Members of HMO plans like the AARP MedicareComplete Plan 1, for example, are not covered for any medical care by out-of-network providers, and will have to pay for any physician care, specialist care, hospital stays, blood tests or scans at
The open enrollment period for Medicare Advantage plans, which provide all the benefits of Medicare Parts A and B and are offered by private companies, is from
One of the Medicare Advantage plans affected by the hospital's negotiation with UnitedHealthcare is the North Carolina State Health Plan for Medicare-eligible retired state employees and teachers. Because of the way the UnitedHealthcare Group Medicare Advantage plan is designed, however, state retirees who are members will not be affected.
"Our Medicare Advantage plan is a passive network, which means that there's no in- or out-of-network provider," said
In other words, members of this plan have the same out-of-pocket expense with in- or out-of-network providers, as long as the provider participates in Medicare and is willing to treat the patient.
"No matter what happens, there will be no change for our Medicare Advantage members on the UnitedHealthcare program," Lester said.
After retired state employees and teachers expressed concern over their continuing coverage,
All residents eligible for Medicare can enroll or change their health insurance coverage plan for 2019 at HealthCare.gov. The open enrollment period for Medicare is from
There are local resources available to residents who have questions about Medicare enrollment as well.
Appointments are required and can be made by calling 855-733-3711 or by registering online at ncnavigator.net.
Reach Staff Writer
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