Medicare Advantage PPO plans in North Carolina
There are 56 Medicare Advantage PPO plans in North Carolina from 9 carriers, averaging 3.87 out of 5 stars across the 55 plans CMS has rated. 71% of those with a published premium charge $0 a month (40 of 56); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 56 PPO plans in North Carolina that publish one, the in-network out-of-pocket maximum has a median of $8,675 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $8,013, which sits below the median — the spread is not symmetric, so the median is the better guide.
North Carolina has 1 five-star Medicare Advantage PPO plan.
Of the 56 PPO plans here, 1 carry CMS's top overall rating of 5 stars and 39 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.
North Carolina PPO plans rank 40th of 51 on star rating.
Across the 55 rated plans here the average overall rating is 3.87 stars, 40th highest of the 51 states with PPO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in North Carolina
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| UHC Nursing Home Plan NC-F001 (PPO I-SNP)UnitedHealthcare · Institutional SNP | 5★ | $9,850 | $0 |
| AARP Medicare Advantage from UHC NC-0004 (PPO)UnitedHealthcare | 4.5★ | $6,900 | $34 |
| Blue Medicare PPO Enhanced (PPO)Blue Cross and Blue Shield of North Carolina | 4.5★ | $6,900 | $45 |
| AARP Medicare Advantage from UHC NC-0001 (PPO)UnitedHealthcare | 4.5★ | $7,150 | $0 |
| AARP Medicare Advantage Patriot No Rx NC-MA01 (PPO)UnitedHealthcare | 4.5★ | $8,900 | $0 |
Showing 5 of 56. See all North CarolinaMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| HumanaHumana Inc. | 14 | 3.9 | 2 |
| Aetna MedicareCVS Health Corporation | 9 | 4.0 | — |
| Devoted HealthDevoted Health, Inc. | 9 | 4.0 | — |
| UnitedHealthcareUnitedHealth Group, Inc. | 9 | 4.2 | 3 |
| HealthTeam AdvantageRisant Health, Inc. | 4 | 3.5 | — |
| WellcareCentene Corporation | 4 | 3.0 | 1 |
| Blue Cross and Blue Shield of North CarolinaCuraCor Solutions Corp. | 3 | 4.5 | — |
| HealthSpringHealth Care Service Corporation | 3 | 3.0 | — |
| Alignment Health PlanAlignment Healthcare USA, LLC | 1 | — | — |
How PPO compares
States with similar PPO star ratings
North Carolina Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in North Carolina?
What are the star ratings for North Carolina PPO plans?
How many Medicare Advantage PPO plans are available in North Carolina?
Do North Carolina PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in North Carolina?
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