SNP Landscapes 2026

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County Name Company Name Plan Name Plan Type Monthly Consolidated Premium (Part C + D) Annual Part D Deductible Amount Drug Benefit Category Contract ID Plan ID Segment ID In-Network Maximum Out-of-Pocket (MOOP) Amount**
Alamance Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Alamance Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Alamance Aetna Medicare Aetna Medicare Enhanced (HMO) HMO 63 615 Enhanced H3146 039 0 5900
Alamance Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Alamance Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Alamance Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Alamance Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Alamance BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Alamance BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Alamance BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Alamance BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Alamance BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Alamance BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Alamance BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Alamance Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 4 5450
Alamance Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Alamance Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 4 3550
Alamance Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Alamance Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 4 6700
Alamance Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 4 3300
Alamance Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Alamance Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Alamance Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Alamance Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Alamance Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Alamance HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Alamance HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Alamance HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Alamance HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Alamance Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Alamance Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Alamance Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Alamance Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Alamance Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Alamance Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Alamance Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Alamance Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Alamance Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Alamance Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Alamance Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Alamance Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Alamance Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Alamance UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Alamance UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Alamance UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Alamance UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Alamance UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Alamance UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Alamance UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Alamance UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Alamance Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Alamance Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Alamance Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Alamance Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Alamance Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Alexander Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Alexander Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Alexander Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Alexander Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Alexander Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Alexander BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Alexander BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Alexander BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Alexander BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Alexander BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Alexander BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Alexander Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Alexander Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Alexander Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Alexander Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Alexander Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Alexander Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Alexander Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Alexander Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Alexander Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Alexander HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Alexander HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Alexander Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Alexander Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Alexander Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Alexander Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Alexander Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Alexander Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Alexander Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Alexander Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Alexander Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Alexander Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Alexander Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Alexander Humana Humana Gold Plus H6622-057 (HMO-POS) HMO-POS 0 615 Enhanced H6622 057 0 9250
Alexander Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Alexander Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Alexander Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Alexander Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Alexander UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Alexander UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Alexander UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Alexander UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Alexander UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Alexander UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Alexander Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Alexander Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Alexander Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Alexander Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Alexander Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Alleghany Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Alleghany Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Alleghany Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Alleghany Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Alleghany BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Alleghany BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Alleghany BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Alleghany BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Alleghany BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Alleghany Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Alleghany Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Alleghany Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Alleghany Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Alleghany Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Alleghany Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Alleghany Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
Alleghany Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
Alleghany HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Alleghany HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Alleghany Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Alleghany Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Alleghany Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Alleghany Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Alleghany Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Alleghany Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Alleghany Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Alleghany Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Alleghany Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Alleghany Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Alleghany UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Alleghany UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Alleghany UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Alleghany UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Alleghany Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Alleghany Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Alleghany Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Alleghany Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Alleghany Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Anson Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Anson Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Anson Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Anson Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Anson Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Anson BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Anson BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Anson BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Anson BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Anson BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Anson BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Anson Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Anson Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Anson Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Anson Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Anson Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Anson Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Anson Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Anson Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Anson Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Anson HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Anson HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Anson Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Anson Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Anson Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Anson Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Anson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Anson Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Anson Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Anson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Anson Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Anson Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Anson Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Anson Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Anson Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Anson Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Anson Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Anson UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Anson UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Anson UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Anson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Anson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Anson UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Anson Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Anson Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Anson Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Anson Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Anson Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Ashe Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Ashe Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Ashe Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Ashe Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Ashe BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Ashe BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Ashe BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Ashe BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Ashe BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Ashe Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Ashe Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
Ashe Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
Ashe Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Ashe Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Ashe Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Ashe Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Ashe Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Ashe Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Ashe Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Ashe Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Ashe Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Ashe Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Ashe Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Ashe Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Ashe UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Ashe UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Ashe UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Ashe UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Ashe Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Ashe Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Ashe Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Ashe Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Ashe Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Avery Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Avery Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Avery Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Avery Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Avery Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Avery Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Avery Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Avery Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Avery Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Avery BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Avery BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Avery BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Avery BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Avery BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Avery BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Avery Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Avery Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Avery Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Avery Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Avery Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Avery Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Avery Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Avery Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Avery Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Avery Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Avery Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Avery Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Avery Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Avery Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Avery Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Avery Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Avery Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Avery Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Avery Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Avery Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Avery Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Avery Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Avery Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Avery UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Avery UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Avery UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Avery UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Avery UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Avery UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Avery Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Avery Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Avery Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Avery Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Avery Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Beaufort Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Beaufort Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Beaufort BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Beaufort BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Beaufort BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Beaufort BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Beaufort BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Beaufort BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Beaufort Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Beaufort Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Beaufort Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Beaufort Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Beaufort Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Beaufort Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Beaufort Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Beaufort Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Beaufort Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Beaufort Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Beaufort UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Beaufort UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Beaufort UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Beaufort UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Beaufort UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Beaufort UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Bertie Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Bertie Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Bertie Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Bertie Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Bertie BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Bertie BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Bertie BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Bertie BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Bertie BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Bertie BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Bertie Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Bertie Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Bertie Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Bertie Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Bertie Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Bertie Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Bertie UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Bertie UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Bertie UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Bertie UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Bertie UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Bertie UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Bladen Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Bladen Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Bladen Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Bladen Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Bladen Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Bladen BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Bladen BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Bladen BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Bladen BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Bladen BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Bladen BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Bladen Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Bladen Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
Bladen Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
Bladen HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Bladen HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Bladen Humana Humana Full Access H5525-034 (PPO) PPO 129 615 Enhanced H5525 034 0 9250
Bladen Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Bladen Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Bladen Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Bladen Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Bladen Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Bladen Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Bladen Humana Humana Gold Plus H6622-061 (HMO-POS) HMO-POS 0 350 Enhanced H6622 061 0 9250
Bladen Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Bladen Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Bladen Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Bladen Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Bladen UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Bladen UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Bladen UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Bladen UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Bladen UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Bladen UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Bladen Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Bladen Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Bladen Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Bladen Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Bladen Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Brunswick Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Brunswick Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Brunswick Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Brunswick Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Brunswick Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Brunswick BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Brunswick BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Brunswick BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Brunswick BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Brunswick BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Brunswick BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Brunswick Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Brunswick Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
Brunswick Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
Brunswick HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Brunswick HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Brunswick Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 1 3500
Brunswick Humana Humana Full Access H5525-034 (PPO) PPO 129 615 Enhanced H5525 034 0 9250
Brunswick Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Brunswick Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Brunswick Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Brunswick Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Brunswick Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Brunswick Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Brunswick Humana Humana Gold Plus H6622-061 (HMO-POS) HMO-POS 0 350 Enhanced H6622 061 0 9250
Brunswick Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Brunswick Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Brunswick Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Brunswick UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Brunswick UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Brunswick UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Brunswick UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Brunswick UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Brunswick UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Buncombe Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Buncombe Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Buncombe Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Buncombe Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Buncombe Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Buncombe Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Buncombe Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Buncombe Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Buncombe BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Buncombe BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Buncombe BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Buncombe BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Buncombe BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Buncombe BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Buncombe Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Buncombe Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Buncombe Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Buncombe Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Buncombe Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Buncombe Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Buncombe Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Buncombe Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Buncombe Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Buncombe Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Buncombe Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Buncombe Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Buncombe Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Buncombe Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Buncombe Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Buncombe Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Buncombe Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Buncombe Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Buncombe Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Buncombe Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Buncombe Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Buncombe Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Buncombe Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Buncombe Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Buncombe UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Buncombe UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Buncombe UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Buncombe UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Buncombe UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Buncombe UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Buncombe Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Buncombe Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Buncombe Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Buncombe Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Buncombe Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Burke Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Burke Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Burke Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Burke Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Burke Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Burke BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Burke BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Burke BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Burke BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Burke BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Burke BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Burke Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Burke Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Burke Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Burke Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Burke Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Burke Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Burke Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Burke Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Burke Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Burke Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Burke Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Burke Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Burke Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Burke Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Burke Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Burke Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Burke Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Burke Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Burke Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Burke Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Burke Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Burke Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Burke Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Burke UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Burke UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Burke UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Burke UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Burke UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Burke UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Burke Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Burke Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Burke Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Burke Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Burke Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Cabarrus Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Cabarrus Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Cabarrus Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Cabarrus Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Cabarrus Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Cabarrus BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Cabarrus BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Cabarrus BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Cabarrus BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Cabarrus BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Cabarrus BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Cabarrus Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Cabarrus Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Cabarrus Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Cabarrus Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Cabarrus Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Cabarrus Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Cabarrus Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Cabarrus Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Cabarrus Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Cabarrus HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Cabarrus HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Cabarrus Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Cabarrus Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Cabarrus Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Cabarrus Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Cabarrus Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Cabarrus Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Cabarrus Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Cabarrus Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Cabarrus Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Cabarrus Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Cabarrus Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Cabarrus Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Cabarrus UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Cabarrus UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Cabarrus UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Cabarrus UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Cabarrus UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Cabarrus Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Cabarrus Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Cabarrus Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Cabarrus Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Cabarrus Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Caldwell Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Caldwell Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Caldwell Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Caldwell Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Caldwell Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Caldwell Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Caldwell BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Caldwell BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Caldwell BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Caldwell BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Caldwell BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Caldwell BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Caldwell Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Caldwell Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Caldwell Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Caldwell Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Caldwell Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Caldwell Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Caldwell Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Caldwell Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Caldwell Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Caldwell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Caldwell Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Caldwell Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Caldwell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Caldwell Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Caldwell Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Caldwell Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Caldwell Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Caldwell Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Caldwell Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Caldwell UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Caldwell UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Caldwell UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Caldwell UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Caldwell UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Caldwell UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Caldwell Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Caldwell Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Caldwell Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Caldwell Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Caldwell Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Camden Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Camden Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Camden Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Camden Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Camden BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Camden BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Camden BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Camden BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Camden BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Camden Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Camden Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Camden Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Camden Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Camden Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Camden Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Camden Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Camden Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Camden UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Camden UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Camden UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Camden UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Camden UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Camden UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Carteret BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Carteret BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Carteret BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Carteret BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Carteret BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Carteret Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Carteret Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Carteret Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Carteret UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Carteret UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Carteret UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Carteret UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Caswell Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Caswell Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Caswell Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Caswell Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Caswell Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Caswell BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Caswell BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Caswell BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Caswell BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Caswell BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Caswell BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Caswell Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Caswell Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Caswell Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Caswell Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Caswell Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Caswell HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Caswell HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Caswell HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Caswell HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Caswell Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Caswell Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Caswell Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Caswell Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Caswell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Caswell Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Caswell Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Caswell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Caswell Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Caswell Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Caswell Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Caswell Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Caswell Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Caswell Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Caswell UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Caswell UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Caswell UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Caswell UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Caswell UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Caswell UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Caswell UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Caswell Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Caswell Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Caswell Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Caswell Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Caswell Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Catawba Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Catawba Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Catawba Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Catawba Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Catawba Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Catawba Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Catawba BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Catawba BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Catawba BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Catawba BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Catawba BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Catawba BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Catawba Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Catawba Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Catawba Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Catawba Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Catawba Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Catawba Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Catawba Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Catawba Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Catawba Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Catawba Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Catawba Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Catawba Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Catawba Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Catawba Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Catawba Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Catawba Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Catawba Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Catawba Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Catawba Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Catawba Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Catawba Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Catawba Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Catawba Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Catawba Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Catawba Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Catawba UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Catawba UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Catawba UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Catawba UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Catawba UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Catawba UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Catawba UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Catawba UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Catawba Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Catawba Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Catawba Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Catawba Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Catawba Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Chatham Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Chatham Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Chatham Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Chatham Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Chatham Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Chatham Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Chatham Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Chatham Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Chatham Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Chatham BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Chatham BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Chatham BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Chatham BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Chatham BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Chatham BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Chatham Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 4 5450
Chatham Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Chatham Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 4 3550
Chatham Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 4 6700
Chatham Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 4 3300
Chatham HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Chatham HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Chatham Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Chatham Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Chatham Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Chatham Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Chatham Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Chatham Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Chatham Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Chatham Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Chatham Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Chatham Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Chatham Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Chatham Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Chatham UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Chatham UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Chatham UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Chatham UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Chatham UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Chatham UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Chatham UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Chatham UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Chatham Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Chatham Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Chatham Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Chatham Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Chatham Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Cherokee Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Cherokee Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Cherokee Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Cherokee Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Cherokee BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Cherokee BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Cherokee BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Cherokee BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Cherokee BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Cherokee Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Cherokee Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Cherokee Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Cherokee Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Cherokee Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Cherokee Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Cherokee Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Cherokee Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Cherokee Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Cherokee Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Cherokee Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Cherokee Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Cherokee Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Cherokee Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Cherokee Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Cherokee UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Cherokee UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Cherokee UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Cherokee UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Cherokee UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Cherokee UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Chowan Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Chowan Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Chowan Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Chowan Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Chowan BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Chowan BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Chowan BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Chowan BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Chowan BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Chowan BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Chowan Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Chowan Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Chowan Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Chowan Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Chowan Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Chowan Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Chowan UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Chowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Chowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Chowan UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Chowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Chowan UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Chowan UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Clay Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Clay Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Clay Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Clay Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Clay BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Clay BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Clay BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Clay BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Clay BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Clay Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Clay Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Clay Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Clay Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Clay Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Clay Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Clay Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Clay Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Clay Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Clay Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Clay Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Clay Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Clay Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Clay Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Clay Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Clay Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Clay UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Clay UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Clay UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Clay UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Clay UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Clay UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Clay Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Clay Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Clay Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Clay Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Clay Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Cleveland Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Cleveland Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Cleveland Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Cleveland Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Cleveland Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Cleveland BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Cleveland BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Cleveland BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Cleveland BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Cleveland BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Cleveland BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Cleveland Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Cleveland Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Cleveland Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Cleveland Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Cleveland Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Cleveland Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Cleveland Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Cleveland Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Cleveland Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Cleveland Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Cleveland Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Cleveland Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Cleveland Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Cleveland Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Cleveland Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Cleveland Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Cleveland Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Cleveland Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Cleveland Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Cleveland Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Cleveland Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Cleveland Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Cleveland Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Cleveland UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Cleveland UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Cleveland UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Cleveland UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Cleveland UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Cleveland UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Cleveland UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Cleveland Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Cleveland Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Cleveland Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Cleveland Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Cleveland Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Columbus Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Columbus Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Columbus Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Columbus Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Columbus Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Columbus BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Columbus BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Columbus BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Columbus BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Columbus BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Columbus BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Columbus Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Columbus Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
Columbus Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
Columbus HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Columbus HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Columbus Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Columbus Humana Humana Full Access H5525-034 (PPO) PPO 129 615 Enhanced H5525 034 0 9250
Columbus Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Columbus Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Columbus Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Columbus Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Columbus Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Columbus Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Columbus Humana Humana Gold Plus H6622-061 (HMO-POS) HMO-POS 0 350 Enhanced H6622 061 0 9250
Columbus Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Columbus Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Columbus Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Columbus Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Columbus UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Columbus UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Columbus UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Columbus UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Columbus UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Columbus UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Columbus UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Columbus Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Columbus Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Columbus Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Columbus Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Columbus Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Craven BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Craven BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Craven BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Craven BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Craven BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Craven Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Craven Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Craven Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Craven UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Craven UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Craven UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Craven UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Craven UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Craven UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Cumberland Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Cumberland Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Cumberland Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Cumberland Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Cumberland Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Cumberland Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Cumberland Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Cumberland BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Cumberland BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Cumberland BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Cumberland BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Cumberland BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Cumberland BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Cumberland Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Cumberland Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Cumberland Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Cumberland Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Cumberland Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Cumberland Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Cumberland Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Cumberland Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Cumberland Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Cumberland Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Cumberland Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Cumberland Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Cumberland Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Cumberland UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Cumberland UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Cumberland UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Cumberland UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Cumberland UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Cumberland UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Cumberland UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Cumberland Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Cumberland Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Cumberland Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Cumberland Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Cumberland Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Currituck Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Currituck Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Currituck Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Currituck Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Currituck BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Currituck BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Currituck BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Currituck BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Currituck BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Currituck BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Currituck Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Currituck Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Currituck Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Currituck Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Currituck Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Currituck Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Currituck Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Currituck Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Currituck Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Currituck Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Currituck UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Currituck UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Currituck UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Currituck UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Currituck UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Currituck UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Currituck UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Dare BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Dare BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Dare BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Dare BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Dare BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Dare Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Dare Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Dare Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Dare Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Dare Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Dare Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Dare Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Dare UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Dare UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Dare UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Dare UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Dare UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Dare UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Dare UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Davidson Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Davidson Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Davidson Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Davidson Aetna Medicare Aetna Medicare Enhanced (HMO) HMO 63 615 Enhanced H3146 039 0 5900
Davidson Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Davidson Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Davidson Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Davidson Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Davidson Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Davidson Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Davidson Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Davidson Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Davidson BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Davidson BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Davidson BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Davidson BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Davidson BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Davidson BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Davidson BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Davidson Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Davidson Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Davidson Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Davidson Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Davidson Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Davidson Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Davidson Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Davidson Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Davidson Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Davidson Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Davidson HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Davidson HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Davidson HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Davidson HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Davidson Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Davidson Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 1 3500
Davidson Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Davidson Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Davidson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Davidson Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Davidson Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Davidson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Davidson Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Davidson Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Davidson Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Davidson Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Davidson Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Davidson Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Davidson UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Davidson UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Davidson UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Davidson UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Davidson UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Davidson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Davidson UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Davidson UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Davidson Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Davidson Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Davidson Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Davidson Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Davidson Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Davie Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Davie Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Davie Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Davie Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Davie Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Davie Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Davie Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Davie Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Davie Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Davie BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Davie BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Davie BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Davie BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Davie BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Davie BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Davie Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Davie Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Davie Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Davie Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Davie Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Davie Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Davie Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Davie Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Davie Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Davie Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Davie HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Davie HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Davie HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Davie HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Davie Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Davie Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 1 3500
Davie Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Davie Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Davie Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Davie Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Davie Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Davie Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Davie Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Davie Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Davie Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Davie Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Davie Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Davie Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Davie UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Davie UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Davie UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Davie UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Davie UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Davie UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Davie UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Davie UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Davie Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Davie Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Davie Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Davie Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Davie Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Duplin Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Duplin Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Duplin Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Duplin Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Duplin BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Duplin BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Duplin BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Duplin BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Duplin BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Duplin BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Duplin Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Duplin Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Duplin Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Duplin Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Duplin Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Duplin Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Duplin Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Duplin Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Duplin Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Duplin Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Duplin UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Duplin UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Duplin UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Duplin UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Duplin UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Duplin UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Duplin UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Duplin Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Duplin Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Duplin Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Duplin Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Duplin Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Durham Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 004 0 6750
Durham Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Durham Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Durham Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Durham Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 609 0 6750
Durham BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Durham BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Durham BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Durham BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Durham BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Durham BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Durham Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 4 5450
Durham Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Durham Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 4 3550
Durham Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Durham Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 4 6700
Durham Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 4 3300
Durham Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Durham HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Durham HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Durham Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Durham Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Durham Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Durham Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Durham Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Durham Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Durham Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Durham Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Durham Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Durham Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Durham Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Durham Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Durham Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Durham Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Durham UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Durham UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Durham UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Durham UnitedHealthcare AARP Medicare Advantage from UHC NC-0007 (HMO-POS) HMO-POS 0 520 Enhanced H5253 039 0 6200
Durham UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Durham UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Durham UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Durham Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Durham Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Durham Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Durham Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Durham Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Edgecombe Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Edgecombe Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Edgecombe BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Edgecombe BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Edgecombe BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Edgecombe BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Edgecombe BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Edgecombe BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Edgecombe Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Edgecombe Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Edgecombe Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Edgecombe Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Edgecombe Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Edgecombe Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Edgecombe Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Edgecombe Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Edgecombe Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Edgecombe Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Edgecombe UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Edgecombe UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Edgecombe UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Edgecombe UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Edgecombe UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Edgecombe UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Edgecombe UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Edgecombe UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Edgecombe UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Forsyth Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Forsyth Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Forsyth Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Forsyth Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Forsyth Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Forsyth Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Forsyth Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Forsyth Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Forsyth Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Forsyth Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Forsyth Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Forsyth BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Forsyth BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Forsyth BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Forsyth BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Forsyth BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Forsyth BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Forsyth BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Forsyth Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Forsyth Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Forsyth Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Forsyth Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Forsyth Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Forsyth Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Forsyth Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Forsyth Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Forsyth Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Forsyth Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Forsyth Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Forsyth HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Forsyth HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Forsyth HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Forsyth HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Forsyth Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Forsyth Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 1 3500
Forsyth Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Forsyth Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Forsyth Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Forsyth Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Forsyth Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Forsyth Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Forsyth Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Forsyth Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Forsyth Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Forsyth Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Forsyth Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Forsyth Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Forsyth UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Forsyth UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Forsyth UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Forsyth UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Forsyth UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Forsyth UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Forsyth UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Forsyth UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Forsyth Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Forsyth Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Forsyth Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Forsyth Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Forsyth Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Franklin Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Franklin Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Franklin Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Franklin Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Franklin Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Franklin BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Franklin BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Franklin BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Franklin BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Franklin BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Franklin BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Franklin Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Franklin Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Franklin Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Franklin Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Franklin Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Franklin Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Franklin Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Franklin Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Franklin Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Franklin Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Franklin Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Franklin Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Franklin Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Franklin Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Franklin Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Franklin UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Franklin UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Franklin UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Franklin UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Franklin UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Franklin Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Franklin Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Franklin Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Franklin Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Franklin Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Gaston Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Gaston Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Gaston Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Gaston Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Gaston Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Gaston BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Gaston BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Gaston BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Gaston BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Gaston BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Gaston BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Gaston Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Gaston Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Gaston Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Gaston Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Gaston Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Gaston Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Gaston Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Gaston Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Gaston Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Gaston HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Gaston HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Gaston Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Gaston Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Gaston Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Gaston Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Gaston Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Gaston Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Gaston Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Gaston Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Gaston Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Gaston Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Gaston Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Gaston Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Gaston Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Gaston UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Gaston UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Gaston UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Gaston UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Gaston UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Gaston UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Gaston UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Gaston Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Gaston Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Gaston Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Gaston Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Gaston Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Gates Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Gates Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Gates Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Gates Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Gates BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Gates BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Gates BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Gates BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Gates BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Gates BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Gates Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Gates Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Gates Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Gates Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Gates Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Gates Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Gates Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Gates Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Gates Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Gates Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Gates Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Gates UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Gates UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Gates UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Gates UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Gates UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Gates UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Gates UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Graham Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Graham Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Graham Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Graham Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Graham BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Graham BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Graham BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Graham BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Graham BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Graham Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Graham Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Graham Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Graham Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Graham Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Graham Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Graham Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Graham Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Graham Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Graham Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Graham Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Graham Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Graham Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Graham Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Graham Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Graham Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Graham Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Graham UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Graham UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Graham UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Graham UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Graham UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Graham UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Graham Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Graham Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Graham Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Graham Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Graham Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Granville Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Granville Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Granville Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Granville Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Granville Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Granville BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Granville BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Granville BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Granville BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Granville BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Granville BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Granville Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Granville Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Granville Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Granville Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Granville Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Granville Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Granville Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Granville Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Granville Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Granville Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Granville Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Granville Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Granville UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Granville UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Granville UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Granville UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Granville UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Granville Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Granville Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Granville Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Granville Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Granville Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Greene Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Greene Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Greene Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Greene Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Greene BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Greene BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Greene BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Greene BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Greene BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Greene Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Greene Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Greene Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Greene Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Greene Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Greene Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Greene Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Greene Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Greene Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Greene Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Greene UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Greene UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Greene UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Greene UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Greene UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Greene UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Greene UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Greene UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Greene UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Greene Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Greene Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Greene Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Greene Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Greene Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Guilford Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Guilford Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Guilford Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Guilford Aetna Medicare Aetna Medicare Enhanced (HMO) HMO 63 615 Enhanced H3146 039 0 5900
Guilford Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Guilford Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Guilford Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Guilford Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Guilford Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Guilford Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Guilford Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Guilford Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Guilford BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Guilford BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Guilford BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Guilford BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Guilford BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Guilford BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Guilford BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Guilford Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Guilford Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Guilford Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Guilford Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Guilford Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Guilford Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Guilford Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Guilford Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Guilford Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Guilford Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Guilford Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Guilford HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Guilford HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Guilford HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Guilford HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Guilford Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Guilford Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Guilford Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Guilford Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Guilford Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Guilford Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Guilford Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Guilford Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Guilford Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Guilford Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Guilford Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Guilford Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Guilford Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Guilford UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Guilford UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Guilford UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Guilford UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Guilford UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Guilford UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Guilford UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Guilford UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Guilford Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Guilford Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Guilford Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Guilford Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Guilford Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Halifax Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Halifax Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Halifax Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Halifax Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Halifax BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Halifax BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Halifax BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Halifax BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Halifax BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Halifax BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Halifax Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Halifax Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Halifax Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Halifax Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Halifax Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Halifax Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Halifax Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Halifax Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Halifax Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Halifax Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Halifax UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Halifax UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Halifax UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Halifax UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Halifax UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Halifax UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Halifax UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Halifax UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Halifax UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Harnett Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Harnett Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Harnett Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Harnett Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Harnett BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Harnett BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Harnett BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Harnett BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Harnett BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Harnett BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Harnett Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Harnett Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Harnett Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Harnett Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Harnett Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Harnett Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Harnett Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Harnett Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Harnett Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Harnett Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Harnett Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Harnett Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Harnett Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Harnett UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Harnett UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Harnett UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Harnett UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Harnett UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Harnett UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Harnett UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Harnett Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Harnett Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Harnett Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Harnett Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Harnett Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Haywood Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Haywood Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Haywood Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Haywood Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Haywood BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Haywood BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Haywood BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Haywood BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Haywood BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Haywood BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Haywood Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Haywood Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Haywood Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Haywood Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Haywood Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Haywood Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Haywood Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Haywood Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Haywood Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Haywood Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Haywood Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Haywood Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Haywood Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Haywood Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Haywood Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Haywood Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Haywood Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Haywood Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Haywood UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Haywood UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Haywood UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Haywood UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Haywood UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Haywood UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Haywood Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Haywood Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Haywood Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Haywood Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Haywood Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Henderson Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Henderson Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Henderson Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Henderson Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Henderson Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Henderson Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Henderson Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Henderson Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Henderson BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Henderson BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Henderson BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Henderson BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Henderson BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Henderson BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Henderson Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Henderson Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Henderson Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Henderson Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Henderson Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Henderson Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Henderson Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Henderson Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Henderson Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Henderson Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Henderson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Henderson Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Henderson Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Henderson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Henderson Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Henderson Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Henderson Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Henderson Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Henderson Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Henderson Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Henderson Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Henderson Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Henderson Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Henderson UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Henderson UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Henderson UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Henderson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Henderson UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Henderson UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Henderson Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Henderson Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Henderson Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Henderson Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Henderson Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Hertford Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Hertford Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Hertford Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Hertford Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Hertford BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Hertford BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Hertford BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Hertford BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Hertford BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Hertford BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Hertford Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Hertford Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Hertford Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Hertford Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Hertford Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Hertford Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Hertford Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Hertford Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Hertford Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Hertford Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Hertford UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Hertford UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Hertford UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Hertford UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Hertford UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Hertford UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Hertford UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Hoke Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Hoke Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Hoke Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Hoke Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Hoke Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Hoke BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Hoke BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Hoke BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Hoke BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Hoke BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Hoke BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Hoke Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Hoke Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Hoke Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Hoke Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Hoke Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Hoke Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Hoke Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Hoke Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Hoke Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Hoke Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Hoke Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Hoke Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Hoke UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Hoke UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Hoke UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Hoke UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Hoke UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Hoke UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Hoke UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Hoke UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Hoke UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Hoke Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Hoke Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Hoke Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Hoke Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Hoke Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Hyde Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Hyde Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Hyde Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Hyde Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Hyde BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Hyde BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Hyde BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Hyde BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Hyde BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Hyde Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Hyde Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Hyde Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Hyde Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Hyde Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Hyde Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Hyde Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Hyde Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Hyde Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Hyde Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Hyde UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Hyde UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Hyde UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Hyde UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Hyde UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Hyde UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Hyde UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Iredell Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Iredell Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Iredell Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Iredell Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Iredell Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Iredell Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Iredell BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Iredell BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Iredell BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Iredell BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Iredell BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Iredell BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Iredell Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Iredell Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Iredell Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Iredell Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Iredell Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Iredell Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Iredell Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Iredell Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Iredell Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Iredell HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Iredell HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Iredell Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Iredell Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Iredell Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Iredell Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Iredell Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Iredell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Iredell Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Iredell Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Iredell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Iredell Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Iredell Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Iredell Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Iredell Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Iredell Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Iredell Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Iredell UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Iredell UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Iredell UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Iredell UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Iredell UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Iredell UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Iredell UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Iredell UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Iredell Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Iredell Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Iredell Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Iredell Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Iredell Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Jackson Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Jackson Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Jackson Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Jackson Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Jackson BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Jackson BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Jackson BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Jackson BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Jackson BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Jackson Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Jackson Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Jackson Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Jackson Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Jackson Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Jackson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Jackson Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Jackson Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Jackson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Jackson Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Jackson Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Jackson Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Jackson Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Jackson Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Jackson Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Jackson Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Jackson UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Jackson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Jackson UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Jackson UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Jackson UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Jackson UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Jackson Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Jackson Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Jackson Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Jackson Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Jackson Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Johnston Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 004 0 6750
Johnston Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Johnston Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Johnston Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Johnston Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Johnston Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Johnston Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Johnston Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Johnston Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Johnston Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Johnston BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Johnston BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Johnston BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Johnston BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Johnston BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Johnston BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Johnston Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 4 5450
Johnston Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Johnston Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 4 3550
Johnston Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 4 6700
Johnston Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 4 3300
Johnston Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Johnston Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Johnston Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Johnston Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Johnston Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Johnston Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Johnston Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Johnston Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Johnston Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Johnston Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Johnston Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Johnston Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Johnston UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Johnston UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Johnston UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Johnston UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Johnston UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Johnston UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Johnston UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Johnston UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Johnston Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Johnston Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Johnston Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Johnston Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Johnston Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Jones Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Jones Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Jones Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Jones Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Jones BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Jones BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Jones BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Jones BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Jones BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Jones BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Jones Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Jones Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Jones Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Jones Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Jones Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Jones Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Jones Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Jones Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Jones Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Jones Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Jones UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Jones UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Jones UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Jones UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Jones UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Jones UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Jones UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Jones Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Jones Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Jones Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Jones Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Lee Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Lee Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Lee Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Lee Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Lee BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Lee BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Lee BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Lee BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Lee BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Lee BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Lee Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Lee Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Lee Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Lee Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Lee Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Lee Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Lee Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Lee Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Lee Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Lee Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Lee Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Lee Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Lee Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Lee Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Lee Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Lee UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Lee UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Lee UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Lee UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Lee UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Lee UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Lee UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Lee Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Lenoir Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Lenoir Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Lenoir BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Lenoir BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Lenoir BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Lenoir BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Lenoir BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Lenoir BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Lenoir Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Lenoir Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Lenoir Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Lenoir Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Lenoir Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Lenoir Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Lenoir Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Lenoir Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Lenoir Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Lenoir Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Lenoir UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Lenoir UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Lenoir UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Lenoir UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Lenoir UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Lenoir UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Lenoir UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Lincoln Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Lincoln Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Lincoln Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Lincoln Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Lincoln Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Lincoln BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Lincoln BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Lincoln BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Lincoln BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Lincoln BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Lincoln BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Lincoln Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Lincoln Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Lincoln Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Lincoln Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Lincoln Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Lincoln Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Lincoln Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Lincoln Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Lincoln Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Lincoln HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Lincoln HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Lincoln Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Lincoln Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Lincoln Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Lincoln Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Lincoln Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Lincoln Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Lincoln Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Lincoln Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Lincoln Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Lincoln Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Lincoln Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Lincoln Humana Humana Gold Plus H6622-057 (HMO-POS) HMO-POS 0 615 Enhanced H6622 057 0 9250
Lincoln Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Lincoln Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Lincoln Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Lincoln UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Lincoln UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Lincoln UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Lincoln UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Lincoln UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Lincoln UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Lincoln UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Lincoln Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Lincoln Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Lincoln Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Lincoln Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Lincoln Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Macon Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Macon Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Macon Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Macon Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Macon BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Macon BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Macon BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Macon BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Macon BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Macon Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Macon Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Macon Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Macon Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Macon Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Macon Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Macon Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Macon Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Macon Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Macon Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Macon Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Macon UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Macon UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Macon UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Macon UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Macon UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Macon UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Macon Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Macon Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Macon Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Macon Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Macon Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Madison Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Madison Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Madison Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Madison Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Madison Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Madison Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Madison Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Madison Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Madison BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Madison BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Madison BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Madison BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Madison BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Madison BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Madison Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Madison Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Madison Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Madison Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Madison Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Madison Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Madison Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Madison Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Madison Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Madison Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Madison Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Madison Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Madison Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Madison Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Madison Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Madison Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Madison Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Madison Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Madison Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Madison Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Madison Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Madison Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Madison UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Madison UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Madison UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Madison UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Madison UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Madison UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Madison Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Madison Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Madison Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Madison Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Madison Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Martin Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Martin Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Martin Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Martin Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Martin BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Martin BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Martin BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Martin BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Martin BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Martin BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Martin Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Martin Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Martin Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Martin Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Martin Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Martin Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Martin Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Martin Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Martin Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Martin Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Martin UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Martin UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Martin UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Martin UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Martin UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Martin UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Martin UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Martin UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Martin UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Martin Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Martin Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Martin Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Martin Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
McDowell Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
McDowell Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
McDowell Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
McDowell Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
McDowell Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
McDowell Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
McDowell Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
McDowell Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
McDowell Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
McDowell BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
McDowell BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
McDowell BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
McDowell BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
McDowell BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
McDowell BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
McDowell Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
McDowell Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
McDowell Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
McDowell Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
McDowell Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
McDowell Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
McDowell Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
McDowell Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
McDowell Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
McDowell Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
McDowell Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
McDowell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
McDowell Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
McDowell Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
McDowell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
McDowell Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
McDowell Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
McDowell Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
McDowell Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
McDowell Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
McDowell Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
McDowell Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
McDowell Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
McDowell UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
McDowell UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
McDowell UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
McDowell UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
McDowell UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
McDowell UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
McDowell Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
McDowell Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
McDowell Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
McDowell Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
McDowell Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Mecklenburg Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Mecklenburg Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Mecklenburg Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Mecklenburg Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Mecklenburg Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Mecklenburg BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Mecklenburg BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Mecklenburg BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Mecklenburg BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Mecklenburg BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Mecklenburg BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Mecklenburg BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Mecklenburg Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Mecklenburg Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Mecklenburg Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Mecklenburg Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Mecklenburg Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Mecklenburg Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Mecklenburg Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Mecklenburg Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Mecklenburg Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Mecklenburg Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Mecklenburg HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Mecklenburg HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Mecklenburg Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Mecklenburg Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Mecklenburg Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Mecklenburg Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Mecklenburg Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Mecklenburg Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Mecklenburg Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Mecklenburg Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Mecklenburg Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Mecklenburg Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Mecklenburg Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Mecklenburg Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Mecklenburg Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Mecklenburg Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Mecklenburg Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Mecklenburg UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Mecklenburg UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Mecklenburg UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Mecklenburg UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Mecklenburg UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Mecklenburg UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Mecklenburg UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Mecklenburg UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Mecklenburg UnitedHealthcare Erickson Advantage Signature (HMO-POS) HMO-POS 182 270 Enhanced H5652 001 0 2900
Mecklenburg UnitedHealthcare Erickson Advantage Liberty no Rx (HMO-POS) HMO-POS N/A N/A N/A H5652 002 0 6750
Mecklenburg UnitedHealthcare Erickson Advantage Freedom (HMO-POS) HMO-POS 89 355 Enhanced H5652 006 0 4900
Mecklenburg UnitedHealthcare Erickson Advantage Liberty (HMO-POS) HMO-POS 14 600 Enhanced H5652 008 0 6750
Mecklenburg Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Mecklenburg Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Mecklenburg Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Mecklenburg Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Mecklenburg Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Mitchell Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Mitchell Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Mitchell Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Mitchell Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Mitchell Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Mitchell Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Mitchell Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Mitchell Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Mitchell BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Mitchell BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Mitchell BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Mitchell BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Mitchell BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Mitchell BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Mitchell Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Mitchell Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Mitchell Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Mitchell Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Mitchell Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Mitchell Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Mitchell Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Mitchell Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Mitchell Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Mitchell Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Mitchell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Mitchell Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Mitchell Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Mitchell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Mitchell Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Mitchell Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Mitchell Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Mitchell Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Mitchell Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Mitchell Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Mitchell UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Mitchell UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Mitchell UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Mitchell UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Mitchell UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Mitchell UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Mitchell Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Mitchell Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Mitchell Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Mitchell Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Mitchell Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Montgomery Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Montgomery Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Montgomery Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Montgomery Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Montgomery BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Montgomery BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Montgomery BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Montgomery BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Montgomery BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Montgomery BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Montgomery HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Montgomery HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Montgomery HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Montgomery HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Montgomery Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Montgomery Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Montgomery Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Montgomery Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Montgomery Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Montgomery Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Montgomery Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Montgomery Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Montgomery Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Montgomery Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Montgomery Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Montgomery Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Montgomery Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Montgomery UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Montgomery UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Montgomery UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Montgomery UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Montgomery UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Montgomery UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Montgomery UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Montgomery UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Montgomery UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Montgomery Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Montgomery Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Montgomery Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Montgomery Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Montgomery Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Moore Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Moore Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Moore Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Moore Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Moore Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Moore BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Moore BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Moore BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Moore BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Moore BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Moore BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Moore Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Moore Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Moore Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Moore Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Moore Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Moore Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Moore Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Moore Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Moore Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Moore Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Moore Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Moore Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Moore Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Moore Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Moore UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Moore UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Moore UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Moore UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Moore UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Moore UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Moore UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Moore UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Moore UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Moore Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Moore Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Moore Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Moore Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Moore Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Nash Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Nash Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Nash BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Nash BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Nash BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Nash BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Nash BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Nash BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Nash Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Nash Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Nash Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Nash Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Nash Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Nash Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Nash Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Nash Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Nash Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Nash Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Nash UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Nash UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Nash UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Nash UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Nash UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Nash Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
New Hanover Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
New Hanover Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
New Hanover Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
New Hanover Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
New Hanover BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
New Hanover BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
New Hanover BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
New Hanover BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
New Hanover BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
New Hanover BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
New Hanover Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
New Hanover Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
New Hanover Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
New Hanover HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
New Hanover HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
New Hanover Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 1 3500
New Hanover Humana Humana Full Access H5525-034 (PPO) PPO 129 615 Enhanced H5525 034 0 9250
New Hanover Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
New Hanover Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
New Hanover Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
New Hanover Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
New Hanover Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
New Hanover Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
New Hanover Humana Humana Gold Plus H6622-061 (HMO-POS) HMO-POS 0 350 Enhanced H6622 061 0 9250
New Hanover Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
New Hanover Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
New Hanover Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
New Hanover UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
New Hanover UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
New Hanover UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
New Hanover UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
New Hanover UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
New Hanover UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Northampton Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Northampton Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Northampton Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Northampton Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Northampton BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Northampton BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Northampton BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Northampton BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Northampton BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Northampton BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Northampton Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Northampton Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Northampton Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Northampton Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Northampton Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Northampton Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Northampton Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Northampton Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Northampton Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Northampton Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Northampton UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Northampton UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Northampton UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Northampton UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Northampton UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Northampton UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Northampton UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Onslow BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Onslow BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Onslow BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Onslow BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Onslow BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Onslow Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Onslow Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Onslow Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Onslow UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Onslow UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Onslow UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Onslow UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Onslow UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Onslow UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Onslow UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Orange Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 004 0 6750
Orange Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Orange Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Orange Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Orange Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Orange Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Orange Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Orange Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Orange Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Orange Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Orange BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Orange BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Orange BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Orange BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Orange BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Orange BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Orange Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 4 5450
Orange Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Orange Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 4 3550
Orange Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Orange Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 4 6700
Orange Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 4 3300
Orange Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Orange HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Orange HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Orange HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Orange HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Orange Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Orange Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Orange Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Orange Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Orange Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Orange Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Orange Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Orange Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Orange Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Orange Humana Humana Gold Plus H6622-060 (HMO-POS) HMO-POS 0 350 Enhanced H6622 060 0 9250
Orange Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Orange Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Orange Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Orange Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Orange UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Orange UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Orange UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Orange UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Orange UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Orange UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Orange UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Orange UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Orange Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Orange Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Orange Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Orange Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Orange Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Pamlico Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Pamlico Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Pamlico Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Pamlico Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Pamlico BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Pamlico BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Pamlico BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Pamlico BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Pamlico BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Pamlico Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Pamlico Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Pamlico Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Pamlico Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Pamlico Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Pamlico Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Pamlico Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Pamlico Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Pamlico Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Pamlico Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Pamlico UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Pamlico UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Pamlico UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Pamlico UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Pamlico UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Pamlico UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Pamlico UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Pasquotank Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Pasquotank Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Pasquotank Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Pasquotank Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Pasquotank BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Pasquotank BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Pasquotank BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Pasquotank BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Pasquotank BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Pasquotank Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Pasquotank Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Pasquotank Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Pasquotank Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Pasquotank Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Pasquotank Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Pasquotank Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Pasquotank Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Pasquotank Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Pasquotank Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Pasquotank UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Pasquotank UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Pasquotank UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Pasquotank UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Pasquotank UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Pasquotank UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Pasquotank UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Pender Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Pender Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Pender Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Pender Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Pender Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Pender BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Pender BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Pender BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Pender BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Pender BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Pender BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Pender Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Pender Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
Pender Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
Pender HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Pender HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Pender Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Pender Humana Humana Full Access H5525-034 (PPO) PPO 129 615 Enhanced H5525 034 0 9250
Pender Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Pender Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Pender Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Pender Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Pender Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Pender Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Pender Humana Humana Gold Plus H6622-061 (HMO-POS) HMO-POS 0 350 Enhanced H6622 061 0 9250
Pender Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Pender Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Pender Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Pender UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Pender UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Pender UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Pender UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Pender UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Pender UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Pender UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Perquimans Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Perquimans Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Perquimans Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Perquimans Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Perquimans BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Perquimans BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Perquimans BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Perquimans BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Perquimans BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Perquimans Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Perquimans Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Perquimans Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Perquimans Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Perquimans Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Perquimans Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Perquimans Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Perquimans Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Perquimans Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Perquimans UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Perquimans UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Perquimans UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Perquimans UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Perquimans UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Perquimans UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Perquimans UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Person Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 004 0 6750
Person Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Person Aetna Medicare Aetna Medicare Enhanced (HMO) HMO 63 615 Enhanced H3146 039 0 5900
Person Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Person Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Person Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Person Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Person BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Person BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Person BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Person BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Person BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Person BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Person Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Person Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Person Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Person Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Person Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Person Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Person HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Person HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Person Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Person Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Person Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Person Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Person Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Person Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Person Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Person Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Person Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Person Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Person Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Person Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Person Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Person Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Person UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Person UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Person UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Person UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Person UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Person UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Person UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Person Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Person Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Person Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Person Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Person Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Pitt Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Pitt Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Pitt BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Pitt BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Pitt BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Pitt BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Pitt BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Pitt BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Pitt Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Pitt Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Pitt Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Pitt Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Pitt Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Pitt UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Pitt UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Pitt UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Pitt UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Pitt UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Pitt UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Pitt UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Pitt UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Pitt UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Polk Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Polk Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Polk Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Polk Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Polk BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Polk BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Polk BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Polk BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Polk BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Polk BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Polk Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Polk Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Polk Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Polk Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Polk Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Polk Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Polk Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Polk Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Polk Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Polk Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Polk Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Polk Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Polk Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Polk Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Polk Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Polk Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Polk Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Polk Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Polk Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Polk Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Polk UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Polk UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Polk UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Polk UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Polk UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Polk UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Polk Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Polk Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Polk Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Polk Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Polk Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Randolph Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Randolph Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Randolph Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Randolph Aetna Medicare Aetna Medicare Enhanced (HMO) HMO 63 615 Enhanced H3146 039 0 5900
Randolph Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Randolph Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Randolph Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Randolph Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Randolph BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Randolph BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Randolph BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Randolph BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Randolph BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Randolph BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Randolph BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Randolph Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Randolph Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Randolph Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Randolph Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Randolph Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Randolph Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Randolph Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Randolph Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Randolph Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Randolph Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Randolph HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Randolph HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Randolph HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Randolph HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Randolph Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Randolph Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Randolph Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Randolph Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Randolph Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Randolph Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Randolph Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Randolph Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Randolph Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Randolph Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Randolph Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Randolph Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Randolph Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Randolph UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Randolph UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Randolph UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Randolph UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Randolph UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Randolph UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Randolph UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Randolph UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Randolph Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Randolph Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Randolph Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Randolph Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Randolph Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Richmond Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Richmond Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Richmond Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Richmond Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Richmond Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Richmond BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Richmond BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Richmond BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Richmond BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Richmond BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Richmond BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Richmond HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Richmond HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Richmond Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Richmond Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Richmond Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Richmond Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Richmond Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Richmond Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Richmond Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Richmond Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Richmond Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Richmond Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Richmond Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Richmond Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Richmond Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Richmond UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Richmond UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Richmond UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Richmond UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Richmond UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Richmond UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Richmond UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Richmond Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Richmond Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Richmond Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Richmond Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Richmond Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Robeson Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Robeson Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Robeson Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Robeson Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Robeson BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Robeson BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Robeson BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Robeson BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Robeson BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Robeson BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Robeson Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Robeson Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Robeson Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Robeson Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Robeson Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Robeson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Robeson Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Robeson Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Robeson Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Robeson Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Robeson Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Robeson Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Robeson UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Robeson UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Robeson UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Robeson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Robeson UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Robeson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Robeson UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Robeson Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Robeson Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Robeson Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Robeson Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Robeson Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Rockingham Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Rockingham Aetna Medicare Aetna Medicare Enhanced (HMO) HMO 63 615 Enhanced H3146 039 0 5900
Rockingham Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Rockingham Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Rockingham Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Rockingham Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Rockingham BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Rockingham BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Rockingham BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Rockingham BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Rockingham BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Rockingham BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Rockingham BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Rockingham Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Rockingham Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Rockingham Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Rockingham Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Rockingham Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Rockingham Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Rockingham Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Rockingham Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Rockingham Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Rockingham Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Rockingham HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Rockingham HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Rockingham HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Rockingham HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Rockingham Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Rockingham Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Rockingham Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Rockingham Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Rockingham Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Rockingham Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Rockingham Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Rockingham Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Rockingham Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Rockingham Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Rockingham Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Rockingham Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Rockingham Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Rockingham UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Rockingham UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Rockingham UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Rockingham UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Rockingham UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Rockingham UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Rockingham UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Rockingham UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Rockingham Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Rockingham Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Rockingham Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Rockingham Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Rockingham Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Rowan Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Rowan Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Rowan Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Rowan Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Rowan Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Rowan BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Rowan BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Rowan BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Rowan BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Rowan BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Rowan BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Rowan Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Rowan Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Rowan Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Rowan Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Rowan Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Rowan Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Rowan Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Rowan Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Rowan Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Rowan HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Rowan HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Rowan Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Rowan Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Rowan Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Rowan Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Rowan Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Rowan Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Rowan Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Rowan Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Rowan Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Rowan Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Rowan Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Rowan Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Rowan Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Rowan Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Rowan Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Rowan UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Rowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Rowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Rowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Rowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Rowan UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Rowan UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Rowan UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Rowan Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Rowan Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Rowan Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Rowan Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Rowan Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Rutherford Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Rutherford Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Rutherford Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Rutherford Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Rutherford BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Rutherford BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Rutherford BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Rutherford BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Rutherford BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Rutherford BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Rutherford Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Rutherford Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Rutherford Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Rutherford Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Rutherford Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Rutherford Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Rutherford Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Rutherford Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Rutherford Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Rutherford Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Rutherford Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Rutherford Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Rutherford Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Rutherford Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Rutherford Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Rutherford Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Rutherford Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Rutherford UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Rutherford UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Rutherford UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Rutherford UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Rutherford UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Rutherford UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Rutherford Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Rutherford Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Rutherford Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Rutherford Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Rutherford Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Sampson Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Sampson Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 20 615 Enhanced H5521 169 0 5900
Sampson Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Sampson Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Sampson Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Sampson BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Sampson BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Sampson BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Sampson BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Sampson BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Sampson BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Sampson Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Sampson Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Sampson Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Sampson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Sampson Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Sampson Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Sampson Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Sampson Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Sampson Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Sampson Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Sampson UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Sampson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Sampson UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Sampson UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Sampson UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Sampson Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Sampson Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Sampson Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Sampson Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Sampson Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Scotland Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Scotland Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Scotland BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Scotland BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Scotland BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Scotland BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Scotland BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Scotland BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Scotland HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Scotland HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Scotland Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Scotland Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Scotland Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Scotland Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Scotland Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Scotland Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Scotland Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Scotland Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Scotland Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Scotland Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Scotland Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Scotland UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Scotland UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Scotland UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Scotland UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Scotland UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Scotland UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Scotland UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Scotland UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Scotland UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Scotland Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Scotland Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Scotland Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Scotland Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Scotland Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Stanly Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Stanly Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Stanly Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Stanly Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Stanly Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Stanly BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Stanly BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Stanly BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Stanly BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Stanly BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Stanly BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Stanly Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Stanly Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Stanly Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Stanly Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Stanly Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Stanly Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Stanly Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Stanly Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Stanly Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Stanly Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Stanly Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Stanly Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Stanly Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Stanly Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Stanly Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Stanly UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Stanly UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Stanly UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Stanly UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Stanly UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Stanly UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Stanly UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Stanly UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Stanly UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Stanly Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Stanly Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Stanly Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Stanly Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Stanly Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Stokes Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Stokes Aetna Medicare Aetna Medicare Enhanced (HMO) HMO 63 615 Enhanced H3146 039 0 5900
Stokes Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Stokes Aetna Medicare Aetna Medicare Signature Extra (PPO) PPO 0 500 Enhanced H5521 170 0 5900
Stokes Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Stokes Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Stokes BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Stokes BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Stokes BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Stokes BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Stokes BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Stokes BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Stokes Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Stokes Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Stokes Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Stokes Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Stokes Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Stokes Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Stokes Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Stokes Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Stokes Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Stokes Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Stokes HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Stokes HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Stokes HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Stokes HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Stokes Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Stokes Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 1 3500
Stokes Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Stokes Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Stokes Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Stokes Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Stokes Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Stokes Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Stokes Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Stokes Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Stokes Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Stokes Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Stokes Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Stokes UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Stokes UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Stokes UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Stokes UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Stokes UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Stokes UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Stokes UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Stokes UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Stokes Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Stokes Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Stokes Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Stokes Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Stokes Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Surry Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Surry Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Surry Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Surry Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Surry BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Surry BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Surry BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Surry BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Surry BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Surry BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Surry Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Surry Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Surry Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Surry Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Surry Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Surry Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Surry Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Surry Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Surry Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Surry Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Surry Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Surry UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Surry UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Surry UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Surry UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Surry UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Surry UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Surry UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Surry Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Swain Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Swain Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Swain Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Swain Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Swain BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Swain BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Swain BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Swain BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Swain BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Swain BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Swain Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Swain Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Swain Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Swain Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Swain Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Swain Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Swain Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Swain Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Swain Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Swain Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Swain Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Swain Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Swain Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Swain Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Swain Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Swain Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Swain UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Swain UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Swain UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Swain UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Swain UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Swain UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Swain Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Swain Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Swain Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Swain Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Swain Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Transylvania Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Transylvania Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Transylvania Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Transylvania Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Transylvania Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Transylvania Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Transylvania Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Transylvania Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Transylvania BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Transylvania BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Transylvania BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Transylvania BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Transylvania BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Transylvania BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Transylvania Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Transylvania Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Transylvania Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Transylvania Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Transylvania Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Transylvania Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Transylvania Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Transylvania Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Transylvania Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Transylvania Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Transylvania Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Transylvania Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Transylvania Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Transylvania Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Transylvania Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Transylvania Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Transylvania Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Transylvania Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Transylvania Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Transylvania Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Transylvania UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Transylvania UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Transylvania UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Transylvania UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Transylvania UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Transylvania UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Transylvania Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Transylvania Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Transylvania Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Transylvania Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Transylvania Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Tyrrell Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Tyrrell Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Tyrrell Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Tyrrell Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Tyrrell BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Tyrrell BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Tyrrell BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Tyrrell BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Tyrrell BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Tyrrell Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Tyrrell Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Tyrrell Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Tyrrell Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Tyrrell Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Tyrrell Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Tyrrell Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Tyrrell Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Tyrrell Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Tyrrell Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Tyrrell UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Tyrrell UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Tyrrell UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Tyrrell UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Tyrrell UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Tyrrell UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Tyrrell UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Tyrrell Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Tyrrell Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Tyrrell Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Tyrrell Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Union Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 001 0 5500
Union Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Union Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Union Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Union Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Union BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Union BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Union BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Union BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Union BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Union BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Union Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 1 5700
Union Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Union Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 1 3450
Union Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Union Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 1 6000
Union Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 13 200 Enhanced H9725 017 1 3200
Union Devoted Health DEVOTED GIVEBACK 012 NC (HMO) HMO 0 605 Enhanced H5299 012 0 8900
Union Devoted Health DEVOTED CHOICE 001 NC (PPO) PPO 0 370 Enhanced H9700 001 0 5400
Union Devoted Health DEVOTED CHOICE GIVEBACK 002 NC (PPO) PPO 0 605 Enhanced H9700 002 0 8000
Union Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Union HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Union HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Union Humana Humana Gold Plus H1036-137 (HMO-POS) HMO-POS 0 350 Enhanced H1036 137 0 9250
Union Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Union Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Union Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Union Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Union Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Union Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Union Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Union Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Union Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Union Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Union Humana Humana Gold Plus H6622-057 (HMO-POS) HMO-POS 0 615 Enhanced H6622 057 0 9250
Union Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Union Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Union Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Union UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Union UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Union UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Union UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Union UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Union UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Union UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Union Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Union Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Union Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Union Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Union Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Vance Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Vance Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Vance Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Vance Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Vance Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Vance BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Vance BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Vance BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Vance BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Vance BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Vance BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Vance Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Vance Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Vance Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Vance Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Vance Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Vance Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Vance Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Vance Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Vance Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Vance Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Vance Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Vance Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Vance Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Vance UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Vance UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Vance UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Vance UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Vance UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Vance Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Vance Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Vance Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Vance Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Vance Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Wake Aetna Medicare Aetna Medicare Signature (HMO) HMO 0 615 Enhanced H3146 004 0 6750
Wake Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Wake Aetna Medicare Aetna Medicare Signature Care (HMO) HMO 0 615 Enhanced H3146 021 0 6350
Wake Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Wake Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 609 0 6750
Wake Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Wake Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Wake Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Wake Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Wake BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Wake BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Wake BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Wake BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Wake BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Wake BCBS of NC Blue Medicare Choice (HMO) HMO 0 615 Enhanced H3449 026 0 4200
Wake BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Wake Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 4 5450
Wake Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Wake Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 4 3550
Wake Cigna HealthCare HealthSpring Preferred Select (HMO) HMO 0 295 Enhanced H9725 014 0 3200
Wake Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 4 6700
Wake Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 4 3300
Wake Experience Health Experience Health Medicare Advantage (HMO) HMO 6.9 615 Enhanced H3777 002 0 6500
Wake Humana Humana Gold Plus H1036-233 (HMO-POS) HMO-POS 0 350 Enhanced H1036 233 0 9250
Wake Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Wake Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Wake Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Wake Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Wake Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Wake Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Wake Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Wake Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Wake Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Wake Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Wake Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Wake UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Wake UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Wake UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Wake UnitedHealthcare AARP Medicare Advantage from UHC NC-0007 (HMO-POS) HMO-POS 0 520 Enhanced H5253 039 0 6200
Wake UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Wake UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) HMO-POS 0 600 Enhanced H5253 110 0 9250
Wake UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Wake Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Wake Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Wake Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Wake Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Wake Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Warren Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Warren Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Warren Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Warren Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Warren Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Warren BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Warren BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Warren BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Warren BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Warren BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Warren BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Warren Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Warren Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Warren Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Warren Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Warren Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Warren Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Warren Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Warren Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Warren Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Warren Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Warren Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Warren UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Warren UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Warren UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Warren UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Warren UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Warren UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Warren UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Warren Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Warren Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Warren Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Warren Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Warren Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Washington Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Washington Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Washington Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 243 0 6750
Washington Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Washington BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Washington BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Washington BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Washington BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Washington BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Washington BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Washington Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Washington Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Washington Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Washington Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Washington Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Washington Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Washington Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Washington Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Washington Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Washington UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Washington UnitedHealthcare AARP Medicare Advantage from UHC NC-0001 (PPO) PPO 0 440 Enhanced H2001 090 0 6700
Washington UnitedHealthcare AARP Medicare Advantage from UHC NC-0004 (PPO) PPO 29 440 Enhanced H2001 102 0 6200
Washington UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Washington UnitedHealthcare AARP Medicare Advantage from UHC NC-0019 (PPO) PPO 25 520 Enhanced H2406 115 0 6700
Washington UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Washington UnitedHealthcare AARP Medicare Advantage from UHC NC-26 (HMO-POS) HMO-POS 0 440 Enhanced H5253 187 0 5400
Watauga Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Watauga Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Watauga Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Watauga BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Watauga BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Watauga BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Watauga BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Watauga BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Watauga BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Watauga Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Watauga Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Watauga Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Watauga Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Watauga Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Watauga Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Watauga Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Watauga Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Watauga Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Watauga Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Watauga Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Watauga Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Watauga Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Watauga Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Watauga Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Watauga UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Watauga UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) PPO N/A N/A N/A H2001 103 0 8900
Watauga UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Watauga UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Watauga Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Watauga Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Watauga Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Watauga Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Watauga Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Wayne Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Wayne Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Wayne BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Wayne BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Wayne BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Wayne BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Wayne BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Wayne BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Wayne Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Wayne Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Wayne Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Wayne Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Wayne Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Wayne Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Wayne Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Wayne Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Wayne Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Wayne Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Wayne UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Wayne UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Wayne UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Wayne UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Wayne UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Wilkes Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Wilkes Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Wilkes Aetna Medicare Aetna Medicare Enhanced (PPO) PPO 21 615 Enhanced H5521 139 0 6750
Wilkes Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Wilkes Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Wilkes Alignment Health Plan Alignment Health Platinum (HMO) HMO 0 0 Enhanced H5296 003 0 3900
Wilkes Alignment Health Plan Alignment Health smartHMO (HMO) HMO 0 615 Enhanced H5296 006 0 3400
Wilkes Alignment Health Plan Alignment Health Platinum Select (HMO) HMO 0 225 Enhanced H5296 010 0 5900
Wilkes Alignment Health Plan Alignment Health AVA (PPO) PPO 10 0 Enhanced H7074 001 0 3900
Wilkes BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Wilkes BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Wilkes BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Wilkes BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 4 6750
Wilkes BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Wilkes BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Wilkes Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Wilkes Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Wilkes Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Wilkes Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Wilkes Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Wilkes Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Wilkes Devoted Health DEVOTED CHOICE 008 NC (PPO) PPO 0 270 Enhanced H9700 008 0 5900
Wilkes Devoted Health DEVOTED CHOICE GIVEBACK 009 NC (PPO) PPO 0 605 Enhanced H9700 009 0 9250
Wilkes HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Wilkes HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Wilkes Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Wilkes Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Wilkes Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Wilkes Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Wilkes Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Wilkes Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Wilkes Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Wilkes Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Wilkes Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Wilkes Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Wilkes Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Wilkes UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Wilkes UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Wilkes UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Wilkes UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Wilkes UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Wilkes UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Wilkes UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Wilkes Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Wilkes Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Wilkes Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Wilkes Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Wilkes Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Wilson Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Wilson Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Wilson BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Wilson BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Wilson BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Wilson BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 5 7450
Wilson BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 47 100 Enhanced H3449 024 3 4200
Wilson BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Wilson Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Wilson Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Wilson Humana HumanaChoice H5525-049 (PPO) PPO 29 350 Enhanced H5525 049 0 9250
Wilson Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Wilson Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Wilson Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Wilson Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Wilson Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Wilson Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Wilson Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Wilson UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Wilson UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Wilson UnitedHealthcare AARP Medicare Advantage from UHC NC-0011 (HMO-POS) HMO-POS 0 520 Enhanced H5253 103 0 6700
Wilson UnitedHealthcare AARP Medicare Advantage from UHC NC-0012 (HMO-POS) HMO-POS 54 520 Enhanced H5253 104 0 5900
Wilson UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Wilson Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Yadkin Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Yadkin Aetna Medicare Aetna Medicare Prime (HMO) HMO 0 615 Enhanced H3146 007 0 5200
Yadkin Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 500 Enhanced H5521 081 0 5900
Yadkin Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Yadkin Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Yadkin BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 35 100 Enhanced H3404 003 1 6300
Yadkin BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Yadkin BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Yadkin BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 1 4900
Yadkin BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 30 100 Enhanced H3449 024 1 4200
Yadkin BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 1 9250
Yadkin Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 3 4900
Yadkin Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Yadkin Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 3 3500
Yadkin Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 3 6700
Yadkin Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 14 200 Enhanced H9725 017 3 3250
Yadkin Devoted Health DEVOTED CORE 001 NC (HMO) HMO 0 395 Enhanced H5299 001 0 3600
Yadkin Devoted Health DEVOTED GIVEBACK 002 NC (HMO) HMO 0 605 Enhanced H5299 002 0 6700
Yadkin Devoted Health DEVOTED CHOICE 003 NC (PPO) PPO 0 370 Enhanced H9700 003 0 4500
Yadkin Devoted Health DEVOTED CHOICE GIVEBACK 004 NC (PPO) PPO 0 605 Enhanced H9700 004 0 8000
Yadkin Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Yadkin HealthTeam Advantage HealthTeam Advantage Plan I (PPO) PPO 0 250 Enhanced H9808 004 0 3900
Yadkin HealthTeam Advantage HealthTeam Advantage Plan II (PPO) PPO 40 150 Enhanced H9808 005 0 3700
Yadkin HealthTeam Advantage HealthTeam Advantage Eagle Plan (PPO) PPO N/A N/A N/A H9808 009 0 4500
Yadkin HealthTeam Advantage HealthTeam Advantage Vitality Plan (PPO) PPO 0 300 Enhanced H9808 010 0 4200
Yadkin Humana Humana Gold Plus Giveback H1036-318 (HMO-POS) HMO-POS 0 450 Enhanced H1036 318 0 9250
Yadkin Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 1 3500
Yadkin Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Yadkin Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Yadkin Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Yadkin Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Yadkin Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Yadkin Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Yadkin Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Yadkin Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Yadkin Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Yadkin Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Yadkin Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Yadkin UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Yadkin UnitedHealthcare AARP Medicare Advantage from UHC NC-0016 (PPO) PPO 53 520 Enhanced H2406 034 0 4200
Yadkin UnitedHealthcare AARP Medicare Advantage from UHC NC-0017 (PPO) PPO 0 600 Enhanced H2406 098 0 6200
Yadkin UnitedHealthcare AARP Medicare Advantage from UHC NC-0021 (HMO-POS) HMO-POS 37 355 Enhanced H5253 037 0 4200
Yadkin UnitedHealthcare AARP Medicare Advantage from UHC NC-0022 (HMO-POS) HMO-POS 0 440 Enhanced H5253 038 0 5400
Yadkin UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Yadkin UnitedHealthcare AARP Medicare Advantage from UHC NC-0015 (HMO-POS) HMO-POS 0 440 Enhanced H5253 117 0 4200
Yadkin Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Yadkin Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Yadkin Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Yadkin Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Yadkin Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
Yancey Aetna Medicare Aetna Medicare Value Plus (HMO) HMO 32.2 615 Enhanced H3146 006 0 5500
Yancey Aetna Medicare Aetna Medicare Signature (PPO) PPO 0 615 Enhanced H5521 236 0 6750
Yancey Aetna Medicare Aetna Medicare Eagle Giveback (PPO) PPO N/A N/A N/A H5521 241 0 6750
Yancey Aetna Medicare Aetna Medicare Signature Giveback (PPO) PPO 0 615 Enhanced H5521 348 0 7500
Yancey BCBS of NC Blue Medicare PPO Enhanced (PPO) PPO 53 100 Enhanced H3404 003 2 6300
Yancey BCBS of NC Blue Medicare Freedom+ (PPO) PPO N/A N/A N/A H3404 004 0 9250
Yancey BCBS of NC Blue Medicare Medical Only (HMO-POS) HMO-POS N/A N/A N/A H3449 012 0 3900
Yancey BCBS of NC Blue Medicare Essential Plus (HMO-POS) HMO-POS 0 615 Enhanced H3449 023 2 5400
Yancey BCBS of NC Blue Medicare Enhanced (HMO-POS) HMO-POS 40 100 Enhanced H3449 024 2 4200
Yancey BCBS of NC Blue Medicare Essential (HMO) HMO 0 615 Enhanced H3449 027 2 9250
Yancey Cigna HealthCare HealthSpring True Choice (PPO) PPO 0 615 Enhanced H7849 113 2 4350
Yancey Cigna HealthCare HealthSpring Courage (HMO) HMO N/A N/A N/A H9725 005 0 6750
Yancey Cigna HealthCare HealthSpring Preferred (HMO) HMO 0 295 Enhanced H9725 009 2 3500
Yancey Cigna HealthCare HealthSpring Preferred Savings (HMO) HMO 0 0 Enhanced H9725 015 2 6400
Yancey Cigna HealthCare HealthSpring Preferred Plus (HMO) HMO 11 200 Enhanced H9725 017 2 3200
Yancey Devoted Health DEVOTED CHOICE 005 NC (PPO) PPO 0 370 Enhanced H9700 005 0 5300
Yancey Devoted Health DEVOTED CHOICE GIVEBACK 006 NC (PPO) PPO 0 605 Enhanced H9700 006 0 8000
Yancey Devoted Health DEVOTED CHOICE MA ONLY 007 NC (PPO) PPO N/A N/A N/A H9700 007 0 9250
Yancey Humana Humana Gold Plus H1036-335 (HMO-POS) HMO-POS 0 250 Enhanced H1036 335 2 3950
Yancey Humana HumanaChoice Giveback H5216-017 (PPO) PPO 0 450 Enhanced H5216 017 0 9250
Yancey Humana HumanaChoice H5216-211 (PPO) PPO 54 615 Enhanced H5216 211 0 9250
Yancey Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5216 343 0 9250
Yancey Humana HumanaChoice Giveback H5525-035 (PPO) PPO 0 450 Enhanced H5525 035 0 9250
Yancey Humana HumanaChoice H5525-050 (PPO) PPO 0 350 Enhanced H5525 050 0 9250
Yancey Humana Humana USAA Honor Giveback (PPO) PPO N/A N/A N/A H5525 065 0 9250
Yancey Humana HumanaChoice H5525-070 (PPO) PPO 24 615 Enhanced H5525 070 0 9250
Yancey Humana HumanaChoice H5525-083 (PPO) PPO 0 450 Enhanced H5525 083 0 9250
Yancey Humana Humana Gold Plus H6622-025 (HMO-POS) HMO-POS 0 350 Enhanced H6622 025 0 9250
Yancey Humana Humana Gold Plus H6622-026 (HMO-POS) HMO-POS 34.8 350 Enhanced H6622 026 0 9250
Yancey Humana Humana Gold Choice H8145-004 (PFFS) PFFS 7 615 Enhanced H8145 004 0 7550
Yancey Humana HumanaChoice R0110-004 (Regional PPO) Regional PPO N/A N/A N/A R0110 004 0 7000
Yancey Humana Humana Full Access R0110-005 (Regional PPO) Regional PPO 117 615 Enhanced R0110 005 0 9250
Yancey Humana Humana USAA Honor Giveback (Regional PPO) Regional PPO N/A N/A N/A R0110 006 0 9250
Yancey Troy Medicare Troy Medicare (HMO) HMO 0 0 Enhanced H4676 001 0 3950
Yancey UnitedHealthcare AARP Medicare Advantage Access from UHC NC-23 (PPO) PPO 255 600 Enhanced H2001 084 0 3000
Yancey UnitedHealthcare AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) HMO-POS N/A N/A N/A H5253 040 0 7900
Yancey UnitedHealthcare AARP Medicare Advantage from UHC NC-0008 (HMO-POS) HMO-POS 0 520 Enhanced H5253 079 0 6700
Yancey UnitedHealthcare AARP Medicare Advantage from UHC NC-0009 (HMO-POS) HMO-POS 48 440 Enhanced H5253 080 0 5400
Yancey UnitedHealthcare AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) HMO-POS 0 600 Enhanced H5253 105 0 8900
Yancey UnitedHealthcare AARP Medicare Advantage from UHC NC-24 (HMO-POS) HMO-POS 0 520 Enhanced H5253 185 0 5400
Yancey Wellcare Wellcare Simple Open (PPO) PPO 0 615 Enhanced H1914 007 0 4300
Yancey Wellcare Wellcare Assist Open (PPO) PPO 31 480 Basic H1914 009 0 4201
Yancey Wellcare Wellcare Giveback Open (PPO) PPO 0 615 Enhanced H1914 010 0 8300
Yancey Wellcare Wellcare Patriot Giveback Open (PPO) PPO N/A N/A N/A H1914 011 0 8850
Yancey Wellcare Wellcare Simple (HMO-POS) HMO-POS 0 615 Enhanced H4073 001 0 4200
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This page was last modified on 04/07/2026