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Choose a Medicare Advantage Plan that Includes Duke Health

Updated October 12, 2016 / Published October 27, 2015
Medicare Advantage plans that include Duke Medicine

Open enrollment for Medicare Advantage runs from from October 15 through December 7. If you want to choose a plan that includes Duke Health providers, hospitals and clinics, here is what you need to know.

Duke Health Is an “In Network” Provider for Medicare Advantage Plans Offered by

  • Aetna
  • Blue Medicare/BCBSNC
  • Coventry Healthcare – Advantra
  • Gateway Health Plan
  • Humana Medicare PPO

However, not all of these plans are offered in each county. And, Duke Homecare and Hospice does not participate in the Blue Medicare plan. Choose the plan in your county that includes Duke Health physicians, clinics and hospitals as part of its network.

In addition, please note that some Duke providers may be in network for AARP/United Healthcare products and the Humana Medicare Advantage HMO product, however, Duke hospitals and Duke Primary Care providers are not. If you are seeing a Duke provider who is “in network” for these plans, and need care at Duke Hospital, Duke Regional Hospital or Duke Raleigh Hospital you will be charged for out-of-network services. If you are a retired North Carolina state employee, United Healthcare and Humana's Medicare Advantage plans do cover Duke doctors and hospitals. 

Where Can I Get More Help in Selecting a Medicare Advantage Plan?

You can contact the Senior Health Insurance Information Program (SHIIP). They list Medicare Advantage plans by county that are available in 2017. Call them at 855-408-1212 or visit their website.

I’m a Retired NC State Employee. What Are My Options?

The NC State Health Plan will not offer a Humana Medicare Advantage product for State retirees in 2017. As a retired state employee, you are eligible to choose either a United Healthcare Medicare Advantage plan or coverage through a standard BCBSNC PPO product.  For State retirees who continue to receive your care at Duke will receive the maximum benefits regardless of Duke Health’s participation status under these products. Please contact the State Health Plan of NC at 855-859-0966 if you have any questions.

How Do I Know Which Plans Are Offered in My County? How Can I Tell If Duke Is Included in One of These Plans?

You can contact the Senior Health Insurance Information Program (SHIIP). They list Medicare Advantage plans by county that are available in 2017. Call them at 855-408-1212 or visit their website.

See a List of Insurance Plans Accepted at Duke

Accepted Health Insurance Plans
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