experiencehealthnc.com
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Submitted URL: http://experiencehealthnc.com/
Effective URL: https://experiencehealthnc.com/
Submission: On October 30 via api from US — Scanned from DE
Effective URL: https://experiencehealthnc.com/
Submission: On October 30 via api from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST https://experiencehealthnc.com/!/forms/prospects
<form method="POST" action="https://experiencehealthnc.com/!/forms/prospects"
x-data="{"first_name":null,"last_name":null,"email":null,"email_service_provider":null,"delivery_option":"download","address_1":null,"address_2":null,"city":null,"state":"NC","zip_code":null,"form_name":null,"asset":null,"submission_type":"prospect","opt_in_2020_aep":null,"opt_in_webinar_call":null,"seminar_date":null,"opt_in_aep_stream":null,"opt_in_n2m_stream":null,"seminar_id":null,"zoom_webinar_id":null,"campaignmonitor_list_id":null,"activecampaign_list_id":null,"utm_source":null,"utm_medium":null,"utm_campaign":null,"utm_content":null,"utm_term":null}"
autocomplete="on"><input type="hidden" name="_token" value="GjmHmLf7X3EsYBFIUb5s2VACNvkr6V0tRAmFttap">
<div class="tw-grid tw-grid-cols-1 tw-gap-4 md:tw-grid-cols-8 tw-text-blue">
<input class="formname" name="form_name" type="hidden" value="prospect_asset_request_hero">
<input class="asset" name="asset" type="hidden" value="info-kit">
<input class="email_service_provider" name="email_service_provider" type="hidden" value="campaignmonitor">
<input class="submission_type" name="submission_type" type="hidden" value="prospect" data-abide-ignore="">
<input class="utm_campaign" x-model="utm_campaign" name="utm_campaign" type="hidden" value="" data-abide-ignore="">
<input class="utm_content" x-model="utm_content" name="utm_content" type="hidden" value="" data-abide-ignore="">
<input class="utm_source" x-model="utm_source" name="utm_source" type="hidden" value="" data-abide-ignore="">
<input class="utm_medium" x-model="utm_medium" name="utm_medium" type="hidden" value="" data-abide-ignore="">
<input class="utm_term" x-model="utm_term" name="utm_term" type="hidden" value="" data-abide-ignore="">
<input class="delivery" name="delivery_option" type="hidden" value="email">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="first_name">First Name</label>
<input type="text" class="form-input" placeholder="Joe" x-model="first_name" name="first_name" value="" pattern="[A-Za-z '-]+" title="Please enter your given name." required="">
</div>
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="last_name">Last Name</label>
<input type="text" class="form-input" placeholder="Daniels" x-model="last_name" name="last_name" value="" pattern="[A-Za-z '-]+" title="Please enter your family name." required="">
</div>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="address_1">Street Address</label>
<input type="text" class="form-input" placeholder="1 E. Edenton St." x-model="address_1" name="address_1" pattern="[A-Za-z0-9 '-:/]+" autocomplete="address-line1" title="Please enter a valid street address." required="">
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<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="address_2">Apt. / Unit / Building</label>
<input type="text" x-model="address_2" name="address_2" pattern="[A-Za-z0-9 '-:/]+" title="Please enter a valid detailed address." autocomplete="address-line2">
</div>
</template>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full md:tw-col-span-4">
<label class="tw-text-sm tw-font-bold" for="city">City</label>
<input type="text" placeholder="Raleigh" x-model="city" name="city" pattern="[A-Za-z '-]+" title="Please enter a valid city." required="">
</div>
</template>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full md:tw-col-span-2">
<label class="tw-text-sm tw-font-bold" for="state">State</label>
<select class="dynamic-valid-state" x-model="state" name="state" required="">
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="District of Columbia">District of Columbia</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
</select>
</div>
</template>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full md:tw-col-span-2">
<label class="tw-text-sm tw-font-bold" for="zip_code">Zip Code</label>
<input class="dynamic-valid-zip" type="text" placeholder="27608" x-model="zip_code" name="zip_code" pattern="[0-9]{5}" title="Please enter a valid 5-digit US ZIP Code." required="">
</div>
</template>
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="email">Email Address</label>
<input type="email" placeholder="joedaniels@example.com" x-model="email" name="email" value="" title="Please enter a valid email address." required="">
<p class="tw-text-sm tw-p-2 tw-italic"> By providing my email address, I understand a sales representative may contact me. </p>
</div>
<div x-data="{ is_aep: false, today:'', month:'' }" x-init="
today = new Date();
month = today.getMonth();
if (month > 7 && month < 11) { is_aep = true };
" class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full tw-px-2">
<template x-if="is_aep">
<label for="opt_in_aep_stream" class="tw-flex tw-flex-row tw-items-baseline">
<input id="opt_in_aep_stream" class="opt_in_aep_stream tw-mr-2" x-model="opt_in_aep_stream" name="opt_in_aep_stream" type="checkbox" value="true">
<span class="">Sign up for our emails to get smart tips and timely reminders</span>
</label>
</template>
<template x-if="!is_aep">
<label for="opt_in_n2m_stream" class="tw-flex tw-flex-row tw-items-baseline">
<input id="opt_in_n2m_stream" class="opt_in_n2m_stream tw-mr-2" x-model="opt_in_n2m_stream" name="opt_in_n2m_stream" type="checkbox" value="true">
<span class="">Sign up for our emails to get smart tips and timely reminders</span>
</label>
</template>
</div>
<div class="tw-flex tw-flex-col tw-justify-items-start tw-text-center tw-col-span-full">
<input type="text" class="tw-hidden" name="honeypot">
<button type="submit" class="ux-button tw-bg-blue tw-text-white tw-mx-auto tw-mb-4"> Submit </button>
<p class="tw-text-sm tw-text-center">Or <a class="tw-underline" href="/helpful-resources/info-kit">you can receive it by mail</a>.</p>
</div>
</div>
</form>
POST https://experiencehealthnc.com/!/forms/prospects
<form method="POST" action="https://experiencehealthnc.com/!/forms/prospects"
x-data="{"first_name":null,"last_name":null,"email":null,"email_service_provider":null,"delivery_option":"download","address_1":null,"address_2":null,"city":null,"state":"NC","zip_code":null,"form_name":null,"asset":null,"submission_type":"prospect","opt_in_2020_aep":null,"opt_in_webinar_call":null,"seminar_date":null,"opt_in_aep_stream":null,"opt_in_n2m_stream":null,"seminar_id":null,"zoom_webinar_id":null,"campaignmonitor_list_id":null,"activecampaign_list_id":null,"utm_source":null,"utm_medium":null,"utm_campaign":null,"utm_content":null,"utm_term":null}"
autocomplete="on"><input type="hidden" name="_token" value="GjmHmLf7X3EsYBFIUb5s2VACNvkr6V0tRAmFttap">
<div class="tw-grid tw-grid-cols-1 tw-gap-4 md:tw-grid-cols-8 tw-text-blue">
<input class="formname" name="form_name" type="hidden" value="prospect_asset_request_hero">
<input class="asset" name="asset" type="hidden" value="info-kit">
<input class="email_service_provider" name="email_service_provider" type="hidden" value="campaignmonitor">
<input class="submission_type" name="submission_type" type="hidden" value="prospect" data-abide-ignore="">
<input class="utm_campaign" x-model="utm_campaign" name="utm_campaign" type="hidden" value="" data-abide-ignore="">
<input class="utm_content" x-model="utm_content" name="utm_content" type="hidden" value="" data-abide-ignore="">
<input class="utm_source" x-model="utm_source" name="utm_source" type="hidden" value="" data-abide-ignore="">
<input class="utm_medium" x-model="utm_medium" name="utm_medium" type="hidden" value="" data-abide-ignore="">
<input class="utm_term" x-model="utm_term" name="utm_term" type="hidden" value="" data-abide-ignore="">
<input class="delivery" name="delivery_option" type="hidden" value="email">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="first_name">First Name</label>
<input type="text" class="form-input" placeholder="Joe" x-model="first_name" name="first_name" value="" pattern="[A-Za-z '-]+" title="Please enter your given name." required="">
</div>
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="last_name">Last Name</label>
<input type="text" class="form-input" placeholder="Daniels" x-model="last_name" name="last_name" value="" pattern="[A-Za-z '-]+" title="Please enter your family name." required="">
</div>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="address_1">Street Address</label>
<input type="text" class="form-input" placeholder="1 E. Edenton St." x-model="address_1" name="address_1" pattern="[A-Za-z0-9 '-:/]+" autocomplete="address-line1" title="Please enter a valid street address." required="">
</div>
</template>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="address_2">Apt. / Unit / Building</label>
<input type="text" x-model="address_2" name="address_2" pattern="[A-Za-z0-9 '-:/]+" title="Please enter a valid detailed address." autocomplete="address-line2">
</div>
</template>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full md:tw-col-span-4">
<label class="tw-text-sm tw-font-bold" for="city">City</label>
<input type="text" placeholder="Raleigh" x-model="city" name="city" pattern="[A-Za-z '-]+" title="Please enter a valid city." required="">
</div>
</template>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full md:tw-col-span-2">
<label class="tw-text-sm tw-font-bold" for="state">State</label>
<select class="dynamic-valid-state" x-model="state" name="state" required="">
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="District of Columbia">District of Columbia</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
</select>
</div>
</template>
<template x-if="Statamic.$conditions.showField({"if":{"delivery_option":"equals mail"}}, $data)">
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full md:tw-col-span-2">
<label class="tw-text-sm tw-font-bold" for="zip_code">Zip Code</label>
<input class="dynamic-valid-zip" type="text" placeholder="27608" x-model="zip_code" name="zip_code" pattern="[0-9]{5}" title="Please enter a valid 5-digit US ZIP Code." required="">
</div>
</template>
<div class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full">
<label class="tw-text-sm tw-font-bold" for="email">Email Address</label>
<input type="email" placeholder="joedaniels@example.com" x-model="email" name="email" value="" title="Please enter a valid email address." required="">
<p class="tw-text-sm tw-p-2 tw-italic"> By providing my email address, I understand a sales representative may contact me. </p>
</div>
<div x-data="{ is_aep: false, today:'', month:'' }" x-init="
today = new Date();
month = today.getMonth();
if (month > 7 && month < 11) { is_aep = true };
" class="tw-flex tw-flex-col tw-justify-items-start tw-items-stretch tw-col-span-full tw-px-2">
<template x-if="is_aep">
<label for="opt_in_aep_stream" class="tw-flex tw-flex-row tw-items-baseline">
<input id="opt_in_aep_stream" class="opt_in_aep_stream tw-mr-2" x-model="opt_in_aep_stream" name="opt_in_aep_stream" type="checkbox" value="true">
<span class="">Sign up for our emails to get smart tips and timely reminders</span>
</label>
</template><label for="opt_in_aep_stream" class="tw-flex tw-flex-row tw-items-baseline">
<input id="opt_in_aep_stream" class="opt_in_aep_stream tw-mr-2" x-model="opt_in_aep_stream" name="opt_in_aep_stream" type="checkbox" value="true">
<span class="">Sign up for our emails to get smart tips and timely reminders</span>
</label>
<template x-if="!is_aep">
<label for="opt_in_n2m_stream" class="tw-flex tw-flex-row tw-items-baseline">
<input id="opt_in_n2m_stream" class="opt_in_n2m_stream tw-mr-2" x-model="opt_in_n2m_stream" name="opt_in_n2m_stream" type="checkbox" value="true">
<span class="">Sign up for our emails to get smart tips and timely reminders</span>
</label>
</template>
</div>
<div class="tw-flex tw-flex-col tw-justify-items-start tw-text-center tw-col-span-full">
<input type="text" class="tw-hidden" name="honeypot">
<button type="submit" class="ux-button tw-bg-blue tw-text-white tw-mx-auto tw-mb-4"> Submit </button>
<p class="tw-text-sm tw-text-center">Or <a class="tw-underline" href="/helpful-resources/info-kit">you can receive it by mail</a>.</p>
</div>
</div>
</form>
Text Content
Menu * Plan Info Plan Info * Plan Overview * Plan Benefits * Care Support Star Rating * Star Rating Explanation of Benefits * Find A Doctor * Find Prescription Drugs * Find My Pharmacy * Care Support Care Support * Helpful Resources Resources Resources Overview * Resources Overview Plan Information Kit * Plan Information Kit Countdown to Medicare * Countdown to Medicare Retirement Checklist * Retirement Checklist External References * Plan Documents * Plan Documents Docs * Contact Us Contact 1-833-905-1311 833-905-1311 * 1-833-905-1311 833-905-1311 Enroll Now Member Portal I am a: Guest Member GET READY FOR A NEW MEDICARE EXPERIENCE! You can start by learning more about the local-designed Experience Health Medicare AdvantageSM (HMO) plan with a $0 monthly premium for 2024 and: * $0 doctor visit copays * $0 medical and drug deductibles * $0 prescription copays on many commonly prescribed drugs * $20 specialist copay with NO REFERRALS * Low $3,500 maximum out-of-pocket limit for in-network covered hospital and medical services* * No cost SilverSneakers® fitness membership * Valuable plan extras to save you money That’s just the beginning! See our plan overview for all of the benefits included with your Experience Health Medicare Advantage (HMO) plan. Plan Overview REQUEST YOUR FREE INFORMATION KIT NOW. Please provide the following information to get your Information Kit First Name Last Name Street Address Apt. / Unit / Building City State AL AK AZ AR CA CO CT DE District of Columbia FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Email Address By providing my email address, I understand a sales representative may contact me. Sign up for our emails to get smart tips and timely reminders Sign up for our emails to get smart tips and timely reminders Submit Or you can receive it by mail. GET READY FOR A NEW MEDICARE EXPERIENCE! You can start by learning more about the local-designed Experience Health Medicare AdvantageSM (HMO) plan with a $0 monthly premium for 2024 and: * $0 doctor visit copays * $0 medical and drug deductibles * $0 prescription copays on many commonly prescribed drugs * $20 specialist copay with NO REFERRALS * Low $3,500 maximum out-of-pocket limit for in-network covered hospital and medical services* * No cost SilverSneakers® fitness membership * Valuable plan extras to save you money That’s just the beginning! See our plan overview for all of the benefits included with your Experience Health Medicare Advantage (HMO) plan. Plan Overview REQUEST YOUR FREE INFORMATION KIT NOW. Please provide the following information to get your Information Kit First Name Last Name Street Address Apt. / Unit / Building City State AL AK AZ AR CA CO CT DE District of Columbia FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Email Address By providing my email address, I understand a sales representative may contact me. Sign up for our emails to get smart tips and timely reminders Sign up for our emails to get smart tips and timely reminders Sign up for our emails to get smart tips and timely reminders Submit Or you can receive it by mail. IMPORTANT NEW STAR RATING FROM MEDICARE ANNOUNCED! Learn More IMPORTANT NEW STAR RATING FROM MEDICARE ANNOUNCED! Learn More FIND MY PRESCRIPTIONS Our Medicare Advantage plan covers thousands of prescription drugs. See if your drugs are covered by Experience Health! Find prescription drugs FIND YOUR DOCTOR Your doctor is important to you. Experience Health knows that. That’s why we’ve provided an easy online tool to see if your doctor is part of our growing network. Find your doctor FIND MY PRESCRIPTIONS Our Medicare Advantage plan covers thousands of prescription drugs. See if your drugs are covered by Experience Health! Find prescription drugs FIND YOUR DOCTOR Your doctor is important to you. Experience Health knows that. That’s why we’ve provided an easy online tool to see if your doctor is part of our growing network. Find your doctor OUR CARE SUPPORT TEAM IS AT THE HEART OF EXPERIENCE HEALTH Learn More OUR CARE SUPPORT TEAM IS AT THE HEART OF EXPERIENCE HEALTH Learn More READY TO ENROLL? Enroll Now HAVE A QUESTION? CALL 1-833-905-1311 (TTY: 711) 8 A.M. TO 8 P.M., 7 DAYS A WEEK READY TO ENROLL? Enroll Now HAVE A QUESTION? CALL 1-833-905-1311 (TTY: 711) 8 A.M. TO 8 P.M., 7 DAYS A WEEK WELCOME MEMBERS Don’t forget your Annual Wellness Visit. It’s your time to talk with your health team so you can prevent health problems and get the medical care you need. And it’s included in your plan with a $0 copay! Read 5 Things To Do At Your Annual Wellness Visit: Read Article IMPORTANT NEW STAR RATING FROM MEDICARE ANNOUNCED! Learn More MEMBER PORTAL The easy, online way to manage your account. Sign In VALUABLE EXTRAS Your 2024 plan includes valuable plan extras. See Extras PLAN DOCUMENTS Download reimbursement forms & more. See Documents QUESTIONS? SPEAK TO OUR CUSTOMER SERVICE TEAM: 1-833-777-7394 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week DON'T FORGET Remember to complete your Health Risk Assessment form electronically or by mail. It’s important! Download and Mail Complete Online FIND YOUR DOCTOR Your doctor is important to you. Experience Health knows that. That’s why we’ve provided an easy online tool to see if your doctor is part of our growing network. Find Your Doctor ARE MY PRESCRIPTIONS COVERED? Our Medicare Advantage plan covers thousands of prescription drugs. See if your drugs are covered by Experience Health! Find Prescription Drugs Privacy Policy Terms and Conditions External References API Access Fraud and Abuse Medicare Complaint Form Notice of Nondiscrimination For Providers © 2024 Experience Health, Inc. All rights reserved. *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. **Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. For accommodation of persons with special needs at sales meetings, call 1-833-905-1311 (TTY: 711), 8 a.m. – 8 p.m., 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 www.medicare.gov. This information is not a complete description of benefits. Call 1-833-905-1311 (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 1-833-905-1311 (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 2023-10-01 H3777_EX5028_M_2024 External Link You’re about to leave the Experience Health website. Go Back Proceed Contact Us To learn more call 1-833-905-1311 (TTY:711) To learn more call 1-833-905-1311 (TTY:711) Members call 1-833-777-7394 (TTY:711) Providers call 1-877-397-4584 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week Close