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North Carolina Health Plans

Looking for low-cost or no-cost health insurance? We offer Medicaid plans. We also offer dual health plans for people with both Medicaid and Medicare.

For general information about the plans in your state, visit North Carolina's Medicaid and Exchange homepage.

Enter a 5-digit ZIP code, 2-letter state abbreviation or full state name.

6 results for North Carolina

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2022 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

  • OTC+Healthy Food

    $220 a month on a prepaid card for OTC and covered groceries in-store or online

  • Dental coverage

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

  • Routine vision care

    $0 copay on yearly routine eye exam and $300 eyewear allowance

Enroll in Plan (opens modal window) View Plan Details Check Eligibility (opens modal window)

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

2022 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

  • OTC+Healthy Food

    $175 a month on a prepaid card for OTC and covered groceries in-store or online

  • Dental coverage

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

  • Prescription drug coverage

    $0 copay on covered generic and brand-name prescriptions including home delivery

Enroll in Plan (opens modal window) View Plan Details Check Eligibility (opens modal window)

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

View Plan Details Check Eligibility (opens modal window)

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

View Plan Details Check Eligibility (opens modal window)

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.

View Plan Details

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

 

Individual and Family Plans

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, Davidson, Davie, Duplin, Forsyth, Franklin, Guilford, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Johnston, McDowell, Mecklenburg, New Hanover, Orange, Pender, Randolph, Richmond, Robeson, Rockingham, Rutherford, Sampson, Scotland, Stokes, Surry, Transylvania, Wake, and Yadkin.

Benefits & Features

  • $0 virtual care

    With most plans, you get $0^ virtual visits with a doctor who's specially trained to provide online urgent, specialty and primary care. 

  • Prescriptions as low as $3

    Pay a $3^ copay on Tier 1 generic drugs at Walgreens. Plus, get member-exclusive discounts, like 20% off Walgreens-brand health and wellness products.

  • Digital fitness classes at no additional cost

    Get access to a premium library with thousands of live and on-demand digital fitness classes included in your plan. 

Visit UHCExchange.com (Opens in a New Tab)

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

Individual and Family Plans Disclaimer
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Medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization, Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc.; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in LA, TN and AL; Optimum Choice, Inc. in VA and MD; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of Texas, Inc.; and UnitedHealthcare of Oregon, Inc. in WA. Administrative Services provided by United HealthCare Services, Inc. or their affiliates.

^Some plans may require copayments, deductibles and/or coinsurance for these benefits. Plans in metal tiers varies and are subject to plan deductibles, copayments, and coinsurance. This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. By responding to this offer, you agree that a representative may contact you.

Virtual visits conducted by telephone or video chat with a doctor are not an insurance product, health care provider or a health plan. Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times, or in all locations, or for all members. Check your benefit plan to determine if these services are available. The Designated Virtual Visit Provider's reduced rate for a virtual visit is subject to change at any time. Virtual primary care visits are unavailable for members under the age of 18.

Discount valid until 12/31/22. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members.

Available to members of applicable health plans who register for an account with Peloton. Credit to All-Access Membership limited to 1 per family. Must be 18+ years of age and covered under applicable UnitedHealthcare health plan. Subject to state legal and regulatory availability. Peloton equipment not required. UnitedHealthcare members that own a Peloton Bike or Tread can receive equivalent value ($155) to be credited to an All-Access Membership. Peloton offers its services directly to consumers pursuant to an agreement between Peloton and the consumer. The information provided under this program is for general informational purposes only and is not intended to be nor should be construed as medical advice. You should consult with an appropriate health care professional before beginning any exercise program and/or to determine what may be right for you.

Enrollees are eligible to earn a $25 gift card for certain retail participants upon completion of a wellness visit with the enrollee's primary care physician. Limited to one gift card per enrollee. Restrictions apply, see amazon.com/gc-legal. Walgreens is not a sponsor of this promotion. Fulfillment of Walgreens Gift Cards will be done through National Gift Card. The program's rewards provider should be contacted by gift card recipients with any questions. Gift cards are subject to all terms and conditions printed on the back of the gift cards and are subject to change at Walgreens' discretion. Walgreens is not liable for any alleged or actual claims related to this offer. The Walgreens name and logo are registered trademarks of the Walgreen Company. National Gift Card is solely responsible for the fulfillment and value of Walgreens Gift Cards awarded through this program. Please contact National Gift Card regarding any questions related to Walgreens Gift Cards. UnitedHealthcare is not affiliated with Walmart Stores, Inc., or any of its affiliates. The services, products or activities of UnitedHealthcare, are neither endorsed nor sponsored by Walmart Stores, Inc., or any of its affiliates. See https://www.walmart.com/help/article/gift-card-terms-and-conditions/90f9e217278146898946c1d786bedea3 for complete gift card terms and conditions.

Last Updated: 11.10.2021 at 09:41 AM CST

Disclaimer Information
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Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Nurseline Disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-844-445-8328 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio (plan Medicare-Medicaid), comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al 1-844-445-8328 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la semana).

UnitedHealthcare Connected® (Medicare-Medicaid Plan)

UnitedHealthcare Connected® (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

You can get this document for free in other formats, such as large print, braille, or audio. Call 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free.

You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al 1-877-542-9236, TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

Los servicios Language Line están disponibles para todos los proveedores dentro de la red.

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Availability of Non-English Disclaimer

ATTENTION: If you speak an alternative language, language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.

ATENCIÓN: Si habla Español, hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Medicare evaluates plans based on a 5-Star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected® has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper Directory Requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate Information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 888-638-6613 TTY 711.

This site contains documents in PDF format. PDF (Portable Document Format) files can be viewed with Adobe® Reader®. If you don't already have this viewer on your computer, download it free from the Adobe website.

Last Updated: 11.10.2021 at 09:41 AM CST

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