Questions, concerns, or anything in between, call us first. Your care team is available 24/7/365 (even on holidays).
Find Your Clinic
Hopscotch accepts coverage from major Medicare and Medicare Advantage plans (including those with Medicare+Medicaid). Our service team is here to help you navigate your coverage and make the most of your benefits.
We accept the below listed plans at all 12 clinics across Western North Carolina. If you don't see your plan, call us to confirm.
Last updated October 2026
Active Part B Required
Medicare Advantage
Medicare Advantage
Medicare Advantage
Medicare Advantage
Medicare Advantage
Not sure if your plan is accepted? Find your nearest location and give us a call.
Medicare's Annual Enrollment Period runs October 15 to December 7. During this time, you can switch between Original Medicare and Medicare Advantage, change Medicare Advantage plans, and join, switch, or drop a Part D drug plan. Changes take effect January 1, 2027.
All 12 clinics across Western NC
We accept Original Medicare and Medicare Advantage plans from Blue Cross NC, Humana, UnitedHealthcare, Aetna, and Alignment Health. Networks can change each year, so confirm Hopscotch is in your plan's network before you enroll.
Read the full post →Part D costs and 15 more negotiated drugs
The Part D deductible rises to $700 and the yearly limit on covered drug costs rises to $2,400. Your plan may also change its costs, drug list, or doctor network, so review it before December 7.
Read the full post →Lower costs vs. more flexibility
Neither is better for everyone. HMOs usually cost less but require in-network providers and often referrals. PPOs cost more but let you see out-of-network providers and usually skip referrals.
Read the full post →In NC, timing matters
Medicare Advantage often has low premiums and extra benefits but uses networks and copays. Medigap costs more each month and covers most out-of-pocket costs with any doctor who accepts Medicare. Switching to Medigap later may require health questions.
Read the full post →Six simple steps
There's no single best plan. The right one covers your doctors and prescriptions, fits your total yearly costs, and matches how you like to get care. Compare plans with the Medicare Plan Finder or get free, unbiased help.
Read the full post →GLP-1 Bridge runs through Dec 31, 2027
Part D still can't cover GLP-1s used only for weight loss, but it can for conditions like type 2 diabetes. Through 2027, eligible people with drug coverage can get certain GLP-1s for weight management for $50 a month, with prior authorization.
Read the full post →Figures are based on current published information and may change. Check Medicare.gov for the latest details.
If you want help comparing plans side by side, these free resources are not tied to any insurance company:
You should never feel rushed. Be cautious of anyone who calls you without your permission, asks for your Medicare number, or says you must decide today. Medicare and legitimate plans will not call you out of the blue asking for personal information.
Hopscotch Primary Care is a primary care provider, not an insurance company or agent. We do not sell, recommend, or endorse any Medicare plan. This information is for general education and is not insurance, legal, or medical advice. Plan details, costs, and availability vary by plan and location and can change each year.
Understanding your options is the first step to choosing the right coverage. Here's how the main ways to get Medicare compare.
| Original MedicareParts A & B | Original Medicare + MedigapParts A & B plus a Medicare Supplement | Medicare AdvantagePart C | |
|---|---|---|---|
| Monthly cost | Part B premium. Part A is usually premium-free. | Part B premium plus a separate Medigap premium. | Part B premium plus the plan premium, which is $0 on many plans. |
| Out-of-pocket limit | No annual limit. You pay deductibles and 20% coinsurance for most Part B services. | Medigap covers most or all of these costs, so spending is more predictable. | Annual out-of-pocket maximum. Copays and coinsurance vary by plan. |
| Provider choice | Any provider in the U.S. who accepts Medicare. | Any provider in the U.S. who accepts Medicare. | In-network providers. Out-of-network care may cost more or not be covered. |
| Referrals | Not required to see a specialist. | Not required to see a specialist. | Depends on the plan. HMO plans often require a referral; PPO plans usually don't. |
| Prescription coverage | Not included. Part D is sold separately. | Not included. Part D is sold separately. | Usually included in the plan. |
| Extra benefits | Dental, vision, and hearing are generally not covered. | Dental, vision, and hearing are generally not covered. | Many plans include dental, vision, hearing, and other extras. Benefits vary by plan. |
| Things to know | Flexible, but costs can be unpredictable without added coverage. | Predictable costs and broad access, with higher total monthly premiums. | Lower upfront costs and added benefits, with network rules to follow. |
Hopscotch requires active Part B coverage. Plan details and costs vary by plan and year. Call us and we'll help you understand your options.
Medicare has specific windows for enrollment and plan changes. Missing them can result in coverage gaps or late penalties.
Switch between Original Medicare and Medicare Advantage, or change your Medicare Advantage or Part D drug plan for the coming year.
A 7-month window centered around your 65th birthday. Enrolling during this window avoids late enrollment penalties.
For those who missed their Initial Enrollment Period. Coverage begins on the first day of the month after you sign up. Late penalties may apply.
Moving, losing employer coverage, or other qualifying life events may allow you to enroll or switch plans outside standard windows.
If you're already in a Medicare Advantage plan, you can make one change during this window: switch to a different Medicare Advantage plan, or return to Original Medicare (and join a stand-alone Part D drug plan). Changes take effect the first day of the following month.
Quick answers to common questions during enrollment.
Medicare Annual Enrollment runs from October 15 to December 7, 2026. Changes you make take effect January 1, 2027.
Yes. Hopscotch accepts Original Medicare, including patients who also have a Medicare Supplement (Medigap) plan.
In 2027, Hopscotch accepts Medicare Advantage plans from Blue Cross NC, Humana, UnitedHealthcare, Aetna, and Alignment Health at all 12 of our clinics across Western North Carolina, including Dual Eligible Special Needs Plans (D-SNPs). Networks can change each year, so confirm Hopscotch is in your plan's network before you enroll.
Yes, as long as your new plan includes Hopscotch in its network, or you choose Original Medicare. Before you switch, check your new plan's provider directory or call the plan to confirm.
If you are in a Medicare Advantage plan, you can make one change between January 1 and March 31. Other situations, like moving, may also allow a change.
The standard Part D deductible is $700 in 2027, up from $615, and the most you will pay for covered Part D drugs is $2,400, up from $2,100. After that, you pay $0 for covered drugs for the rest of the year. Your plan's deductible may be lower.
If your plan is still offered and nothing is changing that affects you, it will usually renew automatically. It is still a good idea to review your Annual Notice of Change to be sure.
NC SHIIP offers free, unbiased Medicare counseling at 1-855-408-1212. You can also call 1-800-MEDICARE (1-800-633-4227) or use the Plan Finder at Medicare.gov. Hopscotch can also connect you with a trusted broker at no cost. Call your care team to get started.
If you have questions about Medicare or the Annual Enrollment Period (Oct 15 – Dec 7), contact your Hopscotch care team. We can tell you which plans we accept and connect you with free, unbiased resources, including a trusted broker, to review your plan options.
Our care team can answer questions about which Medicare plans we accept and connect you with free, unbiased help, such as NC SHIIP or a trusted broker, to compare your options.
We accept most major Medicare and Medicare Advantage plans. Request a visit today and our team will take it from there.
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