UHC NC MAPD Enrollment Kit
File Action 2026 Enrollment Request Form ¨ UHC Nursing Home Plan NC-F001 (PPO I-SNP) H0710-034-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete NC-V001 (HMO-POS D-SNP) H5253-116-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete NC-S3 (HMO-POS D-SNP) H5253-184-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete NC-S2 (PPO D-SNP) H1889-034-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete NC-S001 (PPO D-SNP) H1889-005-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete NC-D001 (HMO-POS D-SNP) H5253-041-000 Download 2026 Enrollment Request Form ¨ UHC Complete Care NC-28 (HMO-POS C-SNP) H5253-189-000 Download 2026 Enrollment Request Form ¨ UHC Complete Care NC-27 (HMO-POS C-SNP) H5253-188-000 Download 2026 Enrollment Request Form ¨ UHC Complete Care NC-25 (HMO-POS C-SNP) H5253-186-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) H5253-040-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Patriot No Rx NC-MA01 (PPO) H2001-103-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Giveback from UHC NC-14 (HMO-POS) H5253-110-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Giveback from UHC NC-13 (HMO-POS) H5253-105-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-26 (HMO-POS) H5253-187-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-24 (HMO-POS) H5253-185-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0022 (HMO-POS) H5253-038-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0021 (HMO-POS) H5253-037-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0019 (PPO) H2406-115-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0017 (PPO) H2406-098-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0016 (PPO) H2406-034-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0015 (HMO-POS) H5253-117-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0012 (HMO-POS) H5253-104-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0011 (HMO-POS) H5253-103-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0009 (HMO-POS) H5253-080-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0008 (HMO-POS) H5253-079-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0007 (HMO-POS) H5253-039-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0004 (PPO) H2001-102-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0001 (PPO) H2001-090-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Access from Enrollment UHC NC-23 (PPO) H2001-084-000 Download
Download All
| File | Action |
|---|---|
| 2026 Enrollment Request Form ¨ UHC Nursing Home Plan NC-F001 (PPO I-SNP) H0710-034-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete NC-V001 (HMO-POS D-SNP) H5253-116-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete NC-S3 (HMO-POS D-SNP) H5253-184-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete NC-S2 (PPO D-SNP) H1889-034-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete NC-S001 (PPO D-SNP) H1889-005-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete NC-D001 (HMO-POS D-SNP) H5253-041-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Complete Care NC-28 (HMO-POS C-SNP) H5253-189-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Complete Care NC-27 (HMO-POS C-SNP) H5253-188-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Complete Care NC-25 (HMO-POS C-SNP) H5253-186-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) H5253-040-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Patriot No Rx NC-MA01 (PPO) H2001-103-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Giveback from UHC NC-14 (HMO-POS) H5253-110-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Giveback from UHC NC-13 (HMO-POS) H5253-105-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-26 (HMO-POS) H5253-187-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-24 (HMO-POS) H5253-185-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0022 (HMO-POS) H5253-038-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0021 (HMO-POS) H5253-037-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0019 (PPO) H2406-115-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0017 (PPO) H2406-098-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0016 (PPO) H2406-034-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0015 (HMO-POS) H5253-117-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0012 (HMO-POS) H5253-104-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0011 (HMO-POS) H5253-103-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0009 (HMO-POS) H5253-080-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0008 (HMO-POS) H5253-079-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0007 (HMO-POS) H5253-039-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0004 (PPO) H2001-102-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC NC-0001 (PPO) H2001-090-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Access from Enrollment UHC NC-23 (PPO) H2001-084-000 | Download |
BCBS NC MAPD Enrollment Kit
File Action BCBSNC 2026 Rates and Benefits for HMO and PPO Plans Download
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| File | Action |
|---|---|
| BCBSNC 2026 Rates and Benefits for HMO and PPO Plans | Download |
Devoted GA MAPD Summary of Benefits
File Action DEVOTED CHOICE MA ONLY 003 GA (PPO) - H5453-003-000 - ENG Download DEVOTED CHOICE GIVEBACK 011 GA (PPO) - H5453-011-000 - ENG Download DEVOTED CHOICE GIVEBACK 005 GA (PPO) - H5453-005-000 - ENG Download DEVOTED CHOICE GIVEBACK 002 GA (PPO) - H5453-002-000 - ENG Download DEVOTED CHOICE 010 GA (PPO) - H5453-010-000 - ENG Download DEVOTED CHOICE 004 GA (PPO) - H5453-004-000 - ENG Download DEVOTED CHOICE 001 GA (PPO) - H5453-001-000 - ENG Download DEVOTED C-SNP CHOICE PREMIUM 018 GA (PPO C-SNP) - H5453-018-000 - ENG Download DEVOTED C-SNP CHOICE PREMIUM 017 GA (PPO C-SNP) - H5453-017-000 - ENG Download DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) - H5453-015-000 - ENG Download
Download
| File | Action |
|---|---|
| DEVOTED CHOICE MA ONLY 003 GA (PPO) - H5453-003-000 - ENG | Download |
| DEVOTED CHOICE GIVEBACK 011 GA (PPO) - H5453-011-000 - ENG | Download |
| DEVOTED CHOICE GIVEBACK 005 GA (PPO) - H5453-005-000 - ENG | Download |
| DEVOTED CHOICE GIVEBACK 002 GA (PPO) - H5453-002-000 - ENG | Download |
| DEVOTED CHOICE 010 GA (PPO) - H5453-010-000 - ENG | Download |
| DEVOTED CHOICE 004 GA (PPO) - H5453-004-000 - ENG | Download |
| DEVOTED CHOICE 001 GA (PPO) - H5453-001-000 - ENG | Download |
| DEVOTED C-SNP CHOICE PREMIUM 018 GA (PPO C-SNP) - H5453-018-000 - ENG | Download |
| DEVOTED C-SNP CHOICE PREMIUM 017 GA (PPO C-SNP) - H5453-017-000 - ENG | Download |
| DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) - H5453-015-000 - ENG | Download |
Wellcare VA Star Ratings
File Action S4802 - Wellcare Download
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| File | Action |
|---|---|
| S4802 - Wellcare | Download |
Kaiser GA MAPD Formulary
File Action Comprehensive Formulary Download
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| File | Action |
|---|---|
| Comprehensive Formulary | Download |
Kaiser GA MAPD Summary of Benefits
File Action Summary of Benefits for Senior Advantage Liberty Plan (HMO) Download Summary of Benefits for Senior Advantage Liberty Giveback Plan (HMO) Download Summary of Benefits for Senior Advantage Dual Essential 1 (HMO D-SNP) Download Summary of Benefits for Senior Advantage Dual Complete (HMO D-SNP) Download Summary of Benefits for Senior Advantage Care Plus Download Summary of Benefits for Senior Advantage Basic and Enhanced (HMO) Download Summary of Benefits for Senior Advantage Basic 2 (HMO) Download Summary of Benefits for Dual Essential 2 (HMO D-SNP) Download
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| File | Action |
|---|---|
| Summary of Benefits for Senior Advantage Liberty Plan (HMO) | Download |
| Summary of Benefits for Senior Advantage Liberty Giveback Plan (HMO) | Download |
| Summary of Benefits for Senior Advantage Dual Essential 1 (HMO D-SNP) | Download |
| Summary of Benefits for Senior Advantage Dual Complete (HMO D-SNP) | Download |
| Summary of Benefits for Senior Advantage Care Plus | Download |
| Summary of Benefits for Senior Advantage Basic and Enhanced (HMO) | Download |
| Summary of Benefits for Senior Advantage Basic 2 (HMO) | Download |
| Summary of Benefits for Dual Essential 2 (HMO D-SNP) | Download |