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 | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Alamance | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Alamance | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | $63.00 | $615.00 | Enhanced | H3146 | 039 | 0 | $5,900.00 |
| Alamance | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Alamance | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Alamance | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Alamance | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Alamance | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Alamance | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Alamance | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Alamance | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Alamance | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Alamance | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Alamance | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Alamance | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 4 | $5,450.00 |
| Alamance | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Alamance | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 4 | $3,550.00 |
| Alamance | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Alamance | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 4 | $6,700.00 |
| Alamance | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 4 | $3,300.00 |
| Alamance | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Alamance | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Alamance | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Alamance | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Alamance | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Alamance | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Alamance | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Alamance | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Alamance | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Alamance | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Alamance | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Alamance | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Alamance | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Alamance | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Alamance | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Alamance | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Alamance | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Alamance | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Alamance | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Alamance | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Alamance | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Alamance | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Alamance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Alamance | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Alamance | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Alamance | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Alamance | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Alamance | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Alexander | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Alexander | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Alexander | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Alexander | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Alexander | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Alexander | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Alexander | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Alexander | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Alexander | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Alexander | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Alexander | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Alexander | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Alexander | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Alexander | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Alexander | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Alexander | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Alexander | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Alexander | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Alexander | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Alexander | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Alexander | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Alexander | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Alexander | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Alexander | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Alexander | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Alexander | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Alexander | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Alexander | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Alexander | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Alexander | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Alexander | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Alexander | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Alexander | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Alexander | Humana | Humana Gold Plus H6622-057 (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H6622 | 057 | 0 | $9,250.00 |
| Alexander | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Alexander | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Alexander | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Alexander | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Alexander | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Alexander | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Alexander | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Alexander | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Alexander | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Alexander | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Alexander | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Alexander | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Alexander | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Alexander | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Alexander | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Alleghany | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Alleghany | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Alleghany | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Alleghany | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Alleghany | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Alleghany | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Alleghany | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Alleghany | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Alleghany | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Alleghany | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Alleghany | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Alleghany | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Alleghany | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Alleghany | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Alleghany | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Alleghany | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| Alleghany | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| Alleghany | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Alleghany | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Alleghany | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Alleghany | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Alleghany | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Alleghany | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Alleghany | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Alleghany | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Alleghany | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Alleghany | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Alleghany | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Alleghany | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Alleghany | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Alleghany | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Alleghany | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Alleghany | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Alleghany | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Alleghany | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Alleghany | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Alleghany | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Alleghany | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Anson | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Anson | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Anson | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Anson | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Anson | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Anson | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Anson | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Anson | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Anson | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Anson | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Anson | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Anson | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Anson | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Anson | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Anson | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Anson | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Anson | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Anson | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Anson | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Anson | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Anson | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Anson | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Anson | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Anson | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Anson | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Anson | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Anson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Anson | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Anson | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Anson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Anson | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Anson | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Anson | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Anson | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Anson | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Anson | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Anson | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Anson | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Anson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Anson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Anson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Anson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Anson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Anson | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Anson | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Anson | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Anson | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Anson | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Ashe | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Ashe | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Ashe | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Ashe | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Ashe | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Ashe | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Ashe | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Ashe | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Ashe | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Ashe | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Ashe | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| Ashe | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| Ashe | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Ashe | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Ashe | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Ashe | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Ashe | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Ashe | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Ashe | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Ashe | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Ashe | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Ashe | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Ashe | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Ashe | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Ashe | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Ashe | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Ashe | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Ashe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Ashe | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Ashe | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Ashe | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Ashe | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Ashe | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Avery | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Avery | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Avery | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Avery | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Avery | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Avery | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Avery | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Avery | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Avery | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Avery | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Avery | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Avery | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Avery | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Avery | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Avery | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Avery | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Avery | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Avery | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Avery | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Avery | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Avery | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Avery | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Avery | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Avery | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Avery | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Avery | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Avery | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Avery | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Avery | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Avery | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Avery | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Avery | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Avery | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Avery | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Avery | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Avery | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Avery | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Avery | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Avery | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Avery | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Avery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Avery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Avery | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Avery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Avery | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Avery | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Avery | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Avery | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Avery | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Beaufort | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Beaufort | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Beaufort | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Beaufort | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Beaufort | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Beaufort | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Beaufort | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Beaufort | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Beaufort | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Beaufort | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Beaufort | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Beaufort | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Beaufort | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Beaufort | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Beaufort | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Beaufort | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Beaufort | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Beaufort | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Beaufort | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Beaufort | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Beaufort | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Beaufort | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Beaufort | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Beaufort | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Bertie | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Bertie | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Bertie | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Bertie | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Bertie | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Bertie | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Bertie | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Bertie | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Bertie | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Bertie | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Bertie | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Bertie | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Bertie | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Bertie | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Bertie | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Bertie | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Bertie | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Bertie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Bertie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Bertie | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Bertie | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Bertie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Bladen | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Bladen | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Bladen | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Bladen | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Bladen | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Bladen | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Bladen | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Bladen | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Bladen | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Bladen | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Bladen | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Bladen | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Bladen | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| Bladen | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| Bladen | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Bladen | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Bladen | Humana | Humana Full Access H5525-034 (PPO) | PPO | $129.00 | $615.00 | Enhanced | H5525 | 034 | 0 | $9,250.00 |
| Bladen | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Bladen | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Bladen | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Bladen | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Bladen | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Bladen | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Bladen | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 061 | 0 | $9,250.00 |
| Bladen | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Bladen | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Bladen | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Bladen | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Bladen | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Bladen | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Bladen | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Bladen | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Bladen | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Bladen | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Bladen | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Bladen | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Bladen | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Bladen | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Bladen | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Brunswick | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Brunswick | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Brunswick | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Brunswick | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Brunswick | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Brunswick | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Brunswick | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Brunswick | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Brunswick | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Brunswick | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Brunswick | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Brunswick | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Brunswick | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| Brunswick | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| Brunswick | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Brunswick | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Brunswick | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 1 | $3,500.00 |
| Brunswick | Humana | Humana Full Access H5525-034 (PPO) | PPO | $129.00 | $615.00 | Enhanced | H5525 | 034 | 0 | $9,250.00 |
| Brunswick | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Brunswick | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Brunswick | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Brunswick | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Brunswick | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Brunswick | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Brunswick | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 061 | 0 | $9,250.00 |
| Brunswick | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Brunswick | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Brunswick | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Brunswick | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Brunswick | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Brunswick | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Brunswick | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Brunswick | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Brunswick | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Buncombe | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Buncombe | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Buncombe | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Buncombe | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Buncombe | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Buncombe | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Buncombe | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Buncombe | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Buncombe | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Buncombe | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Buncombe | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Buncombe | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Buncombe | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Buncombe | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Buncombe | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Buncombe | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Buncombe | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Buncombe | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Buncombe | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Buncombe | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Buncombe | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Buncombe | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Buncombe | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Buncombe | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Buncombe | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Buncombe | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Buncombe | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Buncombe | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Buncombe | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Buncombe | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Buncombe | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Buncombe | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Buncombe | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Buncombe | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Buncombe | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Buncombe | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Buncombe | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Buncombe | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Buncombe | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Buncombe | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Buncombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Buncombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Buncombe | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Buncombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Buncombe | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Buncombe | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Buncombe | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Buncombe | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Buncombe | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Burke | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Burke | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Burke | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Burke | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Burke | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Burke | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Burke | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Burke | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Burke | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Burke | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Burke | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Burke | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Burke | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Burke | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Burke | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Burke | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Burke | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Burke | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Burke | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Burke | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Burke | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Burke | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Burke | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Burke | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Burke | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Burke | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Burke | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Burke | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Burke | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Burke | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Burke | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Burke | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Burke | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Burke | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Burke | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Burke | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Burke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Burke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Burke | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Burke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Burke | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Burke | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Burke | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Burke | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Burke | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Cabarrus | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Cabarrus | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Cabarrus | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Cabarrus | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Cabarrus | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Cabarrus | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Cabarrus | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Cabarrus | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Cabarrus | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Cabarrus | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Cabarrus | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Cabarrus | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Cabarrus | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Cabarrus | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Cabarrus | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Cabarrus | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Cabarrus | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Cabarrus | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Cabarrus | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Cabarrus | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Cabarrus | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Cabarrus | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Cabarrus | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Cabarrus | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Cabarrus | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Cabarrus | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Cabarrus | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Cabarrus | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Cabarrus | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Cabarrus | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Cabarrus | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Cabarrus | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Cabarrus | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Cabarrus | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Cabarrus | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Cabarrus | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Cabarrus | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Cabarrus | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Cabarrus | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Cabarrus | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Cabarrus | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Cabarrus | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Cabarrus | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Cabarrus | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Caldwell | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Caldwell | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Caldwell | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Caldwell | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Caldwell | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Caldwell | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Caldwell | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Caldwell | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Caldwell | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Caldwell | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Caldwell | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Caldwell | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Caldwell | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Caldwell | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Caldwell | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Caldwell | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Caldwell | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Caldwell | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Caldwell | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Caldwell | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Caldwell | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Caldwell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Caldwell | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Caldwell | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Caldwell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Caldwell | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Caldwell | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Caldwell | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Caldwell | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Caldwell | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Caldwell | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Caldwell | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Caldwell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Caldwell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Caldwell | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Caldwell | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Caldwell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Caldwell | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Caldwell | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Caldwell | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Caldwell | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Caldwell | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Camden | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Camden | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Camden | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Camden | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Camden | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Camden | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Camden | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Camden | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Camden | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Camden | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Camden | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Camden | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Camden | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Camden | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Camden | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Camden | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Camden | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Camden | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Camden | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Camden | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Camden | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Camden | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Camden | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Carteret | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Carteret | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Carteret | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Carteret | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Carteret | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Carteret | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Carteret | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Carteret | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Carteret | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Carteret | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Carteret | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Carteret | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Caswell | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Caswell | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Caswell | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Caswell | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Caswell | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Caswell | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Caswell | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Caswell | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Caswell | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Caswell | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Caswell | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Caswell | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Caswell | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Caswell | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Caswell | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Caswell | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Caswell | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Caswell | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Caswell | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Caswell | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Caswell | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Caswell | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Caswell | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Caswell | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Caswell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Caswell | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Caswell | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Caswell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Caswell | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Caswell | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Caswell | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Caswell | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Caswell | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Caswell | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Caswell | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Caswell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Caswell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Caswell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Caswell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Caswell | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Caswell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Caswell | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Caswell | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Caswell | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Caswell | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Caswell | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Catawba | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Catawba | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Catawba | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Catawba | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Catawba | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Catawba | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Catawba | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Catawba | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Catawba | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Catawba | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Catawba | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Catawba | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Catawba | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Catawba | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Catawba | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Catawba | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Catawba | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Catawba | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Catawba | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Catawba | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Catawba | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Catawba | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Catawba | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Catawba | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Catawba | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Catawba | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Catawba | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Catawba | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Catawba | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Catawba | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Catawba | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Catawba | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Catawba | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Catawba | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Catawba | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Catawba | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Catawba | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Catawba | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Catawba | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Catawba | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Catawba | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Catawba | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Catawba | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Chatham | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Chatham | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Chatham | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Chatham | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Chatham | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Chatham | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Chatham | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Chatham | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Chatham | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Chatham | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Chatham | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Chatham | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Chatham | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Chatham | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Chatham | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Chatham | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 4 | $5,450.00 |
| Chatham | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Chatham | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 4 | $3,550.00 |
| Chatham | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 4 | $6,700.00 |
| Chatham | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 4 | $3,300.00 |
| Chatham | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Chatham | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Chatham | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Chatham | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Chatham | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Chatham | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Chatham | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Chatham | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Chatham | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Chatham | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Chatham | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Chatham | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Chatham | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Chatham | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Chatham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Chatham | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Chatham | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Chatham | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Chatham | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Chatham | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Cherokee | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Cherokee | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Cherokee | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Cherokee | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Cherokee | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Cherokee | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Cherokee | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Cherokee | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Cherokee | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Cherokee | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Cherokee | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Cherokee | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Cherokee | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Cherokee | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Cherokee | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Cherokee | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Cherokee | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Cherokee | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Cherokee | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Cherokee | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Cherokee | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Cherokee | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Cherokee | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Cherokee | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Cherokee | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Cherokee | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Cherokee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Cherokee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Cherokee | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Cherokee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Chowan | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Chowan | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Chowan | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Chowan | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Chowan | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Chowan | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Chowan | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Chowan | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Chowan | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Chowan | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Chowan | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Chowan | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Chowan | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Chowan | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Chowan | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Chowan | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Chowan | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Chowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Chowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Chowan | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Chowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Chowan | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Chowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Clay | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Clay | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Clay | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Clay | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Clay | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Clay | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Clay | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Clay | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Clay | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Clay | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Clay | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Clay | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Clay | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Clay | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Clay | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Clay | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Clay | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Clay | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Clay | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Clay | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Clay | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Clay | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Clay | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Clay | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Clay | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Clay | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Clay | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Clay | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Clay | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Clay | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Clay | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Clay | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Clay | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Clay | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Clay | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Clay | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Cleveland | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Cleveland | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Cleveland | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Cleveland | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Cleveland | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Cleveland | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Cleveland | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Cleveland | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Cleveland | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Cleveland | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Cleveland | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Cleveland | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Cleveland | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Cleveland | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Cleveland | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Cleveland | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Cleveland | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Cleveland | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Cleveland | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Cleveland | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Cleveland | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Cleveland | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Cleveland | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Cleveland | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Cleveland | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Cleveland | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Cleveland | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Cleveland | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Cleveland | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Cleveland | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Cleveland | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Cleveland | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Cleveland | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Cleveland | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Cleveland | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Cleveland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Cleveland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Cleveland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Cleveland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Cleveland | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Cleveland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Cleveland | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Cleveland | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Cleveland | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Cleveland | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Cleveland | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Columbus | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Columbus | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Columbus | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Columbus | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Columbus | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Columbus | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Columbus | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Columbus | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Columbus | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Columbus | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Columbus | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Columbus | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Columbus | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| Columbus | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| Columbus | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Columbus | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Columbus | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Columbus | Humana | Humana Full Access H5525-034 (PPO) | PPO | $129.00 | $615.00 | Enhanced | H5525 | 034 | 0 | $9,250.00 |
| Columbus | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Columbus | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Columbus | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Columbus | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Columbus | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Columbus | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Columbus | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 061 | 0 | $9,250.00 |
| Columbus | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Columbus | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Columbus | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Columbus | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Columbus | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Columbus | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Columbus | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Columbus | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Columbus | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Columbus | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Columbus | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Columbus | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Columbus | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Columbus | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Columbus | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Columbus | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Craven | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Craven | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Craven | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Craven | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Craven | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Craven | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Craven | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Craven | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Craven | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Craven | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Craven | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Craven | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Craven | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Craven | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Cumberland | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Cumberland | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Cumberland | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Cumberland | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Cumberland | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Cumberland | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Cumberland | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Cumberland | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Cumberland | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Cumberland | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Cumberland | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Cumberland | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Cumberland | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Cumberland | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Cumberland | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Cumberland | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Cumberland | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Cumberland | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Cumberland | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Cumberland | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Cumberland | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Cumberland | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Cumberland | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Cumberland | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Cumberland | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Cumberland | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Cumberland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Cumberland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Cumberland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Cumberland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Cumberland | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Cumberland | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Cumberland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Cumberland | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Cumberland | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Cumberland | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Cumberland | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Cumberland | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Currituck | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Currituck | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Currituck | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Currituck | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Currituck | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Currituck | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Currituck | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Currituck | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Currituck | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Currituck | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Currituck | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Currituck | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Currituck | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Currituck | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Currituck | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Currituck | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Currituck | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Currituck | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Currituck | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Currituck | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Currituck | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Currituck | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Currituck | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Currituck | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Currituck | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Currituck | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Currituck | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Dare | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Dare | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Dare | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Dare | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Dare | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Dare | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Dare | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Dare | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Dare | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Dare | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Dare | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Dare | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Dare | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Dare | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Dare | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Dare | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Dare | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Dare | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Dare | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Davidson | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Davidson | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Davidson | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Davidson | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | $63.00 | $615.00 | Enhanced | H3146 | 039 | 0 | $5,900.00 |
| Davidson | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Davidson | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Davidson | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Davidson | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Davidson | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Davidson | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Davidson | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Davidson | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Davidson | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Davidson | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Davidson | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Davidson | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Davidson | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Davidson | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Davidson | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Davidson | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Davidson | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Davidson | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Davidson | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Davidson | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Davidson | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Davidson | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Davidson | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Davidson | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Davidson | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Davidson | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Davidson | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Davidson | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Davidson | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Davidson | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Davidson | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 1 | $3,500.00 |
| Davidson | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Davidson | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Davidson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Davidson | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Davidson | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Davidson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Davidson | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Davidson | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Davidson | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Davidson | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Davidson | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Davidson | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Davidson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Davidson | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Davidson | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Davidson | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Davidson | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Davidson | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Davie | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Davie | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Davie | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Davie | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Davie | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Davie | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Davie | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Davie | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Davie | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Davie | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Davie | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Davie | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Davie | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Davie | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Davie | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Davie | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Davie | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Davie | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Davie | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Davie | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Davie | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Davie | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Davie | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Davie | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Davie | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Davie | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Davie | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Davie | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Davie | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Davie | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Davie | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 1 | $3,500.00 |
| Davie | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Davie | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Davie | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Davie | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Davie | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Davie | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Davie | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Davie | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Davie | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Davie | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Davie | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Davie | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Davie | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Davie | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Davie | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Davie | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Davie | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Davie | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Duplin | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Duplin | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Duplin | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Duplin | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Duplin | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Duplin | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Duplin | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Duplin | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Duplin | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Duplin | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Duplin | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Duplin | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Duplin | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Duplin | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Duplin | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Duplin | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Duplin | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Duplin | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Duplin | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Duplin | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Duplin | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Duplin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Duplin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Duplin | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Duplin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Duplin | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Duplin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Duplin | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Duplin | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Duplin | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Duplin | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Duplin | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Durham | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 004 | 0 | $6,750.00 |
| Durham | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Durham | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Durham | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Durham | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 609 | 0 | $6,750.00 |
| Durham | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Durham | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Durham | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Durham | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Durham | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Durham | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Durham | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 4 | $5,450.00 |
| Durham | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Durham | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 4 | $3,550.00 |
| Durham | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Durham | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 4 | $6,700.00 |
| Durham | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 4 | $3,300.00 |
| Durham | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Durham | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Durham | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Durham | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Durham | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Durham | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Durham | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Durham | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Durham | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Durham | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Durham | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Durham | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Durham | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Durham | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Durham | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Durham | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Durham | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Durham | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Durham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Durham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Durham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0007 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 039 | 0 | $6,200.00 |
| Durham | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Durham | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Durham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Durham | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Durham | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Durham | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Durham | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Durham | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Edgecombe | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Edgecombe | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Edgecombe | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Edgecombe | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Edgecombe | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Edgecombe | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Edgecombe | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Edgecombe | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Edgecombe | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Edgecombe | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Edgecombe | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Edgecombe | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Edgecombe | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Edgecombe | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Edgecombe | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Edgecombe | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Edgecombe | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Edgecombe | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Edgecombe | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Forsyth | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Forsyth | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Forsyth | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Forsyth | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Forsyth | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Forsyth | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Forsyth | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Forsyth | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Forsyth | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Forsyth | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Forsyth | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Forsyth | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Forsyth | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Forsyth | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Forsyth | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Forsyth | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Forsyth | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Forsyth | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Forsyth | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Forsyth | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Forsyth | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Forsyth | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Forsyth | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Forsyth | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Forsyth | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Forsyth | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Forsyth | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Forsyth | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Forsyth | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Forsyth | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Forsyth | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Forsyth | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Forsyth | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Forsyth | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Forsyth | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 1 | $3,500.00 |
| Forsyth | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Forsyth | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Forsyth | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Forsyth | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Forsyth | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Forsyth | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Forsyth | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Forsyth | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Forsyth | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Forsyth | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Forsyth | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Forsyth | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Forsyth | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Forsyth | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Forsyth | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Forsyth | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Forsyth | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Forsyth | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Franklin | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Franklin | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Franklin | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Franklin | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Franklin | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Franklin | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Franklin | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Franklin | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Franklin | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Franklin | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Franklin | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Franklin | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Franklin | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Franklin | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Franklin | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Franklin | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Franklin | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Franklin | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Franklin | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Franklin | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Franklin | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Franklin | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Franklin | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Franklin | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Franklin | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Franklin | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Franklin | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Franklin | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Franklin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Franklin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Franklin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Franklin | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Franklin | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Franklin | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Franklin | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Franklin | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Gaston | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Gaston | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Gaston | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Gaston | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Gaston | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Gaston | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Gaston | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Gaston | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Gaston | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Gaston | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Gaston | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Gaston | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Gaston | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Gaston | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Gaston | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Gaston | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Gaston | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Gaston | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Gaston | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Gaston | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Gaston | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Gaston | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Gaston | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Gaston | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Gaston | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Gaston | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Gaston | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Gaston | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Gaston | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Gaston | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Gaston | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Gaston | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Gaston | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Gaston | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Gaston | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Gaston | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Gaston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Gaston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Gaston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Gaston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Gaston | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Gaston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Gaston | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Gaston | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Gaston | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Gaston | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Gaston | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Gates | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Gates | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Gates | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Gates | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Gates | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Gates | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Gates | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Gates | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Gates | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Gates | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Gates | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Gates | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Gates | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Gates | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Gates | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Gates | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Gates | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Gates | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Gates | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Gates | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Gates | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Gates | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Gates | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Gates | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Gates | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Gates | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Gates | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Gates | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Graham | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Graham | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Graham | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Graham | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Graham | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Graham | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Graham | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Graham | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Graham | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Graham | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Graham | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Graham | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Graham | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Graham | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Graham | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Graham | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Graham | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Graham | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Graham | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Graham | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Graham | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Graham | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Graham | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Graham | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Graham | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Graham | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Graham | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Graham | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Graham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Graham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Graham | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Graham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Graham | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Graham | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Graham | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Graham | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Graham | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Granville | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Granville | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Granville | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Granville | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Granville | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Granville | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Granville | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Granville | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Granville | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Granville | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Granville | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Granville | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Granville | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Granville | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Granville | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Granville | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Granville | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Granville | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Granville | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Granville | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Granville | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Granville | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Granville | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Granville | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Granville | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Granville | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Granville | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Granville | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Granville | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Granville | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Granville | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Granville | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Granville | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Greene | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Greene | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Greene | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Greene | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Greene | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Greene | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Greene | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Greene | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Greene | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Greene | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Greene | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Greene | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Greene | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Greene | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Greene | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Greene | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Greene | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Greene | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Greene | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Greene | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Greene | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Greene | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Greene | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Greene | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Greene | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Guilford | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Guilford | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Guilford | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Guilford | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | $63.00 | $615.00 | Enhanced | H3146 | 039 | 0 | $5,900.00 |
| Guilford | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Guilford | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Guilford | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Guilford | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Guilford | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Guilford | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Guilford | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Guilford | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Guilford | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Guilford | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Guilford | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Guilford | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Guilford | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Guilford | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Guilford | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Guilford | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Guilford | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Guilford | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Guilford | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Guilford | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Guilford | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Guilford | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Guilford | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Guilford | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Guilford | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Guilford | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Guilford | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Guilford | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Guilford | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Guilford | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Guilford | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Guilford | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Guilford | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Guilford | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Guilford | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Guilford | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Guilford | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Guilford | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Guilford | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Guilford | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Guilford | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Guilford | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Guilford | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Guilford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Guilford | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Guilford | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Guilford | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Guilford | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Guilford | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Halifax | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Halifax | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Halifax | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Halifax | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Halifax | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Halifax | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Halifax | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Halifax | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Halifax | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Halifax | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Halifax | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Halifax | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Halifax | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Halifax | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Halifax | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Halifax | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Halifax | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Halifax | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Halifax | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Halifax | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Halifax | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Harnett | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Harnett | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Harnett | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Harnett | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Harnett | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Harnett | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Harnett | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Harnett | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Harnett | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Harnett | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Harnett | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Harnett | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Harnett | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Harnett | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Harnett | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Harnett | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Harnett | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Harnett | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Harnett | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Harnett | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Harnett | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Harnett | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Harnett | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Harnett | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Harnett | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Harnett | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Harnett | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Harnett | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Harnett | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Harnett | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Harnett | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Harnett | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Harnett | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Harnett | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Harnett | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Haywood | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Haywood | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Haywood | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Haywood | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Haywood | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Haywood | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Haywood | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Haywood | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Haywood | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Haywood | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Haywood | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Haywood | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Haywood | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Haywood | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Haywood | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Haywood | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Haywood | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Haywood | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Haywood | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Haywood | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Haywood | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Haywood | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Haywood | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Haywood | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Haywood | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Haywood | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Haywood | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Haywood | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Haywood | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Haywood | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Haywood | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Haywood | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Haywood | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Haywood | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Haywood | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Haywood | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Haywood | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Haywood | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Haywood | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Henderson | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Henderson | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Henderson | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Henderson | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Henderson | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Henderson | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Henderson | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Henderson | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Henderson | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Henderson | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Henderson | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Henderson | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Henderson | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Henderson | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Henderson | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Henderson | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Henderson | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Henderson | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Henderson | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Henderson | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Henderson | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Henderson | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Henderson | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Henderson | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Henderson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Henderson | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Henderson | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Henderson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Henderson | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Henderson | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Henderson | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Henderson | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Henderson | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Henderson | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Henderson | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Henderson | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Henderson | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Henderson | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Henderson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Henderson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Henderson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Henderson | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Henderson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Henderson | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Henderson | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Henderson | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Henderson | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Henderson | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Hertford | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Hertford | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Hertford | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Hertford | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Hertford | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Hertford | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Hertford | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Hertford | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Hertford | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Hertford | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Hertford | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Hertford | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Hertford | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Hertford | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Hertford | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Hertford | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Hertford | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Hertford | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Hertford | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Hertford | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Hertford | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Hertford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Hertford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Hertford | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Hertford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Hertford | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Hertford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Hoke | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Hoke | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Hoke | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Hoke | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Hoke | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Hoke | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Hoke | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Hoke | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Hoke | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Hoke | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Hoke | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Hoke | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Hoke | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Hoke | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Hoke | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Hoke | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Hoke | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Hoke | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Hoke | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Hoke | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Hoke | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Hoke | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Hoke | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Hoke | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Hoke | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Hoke | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Hoke | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Hoke | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Hoke | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Hyde | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Hyde | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Hyde | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Hyde | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Hyde | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Hyde | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Hyde | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Hyde | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Hyde | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Hyde | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Hyde | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Hyde | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Hyde | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Hyde | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Hyde | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Hyde | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Hyde | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Hyde | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Hyde | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Hyde | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Hyde | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Hyde | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Hyde | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Hyde | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Hyde | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Hyde | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Iredell | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Iredell | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Iredell | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Iredell | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Iredell | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Iredell | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Iredell | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Iredell | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Iredell | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Iredell | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Iredell | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Iredell | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Iredell | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Iredell | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Iredell | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Iredell | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Iredell | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Iredell | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Iredell | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Iredell | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Iredell | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Iredell | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Iredell | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Iredell | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Iredell | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Iredell | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Iredell | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Iredell | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Iredell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Iredell | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Iredell | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Iredell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Iredell | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Iredell | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Iredell | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Iredell | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Iredell | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Iredell | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Iredell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Iredell | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Iredell | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Iredell | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Iredell | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Iredell | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Jackson | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Jackson | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Jackson | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Jackson | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Jackson | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Jackson | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Jackson | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Jackson | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Jackson | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Jackson | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Jackson | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Jackson | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Jackson | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Jackson | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Jackson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Jackson | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Jackson | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Jackson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Jackson | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Jackson | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Jackson | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Jackson | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Jackson | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Jackson | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Jackson | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Jackson | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Jackson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Jackson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Jackson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Jackson | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Jackson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Jackson | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Jackson | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Jackson | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Jackson | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Jackson | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Johnston | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 004 | 0 | $6,750.00 |
| Johnston | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Johnston | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Johnston | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Johnston | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Johnston | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Johnston | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Johnston | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Johnston | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Johnston | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Johnston | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Johnston | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Johnston | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Johnston | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Johnston | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Johnston | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Johnston | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 4 | $5,450.00 |
| Johnston | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Johnston | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 4 | $3,550.00 |
| Johnston | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 4 | $6,700.00 |
| Johnston | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 4 | $3,300.00 |
| Johnston | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Johnston | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Johnston | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Johnston | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Johnston | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Johnston | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Johnston | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Johnston | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Johnston | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Johnston | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Johnston | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Johnston | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Johnston | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Johnston | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Johnston | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Johnston | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Johnston | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Johnston | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Jones | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Jones | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Jones | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Jones | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Jones | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Jones | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Jones | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Jones | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Jones | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Jones | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Jones | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Jones | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Jones | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Jones | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Jones | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Jones | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Jones | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Jones | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Jones | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Jones | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Jones | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Jones | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Jones | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Jones | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Jones | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Jones | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Jones | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Jones | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Jones | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Jones | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Jones | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Lee | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Lee | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Lee | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Lee | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Lee | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Lee | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Lee | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Lee | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Lee | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Lee | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Lee | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Lee | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Lee | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Lee | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Lee | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Lee | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Lee | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Lee | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Lee | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Lee | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Lee | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Lee | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Lee | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Lee | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Lee | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Lee | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Lee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Lee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Lee | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Lee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Lee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Lee | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Lee | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Lenoir | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Lenoir | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Lenoir | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Lenoir | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Lenoir | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Lenoir | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Lenoir | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Lenoir | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Lenoir | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Lenoir | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Lenoir | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Lenoir | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Lenoir | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Lenoir | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Lenoir | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Lenoir | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Lenoir | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Lenoir | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Lenoir | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Lenoir | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Lenoir | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Lenoir | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Lenoir | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Lenoir | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Lenoir | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Lincoln | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Lincoln | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Lincoln | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Lincoln | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Lincoln | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Lincoln | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Lincoln | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Lincoln | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Lincoln | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Lincoln | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Lincoln | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Lincoln | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Lincoln | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Lincoln | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Lincoln | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Lincoln | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Lincoln | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Lincoln | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Lincoln | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Lincoln | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Lincoln | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Lincoln | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Lincoln | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Lincoln | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Lincoln | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Lincoln | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Lincoln | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Lincoln | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Lincoln | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Lincoln | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Lincoln | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Lincoln | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Lincoln | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Lincoln | Humana | Humana Gold Plus H6622-057 (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H6622 | 057 | 0 | $9,250.00 |
| Lincoln | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Lincoln | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Lincoln | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Lincoln | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Lincoln | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Lincoln | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Lincoln | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Lincoln | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Lincoln | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Lincoln | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Lincoln | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Lincoln | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Lincoln | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Lincoln | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Lincoln | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Macon | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Macon | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Macon | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Macon | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Macon | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Macon | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Macon | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Macon | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Macon | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Macon | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Macon | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Macon | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Macon | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Macon | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Macon | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Macon | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Macon | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Macon | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Macon | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Macon | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Macon | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Macon | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Macon | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Macon | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Macon | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Macon | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Macon | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Macon | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Macon | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Macon | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Macon | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Madison | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Madison | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Madison | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Madison | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Madison | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Madison | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Madison | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Madison | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Madison | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Madison | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Madison | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Madison | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Madison | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Madison | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Madison | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Madison | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Madison | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Madison | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Madison | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Madison | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Madison | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Madison | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Madison | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Madison | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Madison | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Madison | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Madison | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Madison | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Madison | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Madison | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Madison | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Madison | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Madison | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Madison | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Madison | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Madison | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Madison | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Madison | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Madison | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Madison | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Madison | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Madison | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Madison | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Madison | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Madison | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Madison | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Madison | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Martin | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Martin | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Martin | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Martin | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Martin | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Martin | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Martin | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Martin | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Martin | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Martin | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Martin | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Martin | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Martin | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Martin | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Martin | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Martin | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Martin | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Martin | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Martin | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Martin | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Martin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Martin | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Martin | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Martin | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Martin | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| McDowell | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| McDowell | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| McDowell | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| McDowell | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| McDowell | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| McDowell | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| McDowell | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| McDowell | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| McDowell | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| McDowell | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| McDowell | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| McDowell | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| McDowell | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| McDowell | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| McDowell | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| McDowell | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| McDowell | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| McDowell | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| McDowell | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| McDowell | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| McDowell | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| McDowell | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| McDowell | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| McDowell | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| McDowell | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| McDowell | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| McDowell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| McDowell | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| McDowell | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| McDowell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| McDowell | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| McDowell | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| McDowell | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| McDowell | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| McDowell | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| McDowell | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| McDowell | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| McDowell | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| McDowell | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| McDowell | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| McDowell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| McDowell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| McDowell | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| McDowell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| McDowell | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| McDowell | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| McDowell | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| McDowell | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| McDowell | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Mecklenburg | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Mecklenburg | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Mecklenburg | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Mecklenburg | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Mecklenburg | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Mecklenburg | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Mecklenburg | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Mecklenburg | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Mecklenburg | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Mecklenburg | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Mecklenburg | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Mecklenburg | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Mecklenburg | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Mecklenburg | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Mecklenburg | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Mecklenburg | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Mecklenburg | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Mecklenburg | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Mecklenburg | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Mecklenburg | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Mecklenburg | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Mecklenburg | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Mecklenburg | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Mecklenburg | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Mecklenburg | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Mecklenburg | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Mecklenburg | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Mecklenburg | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Mecklenburg | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Mecklenburg | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Mecklenburg | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Mecklenburg | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Mecklenburg | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Mecklenburg | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Mecklenburg | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Mecklenburg | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Mecklenburg | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Mecklenburg | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Mecklenburg | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Mecklenburg | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Mecklenburg | UnitedHealthcare | Erickson Advantage Signature (HMO-POS) | HMO-POS | $182.00 | $270.00 | Enhanced | H5652 | 001 | 0 | $2,900.00 |
| Mecklenburg | UnitedHealthcare | Erickson Advantage Liberty no Rx (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5652 | 002 | 0 | $6,750.00 |
| Mecklenburg | UnitedHealthcare | Erickson Advantage Freedom (HMO-POS) | HMO-POS | $89.00 | $355.00 | Enhanced | H5652 | 006 | 0 | $4,900.00 |
| Mecklenburg | UnitedHealthcare | Erickson Advantage Liberty (HMO-POS) | HMO-POS | $14.00 | $600.00 | Enhanced | H5652 | 008 | 0 | $6,750.00 |
| Mecklenburg | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Mecklenburg | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Mecklenburg | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Mecklenburg | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Mecklenburg | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Mitchell | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Mitchell | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Mitchell | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Mitchell | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Mitchell | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Mitchell | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Mitchell | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Mitchell | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Mitchell | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Mitchell | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Mitchell | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Mitchell | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Mitchell | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Mitchell | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Mitchell | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Mitchell | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Mitchell | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Mitchell | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Mitchell | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Mitchell | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Mitchell | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Mitchell | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Mitchell | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Mitchell | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Mitchell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Mitchell | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Mitchell | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Mitchell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Mitchell | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Mitchell | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Mitchell | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Mitchell | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Mitchell | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Mitchell | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Mitchell | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Mitchell | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Mitchell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Mitchell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Mitchell | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Mitchell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Mitchell | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Mitchell | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Mitchell | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Mitchell | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Mitchell | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Montgomery | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Montgomery | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Montgomery | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Montgomery | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Montgomery | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Montgomery | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Montgomery | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Montgomery | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Montgomery | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Montgomery | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Montgomery | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Montgomery | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Montgomery | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Montgomery | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Montgomery | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Montgomery | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Montgomery | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Montgomery | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Montgomery | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Montgomery | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Montgomery | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Montgomery | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Montgomery | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Montgomery | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Montgomery | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Montgomery | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Montgomery | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Montgomery | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Montgomery | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Montgomery | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Montgomery | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Montgomery | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Montgomery | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Moore | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Moore | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Moore | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Moore | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Moore | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Moore | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Moore | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Moore | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Moore | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Moore | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Moore | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Moore | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Moore | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Moore | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Moore | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Moore | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Moore | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Moore | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Moore | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Moore | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Moore | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Moore | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Moore | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Moore | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Moore | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Moore | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Moore | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Moore | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Moore | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Moore | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Moore | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Nash | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Nash | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Nash | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Nash | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Nash | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Nash | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Nash | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Nash | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Nash | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Nash | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Nash | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Nash | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Nash | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Nash | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Nash | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Nash | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Nash | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Nash | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Nash | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Nash | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Nash | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Nash | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Nash | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Nash | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| New Hanover | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| New Hanover | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| New Hanover | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| New Hanover | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| New Hanover | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| New Hanover | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| New Hanover | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| New Hanover | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| New Hanover | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| New Hanover | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| New Hanover | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| New Hanover | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| New Hanover | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| New Hanover | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| New Hanover | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| New Hanover | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 1 | $3,500.00 |
| New Hanover | Humana | Humana Full Access H5525-034 (PPO) | PPO | $129.00 | $615.00 | Enhanced | H5525 | 034 | 0 | $9,250.00 |
| New Hanover | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| New Hanover | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| New Hanover | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| New Hanover | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| New Hanover | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| New Hanover | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| New Hanover | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 061 | 0 | $9,250.00 |
| New Hanover | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| New Hanover | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| New Hanover | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| New Hanover | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| New Hanover | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| New Hanover | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| New Hanover | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| New Hanover | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| New Hanover | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Northampton | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Northampton | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Northampton | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Northampton | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Northampton | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Northampton | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Northampton | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Northampton | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Northampton | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Northampton | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Northampton | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Northampton | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Northampton | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Northampton | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Northampton | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Northampton | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Northampton | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Northampton | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Northampton | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Northampton | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Northampton | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Northampton | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Northampton | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Northampton | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Northampton | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Northampton | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Northampton | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Onslow | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Onslow | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Onslow | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Onslow | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Onslow | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Onslow | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Onslow | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Onslow | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Onslow | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Onslow | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Onslow | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Onslow | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Onslow | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Onslow | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Onslow | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Orange | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 004 | 0 | $6,750.00 |
| Orange | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Orange | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Orange | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Orange | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Orange | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Orange | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Orange | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Orange | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Orange | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Orange | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Orange | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Orange | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Orange | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Orange | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Orange | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Orange | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 4 | $5,450.00 |
| Orange | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Orange | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 4 | $3,550.00 |
| Orange | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Orange | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 4 | $6,700.00 |
| Orange | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 4 | $3,300.00 |
| Orange | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Orange | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Orange | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Orange | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Orange | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Orange | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Orange | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Orange | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Orange | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Orange | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Orange | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Orange | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Orange | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Orange | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Orange | Humana | Humana Gold Plus H6622-060 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 060 | 0 | $9,250.00 |
| Orange | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Orange | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Orange | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Orange | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Orange | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Orange | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Orange | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Orange | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Orange | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Orange | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Pamlico | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Pamlico | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Pamlico | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Pamlico | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Pamlico | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Pamlico | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Pamlico | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Pamlico | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Pamlico | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Pamlico | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Pamlico | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Pamlico | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Pamlico | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Pamlico | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Pamlico | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Pamlico | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Pamlico | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Pamlico | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Pamlico | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Pamlico | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Pamlico | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Pamlico | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Pamlico | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Pamlico | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Pamlico | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Pamlico | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Pasquotank | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Pasquotank | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Pasquotank | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Pasquotank | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Pasquotank | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Pasquotank | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Pasquotank | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Pasquotank | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Pasquotank | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Pasquotank | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Pasquotank | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Pasquotank | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Pasquotank | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Pasquotank | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Pasquotank | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Pasquotank | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Pasquotank | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Pasquotank | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Pasquotank | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Pasquotank | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Pasquotank | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Pasquotank | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Pasquotank | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Pasquotank | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Pasquotank | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Pasquotank | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Pender | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Pender | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Pender | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Pender | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Pender | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Pender | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Pender | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Pender | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Pender | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Pender | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Pender | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Pender | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Pender | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| Pender | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| Pender | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Pender | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Pender | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Pender | Humana | Humana Full Access H5525-034 (PPO) | PPO | $129.00 | $615.00 | Enhanced | H5525 | 034 | 0 | $9,250.00 |
| Pender | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Pender | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Pender | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Pender | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Pender | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Pender | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Pender | Humana | Humana Gold Plus H6622-061 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 061 | 0 | $9,250.00 |
| Pender | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Pender | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Pender | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Pender | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Pender | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Pender | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Pender | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Pender | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Pender | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Pender | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Perquimans | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Perquimans | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Perquimans | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Perquimans | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Perquimans | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Perquimans | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Perquimans | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Perquimans | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Perquimans | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Perquimans | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Perquimans | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Perquimans | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Perquimans | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Perquimans | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Perquimans | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Perquimans | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Perquimans | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Perquimans | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Perquimans | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Perquimans | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Perquimans | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Perquimans | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Perquimans | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Perquimans | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Perquimans | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Person | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 004 | 0 | $6,750.00 |
| Person | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Person | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | $63.00 | $615.00 | Enhanced | H3146 | 039 | 0 | $5,900.00 |
| Person | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Person | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Person | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Person | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Person | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Person | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Person | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Person | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Person | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Person | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Person | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Person | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Person | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Person | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Person | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Person | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Person | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Person | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Person | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Person | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Person | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Person | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Person | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Person | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Person | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Person | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Person | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Person | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Person | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Person | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Person | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Person | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Person | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Person | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Person | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Person | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Person | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Person | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Person | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Person | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Person | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Person | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Person | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Person | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Pitt | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Pitt | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Pitt | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Pitt | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Pitt | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Pitt | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Pitt | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Pitt | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Pitt | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Pitt | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Pitt | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Pitt | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Pitt | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Pitt | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Polk | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Polk | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Polk | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Polk | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Polk | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Polk | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Polk | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Polk | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Polk | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Polk | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Polk | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Polk | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Polk | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Polk | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Polk | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Polk | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Polk | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Polk | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Polk | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Polk | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Polk | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Polk | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Polk | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Polk | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Polk | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Polk | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Polk | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Polk | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Polk | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Polk | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Polk | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Polk | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Polk | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Polk | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Polk | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Polk | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Polk | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Polk | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Polk | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Polk | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Polk | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Randolph | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Randolph | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Randolph | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Randolph | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | $63.00 | $615.00 | Enhanced | H3146 | 039 | 0 | $5,900.00 |
| Randolph | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Randolph | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Randolph | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Randolph | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Randolph | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Randolph | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Randolph | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Randolph | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Randolph | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Randolph | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Randolph | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Randolph | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Randolph | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Randolph | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Randolph | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Randolph | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Randolph | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Randolph | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Randolph | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Randolph | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Randolph | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Randolph | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Randolph | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Randolph | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Randolph | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Randolph | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Randolph | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Randolph | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Randolph | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Randolph | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Randolph | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Randolph | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Randolph | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Randolph | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Randolph | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Randolph | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Randolph | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Randolph | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Randolph | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Randolph | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Randolph | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Randolph | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Randolph | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Randolph | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Richmond | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Richmond | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Richmond | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Richmond | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Richmond | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Richmond | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Richmond | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Richmond | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Richmond | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Richmond | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Richmond | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Richmond | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Richmond | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Richmond | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Richmond | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Richmond | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Richmond | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Richmond | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Richmond | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Richmond | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Richmond | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Richmond | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Richmond | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Richmond | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Richmond | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Richmond | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Richmond | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Richmond | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Richmond | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Richmond | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Richmond | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Richmond | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Richmond | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Richmond | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Richmond | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Richmond | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Richmond | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Richmond | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Robeson | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Robeson | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Robeson | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Robeson | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Robeson | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Robeson | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Robeson | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Robeson | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Robeson | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Robeson | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Robeson | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Robeson | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Robeson | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Robeson | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Robeson | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Robeson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Robeson | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Robeson | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Robeson | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Robeson | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Robeson | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Robeson | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Robeson | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Robeson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Robeson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Robeson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Robeson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Robeson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Robeson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Robeson | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Robeson | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Robeson | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Robeson | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Robeson | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Rockingham | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Rockingham | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | $63.00 | $615.00 | Enhanced | H3146 | 039 | 0 | $5,900.00 |
| Rockingham | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Rockingham | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Rockingham | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Rockingham | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Rockingham | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Rockingham | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Rockingham | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Rockingham | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Rockingham | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Rockingham | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Rockingham | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Rockingham | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Rockingham | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Rockingham | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Rockingham | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Rockingham | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Rockingham | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Rockingham | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Rockingham | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Rockingham | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Rockingham | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Rockingham | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Rockingham | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Rockingham | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Rockingham | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Rockingham | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Rockingham | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Rockingham | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Rockingham | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Rockingham | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Rockingham | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Rockingham | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Rockingham | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Rockingham | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Rockingham | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Rockingham | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Rockingham | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Rockingham | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Rockingham | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Rockingham | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Rockingham | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Rockingham | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Rockingham | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Rockingham | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Rowan | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Rowan | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Rowan | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Rowan | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Rowan | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Rowan | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Rowan | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Rowan | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Rowan | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Rowan | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Rowan | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Rowan | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Rowan | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Rowan | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Rowan | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Rowan | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Rowan | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Rowan | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Rowan | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Rowan | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Rowan | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Rowan | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Rowan | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Rowan | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Rowan | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Rowan | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Rowan | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Rowan | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Rowan | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Rowan | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Rowan | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Rowan | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Rowan | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Rowan | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Rowan | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Rowan | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Rowan | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Rowan | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Rowan | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Rowan | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Rowan | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Rowan | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Rowan | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Rutherford | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Rutherford | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Rutherford | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Rutherford | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Rutherford | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Rutherford | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Rutherford | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Rutherford | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Rutherford | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Rutherford | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Rutherford | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Rutherford | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Rutherford | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Rutherford | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Rutherford | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Rutherford | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Rutherford | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Rutherford | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Rutherford | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Rutherford | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Rutherford | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Rutherford | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Rutherford | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Rutherford | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Rutherford | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Rutherford | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Rutherford | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Rutherford | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Rutherford | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Rutherford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Rutherford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Rutherford | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Rutherford | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Rutherford | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Rutherford | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Rutherford | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Rutherford | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Rutherford | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Sampson | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Sampson | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $20.00 | $615.00 | Enhanced | H5521 | 169 | 0 | $5,900.00 |
| Sampson | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Sampson | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Sampson | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Sampson | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Sampson | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Sampson | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Sampson | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Sampson | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Sampson | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Sampson | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Sampson | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Sampson | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Sampson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Sampson | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Sampson | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Sampson | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Sampson | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Sampson | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Sampson | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Sampson | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Sampson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Sampson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Sampson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Sampson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Sampson | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Sampson | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Sampson | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Sampson | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Sampson | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Scotland | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Scotland | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Scotland | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Scotland | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Scotland | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Scotland | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Scotland | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Scotland | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Scotland | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Scotland | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Scotland | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Scotland | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Scotland | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Scotland | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Scotland | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Scotland | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Scotland | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Scotland | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Scotland | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Scotland | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Scotland | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Scotland | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Scotland | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Scotland | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Scotland | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Scotland | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Scotland | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Stanly | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Stanly | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Stanly | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Stanly | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Stanly | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Stanly | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Stanly | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Stanly | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Stanly | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Stanly | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Stanly | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Stanly | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Stanly | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Stanly | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Stanly | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Stanly | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Stanly | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Stanly | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Stanly | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Stanly | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Stanly | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Stanly | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Stanly | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Stanly | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Stanly | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Stanly | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Stanly | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Stanly | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Stanly | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Stanly | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Stanly | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Stanly | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Stokes | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Stokes | Aetna Medicare | Aetna Medicare Enhanced (HMO) | HMO | $63.00 | $615.00 | Enhanced | H3146 | 039 | 0 | $5,900.00 |
| Stokes | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Stokes | Aetna Medicare | Aetna Medicare Signature Extra (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 170 | 0 | $5,900.00 |
| Stokes | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Stokes | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Stokes | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Stokes | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Stokes | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Stokes | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Stokes | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Stokes | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Stokes | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Stokes | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Stokes | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Stokes | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Stokes | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Stokes | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Stokes | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Stokes | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Stokes | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Stokes | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Stokes | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Stokes | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Stokes | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Stokes | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Stokes | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Stokes | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 1 | $3,500.00 |
| Stokes | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Stokes | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Stokes | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Stokes | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Stokes | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Stokes | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Stokes | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Stokes | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Stokes | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Stokes | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Stokes | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Stokes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Stokes | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Stokes | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Stokes | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Stokes | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Stokes | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Surry | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Surry | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Surry | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Surry | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Surry | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Surry | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Surry | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Surry | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Surry | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Surry | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Surry | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Surry | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Surry | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Surry | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Surry | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Surry | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Surry | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Surry | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Surry | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Surry | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Surry | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Surry | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Surry | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Surry | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Surry | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Surry | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Surry | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Surry | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Surry | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Swain | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Swain | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Swain | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Swain | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Swain | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Swain | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Swain | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Swain | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Swain | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Swain | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Swain | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Swain | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Swain | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Swain | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Swain | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Swain | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Swain | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Swain | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Swain | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Swain | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Swain | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Swain | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Swain | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Swain | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Swain | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Swain | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Swain | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Swain | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Swain | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Swain | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Swain | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Swain | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Swain | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Swain | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Swain | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Swain | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Swain | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Transylvania | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Transylvania | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Transylvania | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Transylvania | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Transylvania | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Transylvania | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Transylvania | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Transylvania | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Transylvania | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Transylvania | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Transylvania | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Transylvania | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Transylvania | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Transylvania | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Transylvania | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Transylvania | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Transylvania | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Transylvania | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Transylvania | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Transylvania | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Transylvania | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Transylvania | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Transylvania | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Transylvania | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Transylvania | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Transylvania | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Transylvania | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Transylvania | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Transylvania | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Transylvania | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Transylvania | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Transylvania | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Transylvania | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Transylvania | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Transylvania | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Transylvania | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Transylvania | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Transylvania | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Transylvania | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Transylvania | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Transylvania | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Transylvania | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Transylvania | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Transylvania | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Transylvania | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Tyrrell | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Tyrrell | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Tyrrell | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Tyrrell | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Tyrrell | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Tyrrell | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Tyrrell | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Tyrrell | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Tyrrell | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Tyrrell | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Tyrrell | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Tyrrell | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Tyrrell | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Tyrrell | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Tyrrell | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Tyrrell | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Tyrrell | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Tyrrell | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Tyrrell | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Tyrrell | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Tyrrell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Tyrrell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Tyrrell | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Tyrrell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Tyrrell | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Tyrrell | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Tyrrell | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Tyrrell | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Tyrrell | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Tyrrell | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Union | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 001 | 0 | $5,500.00 |
| Union | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Union | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Union | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Union | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Union | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Union | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Union | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Union | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Union | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Union | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Union | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 1 | $5,700.00 |
| Union | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Union | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 1 | $3,450.00 |
| Union | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Union | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 1 | $6,000.00 |
| Union | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $13.00 | $200.00 | Enhanced | H9725 | 017 | 1 | $3,200.00 |
| Union | Devoted Health | DEVOTED GIVEBACK 012 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 012 | 0 | $8,900.00 |
| Union | Devoted Health | DEVOTED CHOICE 001 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 001 | 0 | $5,400.00 |
| Union | Devoted Health | DEVOTED CHOICE GIVEBACK 002 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 002 | 0 | $8,000.00 |
| Union | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Union | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Union | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Union | Humana | Humana Gold Plus H1036-137 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 137 | 0 | $9,250.00 |
| Union | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Union | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Union | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Union | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Union | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Union | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Union | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Union | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Union | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Union | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Union | Humana | Humana Gold Plus H6622-057 (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H6622 | 057 | 0 | $9,250.00 |
| Union | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Union | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Union | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Union | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Union | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Union | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Union | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Union | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Union | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Union | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Union | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Union | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Union | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Union | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Union | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Vance | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Vance | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Vance | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Vance | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Vance | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Vance | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Vance | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Vance | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Vance | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Vance | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Vance | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Vance | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Vance | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Vance | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Vance | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Vance | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Vance | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Vance | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Vance | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Vance | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Vance | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Vance | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Vance | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Vance | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Vance | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Vance | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Vance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Vance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Vance | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Vance | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Vance | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Vance | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Vance | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Vance | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Wake | Aetna Medicare | Aetna Medicare Signature (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 004 | 0 | $6,750.00 |
| Wake | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Wake | Aetna Medicare | Aetna Medicare Signature Care (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 021 | 0 | $6,350.00 |
| Wake | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Wake | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 609 | 0 | $6,750.00 |
| Wake | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Wake | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Wake | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Wake | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Wake | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Wake | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Wake | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Wake | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Wake | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Wake | BCBS of NC | Blue Medicare Choice (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 026 | 0 | $4,200.00 |
| Wake | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Wake | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 4 | $5,450.00 |
| Wake | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Wake | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 4 | $3,550.00 |
| Wake | Cigna HealthCare | HealthSpring Preferred Select (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 014 | 0 | $3,200.00 |
| Wake | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 4 | $6,700.00 |
| Wake | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 4 | $3,300.00 |
| Wake | Experience Health | Experience Health Medicare Advantage (HMO) | HMO | $6.90 | $615.00 | Enhanced | H3777 | 002 | 0 | $6,500.00 |
| Wake | Humana | Humana Gold Plus H1036-233 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H1036 | 233 | 0 | $9,250.00 |
| Wake | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Wake | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Wake | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Wake | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Wake | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Wake | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Wake | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Wake | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Wake | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Wake | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Wake | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Wake | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Wake | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Wake | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Wake | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0007 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 039 | 0 | $6,200.00 |
| Wake | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Wake | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 110 | 0 | $9,250.00 |
| Wake | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Wake | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Wake | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Wake | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Wake | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Wake | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Warren | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Warren | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Warren | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Warren | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Warren | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Warren | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Warren | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Warren | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Warren | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Warren | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Warren | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Warren | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Warren | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Warren | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Warren | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Warren | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Warren | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Warren | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Warren | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Warren | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Warren | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Warren | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Warren | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Warren | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Warren | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Warren | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Warren | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Warren | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Warren | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Warren | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Warren | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Warren | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Warren | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Warren | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Washington | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Washington | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Washington | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 243 | 0 | $6,750.00 |
| Washington | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Washington | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Washington | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Washington | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Washington | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Washington | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Washington | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Washington | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Washington | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Washington | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Washington | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Washington | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Washington | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Washington | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Washington | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Washington | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Washington | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Washington | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0001 (PPO) | PPO | $0.00 | $440.00 | Enhanced | H2001 | 090 | 0 | $6,700.00 |
| Washington | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0004 (PPO) | PPO | $29.00 | $440.00 | Enhanced | H2001 | 102 | 0 | $6,200.00 |
| Washington | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Washington | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0019 (PPO) | PPO | $25.00 | $520.00 | Enhanced | H2406 | 115 | 0 | $6,700.00 |
| Washington | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Washington | UnitedHealthcare | AARP Medicare Advantage from UHC NC-26 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 187 | 0 | $5,400.00 |
| Watauga | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Watauga | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Watauga | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Watauga | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Watauga | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Watauga | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Watauga | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Watauga | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Watauga | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Watauga | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Watauga | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Watauga | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Watauga | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Watauga | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Watauga | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Watauga | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Watauga | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Watauga | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Watauga | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Watauga | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Watauga | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Watauga | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Watauga | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Watauga | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Watauga | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Watauga | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO) | PPO | N/A | N/A | N/A | H2001 | 103 | 0 | $8,900.00 |
| Watauga | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Watauga | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Watauga | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Watauga | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Watauga | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Watauga | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Watauga | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Wayne | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Wayne | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Wayne | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Wayne | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Wayne | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Wayne | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Wayne | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Wayne | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Wayne | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Wayne | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Wayne | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Wayne | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Wayne | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Wayne | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Wayne | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Wayne | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Wayne | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Wayne | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Wayne | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Wayne | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Wayne | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Wayne | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Wayne | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Wilkes | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Wilkes | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Wilkes | Aetna Medicare | Aetna Medicare Enhanced (PPO) | PPO | $21.00 | $615.00 | Enhanced | H5521 | 139 | 0 | $6,750.00 |
| Wilkes | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Wilkes | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Wilkes | Alignment Health Plan | Alignment Health Platinum (HMO) | HMO | $0.00 | $0.00 | Enhanced | H5296 | 003 | 0 | $3,900.00 |
| Wilkes | Alignment Health Plan | Alignment Health smartHMO (HMO) | HMO | $0.00 | $615.00 | Enhanced | H5296 | 006 | 0 | $3,400.00 |
| Wilkes | Alignment Health Plan | Alignment Health Platinum Select (HMO) | HMO | $0.00 | $225.00 | Enhanced | H5296 | 010 | 0 | $5,900.00 |
| Wilkes | Alignment Health Plan | Alignment Health AVA (PPO) | PPO | $10.00 | $0.00 | Enhanced | H7074 | 001 | 0 | $3,900.00 |
| Wilkes | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Wilkes | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Wilkes | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Wilkes | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 4 | $6,750.00 |
| Wilkes | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Wilkes | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Wilkes | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Wilkes | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Wilkes | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Wilkes | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Wilkes | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Wilkes | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Wilkes | Devoted Health | DEVOTED CHOICE 008 NC (PPO) | PPO | $0.00 | $270.00 | Enhanced | H9700 | 008 | 0 | $5,900.00 |
| Wilkes | Devoted Health | DEVOTED CHOICE GIVEBACK 009 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 009 | 0 | $9,250.00 |
| Wilkes | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Wilkes | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Wilkes | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Wilkes | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Wilkes | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Wilkes | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Wilkes | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Wilkes | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Wilkes | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Wilkes | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Wilkes | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Wilkes | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Wilkes | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Wilkes | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Wilkes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Wilkes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Wilkes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Wilkes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Wilkes | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Wilkes | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Wilkes | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Wilkes | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Wilkes | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Wilkes | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Wilkes | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Wilson | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Wilson | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Wilson | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Wilson | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Wilson | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Wilson | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 5 | $7,450.00 |
| Wilson | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $47.00 | $100.00 | Enhanced | H3449 | 024 | 3 | $4,200.00 |
| Wilson | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Wilson | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Wilson | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Wilson | Humana | HumanaChoice H5525-049 (PPO) | PPO | $29.00 | $350.00 | Enhanced | H5525 | 049 | 0 | $9,250.00 |
| Wilson | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Wilson | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Wilson | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Wilson | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Wilson | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Wilson | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Wilson | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Wilson | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Wilson | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Wilson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0011 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 103 | 0 | $6,700.00 |
| Wilson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0012 (HMO-POS) | HMO-POS | $54.00 | $520.00 | Enhanced | H5253 | 104 | 0 | $5,900.00 |
| Wilson | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Wilson | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Yadkin | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Yadkin | Aetna Medicare | Aetna Medicare Prime (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3146 | 007 | 0 | $5,200.00 |
| Yadkin | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $500.00 | Enhanced | H5521 | 081 | 0 | $5,900.00 |
| Yadkin | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Yadkin | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Yadkin | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $35.00 | $100.00 | Enhanced | H3404 | 003 | 1 | $6,300.00 |
| Yadkin | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Yadkin | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Yadkin | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 1 | $4,900.00 |
| Yadkin | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $30.00 | $100.00 | Enhanced | H3449 | 024 | 1 | $4,200.00 |
| Yadkin | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 1 | $9,250.00 |
| Yadkin | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 3 | $4,900.00 |
| Yadkin | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Yadkin | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 3 | $3,500.00 |
| Yadkin | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 3 | $6,700.00 |
| Yadkin | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $14.00 | $200.00 | Enhanced | H9725 | 017 | 3 | $3,250.00 |
| Yadkin | Devoted Health | DEVOTED CORE 001 NC (HMO) | HMO | $0.00 | $395.00 | Enhanced | H5299 | 001 | 0 | $3,600.00 |
| Yadkin | Devoted Health | DEVOTED GIVEBACK 002 NC (HMO) | HMO | $0.00 | $605.00 | Enhanced | H5299 | 002 | 0 | $6,700.00 |
| Yadkin | Devoted Health | DEVOTED CHOICE 003 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 003 | 0 | $4,500.00 |
| Yadkin | Devoted Health | DEVOTED CHOICE GIVEBACK 004 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 004 | 0 | $8,000.00 |
| Yadkin | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Yadkin | HealthTeam Advantage | HealthTeam Advantage Plan I (PPO) | PPO | $0.00 | $250.00 | Enhanced | H9808 | 004 | 0 | $3,900.00 |
| Yadkin | HealthTeam Advantage | HealthTeam Advantage Plan II (PPO) | PPO | $40.00 | $150.00 | Enhanced | H9808 | 005 | 0 | $3,700.00 |
| Yadkin | HealthTeam Advantage | HealthTeam Advantage Eagle Plan (PPO) | PPO | N/A | N/A | N/A | H9808 | 009 | 0 | $4,500.00 |
| Yadkin | HealthTeam Advantage | HealthTeam Advantage Vitality Plan (PPO) | PPO | $0.00 | $300.00 | Enhanced | H9808 | 010 | 0 | $4,200.00 |
| Yadkin | Humana | Humana Gold Plus Giveback H1036-318 (HMO-POS) | HMO-POS | $0.00 | $450.00 | Enhanced | H1036 | 318 | 0 | $9,250.00 |
| Yadkin | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 1 | $3,500.00 |
| Yadkin | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Yadkin | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Yadkin | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Yadkin | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Yadkin | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Yadkin | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Yadkin | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Yadkin | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Yadkin | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Yadkin | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Yadkin | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Yadkin | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Yadkin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0016 (PPO) | PPO | $53.00 | $520.00 | Enhanced | H2406 | 034 | 0 | $4,200.00 |
| Yadkin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0017 (PPO) | PPO | $0.00 | $600.00 | Enhanced | H2406 | 098 | 0 | $6,200.00 |
| Yadkin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0021 (HMO-POS) | HMO-POS | $37.00 | $355.00 | Enhanced | H5253 | 037 | 0 | $4,200.00 |
| Yadkin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0022 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 038 | 0 | $5,400.00 |
| Yadkin | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Yadkin | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | HMO-POS | $0.00 | $440.00 | Enhanced | H5253 | 117 | 0 | $4,200.00 |
| Yadkin | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Yadkin | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Yadkin | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Yadkin | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Yadkin | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
| Yancey | Aetna Medicare | Aetna Medicare Value Plus (HMO) | HMO | $32.20 | $615.00 | Enhanced | H3146 | 006 | 0 | $5,500.00 |
| Yancey | Aetna Medicare | Aetna Medicare Signature (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 236 | 0 | $6,750.00 |
| Yancey | Aetna Medicare | Aetna Medicare Eagle Giveback (PPO) | PPO | N/A | N/A | N/A | H5521 | 241 | 0 | $6,750.00 |
| Yancey | Aetna Medicare | Aetna Medicare Signature Giveback (PPO) | PPO | $0.00 | $615.00 | Enhanced | H5521 | 348 | 0 | $7,500.00 |
| Yancey | BCBS of NC | Blue Medicare PPO Enhanced (PPO) | PPO | $53.00 | $100.00 | Enhanced | H3404 | 003 | 2 | $6,300.00 |
| Yancey | BCBS of NC | Blue Medicare Freedom+ (PPO) | PPO | N/A | N/A | N/A | H3404 | 004 | 0 | $9,250.00 |
| Yancey | BCBS of NC | Blue Medicare Medical Only (HMO-POS) | HMO-POS | N/A | N/A | N/A | H3449 | 012 | 0 | $3,900.00 |
| Yancey | BCBS of NC | Blue Medicare Essential Plus (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H3449 | 023 | 2 | $5,400.00 |
| Yancey | BCBS of NC | Blue Medicare Enhanced (HMO-POS) | HMO-POS | $40.00 | $100.00 | Enhanced | H3449 | 024 | 2 | $4,200.00 |
| Yancey | BCBS of NC | Blue Medicare Essential (HMO) | HMO | $0.00 | $615.00 | Enhanced | H3449 | 027 | 2 | $9,250.00 |
| Yancey | Cigna HealthCare | HealthSpring True Choice (PPO) | PPO | $0.00 | $615.00 | Enhanced | H7849 | 113 | 2 | $4,350.00 |
| Yancey | Cigna HealthCare | HealthSpring Courage (HMO) | HMO | N/A | N/A | N/A | H9725 | 005 | 0 | $6,750.00 |
| Yancey | Cigna HealthCare | HealthSpring Preferred (HMO) | HMO | $0.00 | $295.00 | Enhanced | H9725 | 009 | 2 | $3,500.00 |
| Yancey | Cigna HealthCare | HealthSpring Preferred Savings (HMO) | HMO | $0.00 | $0.00 | Enhanced | H9725 | 015 | 2 | $6,400.00 |
| Yancey | Cigna HealthCare | HealthSpring Preferred Plus (HMO) | HMO | $11.00 | $200.00 | Enhanced | H9725 | 017 | 2 | $3,200.00 |
| Yancey | Devoted Health | DEVOTED CHOICE 005 NC (PPO) | PPO | $0.00 | $370.00 | Enhanced | H9700 | 005 | 0 | $5,300.00 |
| Yancey | Devoted Health | DEVOTED CHOICE GIVEBACK 006 NC (PPO) | PPO | $0.00 | $605.00 | Enhanced | H9700 | 006 | 0 | $8,000.00 |
| Yancey | Devoted Health | DEVOTED CHOICE MA ONLY 007 NC (PPO) | PPO | N/A | N/A | N/A | H9700 | 007 | 0 | $9,250.00 |
| Yancey | Humana | Humana Gold Plus H1036-335 (HMO-POS) | HMO-POS | $0.00 | $250.00 | Enhanced | H1036 | 335 | 2 | $3,950.00 |
| Yancey | Humana | HumanaChoice Giveback H5216-017 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5216 | 017 | 0 | $9,250.00 |
| Yancey | Humana | HumanaChoice H5216-211 (PPO) | PPO | $54.00 | $615.00 | Enhanced | H5216 | 211 | 0 | $9,250.00 |
| Yancey | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5216 | 343 | 0 | $9,250.00 |
| Yancey | Humana | HumanaChoice Giveback H5525-035 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 035 | 0 | $9,250.00 |
| Yancey | Humana | HumanaChoice H5525-050 (PPO) | PPO | $0.00 | $350.00 | Enhanced | H5525 | 050 | 0 | $9,250.00 |
| Yancey | Humana | Humana USAA Honor Giveback (PPO) | PPO | N/A | N/A | N/A | H5525 | 065 | 0 | $9,250.00 |
| Yancey | Humana | HumanaChoice H5525-070 (PPO) | PPO | $24.00 | $615.00 | Enhanced | H5525 | 070 | 0 | $9,250.00 |
| Yancey | Humana | HumanaChoice H5525-083 (PPO) | PPO | $0.00 | $450.00 | Enhanced | H5525 | 083 | 0 | $9,250.00 |
| Yancey | Humana | Humana Gold Plus H6622-025 (HMO-POS) | HMO-POS | $0.00 | $350.00 | Enhanced | H6622 | 025 | 0 | $9,250.00 |
| Yancey | Humana | Humana Gold Plus H6622-026 (HMO-POS) | HMO-POS | $34.80 | $350.00 | Enhanced | H6622 | 026 | 0 | $9,250.00 |
| Yancey | Humana | Humana Gold Choice H8145-004 (PFFS) | PFFS | $7.00 | $615.00 | Enhanced | H8145 | 004 | 0 | $7,550.00 |
| Yancey | Humana | HumanaChoice R0110-004 (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 004 | 0 | $7,000.00 |
| Yancey | Humana | Humana Full Access R0110-005 (Regional PPO) | Regional PPO | $117.00 | $615.00 | Enhanced | R0110 | 005 | 0 | $9,250.00 |
| Yancey | Humana | Humana USAA Honor Giveback (Regional PPO) | Regional PPO | N/A | N/A | N/A | R0110 | 006 | 0 | $9,250.00 |
| Yancey | Troy Medicare | Troy Medicare (HMO) | HMO | $0.00 | $0.00 | Enhanced | H4676 | 001 | 0 | $3,950.00 |
| Yancey | UnitedHealthcare | AARP Medicare Advantage Access from UHC NC-23 (PPO) | PPO | $255.00 | $600.00 | Enhanced | H2001 | 084 | 0 | $3,000.00 |
| Yancey | UnitedHealthcare | AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) | HMO-POS | N/A | N/A | N/A | H5253 | 040 | 0 | $7,900.00 |
| Yancey | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 079 | 0 | $6,700.00 |
| Yancey | UnitedHealthcare | AARP Medicare Advantage from UHC NC-0009 (HMO-POS) | HMO-POS | $48.00 | $440.00 | Enhanced | H5253 | 080 | 0 | $5,400.00 |
| Yancey | UnitedHealthcare | AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) | HMO-POS | $0.00 | $600.00 | Enhanced | H5253 | 105 | 0 | $8,900.00 |
| Yancey | UnitedHealthcare | AARP Medicare Advantage from UHC NC-24 (HMO-POS) | HMO-POS | $0.00 | $520.00 | Enhanced | H5253 | 185 | 0 | $5,400.00 |
| Yancey | Wellcare | Wellcare Simple Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 007 | 0 | $4,300.00 |
| Yancey | Wellcare | Wellcare Assist Open (PPO) | PPO | $31.00 | $480.00 | Basic | H1914 | 009 | 0 | $4,201.00 |
| Yancey | Wellcare | Wellcare Giveback Open (PPO) | PPO | $0.00 | $615.00 | Enhanced | H1914 | 010 | 0 | $8,300.00 |
| Yancey | Wellcare | Wellcare Patriot Giveback Open (PPO) | PPO | N/A | N/A | N/A | H1914 | 011 | 0 | $8,850.00 |
| Yancey | Wellcare | Wellcare Simple (HMO-POS) | HMO-POS | $0.00 | $615.00 | Enhanced | H4073 | 001 | 0 | $4,200.00 |
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This page was last modified on 04/08/2026