2020 Mecklenburg County North Carolina
Medicare Advantage Plans

There are 26 Medicare Advantage Plans available in Mecklenburg County NC from 6 different health insurance providers. 6 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2900 and the highest out of pocket is $6700. Mecklenburg County North Carolina residents can also pick from 12 Medicare Special Needs Plans. The highest rated plan available in Mecklenburg County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars

(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage Choice (PPO)
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$38.00 $50.00 $3,900 NoEnroll
AARP Medicare Advantage Plan 1 (HMO-POS)
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$27.00 $50.00 $3,600 YesEnroll
AARP Medicare Advantage Plan 2 (HMO-POS)
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$0 $95.00 $4,500 NoEnroll
AARP Medicare Advantage Walgreens (HMO)
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$0 $435.00 $6,700 NoEnroll
Aetna Medicare Premier Plan (PPO)
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$0 $195.00 $5,900 YesEnroll
Aetna Medicare Value Plan (HMO)
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$0 $0 $4,950 YesToo NewEnroll
Blue Medicare Choice (HMO)
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$0 $0 $3,900 YesEnroll
Blue Medicare Essential Plus (HMO)
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$0 $195.00 $4,200 YesEnroll
Blue Medicare PPO Enhanced (PPO)
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$59.00 $0 $5,900 YesEnroll
Cigna-HealthSpring Preferred (HMO)
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$0 $0 $4,900 NoEnroll
Cigna-HealthSpring PreferredPlus (HMO)
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$29.00 $0 $3,900 NoEnroll
Erickson Advantage Freedom (HMO-POS)
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$60.00 $200.00 $4,200 NoEnroll
Erickson Advantage Liberty with Drugs (HMO)
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$25.00 $250.00 $6,700 NoEnroll
Erickson Advantage Signature with Drugs (HMO-POS)
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$195.00 $0 $2,900 NoEnroll
Humana Gold Choice H8145-063 (PFFS)
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$86.00 $215.00 $- NoEnroll
Humana Gold Plus H1036-137 (HMO)
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$21.00 $160.00 $3,400 NoEnroll
Humana Gold Plus H1036-263 (HMO)
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$0 $265.00 $6,700 NoEnroll
HumanaChoice H5216-211 (PPO)
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$50.00 $160.00 $6,700 NoEnroll
HumanaChoice R1390-002 (Regional PPO)
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$82.00 $360.00 $6,700 NoEnroll

Return to 2020 Medicare Advantage Plans in North Carolina

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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AARP Medicare Advantage Essential (HMO-POS)
$0 Local HMO * $3,600 Enroll
Aetna Medicare Core Plan (PPO)
$0 Local PPO * $5,900
Blue Medicare Medical Only (HMO)
$0 Local HMO * $4,400
Cigna-HealthSpring Advantage (HMO)
$0 Local HMO * $4,900
Erickson Advantage Liberty without Drugs (HMO)
$0 Local HMO * $6,700
HumanaChoice R1390-001 (Regional PPO)
$0 Regional PPO * $5,400 Enroll
Lasso Healthcare (MSA)
MSA * $- NA

2020 Medicare Special Needs Plans in Mecklenburg county North Carolina

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Cigna-HealthSpring TotalCare (HMO D-SNP)     $26.40 $435.0  No Dual-Eligible
Erickson Advantage Champion (HMO-POS C-SNP)     $195.0 $0  No Chronic or Disabling Condition
Erickson Advantage Guardian (HMO-POS I-SNP)     $29.30 $0  No Institutional
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)     $25.90 $300.0  No Dual-Eligible
Liberty Advantage (HMO I-SNP)     $26.40 $435.0  No InstitutionalNA
Liberty Advantage Gold (HMO I-SNP)     $175.0 $0  No InstitutionalNA
Liberty at Home (HMO I-SNP)     $56.00 $0  No InstitutionalNA
UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP)     $20.40 $200.0  No Institutional
UnitedHealthcare Dual Complete (HMO-POS D-SNP)     $24.20 $435.0  No Dual-Eligible
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)     $18.30 $435.0  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (HMO I-SNP)     $26.40 $435.0  No Institutional
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $23.80 $435.0  No Institutional

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard


In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

Source: CMS. Data as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.

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