According to Robert Simm, a licensed broker at GenerationHealth, 28 Medicare Advantage plans are open to Tyrrell County residents with Part A and Part B for 2027. 22 of them have a $0 monthly plan premium, 21 are rated 4 stars or higher, and the lowest in-network out-of-pocket maximum is $3,900, against Medicare’s $9,850 cap. Check your doctors and hospital in each plan’s network before you choose. Robert Simm, licensed NC health insurance broker, NPN #10447418, at (828) 761-3326.
2027 Medicare Advantage at a glance
Medicare Advantage plans in Columbia, NC for 2027
GenerationHealth’s 2027 Tyrrell County data shows 28 Medicare Advantage plans open to anyone with Part A and Part B in Columbia and the rest of Tyrrell County. 22 have a $0 monthly plan premium, 21 are rated 4 stars or higher by Medicare, and the lowest out-of-pocket maximum is $3,900.
28Medicare Advantage plans
22with a $0 monthly premium
21rated 4 stars or higher
Not counted above: 15 Special Needs Plans for people with Medicaid or certain chronic conditions.
Out-of-pocket maximums by plan type
The out-of-pocket maximum is the most you pay for covered in-network care in a year. Medicare caps it at $9,850 for 2027. Across Tyrrell County the average plan sets it at $8,236.
Plan type
Plans
Average maximum
Lowest available
HMO
2
$7,675
$5,500
HMO-POS
7
$7,514
$3,900
PPO
19
$8,561
$6,500
PPO figures are the in-network maximum. In- and out-of-network costs combined are capped at up to $14,800.
Which plans give you the most flexibility?
PPO — most flexible (19 plans). See doctors and hospitals outside the network at a higher cost, usually without a referral. Good if you travel, split time between homes, or want to keep a specialist who is not in every network.
HMO-POS — some flexibility (7 plans). Built around a network, but covers some services out of network, usually at a higher cost. Referrals are often still required.
HMO — least flexible, often lowest costs (2 plans). Covers care inside the network only, except emergencies and urgent care, and usually needs referrals.
Does the plan include ECU Health?
ECU Health runs hospitals in Tyrrell County, including ECU Health Beaufort Hospital and ECU Health Medical Center. Each health system contracts plan by plan, so two plans from the same insurance company can treat the same hospital differently. Check the exact plan before you enroll, and check again every fall because networks change for January 1.
Source: GenerationHealth analysis of CMS 2027 Medicare Advantage plan data for Tyrrell County (premiums, star ratings and out-of-pocket maximums), updated 2026-10-12. Counts exclude Special Needs Plans unless noted. Plans and networks vary by ZIP code; confirm details with the plan, Plan Match, or Medicare.gov.
Who to Call in Tyrrell County
The Part Medicare.gov Can’t Answer
I call the billing office. Medicare.gov lists which plans a hospital accepts — it can’t tell you whether your specific cardiologist is taking new patients on that plan in January.
ECU Health is the health system on record for Tyrrell County, and 2 facilities in the county carry its name — which does not mean they all sit on the same plan contracts.
01
ECU Health Beaufort Hospital
02
ECU Health Medical Center
Also serving Tyrrell County
01
The Outer Banks Hospital
Service lines in Tyrrell County
Cancer Care (Marion L. Shepard Cancer Center) Heart Care (East Carolina Heart Institute) Emergency Services Primary Care Critical Access Care
💡 ECU Health network notes
ECU Health does not contract as one entity. UnitedHealthcare’s own network page shows that as of 7 August 2026 its Medicare Advantage members gained network access to Vidant Medical Group physicians and to ECU Health’s freestanding outpatient facilities, while access to ECU Health hospitals and to ECU Physicians had never been interrupted. Same health system, same carrier, three different contract positions at once. Verified 2026-09-02.
Being covered at an ECU Health hospital has not meant being covered at ECU Health’s outpatient sites. UnitedHealthcare states that ECU Health’s freestanding outpatient facilities, including its ambulatory surgical centres, had historically been out of network for its commercial and Medicare Advantage plans, and only came in-network on 7 August 2026. Outpatient surgery, imaging, infusion and dialysis are exactly the services that sit in those buildings. Verified 2026-09-02.
ECU Health warns that you may receive a separate bill from physicians it does not employ, for their professional fees, and tells you to contact that physician’s office with questions. It does not say which specialties, so assume any of them. Treat this as extra paperwork rather than extra cost: at an in-network facility federal law caps the hospital ancillary specialties at your in-network cost-sharing. The question that moves your bill is the one above — whether the ECU Health facility and the physician group you would actually use are both in your plan. Verified 2026-09-02.
UnitedHealthcare and ECU Health finalised a new multi-year agreement announced 7 August 2026, covering its Medicare Advantage, Medicaid and employer-sponsored commercial plans, and extending to ECU Health’s freestanding outpatient facilities for the first time. Verified 2026-09-02.
The numbers
What does the data actually show for this Medicare question?
Original Medicare
Medicare Advantage
Network
Any provider taking Medicare nationwide
Tyrrell County contracted providers
Out-of-pocket cap
Set by Medigap (very low)
$9,850 in-network max (2027)
Monthly premium
Higher — Medigap + Part D + Part B
Lower — often $0 above Part B
Referrals required
No
HMO yes; PPO usually no
Drug coverage
Separate Part D plan
Usually built in (MAPD)
Extras (dental/vision/hearing)
Not included
Often included
Best fit
Predictable bills, frequent specialist use
Healthy retiree, wants low premium
2027 Medicare numbers
What are the 2027 Medicare numbers for Tyrrell County residents?
$202.90
Part B premium per month
2026 standard rate (CMS has not published 2027 yet). Higher with IRMAA based on income.
$283
Part B annual deductible
2026 figure. You pay this before Medicare covers 80% of outpatient care.
$9,850
MA in-network out-of-pocket max
2027 cap on in-network Medicare Advantage spending.
$2,400
Part D out-of-pocket cap
2027 cap on prescription costs — but tier placement still matters.
10 minutes. You'll know where you stand.
Rob Simm · Licensed NC Medicare Broker · NPN #10447418
Licensed in NC · No pressure · Your data never sold
What is Plan Match?
✓ Snap a photo of your meds and providers — no typing
✓ Every plan at your ZIP, ranked by your costs
✓ Just date of birth and ZIP code to start
✓ Free, private, results in 3 minutes
5 mistakes Tyrrell County residents make
Avoid these before you enroll.
Three are specific to Tyrrell County. Two apply to every NC resident. All five are fixable — if you catch them before enrollment.
Last reviewed: 2026-10-12 · Robert Simm, Licensed NC Medicare Broker, NPN #10447418
⚠ Tyrrell County mistakes I see every AEP
Mistake 01 Tyrrell-specific
Picking a Medicare Advantage plan that drops ECU Health mid-year.
Why it hurtsMA carrier contracts with ECU Health can change inside a plan year. Tyrrell County residents have lost in-network access to specialists they relied on, with no prorated premium refund.
What to doBefore enrolling, confirm contract dates with the carrier directly. PPOs and Medigap plans both reduce this risk.
Mistake 02 Tyrrell-specific
Assuming Medigap won’t cover ECU Health.
Why it hurtsMedigap plans are not networks. As long as the doctor accepts Original Medicare, they accept Medigap. Some Tyrrell residents pay $150+ per month extra on an HMO they didn’t need.
What to doIf keeping ECU Health access matters, Medigap Plan G or Plan N gives you the broadest stable access. No referrals, no network worries.
Mistake 03 Tyrrell-specific
Attending hotel-ballroom Medicare seminars instead of meeting a Tyrrell-based broker.
Why it hurtsMulti-county seminars are licensed agent recruiting funnels — the follow-up agent is paid more for certain carriers, so you leave with the plan that pays them best, not the plan that fits Tyrrell County.
What to doMeet a Tyrrell County–based broker in person, or have them come to your home. One-on-one always beats ballroom.
Mistake 04 NC-wide
Missing the Part B late enrollment penalty if you’re working past 65.
Why it hurtsIf you don’t sign up for Part B during your Initial Enrollment Period and don’t have qualifying employer coverage, you owe a 10% penalty for every 12 months you delayed — for the rest of your life. A 3-year delay = 30% higher Part B premium forever.
What to doIf you’re working past 65, get a Certification of Creditable Coverage from HR before you stop work. That document protects you from the penalty.
Mistake 05 NC-wide
Missing your 6-month Medigap open enrollment window.
Why it hurtsYou have one 6-month window after you turn 65 and enroll in Part B to buy any Medigap plan with no medical underwriting. Miss it and NC insurers can deny you coverage — or charge dramatically more — if you develop a health condition. This is the single most expensive mistake I prevent.
What to doUnderstand your window the day you turn 65. Even if you pick MA now, know the Medigap door closes 6 months later. Call me before that window closes.
The difference
What’s the difference between doing it alone and working with an independent NC broker?
What you need
Doing it alone
Robert Simm — NC #10447418
Plans you can compare
Whatever Medicare.gov lists, no NC context
Every major NC carrier, filtered to your situation
Tyrrell County network knowledge
Generic federal directories, often 6 months stale
Direct contract verification with each carrier
2027 numbers applied to your budget
Generic rules — no IRMAA math, no spousal coordination
Run with your real income and household
Part D formulary check
Manual entry per drug, per plan
I pre-check every prescription on every eligible plan
Same person next year
Different agent every call
Same broker, same answer, every AEP
Cost
$0 (just your time and risk)
$0 — paid by carrier
⚠ Penalty & Deadline Warning
If you delay Medicare Part B without creditable employer coverage, you’ll pay a 10% lifetime penalty for every 12 months you delayed — added to your Part B premium for the rest of your life. The 2026 standard Part B premium is $202.90/month, so a 24-month delay raises it to roughly $243/month, permanently. Your Initial Enrollment Period is a 7-month window: 3 months before your 65th birthday month, the birthday month itself, and 3 months after.
💡 Broker Tip · Provider Verification
Before you enroll in any Medicare Advantage plan, give me the names of every doctor you see — primary care, cardiologist, oncologist, endocrinologist — and I’ll call each one’s billing office directly to verify they accept the plan. Provider directories on Medicare.gov run 4–6 months stale, and “in-network” on the directory doesn’t always mean the provider is accepting new patients on that plan.
Common questions
Frequently asked questions
How many Medicare Advantage plans are available in Columbia, NC for 2027?
Tyrrell County has 28 Medicare Advantage plans for 2027 that anyone with Medicare Part A and Part B can join. 22 of them have a $0 monthly plan premium and 21 are rated 4 stars or higher. There are also 15 Special Needs Plans for people who have Medicaid or certain chronic conditions.
What Medicare Advantage plans in Columbia, NC have the lowest out-of-pocket expenses?
The lowest in-network out-of-pocket maximum on a 2027 plan in Tyrrell County is $3,900, and the average across all 28 plans is $8,236. By plan type: HMO plans start at $5,500 (average $7,675); HMO-POS plans start at $3,900 (average $7,514); PPO plans start at $6,500 (average $8,561). Medicare caps the in-network maximum at $9,850 for 2027. A low maximum protects you in a bad year; your copays decide what a normal year costs.
Which Medicare Advantage plans in Columbia, NC are priced well?
22 of the 28 plans in Tyrrell County have a $0 monthly plan premium for 2027. You still pay your Part B premium. A $0 premium is not automatically the cheapest choice: compare the out-of-pocket maximum (as low as $3,900 here) and the copays for the doctors and drugs you actually use.
Which Medicare Advantage options in Columbia, NC have good flexibility?
19 PPO plans let you see doctors outside the network at a higher cost, usually without referrals. In-network costs are capped at your plan’s maximum; in- and out-of-network costs combined are capped at up to $14,800. 7 HMO-POS plans use a network but cover some services out of network. 2 HMO plans cover care inside the network only, except emergencies and urgent care, and usually need referrals for specialists.
What Medicare Advantage plans in Columbia, NC are rated the best?
21 of the 28 plans in Tyrrell County carry a 2027 Medicare star rating of 4 stars or higher. Star ratings measure quality and member experience across the whole plan, not whether your doctors are in network, so check the network first.
Which Medicare Advantage plans in Columbia, NC include ECU Health?
ECU Health runs hospitals in Tyrrell County, and each health system contracts plan by plan, so two plans from the same insurance company can treat the same hospital differently. Check the specific plan before you enroll. With an HMO, non-emergency hospital care is covered in network only; an HMO-POS or PPO can also cover an out-of-network hospital, at a higher cost.
When can I change my Medicare Advantage plan in Columbia, NC?
During Medicare’s Annual Enrollment Period, October 15 to December 7, 2026, for coverage starting January 1, 2027. If you are already in a Medicare Advantage plan, you get one more change from January 1 to March 31, 2027. Turning 65, moving, or losing other coverage can open a Special Enrollment Period.
Does this answer change if I live in Tyrrell County specifically?
Yes — carrier networks, Medigap rates, and Medicare Advantage plan availability all vary by zip code. The figures and plan recommendations on this page are calibrated to Tyrrell County, NC.
How do I verify any Medicare agent is licensed in NC?
No. Brokers are paid by the insurance carrier when you enroll, and the commission is identical whether you enroll directly, through Medicare.gov, or through a broker.
It pays to talk to the right broker
Does it matter which Medicare carrier you choose?
It doesn’t — because I get paid by the insurance carrier to manage your plan. Most call centers get paid more to steer your business toward certain carriers based on volume and contracts. The only thing I’m optimizing for is making sure you’re covered correctly when you actually need it. That’s what keeps people coming back. And referring their neighbors.
Nearby counties
Medicare Advantage in the counties next to Tyrrell
Moving, or splitting time between two counties? Plans are approved county by county, so compare the county you will actually live in.
Compliance disclaimer: We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) for information on all of your options. GenerationHealth.me and Robert Simm are independent agents not affiliated with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent may contact you. Information on this page is for educational purposes only and should not be considered legal or financial advice. Plan availability, premiums, and benefits vary by location and carrier.
Licensed in North Carolina, Texas & Georgia·NPN 10447418·AHIP Certified for Plan Year 2027
12+ Years · 500+ Families Served · Your Data Never Shared
Robert Simm is the licensed insurance broker behind GenerationHealth (generationhealth.me), an independent brokerage serving Medicare, ACA Marketplace, and supplemental health coverage across North Carolina, Texas, and Georgia under NPN 10447418.
Rob works directly with every client — no call center, no lead handoff. Plan comparisons on this site are built from CMS Plan Benefit Package data compiled by GenerationHealth, not from carrier marketing material.
GenerationHealth is not connected with or endorsed by the United States government or the federal Medicare program. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE, 24 hours a day / 7 days a week, or consult www.medicare.gov to get information on all of your options.
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