Humana Medicare Plans in North Carolina
Star Rating
4 out of 5
Source: CMS Medicare Star Ratings — verify current-year rating
Enrollment
5.2M+ members
National Rank
#2
Network Types
HMO, PPO
Humana Medicare plan availability in North Carolina varies by county, ZIP code, plan type, and contract year. Residents in areas such as Charlotte, Raleigh, Asheville should verify the plans offered at their address before comparing benefits or costs.
Use Medicare Plan Compare and the carrier's current plan documents to confirm provider networks, formularies, premiums, cost sharing, benefits, and CMS Star Ratings for the specific Humana plan you are considering.
Humana in North Carolina: Key Takeaways
- Humana offers Medicare Advantage, D-SNP, Medigap, and Part D options to North Carolina beneficiaries, with plan availability and pricing varying by county and ZIP code.
- Humana's Medicare Advantage plans carry an average CMS Star Rating of about 4 out of 5 — always confirm the current-year rating for the specific plan you are considering.
- Major North Carolina areas served include Charlotte, Raleigh, Asheville; verify your doctors and hospitals are in-network before enrolling, since networks differ by plan.
- A licensed HealthPlan Connect advisor can compare Humana plans against other North Carolina carriers for free. HealthPlan Connect is a private Medicare advisory service, not a government agency.
The Bottom Line
Humana is a top-tier choice for North Carolina Medicare beneficiaries who want chronic condition management with 4-star rated plans. Compare Humana options with other North Carolina carriers to find the best fit for your healthcare needs and budget.
Humana Pros and Cons
Pros
- Large provider networks in most markets
- Strong chronic disease management programs
- Competitive $0 premium options available
- Good dental, vision, and hearing benefits
- Integrated pharmacy with mail-order savings
Cons
- Star ratings vary significantly by plan
- Some plans have limited out-of-network coverage
- Customer service wait times can be long during AEP
- Not available in all counties
Humana Plan Types in North Carolina
Humana offers multiple Medicare plan types to North Carolina residents, each designed for different healthcare needs and budgets:
Medicare Advantage (Part C): Humana's North Carolina Medicare Advantage plans combine hospital (Part A), medical (Part B), and usually prescription drug (Part D) coverage into one plan. Many Humana MA plans in North Carolina have $0 monthly premiums beyond the Part B premium, with benefits including dental, vision, hearing, and fitness programs.
Medicare Supplement (Medigap): Humana offers standardized Medigap plans in North Carolina that work with Original Medicare to cover costs like the Part B coinsurance and deductibles. Popular options include Plan G and Plan N.
Part D Prescription Drug Plans: Humana's standalone Part D plans in North Carolina provide prescription drug coverage for those on Original Medicare. Plans vary in formulary coverage and preferred pharmacy networks.
Dual Eligible Special Needs Plans (D-SNP): For North Carolina residents who qualify for both Medicare and NC Medicaid, Humana offers D-SNP plans with coordinated benefits and additional support services.
Humana Provider Networks in North Carolina
Humana's North Carolina Medicare Advantage plans use HMO and PPO networks. Network size and provider participation vary by plan and county.
In Charlotte and surrounding Mecklenburg County, provider participation is plan-specific and can change by contract year. Verify every doctor, hospital, and facility in the current plan directory before enrolling.
For beneficiaries in Charlotte, Raleigh, Asheville, Durham, compare the exact network offered at your address. Rural areas of North Carolina may have fewer participating providers, so network breadth and any out-of-network benefits should be verified for the specific plan.
Use Humana's online provider directory at https://www.humana.com/finder/medical to verify network participation for any North Carolina doctor or facility.
Humana North Carolina Plan Costs
Humana Medicare plan costs in North Carolina vary by plan type, county, ZIP code, and contract year. Verify the current plan documents or quote for the exact option you are considering.
Medicare Advantage Premiums: Some Medicare Advantage plans may have a $0 plan premium, but members still pay the Part B premium and applicable cost sharing. Verify the current premium for the exact Humana plan available at your address.
Out-of-Pocket Maximums: Medicare Advantage plans include an annual medical out-of-pocket limit. The amount is plan-specific and can change by contract year; verify the current Evidence of Coverage.
Medigap Premiums: Medigap premiums vary by insurer, location, plan letter, rating method, age or eligibility factors where permitted, tobacco status, discounts, and state rules. Compare current North Carolina quotes rather than relying on a statewide average.
Humana Star Ratings in North Carolina
CMS Star Ratings are contract-specific and updated regularly. Verify the current CMS Star Rating for the exact Humana plan and contract you are considering in North Carolina. Star Ratings measure quality across categories including:
- Staying healthy (screenings, tests, vaccines) - Managing chronic conditions - Member experience and satisfaction - Member complaints and access to care - Customer service quality
Do not infer the quality of a specific plan from a carrier-wide rating. Compare the current rating, network, formulary, benefits, and costs for the exact plan available at your address.
Humana Key Facts
Frequently Asked Questions
Is Humana a good Medicare plan in North Carolina?
Humana is one of the largest and most established Medicare insurers in North Carolina with 4-star ratings. Whether it's the best choice for you depends on your doctors, medications, and coverage preferences. Humana is known for chronic condition management and home health integration.
Does Humana Medicare cover my Charlotte doctors?
Humana's North Carolina provider networks include many doctors and hospitals in Charlotte and surrounding areas. However, network participation varies by specific plan. Always verify your doctors are in-network using Humana's provider directory before enrolling.
How much do Humana Medicare plans cost in North Carolina?
Humana Medicare Advantage costs in North Carolina vary by county and plan. Some plans may have a $0 monthly premium beyond the Part B premium, while copays, coinsurance, and annual out-of-pocket limits differ by plan. Humana Medigap premiums vary by plan, age, rating method, location, and other permitted rating factors. Humana Part D premiums, formularies, pharmacy networks, and cost sharing vary by plan.
Can I switch to Humana Medicare in North Carolina?
You can switch to Humana during the Annual Enrollment Period (October 15 - December 7), during a Special Enrollment Period if you qualify, or during the Medicare Advantage Open Enrollment Period (January 1 - March 31) if you're currently in a Medicare Advantage plan.
Does Humana offer $0 premium plans in North Carolina?
Humana may offer $0-premium Medicare Advantage options in some North Carolina counties. Availability changes by county and plan year, and you generally still pay the Part B premium. Compare the current plan's full cost sharing and benefits rather than using premium alone.
Related Medicare Resources
Carrier pages are a starting point, not a plan recommendation. Verify the plans offered at your ZIP code, then compare provider networks, prescriptions, total costs, benefits, and current CMS Star Ratings.
Compare Humana Plans in North Carolina
Get a free, personalized comparison of Humana Medicare plans available in your area. Our licensed advisors help you find the right coverage.
Get Free Plan ComparisonPrefer to see your other options? Compare all Humana and other Medicare plans in North Carolina.
Plan availability, benefits, premiums, and costs vary by ZIP code and change annually. This information is for educational purposes only and is not a guarantee of coverage, savings, star ratings, or plan availability. Star ratings are sourced from CMS Medicare Star Ratings; confirm the current-year rating before enrolling. Contact a licensed advisor for current plan options in your area.
HealthPlan Connect is not affiliated with or endorsed by Humana. We do not offer every plan available in your area. We are also not affiliated with or endorsed by the federal Medicare program or any government agency. Any information we provide is limited to the plans we do offer in your area; please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
Last reviewed 2026-06-15 by Lynsey Brennan, Licensed Medicare Advisor (FL License #G007269).