke | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Burke | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Burke | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Burke | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Burke | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Burke | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Burke | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Burke | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Burke | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Burke | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Burke | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Cabarrus | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Cabarrus | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Cabarrus | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Cabarrus | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Cabarrus | H5296_012_0 | Alignment Health Plan | Alignment Health Platinum 012 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $3,500.00 |
| Cabarrus | H5296_013_0 | Alignment Health Plan | Alignment Health Smart 013 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Cabarrus | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Cabarrus | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cabarrus | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Cabarrus | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Cabarrus | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Cabarrus | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cabarrus | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Cabarrus | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Cabarrus | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Cabarrus | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Cabarrus | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Cabarrus | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Cabarrus | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Cabarrus | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Cabarrus | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Cabarrus | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Cabarrus | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Cabarrus | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Cabarrus | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cabarrus | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cabarrus | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Cabarrus | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cabarrus | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Cabarrus | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Cabarrus | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cabarrus | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Cabarrus | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cabarrus | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Cabarrus | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Cabarrus | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Cabarrus | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Cabarrus | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Cabarrus | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Cabarrus | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Cabarrus | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Cabarrus | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Cabarrus | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Caldwell | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Caldwell | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Caldwell | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Caldwell | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Caldwell | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Caldwell | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Caldwell | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Caldwell | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caldwell | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Caldwell | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caldwell | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Caldwell | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caldwell | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Caldwell | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Caldwell | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Caldwell | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Caldwell | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Caldwell | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Caldwell | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Caldwell | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caldwell | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Caldwell | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caldwell | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caldwell | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Caldwell | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caldwell | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caldwell | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caldwell | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Caldwell | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Caldwell | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caldwell | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Caldwell | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caldwell | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Caldwell | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Caldwell | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Caldwell | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Caldwell | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Caldwell | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Caldwell | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Caldwell | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Caldwell | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Caldwell | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Camden | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Camden | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Camden | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Camden | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Camden | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Camden | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Camden | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Camden | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Camden | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Camden | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Camden | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Camden | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Camden | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Camden | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Camden | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Camden | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Camden | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Camden | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Camden | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Camden | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Camden | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Carteret | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Carteret | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Carteret | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Carteret | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Carteret | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Carteret | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Carteret | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Carteret | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Carteret | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Carteret | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Carteret | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Caswell | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Caswell | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Caswell | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Caswell | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Caswell | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Caswell | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Caswell | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caswell | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Caswell | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Caswell | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Caswell | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caswell | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Caswell | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Caswell | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Caswell | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Caswell | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Caswell | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Caswell | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Caswell | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Caswell | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Caswell | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Caswell | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Caswell | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caswell | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Caswell | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caswell | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caswell | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Caswell | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caswell | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Caswell | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caswell | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Caswell | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Caswell | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Caswell | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caswell | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Caswell | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Caswell | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Caswell | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Caswell | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Caswell | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Caswell | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Caswell | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Caswell | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Caswell | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Caswell | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Caswell | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Catawba | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Catawba | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Catawba | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Catawba | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Catawba | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Catawba | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Catawba | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Catawba | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Catawba | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Catawba | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Catawba | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Catawba | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Catawba | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Catawba | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Catawba | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Catawba | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Catawba | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Catawba | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Catawba | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Catawba | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Catawba | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Catawba | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Catawba | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Catawba | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Catawba | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Catawba | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Catawba | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Catawba | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Catawba | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Catawba | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Catawba | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Catawba | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Catawba | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Catawba | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Catawba | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Catawba | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Catawba | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Catawba | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Catawba | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Catawba | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Catawba | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Catawba | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Catawba | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Catawba | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Catawba | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Catawba | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Catawba | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Catawba | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Catawba | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Chatham | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Chatham | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Chatham | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Chatham | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Chatham | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Chatham | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Chatham | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Chatham | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Chatham | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Chatham | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chatham | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Chatham | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Chatham | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Chatham | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Chatham | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Chatham | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Chatham | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Chatham | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Chatham | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Chatham | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Chatham | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chatham | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Chatham | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Chatham | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chatham | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Chatham | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chatham | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Chatham | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Chatham | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Chatham | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Chatham | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Chatham | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Chatham | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Chatham | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Chatham | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Chatham | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Chatham | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Chatham | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Cherokee | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Cherokee | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cherokee | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Cherokee | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Cherokee | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cherokee | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Cherokee | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Cherokee | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Cherokee | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cherokee | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Cherokee | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Cherokee | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Cherokee | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Cherokee | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Cherokee | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Cherokee | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Cherokee | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cherokee | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cherokee | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Cherokee | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Cherokee | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Cherokee | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cherokee | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Cherokee | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cherokee | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Cherokee | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Cherokee | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Cherokee | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Chowan | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Chowan | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Chowan | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Chowan | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Chowan | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Chowan | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chowan | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Chowan | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Chowan | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Chowan | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Chowan | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Chowan | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chowan | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Chowan | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Chowan | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chowan | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Chowan | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Chowan | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Chowan | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Chowan | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Chowan | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Chowan | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Chowan | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Clay | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Clay | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Clay | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Clay | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Clay | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Clay | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Clay | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Clay | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Clay | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Clay | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Clay | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Clay | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Clay | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Clay | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Clay | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Clay | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Clay | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Clay | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Clay | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Clay | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Clay | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Clay | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Clay | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Clay | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Clay | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Clay | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Clay | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Clay | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Clay | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Clay | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Clay | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Clay | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Clay | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Clay | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Clay | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Clay | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Cleveland | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Cleveland | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Cleveland | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Cleveland | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Cleveland | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Cleveland | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Cleveland | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cleveland | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Cleveland | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cleveland | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Cleveland | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cleveland | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Cleveland | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Cleveland | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Cleveland | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Cleveland | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Cleveland | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Cleveland | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Cleveland | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Cleveland | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Cleveland | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Cleveland | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cleveland | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cleveland | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cleveland | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Cleveland | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cleveland | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cleveland | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cleveland | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Cleveland | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Cleveland | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cleveland | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Cleveland | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cleveland | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Cleveland | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Cleveland | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Cleveland | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Cleveland | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Cleveland | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Cleveland | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Cleveland | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Cleveland | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Cleveland | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Columbus | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Columbus | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Columbus | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Columbus | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Columbus | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Columbus | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Columbus | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Columbus | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Columbus | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Columbus | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Columbus | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Columbus | H5299_023_0 | Devoted Health | DEVOTED CORE 023 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,700.00 |
| Columbus | H5299_024_0 | Devoted Health | DEVOTED GIVEBACK 024 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Columbus | H5299_042_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 042 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,100.00 |
| Columbus | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Columbus | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| Columbus | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Columbus | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Columbus | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Columbus | H5525_034_0 | Humana | Humana Full Access H5525-034 (PPO) | PPO | Enhanced | $148.00 | $700.00 | $9,850.00 |
| Columbus | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Columbus | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Columbus | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Columbus | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Columbus | H6622_061_0 | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Columbus | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Columbus | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Columbus | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Columbus | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Columbus | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Columbus | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Columbus | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Columbus | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Columbus | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Columbus | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Columbus | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Columbus | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Columbus | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Columbus | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Columbus | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Craven | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Craven | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Craven | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Craven | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Craven | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Craven | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Craven | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Craven | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Craven | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Craven | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Craven | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Craven | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Craven | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Cumberland | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Cumberland | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Cumberland | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Cumberland | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Cumberland | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Cumberland | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Cumberland | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Cumberland | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cumberland | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Cumberland | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Cumberland | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Cumberland | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cumberland | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Cumberland | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cumberland | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Cumberland | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cumberland | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Cumberland | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Cumberland | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cumberland | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Cumberland | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Cumberland | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Cumberland | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cumberland | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Cumberland | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Cumberland | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Cumberland | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Cumberland | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Cumberland | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Cumberland | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Cumberland | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Cumberland | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Cumberland | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Cumberland | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Cumberland | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Cumberland | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Cumberland | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Cumberland | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Cumberland | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Cumberland | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Currituck | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Currituck | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Currituck | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Currituck | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Currituck | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Currituck | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Currituck | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Currituck | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Currituck | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Currituck | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Currituck | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Currituck | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Currituck | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Currituck | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Currituck | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Currituck | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Currituck | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Currituck | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Currituck | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Currituck | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Currituck | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Currituck | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Currituck | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Currituck | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Currituck | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Currituck | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Currituck | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Dare | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Dare | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Dare | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Dare | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Dare | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Dare | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Dare | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Dare | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Dare | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Dare | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Dare | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Dare | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Dare | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Dare | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Dare | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Dare | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Dare | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Dare | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Dare | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Dare | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Davidson | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Davidson | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Davidson | H3146_039_0 | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | Enhanced | $49.00 | $300.00 | $5,900.00 |
| Davidson | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Davidson | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Davidson | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Davidson | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Davidson | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Davidson | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Davidson | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Davidson | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Davidson | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davidson | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Davidson | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Davidson | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Davidson | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davidson | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Davidson | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Davidson | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Davidson | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Davidson | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Davidson | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Davidson | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Davidson | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Davidson | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Davidson | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Davidson | H2624_005_0 | HealthTeam Advantage | HealthTeam Advantage Thrive Plan (HMO) | HMO | Enhanced | $0.00 | $495.00 | $4,200.00 |
| Davidson | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Davidson | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Davidson | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Davidson | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Davidson | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Davidson | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davidson | H1036_335_1 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $4,100.00 |
| Davidson | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davidson | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davidson | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Davidson | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davidson | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davidson | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davidson | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Davidson | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Davidson | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Davidson | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davidson | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Davidson | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davidson | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Davidson | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Davidson | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Davidson | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Davidson | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Davidson | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Davidson | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Davidson | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Davidson | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Davidson | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Davidson | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Davie | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Davie | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Davie | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Davie | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Davie | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Davie | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Davie | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Davie | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Davie | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Davie | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davie | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Davie | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Davie | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Davie | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davie | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Davie | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Davie | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Davie | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Davie | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Davie | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Davie | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Davie | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Davie | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Davie | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Davie | H2624_005_0 | HealthTeam Advantage | HealthTeam Advantage Thrive Plan (HMO) | HMO | Enhanced | $0.00 | $495.00 | $4,200.00 |
| Davie | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Davie | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Davie | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Davie | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Davie | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Davie | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davie | H1036_335_1 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $4,100.00 |
| Davie | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davie | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davie | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Davie | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davie | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Davie | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davie | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Davie | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Davie | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Davie | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davie | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Davie | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Davie | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Davie | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Davie | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Davie | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Davie | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Davie | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Davie | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Davie | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Davie | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Davie | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Davie | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Duplin | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Duplin | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Duplin | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Duplin | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Duplin | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Duplin | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Duplin | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Duplin | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Duplin | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Duplin | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Duplin | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Duplin | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Duplin | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Duplin | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Duplin | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Duplin | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Duplin | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Duplin | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Duplin | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Duplin | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Duplin | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Duplin | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Duplin | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Duplin | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Duplin | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Duplin | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Duplin | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Duplin | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Duplin | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Duplin | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Durham | H3146_004_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $500.00 | $6,750.00 |
| Durham | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Durham | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Durham | H5521_609_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Durham | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Durham | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Durham | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Durham | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Durham | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Durham | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Durham | H7849_113_4 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,150.00 |
| Durham | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Durham | H9725_009_4 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Durham | H9725_015_4 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Durham | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Durham | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Durham | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Durham | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Durham | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Durham | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Durham | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Durham | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Durham | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Durham | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Durham | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Durham | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Durham | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Durham | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Durham | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Durham | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Durham | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Durham | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Durham | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Durham | H5253_039_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0007 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Durham | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Durham | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Durham | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Durham | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Durham | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Durham | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Durham | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Edgecombe | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Edgecombe | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Edgecombe | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Edgecombe | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Edgecombe | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Edgecombe | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Edgecombe | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Edgecombe | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Edgecombe | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Edgecombe | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Edgecombe | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Edgecombe | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Edgecombe | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Edgecombe | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Edgecombe | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Edgecombe | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Edgecombe | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Edgecombe | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Edgecombe | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Edgecombe | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Edgecombe | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Edgecombe | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Edgecombe | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Edgecombe | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Edgecombe | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Edgecombe | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Forsyth | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Forsyth | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Forsyth | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Forsyth | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Forsyth | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Forsyth | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Forsyth | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Forsyth | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Forsyth | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Forsyth | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Forsyth | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Forsyth | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Forsyth | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Forsyth | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Forsyth | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Forsyth | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Forsyth | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Forsyth | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Forsyth | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Forsyth | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Forsyth | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Forsyth | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Forsyth | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Forsyth | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Forsyth | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Forsyth | H2624_005_0 | HealthTeam Advantage | HealthTeam Advantage Thrive Plan (HMO) | HMO | Enhanced | $0.00 | $495.00 | $4,200.00 |
| Forsyth | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Forsyth | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Forsyth | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Forsyth | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Forsyth | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Forsyth | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Forsyth | H1036_335_1 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $4,100.00 |
| Forsyth | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Forsyth | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Forsyth | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Forsyth | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Forsyth | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Forsyth | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Forsyth | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Forsyth | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Forsyth | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Forsyth | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Forsyth | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Forsyth | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Forsyth | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Forsyth | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Forsyth | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Forsyth | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Forsyth | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Forsyth | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Forsyth | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Forsyth | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Forsyth | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Forsyth | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Forsyth | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Franklin | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Franklin | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Franklin | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Franklin | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Franklin | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Franklin | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Franklin | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Franklin | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Franklin | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Franklin | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Franklin | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Franklin | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Franklin | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Franklin | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Franklin | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Franklin | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Franklin | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Franklin | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Franklin | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Franklin | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Franklin | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Franklin | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Franklin | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Franklin | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Franklin | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Franklin | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Franklin | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Franklin | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Franklin | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Franklin | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Franklin | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Franklin | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Franklin | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Gaston | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Gaston | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Gaston | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Gaston | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Gaston | H5296_012_0 | Alignment Health Plan | Alignment Health Platinum 012 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $3,500.00 |
| Gaston | H5296_013_0 | Alignment Health Plan | Alignment Health Smart 013 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Gaston | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Gaston | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gaston | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Gaston | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Gaston | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Gaston | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Gaston | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Gaston | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Gaston | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Gaston | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Gaston | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Gaston | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Gaston | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Gaston | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Gaston | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Gaston | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Gaston | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Gaston | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Gaston | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Gaston | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Gaston | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Gaston | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Gaston | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gaston | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Gaston | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gaston | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Gaston | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Gaston | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Gaston | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gaston | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Gaston | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gaston | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Gaston | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Gaston | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Gaston | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Gaston | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Gaston | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Gaston | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Gaston | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Gaston | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Gaston | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Gates | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Gates | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Gates | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Gates | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Gates | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Gates | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gates | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Gates | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Gates | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Gates | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Gates | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Gates | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Gates | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Gates | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Gates | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gates | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Gates | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Gates | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Gates | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gates | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Gates | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Gates | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Gates | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Gates | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Gates | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Gates | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Gates | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Graham | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Graham | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Graham | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Graham | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Graham | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Graham | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Graham | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Graham | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Graham | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Graham | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Graham | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Graham | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Graham | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Graham | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Graham | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Graham | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Graham | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Graham | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Graham | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Graham | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Graham | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Graham | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Graham | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Graham | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Graham | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Graham | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Graham | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Graham | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Graham | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Graham | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Graham | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Graham | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Graham | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Graham | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Graham | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Granville | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Granville | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Granville | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Granville | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Granville | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Granville | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Granville | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Granville | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Granville | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Granville | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Granville | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Granville | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Granville | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Granville | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Granville | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Granville | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Granville | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Granville | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Granville | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Granville | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Granville | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Granville | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Granville | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Granville | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Granville | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Granville | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Granville | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Granville | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Granville | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Granville | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Granville | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Granville | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Greene | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Greene | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Greene | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Greene | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Greene | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Greene | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Greene | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Greene | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Greene | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Greene | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Greene | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Greene | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Greene | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Greene | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Greene | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Greene | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Greene | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Greene | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Greene | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Greene | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Greene | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Greene | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Greene | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Greene | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Greene | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Greene | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Greene | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Greene | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Greene | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Guilford | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Guilford | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Guilford | H3146_039_0 | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | Enhanced | $49.00 | $300.00 | $5,900.00 |
| Guilford | H3146_048_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Guilford | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Guilford | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Guilford | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Guilford | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Guilford | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Guilford | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Guilford | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Guilford | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Guilford | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Guilford | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Guilford | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Guilford | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Guilford | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Guilford | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Guilford | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Guilford | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Guilford | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Guilford | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Guilford | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Guilford | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Guilford | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Guilford | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Guilford | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Guilford | H2624_005_0 | HealthTeam Advantage | HealthTeam Advantage Thrive Plan (HMO) | HMO | Enhanced | $0.00 | $495.00 | $4,200.00 |
| Guilford | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Guilford | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Guilford | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Guilford | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Guilford | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Guilford | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Guilford | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Guilford | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Guilford | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Guilford | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Guilford | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Guilford | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Guilford | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Guilford | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Guilford | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Guilford | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Guilford | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Guilford | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Guilford | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Guilford | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Guilford | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Guilford | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Guilford | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Guilford | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Guilford | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Guilford | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Guilford | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Guilford | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Guilford | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Halifax | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Halifax | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Halifax | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Halifax | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Halifax | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Halifax | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Halifax | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Halifax | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Halifax | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Halifax | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Halifax | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Halifax | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Halifax | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Halifax | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Halifax | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Halifax | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Halifax | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Halifax | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Halifax | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Halifax | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Halifax | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Halifax | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Halifax | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Halifax | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Halifax | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Halifax | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Halifax | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Halifax | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Harnett | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Harnett | H3146_049_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Harnett | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Harnett | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Harnett | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Harnett | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Harnett | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Harnett | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Harnett | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Harnett | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Harnett | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Harnett | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Harnett | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Harnett | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Harnett | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Harnett | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Harnett | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Harnett | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Harnett | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Harnett | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Harnett | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Harnett | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Harnett | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Harnett | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Harnett | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Harnett | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Harnett | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Harnett | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Harnett | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Harnett | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Harnett | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Harnett | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Harnett | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Harnett | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Harnett | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Haywood | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Haywood | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Haywood | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Haywood | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Haywood | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Haywood | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Haywood | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Haywood | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Haywood | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Haywood | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Haywood | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Haywood | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Haywood | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Haywood | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Haywood | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Haywood | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Haywood | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Haywood | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Haywood | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Haywood | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Haywood | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Haywood | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Haywood | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Haywood | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Haywood | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Haywood | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Haywood | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Haywood | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Haywood | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Haywood | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Haywood | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Haywood | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Haywood | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Haywood | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Haywood | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Haywood | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Haywood | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Haywood | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Haywood | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Haywood | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Henderson | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Henderson | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Henderson | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Henderson | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Henderson | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Henderson | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Henderson | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Henderson | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Henderson | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Henderson | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Henderson | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Henderson | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Henderson | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Henderson | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Henderson | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Henderson | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Henderson | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Henderson | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Henderson | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Henderson | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Henderson | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Henderson | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Henderson | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Henderson | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Henderson | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Henderson | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Henderson | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Henderson | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Henderson | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Henderson | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Henderson | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Henderson | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Henderson | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Henderson | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Henderson | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Henderson | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Henderson | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Henderson | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Henderson | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Henderson | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Henderson | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Henderson | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Henderson | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Henderson | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Hertford | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Hertford | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Hertford | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Hertford | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Hertford | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Hertford | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hertford | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Hertford | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hertford | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Hertford | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hertford | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Hertford | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Hertford | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hertford | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hertford | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Hertford | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hertford | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Hertford | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hertford | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Hertford | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hertford | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Hertford | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Hertford | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Hertford | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Hertford | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Hertford | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Hoke | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Hoke | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Hoke | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Hoke | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Hoke | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Hoke | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Hoke | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hoke | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Hoke | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Hoke | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Hoke | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hoke | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Hoke | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hoke | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Hoke | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hoke | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hoke | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Hoke | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hoke | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Hoke | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Hoke | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hoke | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Hoke | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hoke | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Hoke | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Hoke | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Hoke | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Hoke | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Hoke | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Hoke | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Hoke | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Hoke | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Hoke | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Hoke | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Hoke | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Hoke | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Hyde | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Hyde | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Hyde | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Hyde | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Hyde | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hyde | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Hyde | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hyde | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hyde | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Hyde | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Hyde | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hyde | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Hyde | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Hyde | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hyde | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Hyde | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Hyde | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hyde | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Hyde | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Hyde | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Hyde | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Hyde | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Hyde | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Hyde | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Hyde | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Iredell | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Iredell | H3146_049_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Iredell | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Iredell | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Iredell | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Iredell | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Iredell | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Iredell | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Iredell | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Iredell | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Iredell | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Iredell | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Iredell | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Iredell | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Iredell | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Iredell | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Iredell | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Iredell | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Iredell | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Iredell | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Iredell | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Iredell | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Iredell | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Iredell | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Iredell | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Iredell | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Iredell | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Iredell | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Iredell | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Iredell | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Iredell | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Iredell | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Iredell | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Iredell | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Iredell | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Iredell | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Iredell | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Iredell | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Iredell | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Iredell | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Iredell | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Iredell | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Iredell | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Iredell | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Iredell | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Iredell | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Iredell | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Iredell | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Iredell | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Iredell | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Jackson | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Jackson | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jackson | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Jackson | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Jackson | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jackson | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Jackson | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jackson | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Jackson | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jackson | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Jackson | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Jackson | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Jackson | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Jackson | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Jackson | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Jackson | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Jackson | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Jackson | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jackson | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Jackson | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jackson | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jackson | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jackson | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Jackson | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Jackson | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Jackson | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jackson | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Jackson | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jackson | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Jackson | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Jackson | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Jackson | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Jackson | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Jackson | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Jackson | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Jackson | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Jackson | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Johnston | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Johnston | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Johnston | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Johnston | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Johnston | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Johnston | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Johnston | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Johnston | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Johnston | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Johnston | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Johnston | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Johnston | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Johnston | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Johnston | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Johnston | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Johnston | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Johnston | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Johnston | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Johnston | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Johnston | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Johnston | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Johnston | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Johnston | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Johnston | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Johnston | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Johnston | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Johnston | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Johnston | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Johnston | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Johnston | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Johnston | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Johnston | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Johnston | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Johnston | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Johnston | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Johnston | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Jones | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Jones | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Jones | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Jones | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Jones | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Jones | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jones | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Jones | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jones | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Jones | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jones | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Jones | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Jones | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jones | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Jones | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Jones | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jones | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Jones | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Jones | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Jones | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Jones | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Jones | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Jones | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Jones | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Jones | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Jones | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Jones | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Lee | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Lee | H3146_049_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Lee | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Lee | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Lee | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Lee | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Lee | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lee | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Lee | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lee | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Lee | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lee | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lee | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lee | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Lee | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lee | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Lee | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lee | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Lee | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Lee | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Lee | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lee | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Lee | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lee | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Lee | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Lee | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Lee | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Lee | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Lee | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Lee | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Lee | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Lenoir | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Lenoir | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Lenoir | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Lenoir | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lenoir | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Lenoir | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lenoir | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Lenoir | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lenoir | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Lenoir | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Lenoir | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lenoir | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lenoir | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Lenoir | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lenoir | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Lenoir | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lenoir | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Lenoir | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lenoir | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Lenoir | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Lenoir | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Lenoir | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Lenoir | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Lenoir | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Lincoln | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Lincoln | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Lincoln | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Lincoln | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Lincoln | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Lincoln | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Lincoln | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lincoln | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Lincoln | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lincoln | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Lincoln | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lincoln | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Lincoln | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Lincoln | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Lincoln | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Lincoln | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Lincoln | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Lincoln | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Lincoln | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Lincoln | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Lincoln | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Lincoln | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Lincoln | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Lincoln | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Lincoln | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lincoln | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Lincoln | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lincoln | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lincoln | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Lincoln | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lincoln | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lincoln | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lincoln | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Lincoln | H6622_057_0 | Humana | Humana Gold Plus H6622-057 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Lincoln | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Lincoln | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lincoln | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Lincoln | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Lincoln | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Lincoln | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Lincoln | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Lincoln | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Lincoln | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Lincoln | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Lincoln | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Lincoln | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Lincoln | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Lincoln | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Macon | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Macon | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Macon | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Macon | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Macon | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Macon | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Macon | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Macon | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Macon | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Macon | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Macon | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Macon | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Macon | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Macon | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Macon | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Macon | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Macon | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Macon | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Macon | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Macon | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Macon | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Macon | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Macon | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Macon | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Macon | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Macon | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Macon | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Macon | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Macon | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Macon | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Madison | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Madison | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Madison | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Madison | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Madison | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Madison | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Madison | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Madison | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Madison | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Madison | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Madison | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Madison | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Madison | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Madison | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Madison | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Madison | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Madison | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Madison | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Madison | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Madison | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Madison | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Madison | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Madison | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Madison | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Madison | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Madison | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Madison | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Madison | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Madison | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Madison | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Madison | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Madison | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Madison | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Madison | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Madison | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Madison | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Madison | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Madison | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Madison | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Madison | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Madison | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Madison | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Martin | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Martin | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Martin | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Martin | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Martin | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Martin | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Martin | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Martin | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Martin | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Martin | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Martin | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Martin | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Martin | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Martin | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Martin | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Martin | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Martin | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Martin | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Martin | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Martin | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Martin | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Martin | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Martin | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Martin | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Martin | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Martin | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Martin | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Martin | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Martin | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Martin | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Martin | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Martin | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| McDowell | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| McDowell | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| McDowell | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| McDowell | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| McDowell | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| McDowell | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| McDowell | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| McDowell | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| McDowell | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| McDowell | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| McDowell | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| McDowell | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| McDowell | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| McDowell | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| McDowell | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| McDowell | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| McDowell | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| McDowell | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| McDowell | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| McDowell | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| McDowell | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| McDowell | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| McDowell | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| McDowell | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| McDowell | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| McDowell | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| McDowell | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| McDowell | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| McDowell | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| McDowell | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| McDowell | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| McDowell | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| McDowell | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| McDowell | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| McDowell | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| McDowell | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| McDowell | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| McDowell | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| McDowell | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| McDowell | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| McDowell | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| McDowell | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| McDowell | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| McDowell | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Mecklenburg | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Mecklenburg | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Mecklenburg | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Mecklenburg | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Mecklenburg | H5296_012_0 | Alignment Health Plan | Alignment Health Platinum 012 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $3,500.00 |
| Mecklenburg | H5296_013_0 | Alignment Health Plan | Alignment Health Smart 013 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Mecklenburg | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Mecklenburg | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mecklenburg | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Mecklenburg | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Mecklenburg | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Mecklenburg | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mecklenburg | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Mecklenburg | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Mecklenburg | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Mecklenburg | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Mecklenburg | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Mecklenburg | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Mecklenburg | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Mecklenburg | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Mecklenburg | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Mecklenburg | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Mecklenburg | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Mecklenburg | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Mecklenburg | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Mecklenburg | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mecklenburg | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Mecklenburg | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mecklenburg | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mecklenburg | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Mecklenburg | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mecklenburg | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mecklenburg | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mecklenburg | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Mecklenburg | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Mecklenburg | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Mecklenburg | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mecklenburg | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Mecklenburg | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mecklenburg | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Mecklenburg | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Mecklenburg | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Mecklenburg | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Mecklenburg | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Mecklenburg | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Mecklenburg | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Mecklenburg | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Mecklenburg | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Mecklenburg | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Mecklenburg | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Mitchell | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Mitchell | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mitchell | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Mitchell | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Mitchell | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Mitchell | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Mitchell | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Mitchell | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Mitchell | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mitchell | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Mitchell | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Mitchell | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Mitchell | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mitchell | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Mitchell | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Mitchell | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Mitchell | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Mitchell | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Mitchell | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Mitchell | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mitchell | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Mitchell | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mitchell | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Mitchell | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mitchell | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Mitchell | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Mitchell | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mitchell | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Mitchell | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Mitchell | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Mitchell | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Mitchell | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Mitchell | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Mitchell | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Mitchell | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Mitchell | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Mitchell | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Mitchell | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Montgomery | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Montgomery | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Montgomery | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Montgomery | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Montgomery | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Montgomery | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Montgomery | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Montgomery | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Montgomery | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Montgomery | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Montgomery | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Montgomery | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Montgomery | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Montgomery | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Montgomery | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Montgomery | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Montgomery | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Montgomery | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Montgomery | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Montgomery | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Montgomery | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Montgomery | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Montgomery | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Montgomery | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Montgomery | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Montgomery | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Montgomery | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Montgomery | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Montgomery | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Montgomery | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Montgomery | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Montgomery | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Montgomery | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Montgomery | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Montgomery | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Montgomery | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Montgomery | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Montgomery | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Montgomery | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Moore | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Moore | H3146_049_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Moore | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Moore | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Moore | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Moore | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Moore | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Moore | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Moore | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Moore | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Moore | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Moore | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Moore | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Moore | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Moore | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Moore | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Moore | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Moore | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Moore | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Moore | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Moore | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Moore | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Moore | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Moore | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Moore | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Moore | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Moore | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Moore | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Moore | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Moore | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Moore | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Moore | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Moore | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Moore | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Moore | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Moore | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Moore | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Moore | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Moore | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Nash | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Nash | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Nash | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Nash | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Nash | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Nash | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Nash | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Nash | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Nash | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Nash | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Nash | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Nash | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Nash | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Nash | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Nash | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Nash | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Nash | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Nash | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Nash | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Nash | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Nash | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Nash | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Nash | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| New Hanover | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| New Hanover | H3146_049_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| New Hanover | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| New Hanover | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| New Hanover | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| New Hanover | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| New Hanover | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| New Hanover | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| New Hanover | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| New Hanover | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| New Hanover | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| New Hanover | H5299_023_0 | Devoted Health | DEVOTED CORE 023 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,700.00 |
| New Hanover | H5299_024_0 | Devoted Health | DEVOTED GIVEBACK 024 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| New Hanover | H5299_042_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 042 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,100.00 |
| New Hanover | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| New Hanover | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| New Hanover | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| New Hanover | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| New Hanover | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| New Hanover | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| New Hanover | H1036_335_1 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $4,100.00 |
| New Hanover | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| New Hanover | H5525_034_0 | Humana | Humana Full Access H5525-034 (PPO) | PPO | Enhanced | $148.00 | $700.00 | $9,850.00 |
| New Hanover | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| New Hanover | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| New Hanover | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| New Hanover | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| New Hanover | H6622_061_0 | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| New Hanover | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| New Hanover | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| New Hanover | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| New Hanover | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| New Hanover | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| New Hanover | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| New Hanover | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| New Hanover | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| New Hanover | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Northampton | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Northampton | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Northampton | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Northampton | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Northampton | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Northampton | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Northampton | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Northampton | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Northampton | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Northampton | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Northampton | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Northampton | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Northampton | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Northampton | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Northampton | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Northampton | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Northampton | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Northampton | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Northampton | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Northampton | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Northampton | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Northampton | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Northampton | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Northampton | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Onslow | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Onslow | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Onslow | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Onslow | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Onslow | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Onslow | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Onslow | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Onslow | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Onslow | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Onslow | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Onslow | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Onslow | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Onslow | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Onslow | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Orange | H3146_004_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $500.00 | $6,750.00 |
| Orange | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Orange | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Orange | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Orange | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Orange | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Orange | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Orange | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Orange | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Orange | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Orange | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Orange | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Orange | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Orange | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Orange | H7849_113_4 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,150.00 |
| Orange | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Orange | H9725_009_4 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Orange | H9725_015_4 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Orange | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Orange | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Orange | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Orange | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Orange | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Orange | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Orange | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Orange | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Orange | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Orange | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Orange | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Orange | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Orange | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Orange | H6622_060_0 | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Orange | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Orange | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Orange | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Orange | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Orange | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Orange | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Orange | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Orange | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Orange | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Orange | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Orange | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Orange | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Orange | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Orange | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Orange | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Orange | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Pamlico | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Pamlico | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Pamlico | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Pamlico | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Pamlico | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pamlico | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Pamlico | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pamlico | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Pamlico | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pamlico | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Pamlico | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Pamlico | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pamlico | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pamlico | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Pamlico | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pamlico | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Pamlico | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Pamlico | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pamlico | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Pamlico | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pamlico | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Pamlico | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Pamlico | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Pamlico | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Pamlico | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Pamlico | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Pasquotank | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Pasquotank | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Pasquotank | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Pasquotank | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Pasquotank | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pasquotank | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Pasquotank | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Pasquotank | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pasquotank | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Pasquotank | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Pasquotank | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pasquotank | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pasquotank | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Pasquotank | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pasquotank | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Pasquotank | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Pasquotank | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pasquotank | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Pasquotank | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pasquotank | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Pasquotank | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Pasquotank | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Pasquotank | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Pasquotank | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Pasquotank | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Pender | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Pender | H3146_049_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Pender | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Pender | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Pender | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Pender | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Pender | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Pender | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pender | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Pender | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pender | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Pender | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pender | H5299_023_0 | Devoted Health | DEVOTED CORE 023 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,700.00 |
| Pender | H5299_024_0 | Devoted Health | DEVOTED GIVEBACK 024 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Pender | H5299_042_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 042 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,100.00 |
| Pender | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Pender | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| Pender | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Pender | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Pender | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Pender | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Pender | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Pender | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pender | H5525_034_0 | Humana | Humana Full Access H5525-034 (PPO) | PPO | Enhanced | $148.00 | $700.00 | $9,850.00 |
| Pender | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Pender | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pender | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Pender | H6622_061_0 | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Pender | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Pender | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pender | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Pender | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pender | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Pender | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Pender | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Pender | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Pender | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Pender | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Perquimans | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Perquimans | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Perquimans | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Perquimans | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Perquimans | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Perquimans | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Perquimans | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Perquimans | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Perquimans | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Perquimans | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Perquimans | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Perquimans | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Perquimans | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Perquimans | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Perquimans | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Perquimans | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Perquimans | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Perquimans | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Perquimans | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Perquimans | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Perquimans | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Perquimans | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Perquimans | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Perquimans | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Person | H3146_004_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $500.00 | $6,750.00 |
| Person | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Person | H3146_039_0 | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | Enhanced | $49.00 | $300.00 | $5,900.00 |
| Person | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Person | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Person | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Person | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Person | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Person | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Person | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Person | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Person | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Person | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Person | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Person | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Person | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Person | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Person | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Person | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Person | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Person | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Person | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Person | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Person | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Person | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Person | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Person | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Person | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Person | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Person | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Person | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Person | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Person | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Person | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Person | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Person | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Person | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Person | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Person | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Person | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Person | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Person | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Person | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Person | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Person | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Person | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Pitt | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Pitt | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Pitt | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Pitt | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pitt | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Pitt | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pitt | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Pitt | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Pitt | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pitt | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Pitt | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pitt | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Pitt | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Pitt | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Pitt | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Pitt | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Pitt | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Pitt | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Pitt | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Pitt | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Pitt | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Polk | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Polk | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Polk | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Polk | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Polk | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Polk | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Polk | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Polk | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Polk | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Polk | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Polk | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Polk | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Polk | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Polk | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Polk | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Polk | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Polk | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Polk | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Polk | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Polk | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Polk | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Polk | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Polk | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Polk | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Polk | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Polk | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Polk | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Polk | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Polk | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Polk | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Polk | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Polk | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Polk | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Polk | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Polk | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Randolph | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Randolph | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Randolph | H3146_039_0 | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | Enhanced | $49.00 | $300.00 | $5,900.00 |
| Randolph | H3146_048_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Randolph | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Randolph | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Randolph | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Randolph | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Randolph | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Randolph | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Randolph | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Randolph | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Randolph | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Randolph | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Randolph | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Randolph | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Randolph | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Randolph | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Randolph | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Randolph | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Randolph | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Randolph | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Randolph | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Randolph | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Randolph | H2624_005_0 | HealthTeam Advantage | HealthTeam Advantage Thrive Plan (HMO) | HMO | Enhanced | $0.00 | $495.00 | $4,200.00 |
| Randolph | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Randolph | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Randolph | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Randolph | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Randolph | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Randolph | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Randolph | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Randolph | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Randolph | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Randolph | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Randolph | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Randolph | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Randolph | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Randolph | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Randolph | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Randolph | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Randolph | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Randolph | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Randolph | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Randolph | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Randolph | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Randolph | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Randolph | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Randolph | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Randolph | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Randolph | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Randolph | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Randolph | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Randolph | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Richmond | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Richmond | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Richmond | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Richmond | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Richmond | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Richmond | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Richmond | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Richmond | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Richmond | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Richmond | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Richmond | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Richmond | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Richmond | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Richmond | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Richmond | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Richmond | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Richmond | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Richmond | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Richmond | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Richmond | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Richmond | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Richmond | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Richmond | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Richmond | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Richmond | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Richmond | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Richmond | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Richmond | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Richmond | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Richmond | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Richmond | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Richmond | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Richmond | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Richmond | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Richmond | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Richmond | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Robeson | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Robeson | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Robeson | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Robeson | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Robeson | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Robeson | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Robeson | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Robeson | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Robeson | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Robeson | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Robeson | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Robeson | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Robeson | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Robeson | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Robeson | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Robeson | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Robeson | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Robeson | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Robeson | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Robeson | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Robeson | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Robeson | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Robeson | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Robeson | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Robeson | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Robeson | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Robeson | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Robeson | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Robeson | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Robeson | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Robeson | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Robeson | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Rockingham | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Rockingham | H3146_039_0 | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | Enhanced | $49.00 | $300.00 | $5,900.00 |
| Rockingham | H3146_048_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,900.00 |
| Rockingham | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Rockingham | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Rockingham | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Rockingham | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Rockingham | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Rockingham | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rockingham | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Rockingham | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Rockingham | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Rockingham | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rockingham | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Rockingham | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Rockingham | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Rockingham | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Rockingham | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Rockingham | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Rockingham | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Rockingham | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Rockingham | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Rockingham | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Rockingham | H2624_005_0 | HealthTeam Advantage | HealthTeam Advantage Thrive Plan (HMO) | HMO | Enhanced | $0.00 | $495.00 | $4,200.00 |
| Rockingham | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Rockingham | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Rockingham | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Rockingham | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Rockingham | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Rockingham | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rockingham | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Rockingham | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rockingham | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rockingham | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Rockingham | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rockingham | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rockingham | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rockingham | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Rockingham | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Rockingham | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rockingham | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Rockingham | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rockingham | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Rockingham | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Rockingham | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Rockingham | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Rockingham | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Rockingham | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Rockingham | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Rockingham | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Rockingham | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Rockingham | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Rockingham | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Rowan | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Rowan | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Rowan | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Rowan | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Rowan | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Rowan | H5296_012_0 | Alignment Health Plan | Alignment Health Platinum 012 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $3,500.00 |
| Rowan | H5296_013_0 | Alignment Health Plan | Alignment Health Smart 013 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Rowan | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Rowan | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rowan | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Rowan | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Rowan | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Rowan | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rowan | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Rowan | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Rowan | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Rowan | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Rowan | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Rowan | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Rowan | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Rowan | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Rowan | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Rowan | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Rowan | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Rowan | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Rowan | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Rowan | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rowan | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Rowan | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rowan | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rowan | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Rowan | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rowan | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rowan | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rowan | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Rowan | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Rowan | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Rowan | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rowan | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Rowan | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rowan | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Rowan | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Rowan | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Rowan | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Rowan | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Rowan | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Rowan | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Rowan | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Rowan | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Rowan | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Rowan | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Rutherford | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Rutherford | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rutherford | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Rutherford | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rutherford | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Rutherford | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rutherford | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Rutherford | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Rutherford | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Rutherford | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Rutherford | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Rutherford | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Rutherford | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Rutherford | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Rutherford | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rutherford | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rutherford | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Rutherford | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rutherford | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Rutherford | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rutherford | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Rutherford | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Rutherford | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Rutherford | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Rutherford | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rutherford | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Rutherford | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Rutherford | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Rutherford | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Rutherford | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Rutherford | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Rutherford | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Rutherford | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Rutherford | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Rutherford | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Sampson | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Sampson | H5521_169_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $24.00 | $500.00 | $5,900.00 |
| Sampson | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Sampson | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Sampson | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Sampson | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Sampson | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Sampson | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Sampson | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Sampson | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Sampson | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Sampson | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Sampson | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Sampson | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Sampson | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Sampson | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Sampson | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Sampson | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Sampson | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Sampson | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Sampson | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Sampson | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Sampson | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Sampson | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Sampson | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Sampson | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Sampson | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Sampson | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Sampson | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Sampson | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Scotland | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Scotland | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Scotland | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Scotland | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Scotland | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Scotland | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Scotland | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Scotland | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Scotland | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Scotland | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Scotland | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Scotland | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Scotland | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Scotland | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Scotland | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Scotland | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Scotland | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Scotland | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Scotland | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Scotland | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Scotland | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Scotland | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Scotland | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Scotland | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Scotland | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Scotland | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Scotland | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Scotland | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Scotland | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Scotland | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Scotland | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Scotland | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Stanly | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Stanly | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Stanly | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Stanly | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Stanly | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Stanly | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Stanly | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stanly | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Stanly | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Stanly | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Stanly | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stanly | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Stanly | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Stanly | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Stanly | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Stanly | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Stanly | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Stanly | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stanly | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Stanly | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stanly | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stanly | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stanly | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Stanly | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Stanly | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stanly | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Stanly | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stanly | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Stanly | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Stanly | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Stanly | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Stanly | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Stanly | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Stanly | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Stanly | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Stanly | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Stanly | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Stanly | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Stanly | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Stokes | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Stokes | H3146_039_0 | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | Enhanced | $49.00 | $300.00 | $5,900.00 |
| Stokes | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Stokes | H5521_170_0 | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Stokes | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Stokes | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Stokes | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Stokes | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stokes | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Stokes | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Stokes | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Stokes | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stokes | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Stokes | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Stokes | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Stokes | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Stokes | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Stokes | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Stokes | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Stokes | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Stokes | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Stokes | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Stokes | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Stokes | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Stokes | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Stokes | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Stokes | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Stokes | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stokes | H1036_335_1 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $4,100.00 |
| Stokes | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stokes | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stokes | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Stokes | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stokes | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Stokes | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stokes | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Stokes | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Stokes | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stokes | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Stokes | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Stokes | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Stokes | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Stokes | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Stokes | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Stokes | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Stokes | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Stokes | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Stokes | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Stokes | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Stokes | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Stokes | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Surry | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Surry | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Surry | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Surry | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Surry | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Surry | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Surry | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Surry | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Surry | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Surry | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Surry | H5299_021_0 | Devoted Health | DEVOTED CORE 021 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Surry | H5299_022_0 | Devoted Health | DEVOTED GIVEBACK 022 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,300.00 |
| Surry | H5299_041_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 041 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Surry | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Surry | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Surry | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Surry | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Surry | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Surry | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Surry | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Surry | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Surry | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Surry | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Surry | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Surry | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Surry | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Surry | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Surry | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Surry | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Surry | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Surry | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Swain | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Swain | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Swain | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Swain | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Swain | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Swain | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Swain | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Swain | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Swain | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Swain | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Swain | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Swain | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Swain | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Swain | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Swain | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Swain | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Swain | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Swain | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Swain | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Swain | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Swain | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Swain | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Swain | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Swain | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Swain | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Swain | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Swain | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Swain | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Swain | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Swain | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Swain | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Swain | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Swain | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Swain | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Swain | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Transylvania | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Transylvania | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Transylvania | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Transylvania | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Transylvania | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Transylvania | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Transylvania | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Transylvania | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Transylvania | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Transylvania | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Transylvania | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Transylvania | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Transylvania | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Transylvania | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Transylvania | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Transylvania | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Transylvania | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Transylvania | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Transylvania | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Transylvania | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Transylvania | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Transylvania | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Transylvania | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Transylvania | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Transylvania | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Transylvania | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Transylvania | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Transylvania | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Transylvania | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Transylvania | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Transylvania | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Transylvania | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Transylvania | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Transylvania | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Transylvania | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Transylvania | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Transylvania | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Transylvania | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Transylvania | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Transylvania | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Tyrrell | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Tyrrell | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Tyrrell | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Tyrrell | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Tyrrell | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Tyrrell | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Tyrrell | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Tyrrell | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Tyrrell | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Tyrrell | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Tyrrell | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Tyrrell | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Tyrrell | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Tyrrell | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Tyrrell | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Tyrrell | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Tyrrell | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Tyrrell | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Tyrrell | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Tyrrell | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Tyrrell | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Tyrrell | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Tyrrell | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Tyrrell | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Tyrrell | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Tyrrell | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Tyrrell | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Tyrrell | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Union | H3146_001_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Union | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Union | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Union | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Union | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Union | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Union | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Union | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Union | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Union | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Union | H5299_012_0 | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Union | H5299_037_0 | Devoted Health | DEVOTED CORE 037 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Union | H5299_039_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 039 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,050.00 |
| Union | H9700_001_0 | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $6,150.00 |
| Union | H9700_002_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Union | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Union | H7849_113_1 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $7,100.00 |
| Union | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Union | H9725_009_1 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $3,900.00 |
| Union | H9725_015_1 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Union | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Union | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Union | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Union | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Union | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Union | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Union | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Union | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Union | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Union | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Union | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Union | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Union | H6622_057_0 | Humana | Humana Gold Plus H6622-057 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Union | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Union | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Union | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Union | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Union | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Union | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Union | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Union | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Union | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Union | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Union | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Union | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Union | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Union | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Vance | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Vance | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Vance | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Vance | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Vance | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Vance | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Vance | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Vance | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Vance | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Vance | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Vance | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Vance | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Vance | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Vance | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Vance | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Vance | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Vance | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Vance | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Vance | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Vance | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Vance | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Vance | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Vance | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Vance | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Vance | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Vance | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Vance | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Vance | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Vance | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Vance | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Vance | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Vance | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Wake | H3146_004_0 | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | Enhanced | $0.00 | $500.00 | $6,750.00 |
| Wake | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Wake | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Wake | H5521_609_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wake | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Wake | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Wake | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Wake | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Wake | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wake | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Wake | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Wake | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Wake | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wake | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Wake | H1036_233_0 | Humana | Humana Gold Plus H1036-233 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Wake | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wake | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Wake | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wake | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Wake | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wake | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wake | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Wake | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wake | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Wake | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wake | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Wake | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Wake | H5253_039_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0007 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Wake | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Wake | H5253_110_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,500.00 |
| Wake | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Wake | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Wake | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Wake | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Wake | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Warren | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Warren | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Warren | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Warren | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Warren | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Warren | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Warren | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Warren | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Warren | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Warren | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Warren | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Warren | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Warren | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Warren | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Warren | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Warren | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Warren | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Warren | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Warren | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Warren | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Warren | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Warren | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Warren | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Warren | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Warren | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Warren | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Warren | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Warren | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Warren | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Warren | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Warren | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Warren | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Warren | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Washington | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Washington | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Washington | H5521_243_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Washington | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Washington | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Washington | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Washington | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Washington | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Washington | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Washington | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Washington | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Washington | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Washington | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Washington | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Washington | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Washington | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Washington | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Washington | H2001_090_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Washington | H2001_102_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | Enhanced | $34.00 | $685.00 | $6,900.00 |
| Washington | H2001_103_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,900.00 |
| Washington | H2406_115_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | Enhanced | $31.00 | $685.00 | $7,150.00 |
| Washington | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Washington | H5253_187_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Watauga | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Watauga | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Watauga | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Watauga | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Watauga | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Watauga | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Watauga | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Watauga | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Watauga | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Watauga | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Watauga | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Watauga | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Watauga | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Watauga | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Watauga | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Watauga | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Watauga | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Watauga | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Watauga | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Watauga | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Watauga | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Watauga | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Watauga | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Watauga | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Watauga | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Watauga | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Watauga | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Watauga | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Watauga | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Watauga | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Wayne | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Wayne | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Wayne | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Wayne | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wayne | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Wayne | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wayne | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Wayne | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wayne | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Wayne | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Wayne | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wayne | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wayne | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Wayne | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wayne | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Wayne | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wayne | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Wayne | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wayne | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Wayne | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Wayne | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Wayne | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Wilkes | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Wilkes | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Wilkes | H5521_139_0 | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | Enhanced | $25.00 | $500.00 | $6,750.00 |
| Wilkes | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Wilkes | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Wilkes | H5296_006_0 | Alignment Health Plan | Alignment Health Smart 006 (HMO) | HMO | Enhanced | $0.00 | $700.00 | $3,400.00 |
| Wilkes | H5296_010_0 | Alignment Health Plan | Alignment Health Platinum 010 (HMO) | HMO | Enhanced | $0.00 | $225.00 | $4,300.00 |
| Wilkes | H7074_001_0 | Alignment Health Plan | Alignment Health AVA 001 (PPO) | PPO | Enhanced | $20.00 | $0.00 | $3,900.00 |
| Wilkes | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Wilkes | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilkes | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Wilkes | H3449_023_4 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $8,400.00 |
| Wilkes | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Wilkes | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wilkes | H5299_021_0 | Devoted Health | DEVOTED CORE 021 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Wilkes | H5299_022_0 | Devoted Health | DEVOTED GIVEBACK 022 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,300.00 |
| Wilkes | H5299_041_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 041 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $6,750.00 |
| Wilkes | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Wilkes | H9700_008_0 | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,900.00 |
| Wilkes | H9700_009_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,850.00 |
| Wilkes | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Wilkes | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Wilkes | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Wilkes | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Wilkes | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Wilkes | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Wilkes | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Wilkes | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wilkes | H1036_335_2 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $3,950.00 |
| Wilkes | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wilkes | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wilkes | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Wilkes | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilkes | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Wilkes | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Wilkes | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilkes | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Wilkes | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilkes | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Wilkes | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Wilkes | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Wilkes | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Wilkes | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Wilkes | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Wilkes | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Wilkes | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Wilkes | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Wilkes | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Wilson | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Wilson | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Wilson | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Wilson | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilson | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Wilson | H3449_023_5 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wilson | H3449_024_3 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $57.00 | $700.00 | $4,900.00 |
| Wilson | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wilson | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Wilson | H5525_049_0 | Humana | HumanaChoice H5525-049 (PPO) | PPO | Enhanced | $52.00 | $450.00 | $9,850.00 |
| Wilson | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilson | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Wilson | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilson | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Wilson | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Wilson | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Wilson | H5253_103_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Wilson | H5253_104_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | Enhanced | $66.00 | $685.00 | $6,400.00 |
| Wilson | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Wilson | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Yadkin | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Yadkin | H3146_007_0 | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | Enhanced | $0.00 | $500.00 | $5,200.00 |
| Yadkin | H5521_081_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $500.00 | $5,900.00 |
| Yadkin | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Yadkin | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Yadkin | H3404_003_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $45.00 | $700.00 | $6,900.00 |
| Yadkin | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yadkin | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Yadkin | H3449_023_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $5,900.00 |
| Yadkin | H3449_024_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $41.00 | $700.00 | $4,900.00 |
| Yadkin | H3449_027_1 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yadkin | H5299_001_0 | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,050.00 |
| Yadkin | H5299_002_0 | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | Enhanced | $0.00 | $461.00 | $7,950.00 |
| Yadkin | H5299_038_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 038 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $5,700.00 |
| Yadkin | H9700_003_0 | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $4,850.00 |
| Yadkin | H9700_004_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | Enhanced | $0.00 | $461.00 | $9,250.00 |
| Yadkin | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Yadkin | H7849_113_3 | HealthSpring | HealthSpring True Choice (PPO) | PPO | Enhanced | $0.00 | $500.00 | $6,900.00 |
| Yadkin | H9725_005_0 | HealthSpring | HealthSpring Courage (HMO) | HMO | Not Applicable | Not Applicable | Not Applicable | $6,750.00 |
| Yadkin | H9725_009_3 | HealthSpring | HealthSpring Preferred (HMO) | HMO | Enhanced | $0.00 | $400.00 | $4,450.00 |
| Yadkin | H9725_015_3 | HealthSpring | HealthSpring Preferred Savings (HMO) | HMO | Enhanced | $0.00 | $600.00 | $6,750.00 |
| Yadkin | H9808_004_0 | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | Enhanced | $0.00 | $595.00 | $4,900.00 |
| Yadkin | H9808_005_0 | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | Enhanced | $34.00 | $550.00 | $4,700.00 |
| Yadkin | H9808_009_0 | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,500.00 |
| Yadkin | H9808_010_0 | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | Enhanced | $0.00 | $595.00 | $5,200.00 |
| Yadkin | H1036_137_0 | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Yadkin | H1036_318_0 | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yadkin | H1036_335_1 | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $4,100.00 |
| Yadkin | H1036_343_0 | Humana | Humana Gold Plus Giveback H1036-343 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yadkin | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yadkin | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Yadkin | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yadkin | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yadkin | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yadkin | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Yadkin | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Yadkin | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yadkin | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Yadkin | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yadkin | H2406_034_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | Enhanced | $53.00 | $595.00 | $4,450.00 |
| Yadkin | H2406_098_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Yadkin | H5253_037_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | Enhanced | $42.00 | $595.00 | $4,900.00 |
| Yadkin | H5253_038_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $5,900.00 |
| Yadkin | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Yadkin | H5253_117_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-15 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $4,450.00 |
| Yadkin | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Yadkin | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Yadkin | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Yadkin | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
| Yancey | H3146_006_0 | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | Enhanced | $0.00 | $400.00 | $5,500.00 |
| Yancey | H5521_236_0 | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yancey | H5521_241_0 | Aetna Medicare | Aetna Medicare Eagle (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $7,150.00 |
| Yancey | H5521_348_0 | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,500.00 |
| Yancey | H3404_003_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare PPO Enhanced (PPO) | PPO | Enhanced | $70.00 | $700.00 | $6,900.00 |
| Yancey | H3404_004_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Freedom+ (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yancey | H3449_012_0 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Medical Only (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $3,900.00 |
| Yancey | H3449_023_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $7,000.00 |
| Yancey | H3449_024_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Enhanced (HMO-POS) | HMO-POS | Enhanced | $50.00 | $700.00 | $4,900.00 |
| Yancey | H3449_027_2 | Blue Cross and Blue Shield of North Carolina | Blue Medicare Essential (HMO) | HMO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yancey | H5299_029_0 | Devoted Health | DEVOTED CORE 029 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $4,950.00 |
| Yancey | H5299_030_0 | Devoted Health | DEVOTED GIVEBACK 030 NC (HMO) | HMO | Enhanced | $0.00 | $650.00 | $9,850.00 |
| Yancey | H5299_044_0 | Devoted Health | DEVOTED GIVEBACK EXTRAS 044 NC (HMO) | HMO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Yancey | H9700_005_0 | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | Enhanced | $0.00 | $650.00 | $5,300.00 |
| Yancey | H9700_006_0 | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | Enhanced | $0.00 | $465.00 | $9,850.00 |
| Yancey | H9700_007_0 | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,250.00 |
| Yancey | H5216_017_0 | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yancey | H5216_211_0 | Humana | HumanaChoice H5216-211 (PPO) | PPO | Enhanced | $67.00 | $700.00 | $9,850.00 |
| Yancey | H5216_343_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yancey | H5525_035_0 | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | Enhanced | $0.00 | $700.00 | $9,850.00 |
| Yancey | H5525_065_0 | Humana | Humana USAA Honor Giveback (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yancey | H5525_070_0 | Humana | HumanaChoice H5525-070 (PPO) | PPO | Enhanced | $13.30 | $700.00 | $9,850.00 |
| Yancey | H6622_025_0 | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $450.00 | $9,850.00 |
| Yancey | H6622_026_0 | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | Enhanced | $13.30 | $450.00 | $9,850.00 |
| Yancey | H7617_122_0 | Humana | HumanaChoice H7617-122 (PPO) | PPO | Enhanced | $13.00 | $700.00 | $9,850.00 |
| Yancey | H8145_004_0 | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | Enhanced | $43.00 | $700.00 | $9,850.00 |
| Yancey | R0110_004_0 | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yancey | R0110_005_0 | Humana | Humana Full Access (Regional PPO) | Regional PPO | Enhanced | $158.00 | $700.00 | $9,850.00 |
| Yancey | R0110_006_0 | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | Not Applicable | Not Applicable | Not Applicable | $9,850.00 |
| Yancey | H4676_001_0 | Troy Medicare | Troy Medicare (HMO) | HMO | Enhanced | $0.00 | $0.00 | $4,950.00 |
| Yancey | H5253_040_0 | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | Not Applicable | Not Applicable | Not Applicable | $9,300.00 |
| Yancey | H5253_080_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | Enhanced | $57.00 | $595.00 | $5,900.00 |
| Yancey | H5253_105_0 | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $9,300.00 |
| Yancey | H5253_185_0 | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | Enhanced | $0.00 | $685.00 | $7,150.00 |
| Yancey | H1914_007_0 | Wellcare | Wellcare Simple Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $7,150.00 |
| Yancey | H1914_009_0 | Wellcare | Wellcare Assist Open (PPO) | PPO | Enhanced | $0.00 | $700.00 | $6,500.00 |
| Yancey | H1914_011_0 | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | Not Applicable | Not Applicable | Not Applicable | $8,850.00 |
| Yancey | H4073_001_0 | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | Enhanced | $0.00 | $700.00 | $6,700.00 |
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