Find Your Most Affordable Health Insurance Plan in Edgecombe County
in North Carolina
Edgecombe County residents can compare 17 health insurance options for 2026.
Blue Advantage gives you access to our largest nationwide network. This is a good option if you want a broad choice of in-network doctors, specialists and hospitals.
More in-network providers in North Carolina, with over 95% of doctors and 98% of hospitals in-network1
Fewer restrictions on which providers you can see
Nationwide access to in-network providers through BlueCard®2
Emergency services covered at the in-network benefit level regardless of where you go for care
Notes
Blue Cross NC Provider Internal Data; percentages indicated represent the Blue Cross NC PPO Network as of April 7, 2025.
Covered in nearly 200 countries and territories worldwide through the Blue Cross and Blue Shield Association BlueCard program. www.geo-blue.com/ (Accessed March 2025). BlueCard coverage varies for each Blue Cross and Blue Shield plan. For more complete details, including benefits, limitations, and exclusions, please refer to your certificate of coverage.
Blue Advantage is available on and off Marketplace to residents in all North Carolina counties EXCEPT the following, where it is available only off Marketplace: Alamance, Anson, Cabarrus, Caswell, Chatham, Cleveland, Davidson, Davie, Durham, Forsyth, Franklin, Gaston, Johnston, Lee, Lincoln, Mecklenburg, Orange, Person, Rowan, Stanly, Stokes, Surry, Union, Wake, and Yadkin.
Blue Care gives you access to our largest statewide network. This is a good option if you want a broad choice of in-network doctors, specialists and hospitals.
More than 92% of doctors and 97% of hospitals in North Carolina are in-network.1
All doctors outside the Blue Care provider network are considered out-of-network and not covered. Out-of-network benefit coverage is not available except for emergency services, urgent care and for medically necessary covered services when an in-network provider is not reasonably available per the access to care standards of Blue Cross and Blue Shield of North Carolina (Blue Cross NC).
Out-of-state providers are also out-of-network and not covered. When traveling outside of North Carolina or the United States, only emergency services and urgent care will be covered at the in-network benefit level. All other non-emergency services will be out-of-network and not covered.
Blue Care is available in all North Carolina counties, except: Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, and Wake.
in North Carolina
Find affordable health insurance in Edgecombe County, NC with Health Plans of NC. Health Plans of NC helps residents of Edgecombe County, NC find and enroll in affordable health coverage, working with families, individuals, and employees of major local employers like Sara Lee Frozen Bakery and ABB. Whether you are looking for marketplace coverage, Medicaid, or employer-sponsored insurance, Health Plans of NC agents guide you through every option at no cost.
Plan Network | Type | Network Coverage |
|---|---|---|
Blue Advantage | PPO | Largest nationwide network, 95%+ of NC doctors in-network |
Blue Care | PPO | Broad statewide network, 92%+ of NC doctors in-network |
Edgecombe County is home to approximately 48,777 residents, with population growth of -0.3% since 2020 and 3.1% of residents identifying as foreign-born, reflecting a diverse community with varying coverage needs across Rocky Mount, Tarboro, and Pinetops. Major employers including Edgecombe-Tarboro Schools, the City of Rocky Mount, Sara Lee Frozen Bakery, ABB, and Edgecombe County government provide a base of employer-sponsored coverage, while health systems including UNC Health Nash and Vidant Edgecombe Hospital anchor the local care network. Health Plans of NC helps county residents explore every available coverage pathway to find the option that best fits their household situation.
ACA Marketplace plans through Blue Cross NC are available to Edgecombe County residents who do not have access to employer coverage at workplaces like Sara Lee Frozen Bakery or ABB.
Medicaid coverage is available to qualifying low-income Edgecombe County adults and families, with eligibility determinations supported by Health Plans of NC at no cost.
Employer-sponsored insurance through large local employers such as Edgecombe-Tarboro Schools and the City of Rocky Mount often provides group health benefits to full-time employees and their dependents.
Short-term health plans may serve as a temporary bridge for Edgecombe County residents between jobs or waiting for open enrollment, though they do not meet ACA minimum coverage standards.
COBRA continuation coverage allows Edgecombe County residents who leave employment at local organizations to temporarily maintain their existing group health plan after a qualifying separation.
Small business SHOP plans are available to small employers in Edgecombe County who want to offer group health benefits to their workforce and may qualify for small business tax credits.
For 2026, Edgecombe County residents can choose from plans offered under two Blue Cross NC networks, Blue Advantage and Blue Care, both of which connect enrollees to providers across eastern North Carolina including facilities in the Vidant Edgecombe and UNC Health Nash systems. Blue Advantage is a PPO network with the largest nationwide reach, while Blue Care is also a PPO structure offering broad statewide access, and both networks allow enrollees to see specialists without a referral requirement. Health Plans of NC agents help Edgecombe County residents compare these network options side-by-side to determine which plan structure best matches their preferred doctors and facilities.
Blue Advantage, a PPO network, provides Edgecombe County enrollees access to the largest nationwide provider network, with over 95% of NC doctors participating in-network, including providers at Vidant Edgecombe Hospital in Tarboro.
Blue Care, also a PPO network, offers broad statewide coverage with over 92% of NC doctors in-network, giving Edgecombe County residents access to specialists throughout the eastern North Carolina region.
Both Blue Advantage and Blue Care PPO plans allow Edgecombe County residents to self-refer to specialists without needing prior approval from a primary care provider.
Blue Advantage and Blue Care plans are available across multiple coverage tiers, giving Edgecombe County families the flexibility to choose between lower premiums or lower out-of-pocket costs depending on their healthcare use.
Edgecombe County residents who receive care at UNC Health Nash facilities can confirm in-network status under both Blue Advantage and Blue Care plans before enrolling to avoid unexpected costs.
Health Plans of NC agents review which specific doctors, clinics, and hospitals are included under Blue Advantage and Blue Care for each Edgecombe County zip code, including 27801, 27804, and 27886.
Bronze plans in Edgecombe County start at approximately $403.47/month before subsidies. With a median household income of $48,480, many residents qualify for premium tax credits. Subsidies may reduce your monthly premium significantly based on income.
Bronze plans in Edgecombe County start at $403.47 per month for a 35-year-old before subsidies, offering the lowest monthly premiums with higher deductibles for those who want basic protection.
Silver plans start at $518.72 per month before subsidies and are the only tier eligible for cost-sharing reductions, which lower deductibles and copays for qualifying Edgecombe County households.
Gold plans start at $536.24 per month before subsidies and provide lower out-of-pocket costs throughout the year, making them well-suited for residents who use healthcare services frequently.
Edgecombe County households with incomes between 100% and 400% of the federal poverty level qualify for ACA premium tax credits that can significantly reduce monthly costs below the starting prices listed above.
Residents with incomes between 100% and 150% of the federal poverty level may qualify for enhanced subsidies that bring Silver plan premiums down to $0 per month under current ACA rules.
Health Plans of NC provides free personalized quotes with exact subsidy calculations for every Edgecombe County household, using actual income and family size to determine the true net monthly cost.
For 2026, Blue Cross NC is the sole ACA Marketplace carrier offering plans in Edgecombe County, with 17 total plans available to residents across the county. These 17 plans are distributed across two PPO networks, Blue Advantage and Blue Care, giving residents a choice between the broadest nationwide access and broad statewide coverage. Blue Advantage connects Edgecombe County enrollees to the largest national provider footprint, while Blue Care offers strong statewide access to hospitals and specialists across eastern North Carolina, including those affiliated with Vidant Edgecombe Hospital and UNC Health Nash. The network a resident selects directly affects which doctors, clinics, and hospitals are available in-network, making network comparison an important step before enrollment. Health Plans of NC agents compare all 17 Blue Cross NC plans side-by-side for Edgecombe County residents at no cost, ensuring each household selects the right network and tier for their needs.
Blue Cross NC, offering PPO plan structures under the Blue Advantage and Blue Care networks, with 17 total ACA Marketplace plans available to Edgecombe County residents for 2026.
North Carolina expanded Medicaid in December 2023, extending free or low-cost coverage to adults earning up to 138% of the federal poverty level, a significant development for Edgecombe County where 10.8% of residents, approximately 5,000 people, remain uninsured. The county's 21.9% poverty rate means a substantial share of Edgecombe County households may qualify for Medicaid or heavily subsidized coverage and may not yet be enrolled. Children in families earning up to 210% of the federal poverty level may qualify for NC Health Choice, the state's CHIP program, providing low-cost comprehensive coverage for minors. Health Plans of NC offers free eligibility checks for Edgecombe County residents to determine whether they qualify for Medicaid, CHIP, or a subsidized marketplace plan.
Working adults in Edgecombe County who earn low wages at area employers and do not have access to affordable job-based coverage may qualify for Medicaid under NC's expansion.
Children in Edgecombe County families with moderate incomes may qualify for NC Health Choice, which provides comprehensive low-cost coverage including dental and vision benefits.
Pregnant women in Edgecombe County are eligible for Medicaid coverage during pregnancy and for a postpartum period, with eligibility thresholds higher than the standard adult limit.
Edgecombe County seniors with low income may qualify for dual eligibility under both Medicare and Medicaid, reducing out-of-pocket costs for prescription drugs, hospital stays, and long-term care.
With a county poverty rate of 21.9%, a significant portion of Edgecombe County residents with disabilities who have limited income and resources may qualify for full Medicaid benefits covering medical, behavioral, and long-term services.
Health Plans of NC licensed agents serve Edgecombe County residents at no cost, comparing all available plans side-by-side and walking you through the full enrollment process from start to finish. Call 800-797-0327 today to speak with an agent who knows the Edgecombe County market and can find the right plan for your household.
Call 800-797-0327 (toll free) or 704-303-8256 to speak with a licensed agent and schedule a free appointment
Email [email protected] with questions about plans available in Edgecombe County
Find a licensed agent and book directly at healthplansofnc.com/agents
No cost, no pressure. Health Plans of NC agents work for you, not the carrier.
Hospital | Address | Phone |
|---|---|---|
ECU Health Bertie Hospital | 1403 S King St, Windsor, NC 27983 | (252) 794-6600 |
ECU Health Chowan Hospital | 211 Virginia Rd, Edenton, NC 27932 | (252) 482-8451 |
ECU Health Edgecombe Hospital | 111 Hospital Dr, Tarboro, NC 27886 | (252) 641-7700 |
ECU Health North Hospital | 250 Smith Church Rd, Roanoke Rapids, NC 27870 | (252) 535-8011 |
ECU Health Roanoke-Chowan Hosp | 500 Academy St S, Ahoskie, NC 27910 | (252) 209-3000 |
Martin General Hospital | 310 S Mccaskey Rd, Williamston, NC 27892 | (252) 809-6300 |
Outer Banks Hospital | 4800 S Croatan Hwy, Nags Head, NC 27959 | (252) 449-4500 |
Sentara Albemarle Medical Ctr | 1144 N Road St, Elizabeth City, NC 27909 | (252) 335-0531 |
Washington Regional Med Ctr | 958 US Highway 64 E, Plymouth, NC 27962 | (252) 793-4135 |
Clinic | Address | Phone |
|---|---|---|
ECU Health Endocrinology-Ahsk | 226 Academy St S, Ahoskie, NC 27910 | (252) 209-3991 |
ECU Health Family Medicine | 1124 Harvey Point Rd, Hertford, NC 27944 | (252) 426-2946 |
ECU Health Family Medicine | 1385 Medical Center Dr # 4942, Roanoke Rapids, NC 27870 | (252) 537-9176 |
ECU Health Heart-Vascular Care | 220 Smith Church Rd, Roanoke Rapids, NC 27870 | (252) 537-9268 |
ECU Health Internal Medicine | 104 Mark Dr, Edenton, NC 27932 | (252) 482-5171 |
ECU Health Multispecialty | 113 Virginia Rd, Edenton, NC 27932 | (252) 482-3047 |
ECU Health Neurology-Edenton | 203 Earnhart Dr # B, Edenton, NC 27932 | (252) 482-5868 |
ECU Health Orthopedics-Roanoke | 171 N Carolina 125, Roanoke Rapids, NC 27870 | (252) 537-5631 |
ECU Health Pulmonology-Ahoskie | 222 Academy St S, Ahoskie, NC 27910 | (252) 209-3440 |
ECU Health Sleep Medicine | 240 Smith Church Rd # A, Roanoke Rapids, NC 27870 | (252) 535-1082 |
Halifax Regional Med Ctr Inc | 250 Smith Church Rd, Roanoke Rapids, NC, 27870, Not AvailableIsland Medical Ctr, 715 US Highway 64, Manteo, NC 27954 | (252) 473-2500 |
Sentara Vascular Specialists | 5200 N Croatan Hwy # 6, Kitty Hawk, NC 27949 | (252) 255-6125 |
Signature Healthcare | 305 E 14th St, Roanoke Rapids, NC 27870 | (252) 537-6181 |
Vidant Sleep Medicine-Roanoke | 240 Smith Church Rd, Roanoke Rapids, NC 27870 | (252) 535-1082 |
Edgecombe County ZIP Codes include: 27801, 27819, 27852, 27864, 27881, and 27886
