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Contacts

North Carolina Medicare contacts

For Medicare questions in North Carolina, call 1-800-MEDICARE (1-800-633-4227). To sign up for Medicare or Extra Help, call Social Security at 1-800-772-1213. For NC Medicaid or help paying Medicare costs, call the NC Medicaid Contact Center at 1-888-245-0179 or your county Department of Social Services. Below are those and the other official North Carolina contacts, from appeals to fraud.

Quick answers

Who do I call with a Medicare question in North Carolina?
1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). For enrollment, Part B premiums or IRMAA, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
Who handles NC Medicaid and Medicare Savings Programs?
NC Medicaid, part of NCDHHS. Apply through ePASS or your county Department of Social Services; the NC Medicaid Contact Center, 1-888-245-0179, helps you find your county office.
Who reviews a hospital discharge appeal in North Carolina?
Acentra Health, the Medicare quality improvement organization (BFCC-QIO) for North Carolina, at 1-888-317-0751 (TTY 711).
Where do I report Medicare fraud in North Carolina?
1-800-MEDICARE, the HHS Office of Inspector General at 1-800-447-8477, or the national Senior Medicare Patrol line, 1-877-808-2468. Medicaid provider fraud goes to the NC Department of Justice at (919) 881-2320.
Who regulates Medigap and insurance agents in North Carolina?
The North Carolina Department of Insurance (NCDOI). File a complaint with its online form, and check an agent's license with the lookup NCDOI links to.

Every number on this page belongs to a government agency or a program it runs, funds or contracts with, except the last section. This is a non-government website, so check an agency's own site for current hours. Medicare, Social Security and fraud lines are national; the rest serve North Carolina.

Medicare, Social Security and appeals

AgencyUse it forHow to reach it
Medicare (federal)Coverage, claims, Medicare plans, enrollment periods, replacement cards, help in Spanish1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048; Medicare.gov (Spanish: es.medicare.gov)
Social Security (federal)Signing up for Parts A and B, Part B premiums, IRMAA, Extra Help, address changes, representative payees1-800-772-1213, TTY 1-800-325-0778; find a North Carolina office with the office locator
Acentra Health, BFCC-QIO for North Carolina (Medicare contractor)Fast appeals when a hospital, skilled nursing, home health or hospice stay is ending; complaints about the quality of care1-888-317-0751, TTY 711; acentraqio.com

Acentra Health serves North Carolina as part of its Region 4 (with other southeastern states). See Medicare appeals in North Carolina.

NC Medicaid and help paying Medicare costs

AgencyUse it forHow to reach it
NC Medicaid Contact Center (NCDHHS, state)Questions about NC Medicaid and NC Medicaid Direct, finding your county office1-888-245-0179, Monday to Friday 8 a.m. to 5 p.m.; TTY 711 (RelayNC)
Your county Department of Social Services (DSS)Applying for NC Medicaid and the Medicare Savings Programs (MQB-Q, MQB-B, MQB-E), renewals, eligibility notices, Adult Protective ServicesWalk in, call or mail; find yours in the local DSS directory. Apply online through ePASS.
NCDHHS Customer Service Center (state)Finding the right NCDHHS program or person1-800-662-7030
NC Medicaid Hearing Office (state)Appealing a notice of transfer or discharge from a nursing home or adult care home919-814-0090; hearing request forms

See NC Medicaid and Medicare, Medicare Savings Programs in North Carolina and Extra Help.

Aging services and long-term care

AgencyUse it forHow to reach it
NC Division of Aging (NCDHHS, state)Statewide aging programs, caregiver support, CAP/DA information, the long-term care ombudsman program919-855-3400; ncdhhs.gov
Your area agency on aging (16 regions, housed in regional councils of government)Local services for people 60 and older: in-home aide, meals, transportation, family caregiver supportFind your region and its number on the area agency on aging map (PDF); see how to find your area agency on aging
Regional long-term care ombudsman (16 offices, in the area agencies on aging)Problems or complaints in a nursing home or adult care home, residents' rightsOmbudsman program and regional list
Division of Health Service Regulation, Complaint Intake (NCDHHS, state)Complaints about care in a long-term care facility or other licensed provider1-800-624-3004 (within North Carolina) or 919-855-4500

See the CAP/DA waiver and helping a parent with Medicare.

Insurance companies and agents

AgencyUse it forHow to reach it
North Carolina Department of Insurance (NCDOI, state)Complaints about insurance companies and agents, including Medigap insurersAssistance or file a complaint (online form, printable form and Spanish form); mail: NC Department of Insurance, 1201 Mail Service Center, Raleigh, NC 27699-1201
Agent license lookupChecking that an agent holds an active North Carolina licenseNCDOI's "Look Up An Insurance Agent" link goes to the NAIC licensee lookup; disciplinary actions: NCDOI licensing actions search
NCDOI Criminal Investigations DivisionInsurance fraud by an agent, company or anyone else (a crime)919-807-6840, or 888-680-7684 from within North Carolina; report online

NCDOI regulates insurance in North Carolina; it can't change a Medicare coverage decision. See Medigap in North Carolina and how to file a complaint about an insurance agent.

Fraud and scams

ContactUse it forHow to reach it
Senior Medicare Patrol, national line (federally funded)Help deciding whether a charge or call is fraud, and reporting it1-877-808-2468; smpresource.org
HHS Office of Inspector General (federal)Any Medicare fraud1-800-HHS-TIPS (1-800-447-8477); oig.hhs.gov
I-MEDIC (Medicare contractor)Fraud involving a Medicare Advantage or Part D plan1-877-7SAFERX (1-877-772-3379)
NC Department of Justice, Medicaid Investigations Division (state)Fraud by Medicaid providers, and abuse of patients in Medicaid-funded facilities(919) 881-2320; online reports
NCDHHS Medicaid fraud tip line (state)Fraud, waste or abuse in NC Medicaid, including eligibility fraud1-877-362-8471, or your county DSS
NC Department of Justice, Consumer Protection (state)Scam calls and other consumer fraud1-877-5-NO-SCAM (1-877-566-7226); in Spanish 919-716-0058

See Medicare fraud and scams in North Carolina.

State retirees, military and veterans

If you retired from North Carolina state or local government, the State Health Plan (shpnc.gov) decides how your retiree coverage works with Medicare. Check with the Plan before you join or drop any Medicare plan. See State Health Plan retirees and Medicare. For TRICARE For Life and VA care, see military, veterans and TRICARE in North Carolina.

Talk with a licensed insurance agent

This is not a government contact. Benefits Life, the publisher of this site, works with licensed insurance agents who can explain Medicare Advantage, Medigap and Part D plans from the companies they work with, at no cost to you. You can request a call from a licensed insurance agent, or find an independent licensed insurance agent in North Carolina.

Sources

Every question in this guide

Frequently asked questions

Where is the Social Security office near me in North Carolina?

Use Social Security's online office locator: enter your ZIP code to get the address and hours of the office that serves you. Many tasks, such as signing up for Medicare or asking for Extra Help, can also be done online at ssa.gov or by calling 1-800-772-1213.

How do I get a replacement Medicare card?

Log into your Medicare.gov account to print an official copy, or call 1-800-MEDICARE to have one mailed. Medicare won't call you out of the blue to ask for your Medicare number, so treat a caller offering a new card as a scam.

Can I get Medicare help in Spanish?

Yes. 1-800-MEDICARE has Spanish-speaking representatives, Medicare's website is at es.medicare.gov, and Social Security offers service in Spanish at 1-800-772-1213. NCDOI has a Spanish complaint form.

What is the NC Medicaid Contact Center number?

1-888-245-0179, Monday through Friday 8 a.m. to 5 p.m., closed on state holidays. TTY users can call through RelayNC at 711.

Who can help me compare Medicare plans in North Carolina?

Medicare.gov's plan finder and 1-800-MEDICARE give information on all of your options. A licensed insurance agent who works with Benefits Life, the publisher of this site, can compare plans from the companies they work with.

Licensed insurance agents for North Carolina

These independent insurance agents are licensed in North Carolina and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Casey Gilley

Casey Gilley

Accepting new clients

Independent licensed insurance agent in North Carolina

Chapel Hill · English

Steven Graves

Steven Graves

Accepting new clients

Independent licensed insurance agent in North Carolina

Southern Pines · English

Tonya Dorman

Tonya Dorman

Accepting new clients

Independent licensed insurance agent in North Carolina

Colorado Springs, CO · English

Kiki Kuehnert-Bandilla

Kiki Kuehnert-Bandilla

5.0 out of 5 stars (6 reviews on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in North Carolina

Castle Rock, CO · English

See all North Carolina agents →

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