• Medicare Advantage Plans in Wake County, NC

    Plans by State | Medicare Advantage Plans in North Carolina | Medicare Advantage Plans in Wake County, NC

    Are you looking for Medicare in Wake County, NC? Medicare Advantage plans provide basic healthcare coverage, as well as additional coverage for prescription drugs, vision, and even dental care. Clear Spring Health offers Medicare Advantage plan options with robust medical coverage and broad provider networks.

    If you’re in the market for a Medicare Advantage plan, enter your zip code below to see what plans are available in your area. If you’re looking for additional Medicare resources such as transportation or adult care services for the Wake County, NC area, read on below.


    Are you ready for a Medicare Advantage plan with more? There are 18 Medicare Advantage plans available in Wake County! In 2019, over 52,000 Wake County residents enrolled in Medicare Advantage plans to meet their healthcare needs. These plans have a range of premiums and deductibles to match your needs and budget.

    • Premiums: Some plans offer $0 monthly premiums, and the average monthly premium is $47.
    • Drug deductibles: The average deductible for prescription medications is $185.
    • Out-of-pocket expenses: Each plan has a different out of pocket maximum, ranging from $3,400 to $6,700.

    Wake County, NC is served by 7 health insurance providers who offer a range of Medicare Advantage plans. You can find HMO or PPO plans, as well as Regional PPO and MSA plans.

    • HMO: A Health Maintenance Organization plan has low monthly premiums, and it’s easy to access in-network care. Most Wake County residents are enrolled in an HMO plan.
    • PPO: A Preferred Provider Organization plan has higher premiums and more flexibility. You can visit both in- and out-of-network healthcare providers and receive coverage.
    • Regional PPO: A regional PPO plan has a larger network of healthcare providers so you can access in-network care throughout the state.
    • MSA: A Medicare Savings Account plan combines a high-deductible Medicare Advantage plan with a special savings account. Funds in this account are available for your healthcare costs, and you can choose how to spend the funds.
    • Transportation Services
    • Adult Care Services
    • Additional Resources
    • Contact Us
    Transportation Services

    It can be hard getting to and from medical appointments on your own. That’s where transportation services come in. Several Medicare Advantage plans in Wake County offer transportation coverage for plan members.

    Residents of Wake County, NC can get door-to-door service with GoWake, a shared-ride service for people over the age of 60 or who have a disability. Transportation services are available Monday to Saturday from 6am to 6pm. You’ll want to keep in mind the following:

    • Book your seat 3 days in advance.
    • Enjoy a ride for $2 to $4 per trip, even if you don’t have Medicare transportation coverage.
    • Call GoWake at 919-212-7005 to reserve a seat.
    Adult Care Services

    Seniors in Wake County, NC can access adult care and home care services through their Medicare Advantage plan.

    Adult Day Centers

    Adult day centers provide structured daytime care and companionship for older adults. You’ll receive nutritious meals, basic healthcare support, and lots of social interaction. There are 11 adult day centers in Wake County, and you can find information about these day centers by contacting Resources for Seniors at 919-872-7933.

    Home Care Services

    Do you need some extra care at home? Many Medicare Advantage plans provide in-home care services. These services can include meal preparation, shopping and laundry. You may also have coverage for in-home nursing care to assist with bathing, dressing, or eating. You can find a list of home care services in Wake County from Resources for Seniors.

    Additional Resources

    Whether you need help finding resources, or need Medicare advice, you can access these local resources:

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    Clear Spring Health, PO Box 278530 Miramar, FL 33027

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    Clear Spring Health has a contract with Medicare to offer PPO, HMO, and PDP Plans. Eon Health has a contract with the Georgia Medicaid program and a contract with the South Carolina Medicaid program. Enrollment in these plans depends on contract renewal.

    To learn more, please call MAPD: (877) 364-4566;   TTY users should call 711. Our office hours are October 1 – March 31, seven days a week, 8:00 a.m. – 8:00 p.m. and from April 1 – September 30, Monday through Friday, 8:00 a.m. – 8:00 p.m. (you may leave a voicemail Saturday, Sunday and Federal Holidays).

    Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.Llame al MAPD: 1-877-364-4566;   (TTY: 711)

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