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North Carolina Medicare and Senior Health Tips (NC)

Medical Advantage plans are regulated by both state and federal law. States reserve the right to license an insurance provider, as well as determine the guidelines for said licensure within its area of responsibility based on state laws, but laws established by the Centers of Medicare and Medicaid Services (CMS) under federal law such as unacceptable marketing practices for Plan C or D* under Medicare Marketing Guidelines are enforced by the CMS under federal government decree. States may report such violations to the CMS but may not take any other action against the alleged transgressor.

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Hard-selling and other high-pressure marketing tactics by Medicare Advantage plan providers are prohibited by The Centers for Medicare & Medicaid Services (CMS), with stiff sanctions in the offing for violators. These include free-dinner marketing meetings, door-to-door solicitation and cold calls, cross-selling and sales presentations where health care is delivered or during education events. These restrictions are designed to prevent the more aggressive insurance companies from railroading eligible senior citizens into enrolling in their Medicare Advantage plans. If there is any indication of illegal or unscrupulous practice by the service provider, complaints may be reported to 1-800-MEDICARE.

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Helpful Examples of Medicare Advantage Plans in NC

Of the 52 plans available in North Carolina, three of the Medicare Advantage plans with prescription drug coverage*, three with no monthly premium are:

  • Advantra Freedom-Freedom 5 [H5227 - 001]
  • Blue Medicare HMO Standard [H3449 - 013]
  • Patriot Plus [H0979 - 005]

Be sure to research the plan that best suits your needs.

Providers for Medicare plans available in North Carolina1

America’s 1st Choice
Blue Cross
Health Net
HealthMarkets Care Assured
Southeast Community Care
Sterling Options
Today’s Options

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* You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:

1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week;

The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call, 1-800-325-0778; or Your State Medicaid Office

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