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Durham County、NCにおける2027年のMedicare Advantageプラン
Durham Countyでは2027年、11社から69件のMedicare Advantageプランが利用可能です。月額保険料$0のプラン（特別必要プランを除く）：33件。ネットワーク内自己負担上限額の最低額：$3,900。
2027年のオープンエンロールメントは2026年10月15日〜12月7日です。補償は2027年1月1日に開始されます。
薬剤補償付きプラン（31件）
| プラン | タイプ | 月額保険料 | 薬剤自己負担額 | 自己負担上限額（ネットワーク内） | 昨年のスター評価 |
|---|---|---|---|---|---|
| Humana Gold Plus H1036-335 (HMO-POS) Humana | HMO-POS | $0 | $700 | $3,950 | 4.5 |
| AARP Medicare Advantage from UHC NC-15 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $685 | $4,450 | 4 |
| HealthSpring Preferred (HMO) HealthSpring | HMO | $0 | $400 | $4,450 | 4 |
| Troy Medicare (HMO) Troy Medicare | HMO | $0 | $0 | $4,950 | 3 |
| HealthTeam Advantage Vitality Plan (PPO) HealthTeam Advantage | PPO | $0 | $595 | $5,200 | 4.5 |
| Aetna Medicare Value Plus (HMO) Aetna Medicare | HMO | $0 | $400 | $5,500 | 4.5 |
| Wellcare Assist Open (PPO) Wellcare | PPO | $0 | $700 | $6,500 | 3.5 |
| Wellcare Simple (HMO-POS) Wellcare | HMO-POS | $0 | $700 | $6,700 | 3.5 |
| Aetna Medicare Signature (HMO) Aetna Medicare | HMO | $0 | $500 | $6,750 | 4.5 |
| HealthSpring Preferred Savings (HMO) HealthSpring | HMO | $0 | $600 | $6,750 | 4 |
| Blue Medicare Essential Plus (HMO-POS) Blue Cross and Blue Shield of North Carolina | HMO-POS | $0 | $700 | $7,000 | 4 |
| AARP Medicare Advantage from UHC NC-0007 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $685 | $7,150 | 4 |
| AARP Medicare Advantage from UHC NC-0017 (PPO) UnitedHealthcare | PPO | $0 | $685 | $7,150 | 4 |
| HealthSpring True Choice (PPO) HealthSpring | PPO | $0 | $500 | $7,150 | 3 |
| Wellcare Simple Open (PPO) Wellcare | PPO | $0 | $700 | $7,150 | 3.5 |
| AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $685 | $9,500 | 4 |
| Aetna Medicare Signature (PPO) Aetna Medicare | PPO | $0 | $700 | $9,850 | 4.5 |
| Blue Medicare Essential (HMO) Blue Cross and Blue Shield of North Carolina | HMO | $0 | $700 | $9,850 | 4 |
| Humana Gold Plus Giveback H1036-318 (HMO-POS) Humana | HMO-POS | $0 | $700 | $9,850 | 4.5 |
| Humana Gold Plus Giveback H1036-343 (HMO-POS) Humana | HMO-POS | $0 | $700 | $9,850 | 4.5 |
| Humana Gold Plus H1036-137 (HMO-POS) Humana | HMO-POS | $0 | $450 | $9,850 | 4.5 |
| Humana Gold Plus H6622-060 (HMO-POS) Humana | HMO-POS | $0 | $450 | $9,850 | 3.5 |
| HumanaChoice Giveback H5525-035 (PPO) Humana | PPO | $0 | $700 | $9,850 | 3.5 |
| HumanaChoice H7617-122 (PPO) Humana | PPO | $13 | $700 | $9,850 | 4.5 |
| HumanaChoice H5525-070 (PPO) Humana | PPO | $13.3 | $700 | $9,850 | 3.5 |
| Blue Medicare Enhanced (HMO-POS) Blue Cross and Blue Shield of North Carolina | HMO-POS | $50 | $700 | $4,900 | 4 |
| HumanaChoice H5525-049 (PPO) Humana | PPO | $52 | $450 | $9,850 | 3.5 |
| AARP Medicare Advantage from UHC NC-0016 (PPO) UnitedHealthcare | PPO | $53 | $595 | $4,450 | 4 |
| HumanaChoice H5216-211 (PPO) Humana | PPO | $67 | $700 | $9,850 | 3.5 |
| Blue Medicare PPO Enhanced (PPO) Blue Cross and Blue Shield of North Carolina | PPO | $70 | $700 | $6,900 | 4.5 |
| Humana Full Access (Regional PPO) Humana | Regional PPO | $158 | $700 | $9,850 | 3.5 |
薬剤補償なしプラン（10件）
| プラン | タイプ | 月額保険料 | 自己負担上限額（ネットワーク内） | 昨年のスター評価 |
|---|---|---|---|---|
| Blue Medicare Medical Only (HMO-POS) Blue Cross and Blue Shield of North Carolina | HMO-POS | $0 | $3,900 | 4 |
| HealthSpring Courage (HMO) HealthSpring | HMO | $0 | $6,750 | 4 |
| Aetna Medicare Eagle (PPO) Aetna Medicare | PPO | $0 | $7,150 | 4.5 |
| HealthTeam Advantage Eagle Plan (PPO) HealthTeam Advantage | PPO | $0 | $8,500 | 4.5 |
| Wellcare Patriot Giveback Open (PPO) Wellcare | PPO | $0 | $8,850 | 3.5 |
| AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $9,300 | 4 |
| Blue Medicare Freedom+ (PPO) Blue Cross and Blue Shield of North Carolina | PPO | $0 | $9,850 | 4.5 |
| Humana USAA Honor Giveback (PPO) Humana | PPO | $0 | $9,850 | 3.5 |
| Humana USAA Honor Giveback (Regional PPO) Humana | Regional PPO | $0 | $9,850 | 3.5 |
| HumanaChoice R0110-004 (Regional PPO) Humana | Regional PPO | $0 | $9,850 | 3.5 |
特別必要プラン（28件）
特別必要プランは、Medicaidも受給している方（D-SNP）、特定の慢性疾患を持つ方（C-SNP）、または介護施設などの施設に入所している方（I-SNP）向けのプランです。
| プラン | タイプ | 月額保険料 | 薬剤自己負担額 | 自己負担上限額（ネットワーク内） | 昨年のスター評価 |
|---|---|---|---|---|---|
| Liberty Medicare Advantage (HMO C-SNP) Liberty Medicare Advantage | HMO C-SNP | $0 | $0 | $3,800 | — |
| UHC Complete Care NC-28 (HMO-POS C-SNP) UnitedHealthcare | HMO-POS C-SNP | $0 | $595 | $4,450 | 4 |
| PruittHealth Premier (HMO I-SNP) PruittHealth Premier | HMO I-SNP | $0 | $350 | $5,900 | — |
| Aetna Medicare Full Dual (HMO D-SNP) Aetna Medicare | HMO D-SNP | $0 | $700 | $9,850 | 4.5 |
| Aetna Medicare Full Dual Care (HMO D-SNP) Aetna Medicare | HMO D-SNP | $0 | $700 | $9,850 | 4.5 |
| Humana Dual Select H1036-307 (HMO D-SNP) Humana | HMO D-SNP | $0 | $200 | $9,850 | 4.5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana | HMO C-SNP | $0 | $550 | $9,850 | 4.5 |
| Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) Humana | HMO D-SNP | $0 | $0 | $9,850 | 4.5 |
| Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) Humana | HMO D-SNP | $0 | $700 | $9,850 | 4.5 |
| HumanaChoice SNP-DE H5525-036 (PPO D-SNP) Humana | PPO D-SNP | $0 | $550 | $9,850 | 3.5 |
| UHC Dual Complete NC-Q1 (PPO D-SNP) UnitedHealthcare | PPO D-SNP | $0 | $700 | $9,850 | 4 |
| UHC Dual Complete NC-Q2 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $0 | $700 | $9,850 | 4 |
| UHC Dual Complete NC-S2 (PPO D-SNP) UnitedHealthcare | PPO D-SNP | $0 | $700 | $9,850 | 4 |
| UHC Nursing Home Plan NC-F001 (PPO I-SNP) UnitedHealthcare | PPO I-SNP | $0 | $700 | $9,850 | 4.5 |
| Wellcare Carolina Complete Dual Liberty (HMO-POS D-SNP) Wellcare | HMO-POS D-SNP | $0 | $700 | $9,850 | 3.5 |
| Wellcare Carolina Complete Dual Liberty Open (PPO D-SNP) Wellcare | PPO D-SNP | $0 | $700 | $9,850 | 3.5 |
| UHC Dual Complete NC-S3 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $3.8 | $700 | $9,850 | 4 |
| Healthy Blue + Medicare (HMO-POS D-SNP) Blue Cross and Blue Shield of North Carolina | HMO-POS D-SNP | $13.2 | $700 | $9,850 | 3.5 |
| UHC Dual Advantage NC-V1 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $13.3 | $700 | $5,900 | 4 |
| Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) Liberty Medicare Advantage | HMO I-SNP | $13.3 | $700 | $6,800 | — |
| Wellcare Carolina Complete Dual Reserve (HMO-POS D-SNP) Wellcare | HMO-POS D-SNP | $13.3 | $700 | $9,250 | 3.5 |
| HealthSpring TotalCare (HMO D-SNP) HealthSpring | HMO D-SNP | $13.3 | $700 | $9,850 | 4 |
| HealthSpring TotalCare Plus (HMO D-SNP) HealthSpring | HMO D-SNP | $13.3 | $700 | $9,850 | 4 |
| Humana Dual Select H5525-072 (PPO D-SNP) Humana | PPO D-SNP | $13.3 | $700 | $9,850 | 3.5 |
| Longevity Health Plan (HMO I-SNP) Longevity Health Plan | HMO I-SNP | $13.3 | $700 | $9,850 | 5 |
| PruittHealth Premier (HMO I-SNP) PruittHealth Premier | HMO I-SNP | $13.3 | $700 | $9,850 | — |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Troy Medicare | HMO D-SNP | $13.3 | $700 | $9,850 | 3 |
| Liberty Medicare Dual Plan (HMO D-SNP) Liberty Medicare Advantage | HMO D-SNP | $17.5 | $700 | $7,550 | — |
North Carolinaにおける単独Part D薬剤プラン →
2027年のスター評価はCMSにより10月に公表されます。表示されているのは契約の2026年の総合評価です。 当社は米国政府や連邦Medicareプログラムと関係なく、推奨も受けていません。プランの販売も行っておりません。プランの給付内容を完全に記載していない場合がありますので、加入前にプラン、Medicare.gov、または1-800-MEDICARE（TTY 1-877-486-2048）にて費用と補償内容をご確認ください。 出典：CMS Medicare AdvantageおよびPart Dランドスケープ、2027年（2026-10リリース）。