Medicare Plans in
Polk County, NC
32 Medicare Advantage Plans Found in Polk County. See Plans
Polk County, NC
Medicare Information
For Polk County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 32 MA plans are available in Polk County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about Medicare Advantage plans in Polk County, North Carolina, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Polk County
Average Cost of Medicare Advantage Plans in Polk County, North Carolina | |
---|---|
Average Monthly Premium | $43.98 |
Average in-network out-of-pocket spending limit | $5,609.38 |
Average drug deductible in 2022 (weighted) | $225.28 |
Percentage of plans rated 4 stars or higher | 56.3% |
Average Cost of Medicare Advantage Plans in Polk County, North Carolina |
---|
Average Monthly Premium $43.98 |
Average in-network out-of-pocket spending limit $5,609.38 |
Average drug deductible in 2021 (weighted) $225.28 |
Percentage of plans rated 4 stars or higher 56.3% |
Learn More About Medicare Advantage
Prescription Drug Plans
Plan Type | Description |
---|---|
HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
Plan Type and Description |
---|
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
|
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
|
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
|
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
|
In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans

Aetna Inc. Medicare Advantage Plans in Polk County, NC
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in North Carolina in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Value Plan (PPO) | H5521: 239 | $18 | $150 | $6,500 | Yes | 4 out of 5 |
Aetna Medicare Value Plus Plan (HMO) | H3146: 005 | $24 | $95 | $6,500 | Yes | Plan too new to be measured |
Blue Cross and Blue Shield of North Carolina Medicare Advantage Plans in Polk County, NC
The following table includes cost information and other plan details for Blue Cross and Blue Shield of North Carolina Medicare Advantage plans available in North Carolina in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Blue Medicare Essential (HMO) | H3449: 027 | $0 | $375 | $5,900 | Yes | 4 out of 5 |
Blue Medicare Essential Plus (HMO) | H3449: 023 | $0 | $195 | $4,200 | Yes | 4 out of 5 |
Blue Medicare Freedom+ (PPO) | H3404: 004 | $0 | N/A | $7,550 | No | 4 out of 5 |
Blue Medicare Medical Only (HMO) | H3449: 012 | $0 | N/A | $3,900 | No | 4 out of 5 |
Blue Medicare Enhanced (HMO) | H3449: 024 | $19 | $0 | $3,900 | Yes | 4 out of 5 |
Blue Medicare PPO Enhanced (PPO) | H3404: 003 | $29 | $0 | $5,900 | Yes | 4 out of 5 |

Cigna Medicare Advantage Plans in Polk County, NC
The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in North Carolina in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna Fundamental Medicare (HMO) | H9725: 005 | $0 | N/A | $4,900 | No | 4.5 out of 5 |
Cigna Preferred Medicare (HMO) | H9725: 001 | $0 | $0 | $4,900 | Yes | 4.5 out of 5 |
Cigna True Choice Medicare (PPO) | H7849: 019 | $0 | $0 | $5,750 | Yes | Plan too new to be measured |
Cigna Preferred Plus Medicare (HMO) | H9725: 006 | $29 | $0 | $3,900 | Yes | 4.5 out of 5 |

Humana Inc. Medicare Advantage Plans in Polk County, NC
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in North Carolina in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Humana Gold Plus H6622-025 (HMO-POS) | H6622: 025 | $0 | $150 | $5,900 | Yes | 4 out of 5 |
Humana Honor R1390-003 (Regional PPO) | R1390: 003 | $0 | N/A | $7,550 | No | 3.5 out of 5 |
HumanaChoice H5216-017 (PPO) | H5216: 017 | $0 | $265 | $7,550 | Yes | 4 out of 5 |
HumanaChoice R1390-001 (Regional PPO) | R1390: 001 | $0 | N/A | $6,950 | No | 3.5 out of 5 |
Humana Gold Plus H6622-026 (HMO-POS) | H6622: 026 | $30 | $0 | $4,400 | Yes | 4 out of 5 |
HumanaChoice H5216-211 (PPO) | H5216: 211 | $50 | $160 | $6,700 | Yes | 4 out of 5 |
HumanaChoice R1390-002 (Regional PPO) | R1390: 002 | $99 | $480 | $7,550 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Polk County, NC
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in North Carolina in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage Choice (PPO) | H2577: 016 | $0 | $250 | $6,700 | Yes | Plan too new to be measured |
AARP Medicare Advantage Patriot (HMO-POS) | H5253: 040 | $0 | N/A | $3,600 | No | 4 out of 5 |
AARP Medicare Advantage Plan 2 (HMO-POS) | H5253: 079 | $0 | $170 | $5,900 | Yes | 4 out of 5 |
AARP Medicare Advantage Walgreens (HMO-POS) | H5253: 105 | $0 | $435 | $6,700 | Yes | 4 out of 5 |
AARP Medicare Advantage Plan 1 (HMO-POS) | H5253: 080 | $43 | $0 | $4,700 | Yes | 4 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Polk County, NC
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in North Carolina in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare Giveback Open (PPO) | H7175: 004 | $0 | $200 | $7,550 | Yes | Plan too new to be measured |
Wellcare No Premium (HMO) | H4073: 001 | $0 | $150 | $4,500 | Yes | na |
Wellcare No Premium Open (PPO) | H7175: 001 | $0 | $150 | $5,500 | Yes | Plan too new to be measured |
Wellcare No Premium Value (HMO) | H0712: 023 | $0 | $150 | $6,000 | Yes | 3 out of 5 |
Wellcare Patriot No Premium Open (PPO) | H7175: 005 | $0 | N/A | $5,500 | No | Plan too new to be measured |
Wellcare Assist Open (PPO) | H7175: 003 | $33 | $480 | $4,500 | Yes | Plan too new to be measured |
Wellcare Premium Enhanced Open (PPO) | H7175: 006 | $55 | $100 | $4,500 | Yes | Plan too new to be measured |
Wellcare Premium Ultra Open (PPO) | H7175: 007 | $99 | $100 | $3,450 | Yes | Plan too new to be measured |