in Guilford County and Alamance County
Burlington, North Carolina residents have access to a full range of Medicare Advantage, Part D, and supplemental coverage options for 2026, and Health Plans of NC helps locals navigate every available plan through Blue Cross NC at no cost, connecting beneficiaries with care at Cone Health Moses Cone Hospital, Cone Health Wesley Long Hospital, Cone Health Annie Penn Hospital, and Novant Health facilities.
Burlington, North Carolina has a population of 58,599 residents, with approximately 11,000 people representing 18.0% of the city currently eligible for Medicare coverage across zip codes 27215, 27217, and 27244. Eligible residents can choose from Medicare Advantage HMO, HMO-POS, and PPO plans, a standalone Part D prescription drug plan, and a Dual Special Needs Plan, all offered through Blue Cross NC for 2026. Key local health systems including Cone Health Moses Cone Hospital, Cone Health Wesley Long Hospital, Cone Health Annie Penn Hospital, and Novant Health participate in Medicare, making network compatibility a critical factor when selecting a plan.
Plan Name | Type | Monthly Premium |
|---|---|---|
Blue Medicare Medical Only | HMO-POS | $0.00/month |
Blue Medicare Essential | HMO | $0.00/month |
Blue Medicare Essential Plus | HMO-POS | $0.00/month |
Blue Medicare Choice | HMO | $0.00/month |
Blue Medicare Enhanced | HMO-POS | $30.00/month |
Blue Medicare PPO Enhanced | PPO | $35.00/month |
Blue Medicare Freedom+ | HMO-POS | $0.00/month |
Healthy Blue Medicare (D-SNP) | HMO-POS | $0.00/month |
Blue Medicare Rx Enhanced PDP | PDP | $163.20/month |
Medicare Advantage HMO plans in Burlington, North Carolina provide coordinated in-network care through facilities including Cone Health Moses Cone Hospital and Cone Health Annie Penn Hospital.
Medicare Advantage HMO-POS plans in Burlington, North Carolina allow some out-of-network access while still anchoring coverage to local Cone Health and Novant Health providers.
Medicare Advantage PPO plans in Burlington, North Carolina offer the broadest network flexibility, letting beneficiaries use Cone Health Wesley Long Hospital and other providers with fewer referral requirements.
Medicare Supplement (Medigap) plans in Burlington, North Carolina fill Original Medicare cost-sharing gaps and allow enrollees to visit any Medicare-accepting provider nationwide, including all local Cone Health and Novant Health facilities.
Part D Prescription Drug Plans in Burlington, North Carolina provide standalone drug coverage for beneficiaries enrolled in Original Medicare or a non-drug Medicare Advantage plan.
Dual Special Needs Plans (D-SNP) in Burlington, North Carolina are designed for residents eligible for both Medicare and Medicaid, coordinating benefits across local health systems including Novant Health and Cone Health.
Blue Cross NC offers nine Medicare plans in Burlington, North Carolina for 2026, spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with monthly premiums ranging from $0 to $163.20 depending on the plan selected. Each plan's network connects Burlington beneficiaries to local providers including Cone Health Moses Cone Hospital, Cone Health Wesley Long Hospital, Cone Health Annie Penn Hospital, and Novant Health facilities, so selecting the right plan directly affects which doctors and hospitals are accessible at in-network cost-sharing levels. Health Plans of NC agents review every available 2026 plan side by side at no cost so Burlington residents can match a plan's structure and provider access to their specific healthcare needs.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides hospital and medical coverage through an HMO-POS network that includes Cone Health and Novant Health facilities in Burlington, North Carolina.
Blue Medicare Essential, HMO, $0.00 per month, delivers coordinated in-network Medicare Advantage benefits through local Cone Health and Novant Health providers serving Burlington, North Carolina.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, combines HMO-style coordination with limited out-of-network access for Burlington, North Carolina residents who use multiple Cone Health campuses.
Blue Medicare Choice, HMO, $0.00 per month, offers a no-premium Medicare Advantage option for Burlington, North Carolina beneficiaries seeking cost-effective access to local Cone Health and Novant Health providers.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, provides an enhanced benefit package through an HMO-POS structure connecting Burlington, North Carolina seniors to Cone Health and Novant Health networks.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, gives Burlington, North Carolina beneficiaries the broadest in-plan flexibility, with access to Cone Health Moses Cone Hospital, Cone Health Wesley Long Hospital, and Novant Health at preferred cost-sharing rates.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, is a no-premium HMO-POS plan designed for Burlington, North Carolina residents who want freedom to access multiple Cone Health facilities with some out-of-network options.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan for Burlington, North Carolina residents enrolled in both Medicare and Medicaid, coordinating care across Cone Health and Novant Health systems.
Blue Medicare Rx Enhanced PDP, standalone prescription drug plan, $163.20 per month, provides Part D drug coverage for Burlington, North Carolina residents enrolled in Original Medicare who need a separate pharmacy benefit.
In Burlington, North Carolina for 2026, Medicare Advantage plan premiums range from $0 per month for plans such as Blue Medicare Essential and Blue Medicare Freedom+ up to $35 per month for Blue Medicare PPO Enhanced, while the standalone Blue Medicare Rx Enhanced PDP carries a $163.20 monthly premium for beneficiaries who need separate Part D coverage. Burlington's median household income of $54,941 means that many residents may fall within the income thresholds for programs like Extra Help or Medicare Savings Programs, which can significantly reduce overall out-of-pocket Medicare costs throughout the year. Health Plans of NC agents help Burlington residents calculate the true annual cost of each plan, including premiums, copays, and drug costs, so beneficiaries can select the option that best fits their financial situation.
Part A: $0 premium for most Burlington, North Carolina residents who paid Medicare taxes for 10 or more years. The Part A hospital deductible is $1,736 in 2026.
Part B: $202.90 per month standard premium in 2026, an increase from $185.00 in 2025. Higher-income residents pay more through income-related monthly adjustment amounts.
Medicare Supplement (Medigap): $80 to $300 or more per month depending on plan letter and age, covers gaps not paid by Original Medicare.
Blue Cross NC is the Medicare carrier offering all nine available Medicare plans in Burlington, North Carolina for 2026, giving eligible residents a single but comprehensive source for Medicare Advantage, Part D, and Dual Special Needs Plan coverage. The nine plans span multiple structures including HMO, HMO-POS, PPO, standalone PDP, and D-SNP plan types, ensuring that Burlington beneficiaries with varying healthcare usage patterns and budgets can find a suitable fit. Blue Cross NC plan networks in Burlington, North Carolina connect directly to major local health systems including Cone Health Moses Cone Hospital, Cone Health Wesley Long Hospital, Cone Health Annie Penn Hospital, and Novant Health, meaning the plan a resident selects determines which facilities and specialists are accessible at in-network cost-sharing levels. Choosing between an HMO, HMO-POS, or PPO structure affects how easily Burlington beneficiaries can access specialists across the Cone Health system and Novant Health without requiring referrals or paying out-of-network rates. Health Plans of NC compares all nine Blue Cross NC Medicare plans side by side at no cost, ensuring Burlington residents have the complete picture before making an enrollment decision.
Blue Cross NC, offering HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with nine total Medicare plans available in Burlington, North Carolina for 2026.
Burlington, North Carolina has an uninsured rate of 10.3% and a poverty rate of 18.0%, meaning a significant share of the city's Medicare-eligible residents may qualify for federal and state financial assistance programs that reduce premiums, deductibles, and drug costs. Extra Help, also known as the Low Income Subsidy, is a federal program that can reduce Part D prescription drug costs to near zero for qualifying Burlington residents based on income and asset limits. Medicare Savings Programs administered through North Carolina Medicaid can cover the standard Part B premium entirely for eligible beneficiaries, providing meaningful monthly relief for those on fixed incomes. Health Plans of NC agents screen Burlington, North Carolina residents for all available assistance programs at no cost and help eligible individuals enroll in the Dual Special Needs Plan or other subsidized coverage options.
Extra Help (Low Income Subsidy) can reduce or eliminate Part D prescription drug costs for Burlington, North Carolina residents who meet federal income and asset guidelines.
Medicare Savings Programs through NC Medicaid can cover Part B premiums and other cost-sharing for qualifying low-income Burlington, North Carolina beneficiaries.
The Dual Special Needs Plan (D-SNP) available through Blue Cross NC is specifically designed for Burlington, North Carolina residents who qualify for both Medicare and Medicaid.
NC Medicaid may provide additional coverage and wrap-around benefits for low-income Burlington, North Carolina residents who are approaching Medicare eligibility or are already enrolled.
Health Plans of NC agents check eligibility for all financial assistance programs at no cost and guide Burlington, North Carolina residents through the application and enrollment process.
Health Plans of NC licensed agents serve Burlington, North Carolina residents at no cost, comparing every available 2026 Medicare plan side by side and helping with initial enrollment, plan changes during Open Enrollment, and financial assistance screening. Call 800-797-0327 today to speak with a local agent who knows the Burlington, North Carolina Medicare landscape and can help you find the right coverage.
Call 800-797-0327 (toll free) or 704-303-8256 to speak with a licensed Medicare agent and schedule a free appointment
Email [email protected] with questions about Medicare plans available in Burlington, North Carolina
Find a licensed agent and book directly at healthplansofnc.com/agents
No cost, no pressure. Walk-ins by appointment only, phone and email welcome anytime.
Enrolled in Part A and Part B? Get more with Blue Medicare Supplement Original Medicare only covers some of your medical costs. That’s why Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers reliable Medicare Supplement plans to help lessen the worries over what Medicare doesn’t cover.
• Coverage for the costs not covered by Original Medicare (Parts A and B) • The freedom to see any Medicare-participating provider nationwide that accepts Medicare • Rates as low as $31.50 per month1 • Flexibility to change plans • Fitness benefit and hearing benefit on all five plans
With some insurers, you can get locked into a plan that may not be right for you. But thanks to our exclusive Blue-to-Blue program, if your needs change over time, Blue Cross NC gives you the flexibility to switch Medicare plans:2 • Without additional medical exams • Without underwriting or additional health questions • Without any hassle
You cannot be turned down for Blue Medicare Supplement, and may not have to complete a medical questionnaire, if you meet all of the following criteria: • You are age 65 or older, or under age 65 and are eligible for Medicare due to disability3 • You enroll within six months of enrolling in Medicare Part B • You are not covered by certain Medicaid programs • You are a resident of North Carolina
If you enroll early, you may be eligible for a Medicare Supplement plan without waiting periods for pre-existing conditions. If you wait until after your deadline to enroll, you may have a waiting period for pre-existing conditions.
Fitness memberships at in-network facilities using the designated provider. Unlimited access to the vendor’s online platform. SilverSneakers is more than a traditional fitness program. It’s a way to improve your health and live the life you want.
In the gym:
• Thousands of participating locations4 nationwide with various amenities • Ability to enroll at multiple locations at any time • SilverSneakers classes5 designed for all levels and abilities
At home or on the go: • SilverSneakers LIVE online classes and workshops led by specially trained instructors, 7 days a week • SilverSneakers On-Demand videos available 24/7 • SilverSneakers GO mobile app with personalized program resources, adjustable workout plans, and more
In your community: • Group activities and classes5 offered outside the gym
Always talk with your doctor before starting an exercise program.
TruHearing covers one hearing aid per ear per year for a low copay of $499 for Standard hearing aids, $699 for Advanced hearing aids or $999 for Premium hearing aids. Also, as part of the program, a TruHearing provider will help you choose the best hearing aid for your lifestyle and unique hearing needs.
Blue Cross NC is more than a health insurance company. We’re North Carolinians serving North Carolinians. For over 90 years, we’ve been in your community, giving back and listening to how we can provide access to the quality care you deserve.
• Compare plan benefits • Get a free rate quote
Notes: • For costs and further details of the coverage, including exclusions, any reductions or limitations, and terms under which the policy may be continued in force, contact your agent or the company. • Plan A: BMS A, 1/26; Plan G: BMS G, 1/26; Plan G-HD: BMS HDG, 1/26;Plan K: BMS K, 1/26; Plan N: BMS N, 1/26. • Agent/Agency is an independent authorized Agent/Agency licensed to sell and promote products from Blue Cross NC. The content contained in this site is maintained by Agent/Agency. • Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. • Policy benefits are limited to those approved by Medicare for payment.
Disclaimers: • Blue Cross NC contracts with independent companies to provide supplemental benefits. These 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. This fitness program is not an insurance offering. • SilverSneakers is a registered trademark of Tivity Health, Inc. © 2025Tivity Health, Inc. All rights reserved. • TruHearing is a registered trademark of TruHearing, Inc. TruHearing is an independent company and does not offer Blue Cross or Blue Shield products or services. This program may change or be discontinued at any time. This is not an insurance offering.
1 Example for a female non-smoker, age 65. Premium rates can vary based on a number of factors. Contact Blue Cross NC or your Authorized Independent Agent to learn more. 2 Blue-to-Blue is only available when you switch from one Blue Cross NC medical plan (limitations apply) to a Blue Cross NC Medicare plan. You may only switch during designated times of the year. Certain other limits apply. Contact the plan or your Authorized Independent Agent for more information. 3 Guaranteed acceptance for those under age 65 who have Medicare due to disability is limited to Plan A and Plan G. 4 Participating locations (PL) are not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities is limited to terms and conditions of PL basic membership. Facilities and amenities vary by PL. Inclusion of specific PLs is not guaranteed and PL participation may differ by health plan. 5 Membership includes SilverSneakers instructor-led group
®, SM are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. U4093, 12/25
Burlington, North Carolina ZIP Codes include: 27215, 27216, 27217, and 27220
