Health Plans for North Carolina.

At this time, the Medicare Advantage Plans available are for senior citizens and people with special needs and medical conditions who qualify for both Medicaid and Medicare Parts A and B.

We offer 6 health plans in North Carolina

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2020 UnitedHealthcare Dual Complete® (HMO-POS D-SNP)

H5253-041-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility.


This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).

This is a Health Maintenance Organization (HMO) plan. With an HMO plan, you must use network providers to get your medical care and services. 

Alamance, Buncombe, Caswell, Catawba, Chatham, Cumberland, Davidson, Davie, Durham, Forsyth, Guilford, Henderson, Mecklenburg, Orange, Person, Randolph, Rockingham, Rowan, Stokes, Wake, Wilkes, and Yadkin.

Benefits & Features

  • Dental Coverage

    $3500 toward dental services.

  • Routine Vision Coverage

    Annual routine exam and $300 credit every 2 years for routine eyewear.

  • Personal Emergency Response System

    Get connected to a trained operator quickly in any emergency situation 24 hours a day for $0.

Have questions?    8 a.m. – 8 p.m. local time, 7 days a week    1-844-812-5967    TTY 711

2020 UnitedHealthcare Dual Complete® RP (Regional PPO D-SNP)

R1548-001-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. 


This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).

This is a Preferred Provider Organization (PPO) plan. You have access to a local network of doctors and hospitals. Plus, you can see any provider outside the network nationwide that participates in Medicare and accepts the plan. You may pay a higher copay or coinsurance when you see an out-of-network provider.

This plan is available in all counties.

Benefits & Features

  • Dental Coverage

    $2500 toward dental services.

  • Health Products Benefit

    Up to $1,040 in credits to place catalog orders for health products you may need.

  • OTC Network Debit Card

    Up to $300 in credits to buy health-related items you may need.

Have questions?    8 a.m. – 8 p.m. local time, 7 days a week    1-844-812-5967    TTY 711

2021 UnitedHealthcare Dual Complete® (HMO-POS D-SNP)

H5253-041-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility.


This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).

This is a Health Maintenance Organization (HMO) plan. With an HMO plan, you must use network providers to get your medical care and services. 

Alamance, Buncombe, Caswell, Catawba, Chatham, Cumberland, Davidson, Davie, Durham, Forsyth, Guilford, Henderson, Mecklenburg, Orange, Person, Randolph, Rockingham, Rowan, Stokes, Wake, Wilkes, and Yadkin.

Benefits & Features

  • Dental

    Up to $3500 for covered types of preventive and comprehensive dental services

  • OTC Items - Debit and Food Allowance

    Up to $1,200 per year to buy OTC products, plus $660 per year for healthy foods

  • Vision

    Routine eye exam and $300 allowance toward eyewear

Have questions?    8 a.m. – 8 p.m. local time, 7 days a week    1-844-812-5967    TTY 711

2021 UnitedHealthcare Dual Complete® RP (Regional PPO D-SNP)

R1548-001-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. 


This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).

This is a Preferred Provider Organization (PPO) plan. You have access to a local network of doctors and hospitals. Plus, you can see any provider outside the network nationwide that participates in Medicare and accepts the plan. You may pay a higher copay or coinsurance when you see an out-of-network provider.

Accomack, Alamance, Albemarle, Alexander, Alexandria City, Alleghany, Amelia, Amherst, Anson, Appomattox, Arlington, Ashe, Augusta, Avery, Bath, Beaufort, Bedford, Bertie, Bladen, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Buncombe, Burke, Cabarrus, Caldwell, Camden, Campbell, Caroline, Carroll, Carteret, Caswell, Catawba, Charles City, Charlotte, Charlottesville City, Chatham, Cherokee, Chesapeake City, Chesterfield, Chowan, Clarke, Clay, Cleveland, Colonial Heights City, Columbus, Covington City, Craig, Craven, Culpeper, Cumberland, Currituck, Danville City, Dare, Davidson, Davie, Dickenson, Dinwiddie, Duplin, Durham, Edgecombe, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Forsyth, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Gaston, Gates, Giles, Gloucester, Goochland, Graham, Granville, Grayson, Greene, Greensville, Guilford, Halifax, Hampton City, Hanover, Harnett, Harrisonburg City, Haywood, Henderson, Henrico, Henry, Hertford, Highland, Hoke, Hopewell City, Hyde, Iredell, Isle of Wight, Jackson, James City, Johnston, Jones, King And Queen, King George, King William, Lancaster, Lee, Lenoir, Lexington City, Lincoln, Loudoun, Louisa, Lunenburg, Lynchburg City, Macon, Madison, Manassas City, Manassas Park City, Martin, Martinsville City, Mathews, McDowell, Mecklenburg, Middlesex, Mitchell, Montgomery, Moore, Nash, Nelson, New Hanover, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Onslow, Orange, Page, Pamlico, Pasquotank, Patrick, Pender, Perquimans, Person, Petersburg City, Pitt, Pittsylvania, Polk, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford City, Randolph, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Robeson, Rockbridge, Rockingham, Rowan, Russell, Rutherford, Salem City, Sampson, Scotland, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Stanly, Staunton City, Stokes, Suffolk City, Surry, Sussex, Swain, Tazewell, Transylvania, Tyrrell, Union, Vance, Virginia Beach City, Wake, Warren, Washington, Watauga, Wayne, Waynesboro City, Westmoreland, Wilkes, Williamsburg City, Wilson, Winchester City, Wise, Wythe, Yadkin, Yancey, and York.

Benefits & Features

  • Dental

    Up to $2500 for covered types of preventive and comprehensive dental services

  • Prescription Drug Coverage

    $0 drug copays on all tiers of covered medications with option for home delivery

  • OTC Items - Debit and Food Allowance

    Up to $1,220 per year to buy OTC products, plus $660 per year for healthy foods

Have questions?    8 a.m. – 8 p.m. local time, 7 days a week    1-844-812-5967    TTY 711

UnitedHealthcare Community Plan Medicaid


UnitedHealthcare Community Plan of North Carolina provides Medicaid coverage to children, pregnant women, families and adults. You can choose your own doctor, and get many extras that other plans don’t offer.

This plan is available in all counties.

Benefits & Features

  • Choice of Doctor

    Use Doctor Lookup tool to see if your doctor is in our network or to find a new one.

  • Medicines

    Fill your prescriptions at local pharmacies.

  • Transportation

    We pay for rides to and from medical visits.

Have questions?    Monday - Friday 8am – 5pm ET Excluding State Holidays 1-800-349-1855    TTY 711

 

Balance and Value

UnitedHealthcare is offering individual and family plans in North Carolina that are designed to provide the best possible coverage at an affordable price. 

We have plan choices in all three metal levels, bronze, silver and gold, offering a variety of benefits. And all of our plans come with reliable, friendly guidance from our experienced team.  


Alexander, Bladen, Brunswick, Buncombe, Burke, Caldwell, Catawba, Columbus, Cumberland, Duplin, Franklin, Guilford, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Johnston, McDowell, New Hanover, Orange, Pender, Randolph, Richmond, Robeson, Rockingham, Rutherford, Sampson, Scotland, Transylvania, and Wake.

Benefits & Features

  • 3 $0 virtual visits

    Get the urgent care you need in 15 minutes or less, usually, with three virtual visits at no cost to you.

  • $0 preventive care

    Don't pay more for preventive care. These plans offer it at no additional cost.

  • Low-cost prescriptions

    Save money with $0 co-pays on preventive drugs and the ability to get your prescriptions conveniently at many locations, including Walgreens and Walmart.

Have Questions? 1-888-610-9045 TTY 711