North Carolina Medicare

North Carolina Medicare
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North Carolina Medicare Plans

In 2012, there were 1,568,429 North Carolina Medicare beneficiaries living in the state, which made up 16% of the total population, according to the Kaiser Family Foundation. To help beneficiaries understand their benefits and options, North Carolina has made many resources available. These resources are provided by a number of state offices offering Medicare information online and through one-on-one counseling services.

Medicare plans in North Carolina are offered by various health insurance companies, which include:

  • Humana
  • Standard Security Life
  • WellCare
  • United of Omaha
  • Cigna
  • Aetna

Medicare Resources in North Carolina

North Carolina Division of Aging and Adult Services - This state office is committed to promoting independence for North Carolina seniors through a variety of programs and services. North Carolina Medicare beneficiaries will also discover a variety of resources regarding their health care coverage through this website. However, most of the information provided through the Division of Aging and Adult Services consists of links to other agencies and websites. It is a good starting place for seniors who are unsure where to look for information about their Medicare plan options.

NC Department of Health and Human Services - North Carolina Medicare beneficiaries unable to pay their health insurance premiums may find assistance through the NC Department of Health and Human Services. This state agency is responsible for the Medicare-Aid program (also known as Medicaid), which is a free program for low-income North Carolina residents who are eligible for Medicare coverage. The program covers premiums and deductibles for Medicare Part A and B coverage, as well as a portion of copayments. Eligibility for the program is based on income level.

North Carolina Department of Insurance - This state agency is the primary source for information about Medicare plans in North Carolina. The office oversees the State Health Insurance Information Program (SHIIP), which provides information, education, and counseling to North Carolina Medicare beneficiaries. In addition, the Department of Insurance oversees the Senior Medicare Patrol (SMP) program, which promotes fraud prevention through education and awareness.

Medicare Insurance Trends in North Carolina

Here are some interesting trends regarding Medicare in North Carolina:

  • More than half (57%) of all North Carolina Medicare beneficiaries were women.
  • Most (80.2%) of the Medicare beneficiaries in the state qualified for benefits by age, while the rest qualified by disability.
  • More than three-quarters (78%) of North Carolina Medicare beneficiaries were white, while 19% were black.
  • The total number of Medicare beneficiaries in the state that qualified for both Medicare and Medicaid benefits was 316,915.
  • There were 1,284,503 Medicare beneficiaries with creditable prescription drug benefits.
  • The average monthly premium for prescription drug plans was $55.80.
  • There were 296,602 North Carolina Medicare beneficiaries with Medicare Advantage plans.
  • More than half (54.43%) of those with a Medicare Advantage plan had a $0 premium.
  • The state offered a total of 85 different Medicare Advantage plans to qualified Medicare beneficiaries.
  • Nearly half (46.7%) of North Carolina Medicare beneficiaries with prescription drug plans had a $0 deductible.

Data provided by the Kaiser Family Foundation.

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