Skip to main content

Experience Health

Experience Health Medicare Advantage℠ HMO

Everything you want in a Medicare plan and a low maximum out-of-pocket cost for added protection. 

Experience Health has a new look!

While things may look different, you’re in the right place for all the Experience Health information you need.

What's included for you in 2024

  • $0 Deductibles for medical visits and drugs 
  • $0 Copays for doctor's office visits 
  • $0 Copays for prescriptions on many commonly prescribed drugs
  • ‌$20 Copays for specialists and no referrals needed
  • $3,500 Maximums for out-of-pocket costs for in-network covered hospital and medical services1
  • $0 SilverSneakers® fitness membership

Ready to get started?

Get $0 monthly premiums in 2024 with the Experience Health Medicare Advantage HMO plan. It's easy to learn more about the plan benefits or enroll today!

Get even more from your Experience Health plan

Our Medicare Advantage plan offers you more than you might think, including:

  • Thousands of covered medications
  • A large and growing network of doctors
  • Personal coaching on living a healthy lifestyle
  • Easy access to your important documents
  • A dedicated support team and more

Your member portal

Access your benefits anytime, anywhere. With your member portal, you can manage your plans, track claims, get a copy of your ID card, and so much more. 

Contact us

Available 8 AM to 8 PM, 7 days a week

Not yet a member?

833-905-1311 (TTY: 711)


© 2024 Experience Health, Inc. All rights reserved.

For accommodation of persons with special needs at sales meetings, call 833-905-1311 (TTY: 711), 8 AM through 8 PM, 7 days a week.

Experience Health is an HMO plan with a Medicare contract. Enrollment in Experience Health Medicare Advantage (HMO) depends on contract renewal.

The federal government requires all Medicare Advantage members to continue paying their Part B premium each month.

To join Experience Health Medicare Advantage (HMO), you must have Medicare Part A and Part B, and live in the service area (Durham, Franklin, Granville, Lee, Orange, Person, Vance or Wake counties, North Carolina). Please contact the plan for more information. Medicare beneficiaries may also enroll in Experience Health Medicare Advantage (HMO) through the CMS Medicare Online Enrollment Center located at

This information is not a complete description of benefits. Call 833-905-1311 (TTY: 711) for more information. Other providers are available in our network. Out-of-network/non-contracted providers are under no obligation to treat Experience Health Medicare Advantage (HMO) members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

ATTENTION: If you speak a non-English language, call 833-905-1311 (TTY: 711) and you will be connected to an interpreter who will assist you at no cost.

SilverSneakers® is a registered trademark of Tivity Health. © 2023 Tivity Health, Inc. All rights reserved. Tivity Health is an independent company providing fitness services on behalf of Experience Health.

Blue Cross NC contracts with independent companies to provide supplemental benefits. Those companies are responsible for the services they provide. They do not provide Blue Cross or Blue Shield products or services. Marks and trade names are property of their respective owners.

®, ℠ Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Experience Health is an independent licensee of the Blue Cross and Blue Shield Association, serving North Carolina.

This page was last updated 2024-03-01

H3777_EX5028_M_2024 CMS Accepted 02282024

  1. The most you'll pay out-of-pocket for in-network covered hospital and medical services in 2024. Please note that you’ll still need to pay your Part D prescription drug cost share.