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Medicare Part D Plans in North Carolina

Information about Medicare Part D in North Carolina

Original Medicare (Part A and Part B) is typically set up to cover only hospital and medical benefits. Only in some instances will Original Medicare cover prescription medications, such as immunosuppressive drugs for transplant patients, certain oral anti-cancer drugs, and prescription medications used in nebulizers and external infusion pumps.

There are options for Medicare beneficiaries to receive prescription drug benefits. One option is to enroll in a stand-alone Medicare Part D plan , also known as a Prescription Drug Plan (PDP). PDPs are offered through private insurance companies and provide benefits to help cover some of the costs of eligible prescription medications. Another option is to join a Medicare Advantage Prescription Drug (MAPD) plan, which combines health insurance and prescription drug coverage into a single plan.

Because Medicare Part D is a stand-alone plan, North Carolina residents can enroll in a PDP in addition to their Original Medicare and Medicare Supplement plans.

Statistics and facts for Medicare Part D plans in North Carolina

  • Total number of PDPs available (2013): 30
  • Number of private insurers offering PDPs (2013): 15
  • Number of PDPs that are eligible for low-income subsidies (2013): 8
  • Average monthly premium for PDPs in North Carolina (2012): $55.80
  • Percent of PDPs with a $0 deductible (2013): 47%
  • Maximum premium for an available PDP (2013): $116.80
  • Medicare Part D stand-alone total enrollment (2012): 695,171
  • PDP enrollment as a percent of total Medicare population (2012): 44.32%
  • Total low-income subsidy recipients (2012): 367,861

Compare Medicare Part D plans in North Carolina

Since Original Medicare does not usually cover prescription medications, it is important for Medicare beneficiaries to sign up for a Part D plan to help pay for some of the medication costs. Even if no prescription medications are currently needed, it is wise to sign up for a Part D plan to help protect against future medication costs.

It is also important to compare all Part D plans in your area since availability and cost may depend on your county of residence. Each private insurer can determine their own list of medications to cover, called a formulary, and under which copayment tier to cover them. Thus, it is recommended that you consider your personal medication needs when comparing Medicare Part D plans.

You can start shopping and comparing Part D plans right now. All you need to do is enter your zip code above and we will provide you with a customized list of plans available to you in your area. You can also enter your current medications to help narrow your search.

Data provided by the Henry J. Kaiser Family Foundation.

eHealth Medicare is operated by eHealthInsurance Services, Inc., a licensed health insurance agency certified to sell Medicare products.
Medicare has neither reviewed nor endorsed this information.

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