Humana Medicare Plans in North Carolina
Star Rating
4 out of 5
Enrollment
5.2M+ members
National Rank
#2
Network Types
HMO, PPO
Humana is one of the largest Medicare insurance providers in North Carolina, offering Medicare Advantage, Medicare Advantage with prescription drug coverage, Part D prescription drug plans to beneficiaries across the state. With 4-star ratings and coverage in Charlotte, Raleigh, Asheville and surrounding areas, Humana serves North Carolina's 1.8+ million Medicare-eligible residents.
North Carolina has 41% of Medicare beneficiaries enrolled in Medicare Advantage plans, near the national average. Humana's North Carolina plans typically include chronic condition management and home health integration, making them a strong choice for beneficiaries in the NC market.
The Bottom Line
Humana is a top-tier choice for North Carolina Medicare beneficiaries who want chronic condition management with 4-star rated plans. Compare Humana options with other North Carolina carriers to find the best fit for your healthcare needs and budget.
Humana Pros and Cons
Pros
- Large provider networks in most markets
- Strong chronic disease management programs
- Competitive $0 premium options available
- Good dental, vision, and hearing benefits
- Integrated pharmacy with mail-order savings
Cons
- Star ratings vary significantly by plan
- Some plans have limited out-of-network coverage
- Customer service wait times can be long during AEP
- Not available in all counties
Humana Plan Types in North Carolina
Humana offers multiple Medicare plan types to North Carolina residents, each designed for different healthcare needs and budgets:
Medicare Advantage (Part C): Humana's North Carolina Medicare Advantage plans combine hospital (Part A), medical (Part B), and usually prescription drug (Part D) coverage into one plan. Many Humana MA plans in North Carolina have $0 monthly premiums beyond the Part B premium, with benefits including dental, vision, hearing, and fitness programs.
Medicare Supplement (Medigap): Humana offers standardized Medigap plans in North Carolina that work with Original Medicare to cover costs like the Part B coinsurance and deductibles. Popular options include Plan G and Plan N.
Part D Prescription Drug Plans: Humana's standalone Part D plans in North Carolina provide prescription drug coverage for those on Original Medicare. Plans vary in formulary coverage and preferred pharmacy networks.
Dual Eligible Special Needs Plans (D-SNP): For North Carolina residents who qualify for both Medicare and NC Medicaid, Humana offers D-SNP plans with coordinated benefits and additional support services.
Humana Provider Networks in North Carolina
Humana's North Carolina Medicare Advantage plans use HMO and PPO networks. Network size and provider participation vary by plan and county.
In Charlotte and surrounding Mecklenburg County, Humana networks typically include major health systems. However, provider participation can change annually, so always verify your doctors are in-network before enrolling.
For beneficiaries in Charlotte, Raleigh, Asheville, Humana generally offers good hospital and specialist coverage. Rural areas of North Carolina may have more limited network options, making PPO plans with out-of-network benefits a consideration.
Use Humana's online provider directory at https://www.humana.com/finder/medical to verify network participation for any North Carolina doctor or facility.
Humana North Carolina Plan Costs
Humana Medicare plan costs in North Carolina vary by plan type, county, and coverage level. Here's what to expect:
Medicare Advantage Premiums: Many Humana MA plans in North Carolina offer $0 monthly premiums beyond the Part B premium (often $0). Higher-benefit plans may have premiums of $20-$100+/month.
Out-of-Pocket Maximums: All Humana Medicare Advantage plans include annual out-of-pocket limits, protecting you from catastrophic costs. Limits typically range from $3,000-$8,000 depending on the plan.
Medigap Premiums: Humana Medigap plans in North Carolina average $155-$255/month for Plan G, varying by age, gender, and tobacco use. Rates are typically lower when you enroll during your Medigap Open Enrollment Period.
Humana Star Ratings in North Carolina
Humana's Medicare plans currently hold 4-star ratings (out of 5) from CMS. Star ratings measure quality across categories including:
- Staying healthy (screenings, tests, vaccines) - Managing chronic conditions - Member experience and satisfaction - Member complaints and access to care - Customer service quality
Plans with 4+ stars are considered high-performing and may offer additional benefits. Humana's above-average ratings in North Carolina reflect strong performance across these quality measures.
Humana Key Facts
Frequently Asked Questions
Is Humana a good Medicare plan in North Carolina?
Humana is one of the largest and most established Medicare insurers in North Carolina with 4-star ratings. Whether it's the best choice for you depends on your doctors, medications, and coverage preferences. Humana is known for chronic condition management and home health integration.
Does Humana Medicare cover my Charlotte doctors?
Humana's North Carolina provider networks include many doctors and hospitals in Charlotte and surrounding areas. However, network participation varies by specific plan. Always verify your doctors are in-network using Humana's provider directory before enrolling.
How much do Humana Medicare plans cost in North Carolina?
Many Humana Medicare Advantage plans in North Carolina have $0 monthly premiums beyond the Part B premium. Costs vary by plan type, benefits, and your county. Humana Medigap plans typically cost $155-$255/month for Plan G.
Can I switch to Humana Medicare in North Carolina?
You can switch to Humana during the Annual Enrollment Period (October 15 - December 7), during a Special Enrollment Period if you qualify, or during the Medicare Advantage Open Enrollment Period (January 1 - March 31) if you're currently in a Medicare Advantage plan.
Does Humana offer $0 premium plans in North Carolina?
Yes, Humana offers several $0 premium Medicare Advantage plans in many North Carolina counties. These plans still require you to pay your Part B premium. $0 premium plans may have different benefit levels and cost-sharing than plans with monthly premiums.
Compare Humana Plans in North Carolina
Get a free, personalized comparison of Humana Medicare plans available in your area. Our licensed advisors help you find the right coverage.
Get Free Plan Comparison