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  1. 🏠
  2. Medicare Options
  3. North Carolina
  4. Richmond County

Your Medicare Coverage Options in Richmond County, NC

This page explains all Medicare coverage options available to residents of Richmond County, North Carolina, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.

Medicare Options at a Glance

Residents of Richmond County, North Carolina can choose from several Medicare coverage types, each offering a different balance of access, cost, and benefits. The main options are:

  • Original Medicare: Provides broad access to providers across the country.
  • Medicare Advantage: Offers all-in-one coverage, often with lower upfront costs.
  • Part D: Covers prescription drugs when paired with Original Medicare.
  • Medigap: Reduces gaps in coverage and limits out-of-pocket expenses.
  • SNPs: Tailored plans for individuals with qualifying health or financial needs.
  • Other Options: Includes VA coverage, employer-sponsored plans, and local support programs.

Because each option works in a different way, understanding the differences is critical when choosing Medicare coverage in Richmond County.

Medicare Advantage Options in Richmond County

Medicare Advantage plans in Richmond County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.

Medicare Advantage Snapshot Richmond County
Total Medicare Advantage plans 38
$0 premium plans 27
HMO plans 3
PPO plans 24
Plans with drug coverage 29
Lowest MOOP $3,000
Highest MOOP $9,250
Highest Part B giveback $102.00

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
Blue Medicare PPO Enhanced 4.5 ★ 32,916
Aetna Medicare Signature Extra 4.5 ★ 25,311
HumanaChoice Giveback H5525-035 3.5 ★ 25,307

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Aetna Medicare Value Plus 4.0 ★ 14,108
Blue Medicare Essential 4.0 ★ 6,163
Troy Medicare 3.0 ★ 1,274

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus H1036-335 4.5 ★ 110,952
Blue Medicare Essential Plus 4.0 ★ 97,305
AARP Medicare Advantage from UHC NC-0015 4.0 ★ 60,373

Medicare Advantage plans are primarily defined by their provider networks, whether prescription drug coverage is included, and their annual out-of-pocket limits. For those seeking bundled benefits and lower premiums, these plans are often the starting point, though network access and plan requirements should be considered.

See Medicare Advantage plans in Richmond County

Medicare Part D Options in Richmond County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Classic $4.70 $615 63,875
Humana Basic Rx Plan $6.80 $615 50,198
SilverScript Choice $90.20 $615 46,569

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $3.60 $615 206,558
AARP Medicare Rx Preferred from UHC $119.80 $130 49,729
Humana Value Rx Plan $32.00 $601 36,050

The right Part D plan depends more on drug coverage and pharmacy access than the total number of plans, with cost at your preferred pharmacy being a key factor.

See Medicare Part D plans in North Carolina

Medigap Plans in Richmond County

Medicare Supplement (Medigap) plans are designed to fill gaps in Original Medicare by helping with deductibles, copayments, and coinsurance. These plans work alongside Original Medicare and generally require separate prescription drug coverage through Part D.

Data from 38 insurers indicates premiums beginning around $10 and exceeding $2,302, depending on plan type and how rates are set. Although coverage is standardized, pricing differences across insurers can be substantial.

Medigap Snapshot Richmond County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

Many residents of Richmond consider Medigap when they want nationwide provider access under Original Medicare, rather than relying on the network restrictions of Medicare Advantage plans.

Sample Plan G Pricing in North Carolina

Plan G typically ranges from $85 to $1,507.

Carrier Plan Low High
AARP - UnitedHealthcare G $124 $828
Aetna G $121 $869
Allstate G $101 $351
Cigna G $128 $1,410
Humana G $119 $926
Mutual of Omaha G $123 $1,139
Wellcare G $106 $731

Sample Plan N Pricing in North Carolina

Plan N typically ranges from $75 to $717.

Carrier Plan Low High
AARP - UnitedHealthcare N $90 $717
Aetna N $83 $279
Allstate N $76 $266
Cigna N $92 $477
Humana N $85 $308
Mutual of Omaha N $90 $301
Wellcare N $78 $307

Explore all Medicare Supplement plans in North Carolina for more details.

Special Needs Plans (SNPs) in Richmond County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Richmond County
Total SNP plans 24
D-SNP plans 19
C-SNP plans 3
I-SNP plans 2

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete NC-S3 4.0 ★ 84,287
UHC Dual Complete NC-D001 4.0 ★ 50,909
Humana Gold Plus SNP-DE H1036-331 4.5 ★ 23,068

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Complete Care NC-28 4.0 ★ 22,730
Humana Gold Plus - Diabetes and Heart 4.5 ★ 9,734
Liberty Medicare Advantage 0.0 ★ 1,864

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Liberty Medicare Advantage Nursing Home Plan 0.0 ★ 1,083
PruittHealth Premier 0.0 ★ 245

In Richmond, SNP options are limited to individuals who meet specific eligibility criteria. While not a general option, they play an important role for beneficiaries with Medicaid or certain chronic health needs.

See Special Needs Plans in Richmond County

VA Benefits and Medicare Assistance in Richmond County

Some beneficiaries may have coverage choices or support options outside standard Medicare plan categories, including VA health benefits, retiree coverage, and counseling programs.

Additional Support Options Richmond County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability SHIIP
Local help resource Seniors’ Health Insurance Information Program

Choosing the Best Medicare Coverage for You in Richmond County

Choosing the right Medicare coverage is based on how you want to access care, manage expenses, and select providers. Most decisions start with a choice between Medicare Advantage and Original Medicare.

Medicare Advantage plans offer all-in-one coverage that typically includes hospital, medical, and prescription drug benefits. These plans may have lower premiums and added services, but they generally operate within provider networks.

Original Medicare gives you the flexibility to see any provider nationwide who accepts Medicare. Many people pair it with a Part D plan and a Medigap policy to help control costs and improve coverage predictability.

Special Needs Plans (SNPs) may be an option for those with specific health or eligibility requirements, including Medicaid. These plans are specialized and only available to qualifying individuals.

Your ideal coverage will depend on your doctors, prescriptions, and how you prefer to balance premiums and out-of-pocket spending.

For a closer look, explore the plans and coverage types available in Richmond County.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed May 2, 2026
  • CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026

County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "Drug coverage (part D)" — Last accessed May 2, 2026
  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed May 7, 2026
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed May 6, 2026
  • Medicare.gov, "Get Medigap Basics" — Last accessed May 5, 2026

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.

Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.

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