Select your County to view details for Experience Health Medicare Advantage (HMO) specific to your location


Overview of Experience Health Medicare Advantage (HMO) in North Carolina

by Experience Health

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 4.5
out of 5 stars

Variations of Experience Health Medicare Advantage (HMO) Within North Carolina

Experience Health Medicare Advantage (HMO) is available in 8 North Carolina Counties. Pricing and benefit details can vary by location. Each variation of Experience Health Medicare Advantage (HMO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Experience Health Medicare Advantage (HMO) in North Carolina is listed below:

Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,500 In-network

Available in Counties: Durham, Person
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,500 In-network

Available in Counties: Franklin, Wake
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,500 In-network

Available in Counties: Granville, Lee, Orange, Vance

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Experience Health Medicare Advantage (HMO) received an overall government quality rating of 4.5 stars out of 5 stars.

Experience Health Medicare Advantage (HMO) performed better than North Carolina’s State average overall quality score of 4.2 stars.

This Plan’s 5-star Gov’t Quality Score
North Carolina State Average Score
Overall Government 5 Star Quality Rating
 4.5
 4.2
Summary rating of health plan quality
 4.5
 4.2
Staying healthy: screenings, tests, & vaccines
 5
 4.0
Managing chronic (long term) conditions
 4
 3.5
Member experience with health plan
 5
 4.1
Member complaints & changes in the health plan's performance
 4
 4.1
Health plan customer service
 4
 4.4
Summary rating of drug plan quality
 3.5
 3.8
Drug plan customer service
 3
 3.9
Member complaints & changes in the drug plan's performance
 4
 4.2
Member experience with the drug plan
 4
 3.9
Drug safety & accuracy of drug pricing
 3
 3.3

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Experience Health Medicare Advantage (HMO) received 4.5 stars for its health plan quality score which is better than the North Carolina State average health plan quality score of 4.2 stars.

Experience Health Medicare Advantage (HMO) received 3.5 stars for its drug plan quality score which is worse than the North Carolina State average drug plan quality score of 3.8 stars.


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