- Alamance
- Davidson
- Davie
- Forsyth
- Guilford
- Randolph
- Rockingham
$0
Monthly Premium Options
$0
Medical & Prescription Deductible
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Delta Dental®, VSP® vision, and TruHearing®
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SilverSneakers® Fitness
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Telehealth and 24-Hour Nurse Line
$3,450 In-Network
$5,150 Out-of-Network
Primary Care Provider (PCP)
$0 In-Network
$50 Out-of-Network
Specialist Visits
$30 In-Network
$75 Out-of-Network
Inpatient Hospital Coverage
In-Network
$325 per day (Days 1-6)
$0 per day (Days 7-90)
Out-of-Network
$650 per day (Days 1-6)
$0 per day (Days 7-90+)
Skilled Nursing Facility
In-Network
$0 per day (Days 1-20)
$184 per day (Days 21-100)
Out-of-Network
$50 per day (Days 1-20)
$184 per day (Days 21-100)
You are eligible for PPO I if:
You're entitled to Medicare Part A and are enrolled in Medicare Part B.
You live in Guilford, Forsyth, Alamance, Randolph, Rockingham, Davie, or Davidson county.
You are a United States Citizen or lawfully present in the United States.
- Alamance
- Davidson
- Davie
- Forsyth
- Guilford
- Randolph
- Rockingham
$75
Monthly Premium Options
$0
Medical & Prescription Deductible
Delta Dental®, VSP® vision, and TruHearing®
SilverSneakers® Fitness
Telehealth and 24-Hour Nurse Line
$3,200 In-Network
$5,150 Out-of-Network
Primary Care Provider (PCP)
$0 In-Network
$30 Out-of-Network
Specialist Visits
$20 In-Network
$55 Out-of-Network
Inpatient Hospital Coverage
In-Network
$250 per day (Days 1-5)
$0 per day (Days 6-90)
Out-of-Network
$500 per day (Days 1-6)
$0 per day (Days 7-90+)
Skilled Nursing Facility
In-Network
$0 per day (Days 1-20)
$184 per day (Days 21-100)
Out-of-Network
$50 per day (Days 1-20)
$184 per day (Days 21-100)
You are eligible for PPO II if:
You're entitled to Medicare Part A and are enrolled in Medicare Part B.
You live in Guilford, Forsyth, Alamance, Randolph, Rockingham, Davie, or Davidson county.
You are a United States Citizen or lawfully present in the United States.
- Alamance
- Randolph
- Guilford
- Rockingham
$0
Monthly Premium Options
$0
Medical & Prescription Deductible
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Delta Dental®, VSP® vision, and TruHearing®
SilverSneakers® Fitness
Telehealth and 24-Hour Nurse Line
$5,000 In-Network
N/A Out-of-Network
Primary Care Provider
$0 In-Network
N/A Out-of-Network
Specialist Visits
$20 In-Network
N/A Out-of-Network
Inpatient Hospital Coverage
In-Network
$225 per day (Days 1-6)
$0 per day (Days 7 -90)
Out-of-Network
Not Applicable
Not Applicable
Skilled Nursing Facility
In-Network
$0 per day (Days 1-20)
$184 per day (Days 21-100)
Out-of-Network
Not Applicable
Not Applicable
You are eligible for HMO CSNP if:
You're entitled to Medicare Part A and are enrolled in Medicare Part B.
You live in Alamance, Guilford, Randolph, or Rockingham county AND you have diabetes and/or chronic heart failure (CHF).
You are a United States Citizen or lawfully present in the United States.
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