Blue Medicare Medical Only (HMO-POS)
North Carolina Medicare Advantage Plan (2025 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
Blue Medicare Medical Only (HMO-POS) is a Medicare Advantage Plan Without Prescription Drugs, which is available in North Carolina and offered by the health insurance company Blue Cross and Blue Shield of North Carolina. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Blue Medicare Medical Only (HMO-POS) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,900 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Blue Medicare Medical Only (HMO-POS) are defined below.
Additional Benefits and Coverage
Blue Medicare Medical Only (HMO-POS) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Blue Medicare Medical Only (HMO-POS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Blue Medicare Medical Only (HMO-POS) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Out-of-network: Not Applicable
Skilled nursing facility
$214 per day for days 21 through 60
$0 per day for days 61 through 100
Out-of-network: Not Applicable
Preventive services
Ambulance
Therapy services
Mental health services
Opioid treatment services
Other services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Comprehensive dental
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Vision
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