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Medicare in North Carolina

By the numbers

North Carolina provides health services for 1,568,429 beneficiaries living in the state. In 2012, there were almost 1.3 million Medicare beneficiaries with creditable prescription drug coverage. The state also had a high percentage of residents enrolled in a Medicare Advantage plan.

  • Number of Medicare Advantage plans in North Carolina - 85
  • North Carolina beneficiaries enrolled in Medicare Advantage (MA) - 296,602
  • Percentage of MA plans in North Carolina with a $0 premium - 54.43%

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in North Carolina

North Carolina Medicare Savings Programs: North Carolina has Medicare Savings Programs that help beneficiaries each year. If you have limited income or resources, you may qualify for discounts on your out-of-pocket expenses, such as premiums and deductibles.

North Carolina State Health Insurance Counseling and Assistance Program (SHIP): In North Carolina, SHIP staff members counsel Medicare beneficiaries and caregivers on many different Medicare related topics. The counselors also help beneficiaries and their caregivers recognize and prevent billing errors and possible Medicare fraud.

How healthy is the state of North Carolina?

North Carolina is the tenth most populous state in the U.S. and ranked as the 32nd healthiest state to live. North Carolina's strength as a healthy state is helped by its low incidence of infectious disease as well as high percentage rates of immunization coverage. Two challenges facing North Carolina are its high infant mortality rate as well as high percentage of children in poverty.

All data provided by Kaiser Family Foundation.

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