North Carolina Medicare Advantage Plan (2025 Plan)
Sentara Medicare Value (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in North Carolina and offered by the health insurance company Sentara Medicare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Sentara Medicare Value (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,600 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 Sentara Medicare Value (HMO) are defined below.
Sentara Medicare Value (HMO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Sentara Medicare Value (HMO) includes coverage for hearing.
Medicare Advantage health plans can offer even more additional benefits. Sentara Medicare Value (HMO) includes coverage for the following additional benefits:
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|---|---|
| Preferred Generic | $5.00 copay | $0 copay |
| Generic | $20.00 copay | $0 copay |
| Preferred Brand | $47.00 copay | $0 copay |
| Non-Preferred Drug | $100.00 copay | $0 copay |
| Specialty Tier | 31% coinsurance | $0 copay |
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.
Speak with a Licensed Insurance Agent
Mon-Fri: 8am - 10pm ET
Sat-Sun: 8am - 9pm ET
No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
Insurance Ad -No Government Affiliation
Health Plan RadarIn this article we rank North Carolina Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
Health Plan RadarThe Medicare landscape in North Carolina is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in North Carolina.
