2022 Yadkin County North Carolina
Medicare Advantage Plans

There are 37 Medicare Advantage Plans available in Yadkin County NC from 9 different health insurance providers. 13 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3450 and the highest out of pocket is $7550. Yadkin County North Carolina residents can also pick from 14 Medicare Special Needs Plans. The best Medicare Advantage plan in Yadkin County North Carolina received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.



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

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage Choice (PPO)
(H2228-018)
$38.00 $0 $3,900 YesBrowse
Formulary
AARP Medicare Advantage Plan 1 (HMO-POS)
(H5253-037)
$27.00 $0 $3,600 YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO-POS)
(H5253-038)
$0 $95.00 $4,500 YesBrowse
Formulary
Aetna Medicare Essential Plan (PPO)
(H5521-354)
$0 $200.00 $7,500 YesBrowse
Formulary
Aetna Medicare Premier Plan (PPO)
(H5521-081)
$0 $150.00 $5,900 YesBrowse
Formulary
Aetna Medicare Prime (HMO-POS)
(H3146-007)
$0 $0 $4,500 YesBrowse
Formulary
Aetna Medicare Value Plus Plan (HMO)
(H3146-010)
$24.00 $95.00 $4,950 YesBrowse
Formulary
ApexBold (HMO)
(H9828-001)
$0 $0 $5,900 YesToo NewBrowse
Formulary
ApexEnrich (HMO)
(H9828-002)
$40.00 $0 $4,900 YesToo NewBrowse
Formulary
Blue Medicare Enhanced (HMO)
(H3449-024)
$49.00 $0 $4,900 YesBrowse
Formulary
Blue Medicare Essential (HMO)
(H3449-027)
$0 $375.00 $5,900 YesBrowse
Formulary
Blue Medicare Essential Plus (HMO)
(H3449-023)
$26.00 $195.00 $5,900 YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H9725-001)
$0 $0 $4,900 NoBrowse
Formulary
Cigna Preferred Plus Medicare (HMO)
(H9725-006)
$29.00 $0 $3,900 NoBrowse
Formulary
Cigna True Choice Medicare (PPO)
(H7849-019)
$0 $0 $5,750 NoBrowse
Formulary
Humana Gold Plus H1036-291 (HMO)
(H1036-291)
$0 $0 $3,900 NoBrowse
Formulary
HumanaChoice H5216-211 (PPO)
(H5216-211)
$50.00 $160.00 $6,700 NoBrowse
Formulary
HumanaChoice R1390-002 (Regional PPO)
(R1390-002)
$98.80 $480.00 $7,550 NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H7175-003)
$32.90 $480.00 $4,500 NoBrowse
Formulary
Wellcare Giveback Open (PPO)
(H7175-004)
$0 $200.00 $7,550 YesBrowse
Formulary
Wellcare No Premium (HMO)
(H4073-001)
$0 $150.00 $4,500 NoToo NewBrowse
Formulary
Wellcare No Premium Open (PPO)
(H7175-001)
$0 $150.00 $5,500 NoBrowse
Formulary
Wellcare No Premium Value (HMO)
(H0712-023)
$0 $150.00 $6,000 NoBrowse
Formulary
Wellcare Premium Enhanced Open (PPO)
(H7175-006)
$55.00 $100.00 $4,500 NoBrowse
Formulary
Wellcare Premium Ultra Open (PPO)
(H7175-007)
$99.00 $100.00 $3,450 NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in North Carolina





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Yadkin county North Carolina

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Cigna TotalCare (HMO D-SNP)     $35.80 $480.0  No Gap Coverage Dual-Eligible
Healthy Blue + Medicare (HMO D-SNP)     $35.80 $480.0  Few Generics Dual-EligibleToo New
Humana Gold Plus SNP-DE H1036-168 (HMO D-SNP)     $35.80 $480.0  No Gap Coverage Dual-Eligible
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)     $35.80 $480.0  No Gap Coverage InstitutionalNA
Liberty Medicare Dual Plan (HMO D-SNP)     $35.80 $480.0  No Gap Coverage Dual-EligibleNA
Liberty Medicare Healthy at Home (HMO I-SNP)     $0 $0  No Gap Coverage InstitutionalNA
Liberty Medicare Heart and Diabetes Plan (HMO C-SNP)     $0 $0  No Gap Coverage Chronic or Disabling ConditionNA
UnitedHealthcare Dual Complete (HMO-POS D-SNP)     $35.80 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)     $35.70 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)     $35.80 $480.0  No Gap Coverage Institutional
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $35.80 $480.0  No Gap Coverage Institutional
Wellcare Dual Access (HMO D-SNP)     $30.70 $480.0  No Gap Coverage Dual-EligibleToo New
Wellcare Dual Access Medicare (HMO D-SNP)     $34.00 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Liberty Open (PPO D-SNP)     $35.80 $480.0  No Gap Coverage Dual-Eligible



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

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

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

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

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

GAP
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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



Source: CMS. Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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