Best Wayne County, North Carolina Medicare Companies & Plans (2024)
Eligible residents can buy Wayne County Medicare plans from multiple insurance companies. Medicare plans available in Wayne County include Medicare Advantage (Part C), Part D prescription drug coverage, and Medicare Supplement (Medigap) plans. The best way to choose the right Medicare coverage in Wayne County, NC is to compare coverage and rates from multiple companies.
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Daniel Walker
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Daniel Walker graduated with a BS in Administrative Management in 2005 and has run his family’s insurance agency, FCI Agency, for over 15 years (BBB A+). He is licensed as an insurance agent to write property and casualty insurance, including home, life, auto, umbrella, and dwelling fire insurance. He’s also been featured on sites like Reviews.com and Safeco. To ensure our content is accura...
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UPDATED: Nov 27, 2023
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UPDATED: Nov 27, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Medicare supplement plans in Wayne County, NC include Medigap Plan F-high deductible and Medigap Plan M
- Wayne County residents can buy Medicare Advantage or choose original Medicare
- Medicare supplement plans in Wayne County are designed to cover out-of-pocket costs not paid for by original Medicare
Wayne County, North Carolina Medicare plans are widely available, and Medicare-eligible residents can compare options that include Medicare Advantage, standalone Medicare Part D, and Medicare Supplement plans to fill the gaps in original Medicare.
Whether you are just looking for Medigap coverage in Wayne County to avoid out-of-pocket costs not covered by your Medicare Part A and B or want to sign up for Medicare Advantage instead, comparing your options is the best way to find affordable Wayne County, NC Medicare coverage that suits your needs.
Ready to find cheap Medicare rates in Wayne County, NC? Enter your ZIP code to compare Wayne County, North Carolina Medicare plans today.
Medicare Advantage Companies in Wayne County, North Carolina
A Medicare Advantage plan in Wayne County, NC can provide additional coverage above and beyond original Medicare and allows you to choose your plan, coverage, and network. Take a look at the companies that offer Medicare Advantage plans in Wayne County, North Carolina.
Medicare Advantage Companies in Wayne County, North Carolina
Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
---|---|---|---|---|---|
AARP Medicare Advantage Choice (PPO) – H2577-017-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
AARP Medicare Advantage Patriot (HMO-POS) – H5253-040-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,600 |
AARP Medicare Advantage Plan 1 (HMO-POS) – H5253-104-0 | $48.00 | $95 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $4,900 |
AARP Medicare Advantage Plan 2 (HMO-POS) – H5253-103-0 | $14.00 | $170 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $5,900 |
Aetna Medicare Value Plan (PPO) – H5521-243-0 | $21.00 | $150 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $7,000 |
Blue Medicare Enhanced (HMO) – H3449-024-3 | $75.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $37.00, Non-Preferred Drug: 45%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,500 |
Blue Medicare Essential (HMO) – H3449-025-0 | $0.00 | $375 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $37.00, Non-Preferred Drug: 36%, Specialty Tier: 26%, Select Care Drugs: $0.00 | $6,700 |
Blue Medicare Essential Plus (HMO) – H3449-023-5 | $39.00 | $195 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $37.00, Non-Preferred Drug: 41%, Specialty Tier: 29%, Select Care Drugs: $0.00 | $6,700 |
Blue Medicare Medical Only (HMO) – H3449-012-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,400 |
Blue Medicare PPO Enhanced (PPO) – H3404-003-2 | $69.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $37.00, Non-Preferred Drug: 45%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,900 |
Humana Honor R1390-003 (Regional PPO) – R1390-003-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
HumanaChoice H5525-035 (PPO) – H5525-035-0 | $0.00 | $265 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 28% | $6,700 |
HumanaChoice H5525-049 (PPO) – H5525-049-0 | $24.00 | $95 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 31% | $5,900 |
HumanaChoice R1390-001 (Regional PPO) – R1390-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,400 |
HumanaChoice R1390-002 (Regional PPO) – R1390-002-0 | $84.00 | $360 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 26% | $7,550 |
HumanaChoice SNP-DE H5525-036 (PPO D-SNP) – H5525-036-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
Lasso Healthcare Growth (MSA) – H1924-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
Longevity Health Plan (HMO I-SNP) – H5374-001-0 | $30.30 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | n/a |
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) – R1548-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
UnitedHealthcare Nursing Home Plan (PPO I-SNP) – H0710-034-0 | $30.30 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
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Medicare Supplement Companies in Wayne County, North Carolina
If you choose original Medicare in Wayne County, NC, you can get coverage for out-of-pocket costs like deductibles, co-pays, and coinsurance with a Wayne County Medicare Supplement plan. Take a look at which companies offer Medicare Supplement plans in Wayne County, NC and which plans are available.
Medicare Supplement Companies in Wayne County, North Carolina
Company | Plans |
---|---|
AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Aetna Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
American Benefit Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
American Financial Security Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Assured Life Association | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Atlantic Coast Life Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Atlantic Coast Life Insurance Company (Household) | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Bankers Fidelity Assurance Company (Preferred) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
Bankers Fidelity Assurance Company (Standard) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
BlueCross BlueShield of North Carolina | Medigap Plan A, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
Capitol Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Central States Health and Life Co. of Omaha | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan N |
Cigna National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (Standard II w/ 15% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (Standard II w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (Standard II) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (Standard III w/ 15% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (Standard III w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (Standard III) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (w/ 15% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Cigna National Health Insurance Company (w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Colonial Penn Life Insurance Company | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan M, Medigap Plan N |
Colonial Penn Life Insurance Company (Substandard) | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan M, Medigap Plan N |
Combined Insurance Company of America | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Elips Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Erie Family Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Federal Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
GPM Health and Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
Globe Life and Accident Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Great Southern Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Great Southern Life Insurance Company (Class 1) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Guarantee Trust Life Insurance Company | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Heartland National Life Insurance Company | Medigap Plan A, Medigap Plan G, Medigap Plan N |
Humana (Humana Insurance Company) | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
Humana (Humana Insurance Company) (Household) | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
Humana Achieve (CompBenefits Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Humana Achieve (CompBenefits Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Humana Healthy Living (Humana Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan K, Medigap Plan N |
Humana Healthy Living (Humana Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan K, Medigap Plan N |
Humana Value (HumanaDental Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
Humana Value (HumanaDental Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
Independence American Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Manhattan Life Assurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Medico Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Nassau Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
National Guardian Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
New Era Life Insurance Company of the Midwest | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
Old Surety Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G |
Omaha Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Oxford Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Pan-American Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Pekin Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Physicians Life Insurance Company (Issue Age) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible |
Prosperity Life Group (Preferred) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Prosperity Life Group (Standard) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Royal Arcanum | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan N |
Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Shenandoah Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Southern Guaranty Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Standard Life and Accident Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Transamerica Life Insurance Company (Direct) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan M, Medigap Plan N |
USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Union Security Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
United American Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
United Commercial Travelers of America | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
United Insurance Company of America | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
United States Fire Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan N |
Physicians Life Insurance Company (Attained Age) | Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible |
Physicians Life Insurance Company (Innovative/Attained Age) | Medigap Plan F, Medigap Plan G |
Physicians Life Insurance Company (Innovative/Issue Age) | Medigap Plan F, Medigap Plan G |
Standard Life and Accident Insurance Company (Innovative Benefits) | Medigap Plan F-high deductible |
Wayne County, North Carolina Medicare Supplement Coverage by Plan
Not sure which Wayne County Medicare supplement plan is right for you? Take a look at the details of each of the standard North Carolina Medicare supplement plans to find out what’s covered.
Wayne County, North Carolina Medicare Supplement Coverage by Plan
Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
---|---|---|---|---|
Medigap Plan A | Premiums range from $82-$1,343 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan B | Premiums range from $103-$722 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan C | Premiums range from $115-$959 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan D | Premiums range from $106-$913 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan F | Premiums range from $108-$1,401 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan F-high deductible | Premiums range from $30-$283 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G | Premiums range from $94-$1,414 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G-high deductible | Premiums range from $30-$162 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan K | Premiums range from $45-$317 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan L | Premiums range from $59-$642 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan M | Premiums range from $72-$745 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan N | Premiums range from $69-$538 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Wayne County, North Carolina
If you’re looking to buy a standalone Wayne County, NC Medicare Part D plan for prescription drug coverage, you have several options. Review the companies that offer Part D as a standalone policy and what sort of Medicare prescription coverage is available in Wayne County, North Carolina.
Standalone Medicare Part D plans in Wayne County, North Carolina
Plan | Details | Tiers |
---|---|---|
SilverScript SmartRx (PDP) S5601 – 183 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 48% Tier 5: 25% |
Clear Spring Health Premier Rx (PDP) S6946 – 034 – 0 by Clear Spring Health |
Monthly Premium: $13.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 41% Tier 5: 25% |
Elixir RxPlus (PDP) S7694 – 128 – 0 by Elixir Insurance |
Monthly Premium: $14.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
WellCare Wellness Rx (PDP) S4802 – 177 – 0 by WellCare |
Monthly Premium: $15.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 48% Tier 5: 25% |
Humana Walmart Value Rx Plan (PDP) S5884 – 187 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 17% Tier 4: 35% Tier 5: 25% |
WellCare Value Script (PDP) S4802 – 143 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 49% Tier 5: 25% |
Cigna Secure-Essential Rx (PDP) S5617 – 287 – 0 by Cigna |
Monthly Premium: $23.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 42% Tier 5: 25% |
Clear Spring Health Value Rx (PDP) S6946 – 005 – 0 by Clear Spring Health |
Monthly Premium: $24.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 33% Tier 5: 25% |
Cigna Secure Rx (PDP) S5617 – 217 – 0 by Cigna |
Monthly Premium: $24.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
WellCare Classic (PDP) S4802 – 081 – 0 by WellCare |
Monthly Premium: $24.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 25% |
Mutual of Omaha Rx Premier (PDP) S7126 – 077 – 0 by Mutual of Omaha Rx |
Monthly Premium: $25.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 45% Tier 5: 25% |
SilverScript Choice (PDP) S5601 – 016 – 0 by Aetna Medicare |
Monthly Premium: $25.10 Annual Deductable: $330 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 40% Tier 5: 27% |
Elixir RxSecure (PDP) S7694 – 008 – 0 by Elixir Insurance |
Monthly Premium: $26.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 32% Tier 5: 25% |
WellCare Medicare Rx Select (PDP) S5810 – 282 – 0 by WellCare |
Monthly Premium: $26.40 Annual Deductable: $365 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 26% |
AARP MedicareRx Saver Plus (PDP) S5921 – 353 – 0 by UnitedHealthcare |
Monthly Premium: $26.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $34.00 Tier 4: 40% Tier 5: 25% |
Express Scripts Medicare – Saver (PDP) S5660 – 224 – 0 by Express Scripts Medicare |
Monthly Premium: $26.50 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
WellCare Medicare Rx Saver (PDP) S5810 – 042 – 0 by WellCare |
Monthly Premium: $26.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 35% Tier 5: 25% |
Exemplar Health Basic (PDP) S9325 – 002 – 0 by Exemplar Health |
Monthly Premium: $27.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $6.00 Tier 3: $47.00 Tier 4: 47% Tier 5: 25% |
Humana Basic Rx Plan (PDP) S5884 – 133 – 0 by Humana |
Monthly Premium: $27.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
AARP MedicareRx Walgreens (PDP) S5921 – 390 – 0 by UnitedHealthcare |
Monthly Premium: $38.60 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
Express Scripts Medicare – Value (PDP) S5660 – 110 – 0 by Express Scripts Medicare |
Monthly Premium: $45.40 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
Cigna Secure-Extra Rx (PDP) S5617 – 253 – 0 by Cigna |
Monthly Premium: $60.00 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
SilverScript Plus (PDP) S5601 – 017 – 0 by Aetna Medicare |
Monthly Premium: $61.60 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
Humana Premier Rx Plan (PDP) S5884 – 154 – 0 by Humana |
Monthly Premium: $65.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
Express Scripts Medicare – Choice (PDP) S5660 – 209 – 0 by Express Scripts Medicare |
Monthly Premium: $70.70 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
Exemplar Health Enhanced (PDP) S9325 – 001 – 0 by Exemplar Health |
Monthly Premium: $76.10 Annual Deductable: $150 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $42.00 Tier 4: 43% Tier 5: 25% |
WellCare Medicare Rx Value Plus (PDP) S5768 – 131 – 0 by WellCare |
Monthly Premium: $76.60 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 47% Tier 5: 33% |
Blue Medicare Rx Standard (PDP) S5540 – 002 – 0 by Blue Cross and Blue Shield of North Carolina |
Monthly Premium: $82.90 Annual Deductable: $365 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $4.00 Tier 2: $8.00 Tier 3: $37.00 Tier 4: 42% Tier 5: 26% |
Mutual of Omaha Rx Plus (PDP) S7126 – 007 – 0 by Mutual of Omaha Rx |
Monthly Premium: $84.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 38% Tier 5: 25% |
AARP MedicareRx Preferred (PDP) S5820 – 007 – 0 by UnitedHealthcare |
Monthly Premium: $86.00 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
Blue Medicare Rx Enhanced (PDP) S5540 – 004 – 0 by Blue Cross and Blue Shield of North Carolina |
Monthly Premium: $112.70 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $3.00 Tier 2: $6.00 Tier 3: $30.00 Tier 4: 45% Tier 5: 33% |
Compare Medicare Quotes in Wayne County, North Carolina
Looking for the best Wayne County, NC Medicare plan? Enter your ZIP code to find Wayne County, North Carolina plans and rates to suit your needs.
Frequently Asked Questions
What are the best Medicare companies and plans available in Wayne County, North Carolina?
The best Medicare companies and plans available in Wayne County, North Carolina can vary depending on individual needs and preferences. However, here are some well-regarded options:
- UnitedHealthcare: UnitedHealthcare offers a variety of Medicare Advantage plans and standalone prescription drug plans in Wayne County.
- Humana: Humana provides Medicare Advantage plans, Medicare supplement plans, and prescription drug plans in Wayne County.
- Aetna: Aetna offers Medicare Advantage plans, Medicare supplement plans, and prescription drug plans in Wayne County.
- Cigna: Cigna provides Medicare Advantage plans, Medicare supplement plans, and prescription drug plans in Wayne County.
- Blue Cross Blue Shield: Blue Cross Blue Shield offers Medicare Advantage plans, Medicare supplement plans, and prescription drug plans in Wayne County.
How do I choose the right Medicare plan in Wayne County, North Carolina?
Choosing the right Medicare plan in Wayne County, North Carolina involves considering several factors. Here are some steps to help you make an informed decision:
- Assess your healthcare needs: Determine what medical services and prescription drugs you require and consider any ongoing treatments or specialist care.
- Compare plan types: Understand the differences between Original Medicare (Part A and Part B) and Medicare Advantage (Part C) plans. Assess whether you need additional coverage through Medicare Supplement (Medigap) plans or prescription drug coverage (Part D).
- Research available plans: Review the options provided by various Medicare companies operating in Wayne County, considering factors such as coverage, cost, network of doctors and hospitals, and additional benefits.
- Check provider networks: Ensure that the healthcare providers you prefer are included in the plan’s network, especially if you have specific doctors or hospitals you wish to continue using.
- Consider costs: Evaluate the premiums, deductibles, copayments, and coinsurance associated with each plan. Pay attention to both monthly costs and potential out-of-pocket expenses.
- Review drug coverage: If you take prescription medications, ensure that the plan you choose covers your specific medications and that the associated costs align with your budget.
- Seek assistance if needed: Consult with an insurance agent, Medicare counselor, or contact Medicare directly for personalized guidance and to address any specific concerns you may have.
Are there any local resources in Wayne County, North Carolina to help with Medicare-related questions?
Yes, there are local resources available in Wayne County, North Carolina to assist with Medicare-related questions. Consider reaching out to the following organizations:
- Wayne County Department of Social Services: They can provide information and assistance with Medicare, including guidance on eligibility, enrollment, and available resources.
- Wayne County Seniors’ Health Insurance Information Program (SHIIP): SHIIP offers free and unbiased counseling to help individuals navigate Medicare options, compare plans, and understand benefits.
- Wayne County Senior Centers: The local senior centers may have resources and staff who can provide guidance and information on Medicare-related questions.
- Local insurance agents: Contacting licensed insurance agents who specialize in Medicare can provide personalized assistance and help you explore different plan options available in Wayne County.
Can I switch my Medicare plan in Wayne County, North Carolina?
Yes, youcan switch your Medicare plan in Wayne County, North Carolina. There are specific enrollment periods during which you can make changes to your Medicare coverage:
- Initial Enrollment Period (IEP): This is the seven-month period that begins three months before your 65th birthday month, includes your birthday month, and extends for three months after your birthday month. During this period, you can enroll in Medicare or make changes to your existing coverage.
- Annual Enrollment Period (AEP): The AEP runs from October 15 to December 7 each year. During this period, you can switch Medicare Advantage plans, join a Medicare Advantage plan, switch from Original Medicare to Medicare Advantage, or vice versa.
- Medicare Advantage Open Enrollment Period (MA OEP): From January 1 to March 31, individuals who are already enrolled in a Medicare Advantage plan can switch to another Medicare Advantage plan or return to Original Medicare. Prescription drug coverage changes may also be made during this period.
- Special Enrollment Periods (SEPs): SEPs are available to individuals who experience qualifying life events, such as moving to a new area, losing other coverage, or becoming eligible for Medicaid. These periods allow for changes to your Medicare coverage outside of the standard enrollment periods.
How can I find out if a specific Medicare plan is accepted by healthcare providers in Wayne County, North Carolina?
To determine if a specific Medicare plan is accepted by healthcare providers in Wayne County, North Carolina, you can take the following steps:
- Contact the Medicare plan directly: Reach out to the insurance company offering the plan and inquire about their network of doctors, hospitals, and healthcare providers in Wayne County. Ask for a list of in-network providers or request assistance finding healthcare professionals who accept their plan.
- Visit the plan’s website: Many Medicare plan providers have online directories or search tools that allow you to find doctors and hospitals that participate in their network. Check the plan’s website for such resources.
- Contact healthcare providers: Reach out to the doctors, hospitals, or specialists you prefer and ask if they accept the specific Medicare plan you are considering. Confirm their participation and whether they are currently accepting new patients.
- Consult with local resources: Organizations like the Wayne County Department of Social Services or the Wayne County Seniors’ Health Insurance Information Program (SHIIP) mentioned earlier may be able to provide information on which providers accept specific Medicare plans in the area.
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Daniel Walker
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Daniel Walker graduated with a BS in Administrative Management in 2005 and has run his family’s insurance agency, FCI Agency, for over 15 years (BBB A+). He is licensed as an insurance agent to write property and casualty insurance, including home, life, auto, umbrella, and dwelling fire insurance. He’s also been featured on sites like Reviews.com and Safeco. To ensure our content is accura...
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