Find Your Most Affordable Health Insurance Plan in Jones County

in North Carolina
Blue Cross NC Authorized Agency
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Jones County residents can compare 14 health insurance options for 2026.

Blue Advantage logo

Best for

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.

Network

  • 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

  1. Blue Cross NC Provider Internal Data; percentages indicated represent the Blue Cross NC PPO Network as of April 7, 2025.

  2. 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.

Availability

Blue Advantage Availability Map

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 Logo

Best for

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.

Network

  • 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.

Availability

Blue Care Availability Map

Blue Care is available in all North Carolina counties, except: Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, and Wake.

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Jones County

in North Carolina

jones

Find affordable health insurance in Jones County, NC with Health Plans of NC. Health Plans of NC helps Jones County, NC residents compare and enroll in health insurance plans from Blue Cross NC, connecting local families and workers, including those employed by Jones County Schools and Carolina East Health System, to coverage that fits their needs and budget.

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


What health insurance options are available in Jones County?

Jones County is a close-knit rural community of approximately 9,245 residents, with a population that has grown 0.8% since 2020 and a foreign-born resident share of 2.3%, reflecting a diverse mix of households who all need reliable health coverage options. Major employers in the county include Jones County Schools, the County of Jones, AM Health Care Services, Carolina East Health System, and Smithfield Foods, each representing a different coverage situation for workers and their families. Whether a resident receives care through Vidant Jones Hospital or CarolinaEast Medical Center, Health Plans of NC helps match every Jones County household to the right type of coverage.

  • ACA Marketplace coverage: available to Jones County residents who are not offered employer-sponsored insurance through employers like Smithfield Foods or Jones County Schools.

  • Medicaid coverage: provides low-cost or no-cost health coverage to eligible low-income Jones County residents, including workers at smaller local employers without group benefits.

  • Employer-sponsored insurance: Jones County Schools, the County of Jones, and Carolina East Health System may offer group health plans to full-time employees and their dependents.

  • Short-term health plans: a temporary coverage option for Jones County residents between jobs or waiting for employer-sponsored benefits to begin at a local workplace.

  • COBRA continuation coverage: allows Jones County workers who lose employer-sponsored coverage, such as from AM Health Care Services or a county government position, to temporarily extend their existing plan.

  • Small business SHOP coverage: Jones County small business owners, including those in agriculture or local services near Vidant Jones Hospital, can use SHOP marketplace options to offer group coverage to employees.


What health insurance plans are available in Jones County for 2026?

For 2026, Jones County residents can choose from 14 plans offered by Blue Cross NC across two distinct plan networks, Blue Advantage and Blue Care, giving individuals and families meaningful flexibility in how they access care. Blue Advantage is a PPO network covering 95% or more of NC doctors, while Blue Care is also a PPO network covering 92% or more of NC doctors, both connecting Jones County policyholders to regional facilities including CarolinaEast Medical Center in New Bern and ECU Health Medical Center in Greenville. Health Plans of NC helps residents compare every available 2026 plan side-by-side to identify which network best aligns with their preferred local providers.

  • Blue Advantage, PPO network: covers 95% or more of NC doctors and connects Jones County residents to CarolinaEast Medical Center, ECU Health Medical Center, and UNC Lenoir Health Care in Kinston.

  • Blue Care, PPO network: covers 92% or more of NC doctors and provides broad statewide access for Jones County residents who use providers in New Bern, Greenville, or Kinston.

  • Blue Advantage PPO plan tiers: available in Bronze, Silver, and Gold coverage levels, allowing Jones County residents to choose the deductible and premium combination that fits their medical usage.

  • Blue Care PPO plan tiers: also available across multiple coverage levels, giving Jones County families a second network option with strong statewide access to specialists and hospitals.

  • Both networks include access to regional health systems: Vidant Jones Hospital and CarolinaEast Medical Center are key facilities for Jones County residents, and network compatibility should be confirmed before enrollment.

  • Plan type flexibility: because both available networks are PPO structures, Jones County residents have the freedom to see out-of-network providers when needed, though in-network care will always cost less.


How much does health insurance cost in Jones County?

Bronze plans in Jones County start at approximately $401.70/month before subsidies. With a median household income of $55,659, many residents qualify for premium tax credits. Subsidies may reduce your monthly premium significantly based on income.

  • Bronze plans start at $401.70 per month: lowest available monthly premium for a 35-year-old in Jones County before tax credits are applied, paired with a higher annual deductible.

  • Silver plans start at $516.45 per month: mid-range option that qualifies for cost-sharing reductions for eligible Jones County residents, lowering out-of-pocket costs at the point of care.

  • Gold plans start at $533.89 per month: higher monthly premium with a lower deductible and reduced out-of-pocket costs, well-suited for Jones County residents with frequent medical needs.

  • Premium tax credits reduce monthly costs significantly: Jones County residents earning between 100% and 400% of the federal poverty level, and in some cases above, may qualify for credits that substantially lower the starting premiums above.

  • Some residents may qualify for a $0 or near-zero premium plan: depending on household size and income relative to the federal poverty level, enhanced subsidies can eliminate the monthly premium entirely for qualifying Jones County households.

  • Out-of-pocket maximums provide financial protection: all 2026 ACA Marketplace plans in Jones County include a federal cap on annual out-of-pocket costs, protecting residents from catastrophic medical bills even on lower-tier Bronze plans.


Which health insurance companies offer ACA Marketplace plans in Jones County for 2026?

Blue Cross NC is the ACA Marketplace carrier offering health insurance plans to Jones County residents for 2026, with a total of 14 plans available across multiple coverage tiers. These plans are structured around two PPO networks, Blue Advantage and Blue Care, each providing Jones County policyholders with broad access to physicians and facilities across North Carolina. Blue Advantage connects residents to 95% or more of NC doctors and reaches key regional systems serving Jones County, while Blue Care covers 92% or more of NC doctors with strong statewide access for those who travel to Greenville, New Bern, or Kinston for care. The choice between these two networks matters in a rural county like Jones, where provider proximity and in-network access to nearby hospitals can directly affect both convenience and cost. Health Plans of NC compares every available Blue Cross NC plan side-by-side at no cost, helping Jones County residents select the network and coverage tier that works best for their providers and financial situation.

  • Blue Cross NC: the sole ACA Marketplace carrier in Jones County for 2026, offering 14 plans across PPO structures under the Blue Advantage and Blue Care networks, spanning Bronze, Silver, Gold, and Catastrophic coverage tiers.


Who qualifies for Medicaid and CHIP in Jones County, North Carolina?

North Carolina expanded Medicaid in December 2023, extending free or low-cost coverage to adults earning up to 138% of the federal poverty level, which has opened the door to coverage for many Jones County residents who were previously uninsured. Currently, 10.6% of Jones County residents, approximately 1,000 people, remain uninsured, and a meaningful share of them may now be eligible for Medicaid under expansion. Children in Jones County households earning up to 210% of the federal poverty level may qualify for NC Health Choice, the state's CHIP program, providing low-cost coverage for kids who do not qualify for full Medicaid. Health Plans of NC offers free eligibility checks to help Jones County residents determine whether they qualify for Medicaid, CHIP, or a subsidized Marketplace plan.

  • Working adults with low incomes: Jones County adults employed in part-time or seasonal roles, including those in agriculture or food processing, may qualify for Medicaid if their income falls at or below 138% of the federal poverty level.

  • Children in low-to-moderate income households: Jones County families with children may qualify for NC Health Choice CHIP coverage, which provides comprehensive pediatric benefits at little or no cost.

  • Pregnant women: Jones County residents who are pregnant may qualify for Medicaid coverage with an income threshold higher than the standard adult threshold, ensuring prenatal and delivery care is covered.

  • Jones County's poverty rate of 21.3% means a substantial share of county households may qualify for Medicaid or other assistance programs, making eligibility screening an important first step for many families.

  • People with disabilities: Jones County residents who receive Supplemental Security Income or meet certain disability criteria may qualify for Medicaid regardless of age, providing access to ongoing medical and specialty care.


Get free help choosing a health plan in Jones County

Health Plans of NC licensed agents serve Jones County residents at no cost, comparing every available 2026 plan side-by-side and guiding you through enrollment from start to finish. Call 800-797-0327 today to speak with an agent who understands the Jones County market and can help you find the right coverage for your household.


What hospitals are in Jones County?

Hospital

Address

Phone

Carolina East Medical Ctr

2000 Neuse Blvd, New Bern, NC 28560

(252) 633-8111

Carteret Health Care

3500 Arendell St, Morehead City, NC 28557

(252) 499-6000

Cherry Hospital

1401 W Ash St, Goldsboro, NC 27530

(919) 947-7000

ECU Health Beaufort Hosp A

628 E 12th St, Washington, NC 27889

(252) 975-4100

ECU Health Maynard Children's

2102 Stantonsburg Rd, Greenville, NC 27834

(252) 816-3714

ECU Health Medical Ctr

2100 Stantonsburg Rd, Greenville, NC 27834

(252) 847-4100

UNC Lenoir Health Care

100 Airport Rd, Kinston, NC 28501

(252) 522-7000

Walter B Jones Alcohol & Drug

2577 W 5th St, Greenville, NC 27834

(252) 830-3426

Wayne MEMORIAL Hospital

2605 Medical Office Pl, Goldsboro, NC 27534

(919) 731-6112

Wayne UNC Health Care

2700 Wayne Memorial Dr, Goldsboro, NC 27534

(919) 736-1110


What clinics are in Jones County?

Clinic

Address

Phone

Abhishek K Mishra MD

701 Doctors Dr, Kinston, NC 28501

(252) 559-2200

Acupuncture Of Eastern NC

1425 S Glenburnie Rd # 6, New Bern, NC 28562

(252) 665-3294

Audit-Tel

, Greenville, NC 27858

(252) 353-3331

Cape Carteret Family Medicine

1057d Cedar Point Blvd # D, Cedar Point, NC 28584

(252) 764-2121

Community Care Plan-Eastern

521 Moye Blvd # C, Greenville, NC 27834

(252) 816-0830

East Carolina Heart Inst

526 Moye Blvd, Greenville, NC 27834

(252) 847-5755

East Carolina Univ Family Med

101 Heart Dr, Greenville, NC 27834

(252) 744-4611

East Coast Onsite Medical Care

505 Greenville Blvd SE, Greenville, NC 27858

(252) 754-2273

Ecu Department-Family Medicine

101 Heart Dr, Greenville, NC 27834

(252) 744-2607

ECU Health Bover Hospital

1209 Brown St, Washington, NC 27889

(252) 975-4308

ECU Health Family Medicine-LA

101 S Carey St, La Grange, NC 28551

(252) 566-4021

ECU Health Gamma Knife Ctr

2100 Stantonsburg Rd, Greenville, NC 27834

(252) 847-2611

ECU Health Gastroenterology

521 Moye Blvd # C, Greenville, NC 27834

(252) 816-0800

ECU Health Heart-Vascular Care

701 Doctors Dr # B, Kinston, NC 28501

(252) 559-2200

ECU Health Sleep Ctr-Grnvll

4 Doctors Park Medical Dr, Greenville, NC 27834

(252) 847-7500

Goshen Medical Ctr-Fremont

109 S Sycamore St, Fremont, NC 27830

(919) 242-4382

Goshen Medical Ctr

2001 Neuse Blvd, New Bern, NC 28560

(910) 219-1082

Goshen Medical Ctr

325 N Carolina Highway 55, Mount Olive, NC 28365

(919) 658-5900

Healthfirst Medical Ctr Inc

1201 Carolina Ave, Washington, NC 27889

(252) 833-0365

Lindsey Roberson FNP

701 Doctors Dr, Kinston, NC 28501

(252) 559-2200

Med Center 1

1688 E Arlington Blvd, Greenville, NC 27858

(252) 353-1464

Miracles In Sight

620 Red Banks Rd, Greenville, NC 27858

(252) 751-0785

Snow Hill Medical Ctr

1106 Kingold Blvd, Snow Hill, NC 28580

(252) 747-2921

UNC Family Medicine At Rswd

2600 US Highway 70 W, Goldsboro, NC 27530

(919) 739-4808

Vidant Medical Ctr

3900 E 10th St, Greenville, NC 27858

(252) 847-4325

Vidant Outpatient Rehab

2310 Stantonsburg Rd, Greenville, NC 27834

(252) 847-6603

Vitality Health & Wellness

1429 E Fire Tower Rd # 104, Greenville, NC 27858

(252) 364-2802

Westcare Innovative Healthcare

2710 Beddard Rd, Grimesland, NC 27837

(252) 754-0920


Jones County — FAQ Under 65

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Jones County ZIP Codes include: 28522, 28573, and 28585

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