in Wayne County
Health Plans of NC helps Goldsboro, North Carolina residents compare all 8 available Medicare plans for 2026 at no cost, connecting them with coverage that works alongside local health systems including UNC Health Wayne and Wayne Memorial Hospital.
Goldsboro, North Carolina has a population of 33,448, and approximately 6,000 residents representing 18.3% of the city are eligible for Medicare, making access to the right coverage plan a critical priority for a significant share of the community. Medicare-eligible residents in Goldsboro can choose from several coverage categories including Medicare Advantage, Medicare Supplement, standalone Part D prescription drug plans, and Dual Special Needs Plans designed for those who qualify for both Medicare and Medicaid. Local health systems including UNC Health Wayne and Wayne Memorial Hospital accept Medicare, giving Goldsboro beneficiaries access to a range of inpatient, emergency, and specialty services under most plan types.
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 Enhanced | HMO-POS | $47.00/month |
Blue Medicare PPO Enhanced | PPO | $53.00/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 are available in Goldsboro, North Carolina and often provide bundled hospital and medical coverage at UNC Health Wayne with low or $0 monthly premiums.
Medicare Advantage HMO-POS plans give Goldsboro, North Carolina enrollees the flexibility to occasionally use out-of-network providers while still accessing Wayne Memorial Hospital at in-network cost levels.
Medicare Advantage PPO plans in Goldsboro, North Carolina offer broader provider access, including specialists affiliated with UNC Health Wayne, without requiring referrals for most services.
Medicare Supplement (Medigap) plans are available to Goldsboro, North Carolina residents and allow use of any provider nationwide that accepts Medicare, including all local Wayne County facilities.
Part D Prescription Drug Plans are available as standalone coverage in Goldsboro, North Carolina for residents who prefer Original Medicare or a Medicare Supplement plan and need separate drug coverage.
Dual Special Needs Plans (D-SNP) are available in Goldsboro, North Carolina for residents enrolled in both Medicare and Medicaid, coordinating benefits across both programs at local participating providers.
For 2026, Blue Cross NC offers eight Medicare plans in Goldsboro, North Carolina spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types, giving residents a range of structures to fit different healthcare needs and budgets. Several plans carry $0 monthly premiums beyond Part B, while others offer enhanced benefits at modest premium levels, and all plans that include medical coverage interact with local provider networks in Wayne County. Health Plans of NC licensed agents walk Goldsboro residents through each plan's benefits, formularies, and network connections to UNC Health Wayne and Wayne Memorial Hospital so enrollees can make a fully informed decision.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides hospital and medical coverage coordinated through in-network Wayne County providers including UNC Health Wayne.
Blue Medicare Essential, HMO, $0.00 per month, bundles hospital, medical, and often drug coverage into a single plan with access to primary care through local Wayne County network providers.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds limited out-of-network flexibility to the Essential plan structure while maintaining in-network access to Wayne Memorial Hospital.
Blue Medicare Enhanced, HMO-POS, $47.00 per month, delivers elevated benefits including enhanced dental, vision, and hearing coverage alongside network access to UNC Health Wayne and affiliated specialists.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, offers the broadest provider access among Goldsboro Medicare Advantage options, allowing visits to any Medicare-accepting provider without a referral requirement.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, provides comprehensive Medicare Advantage coverage with flexible point-of-service access to select out-of-network providers in the Wayne County area.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is designed for Goldsboro, North Carolina residents who qualify for both Medicare and Medicaid, coordinating dual benefits through local participating providers.
Blue Medicare Rx Enhanced PDP, standalone prescription drug plan, $163.20 per month, provides Part D drug coverage for Goldsboro residents on Original Medicare or a Medigap plan who need a separate pharmacy benefit.
For 2026, Medicare Advantage plan premiums in Goldsboro, North Carolina range from $0.00 per month for plans such as Blue Medicare Essential and Blue Medicare Freedom+ up to $47.00 per month for Blue Medicare Enhanced and $53.00 per month for Blue Medicare PPO Enhanced, giving residents meaningful flexibility in balancing premium costs against benefit levels. The standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20 for Goldsboro residents who need Part D drug coverage outside of a Medicare Advantage plan. With a median household income of $47,005 in Goldsboro, many residents may qualify for income-based assistance programs that can further reduce their monthly Medicare costs, and Health Plans of NC agents help identify every applicable savings opportunity at no charge.
Part A: $0 premium for most Goldsboro, 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.
For 2026, Blue Cross NC is the Medicare carrier serving Goldsboro, North Carolina, offering a total of 8 Medicare plans across multiple plan structures for eligible residents to evaluate during enrollment periods. Those plan types include Medicare Advantage HMO, Medicare Advantage HMO-POS, Medicare Advantage PPO, a standalone Part D prescription drug plan, and a Dual Special Needs Plan for dual-eligible beneficiaries. Blue Cross NC plan networks in Goldsboro connect directly with local health systems including UNC Health Wayne and Wayne Memorial Hospital, meaning the plan type a resident selects will directly affect which facilities, specialists, and services are available at the lowest cost-sharing levels. Choosing between an HMO, HMO-POS, or PPO structure also affects how referrals are managed and whether Goldsboro residents can access out-of-area specialists without additional approval. Health Plans of NC licensed agents compare every available Blue Cross NC Medicare plan side-by-side at no cost, helping Goldsboro seniors identify the plan that best matches their provider preferences and care needs.
Blue Cross NC, offering Medicare Advantage HMO, HMO-POS, PPO, D-SNP, and Part D PDP plan types, with 8 total plans available for Goldsboro, North Carolina residents in 2026.
Goldsboro, North Carolina has an uninsured rate of 7.8% and a poverty rate of 20.8%, meaning a significant share of the community may qualify for federal and state programs that reduce Medicare costs substantially. The Extra Help program, also called the Low Income Subsidy, can reduce Part D prescription drug costs to near $0 per month for Goldsboro residents who meet income and asset thresholds set by the Social Security Administration. Medicare Savings Programs can cover all or part of the standard Part B premium for qualifying low-income beneficiaries in Wayne County, and residents enrolled in both Medicare and Medicaid may be eligible for the Healthy Blue Medicare DSNP plan, which coordinates benefits across both programs at no premium. Health Plans of NC agents check eligibility for every available financial assistance program for Goldsboro residents at absolutely no cost.
Extra Help and the Low Income Subsidy can reduce Part D prescription drug out-of-pocket costs to near $0 per month for qualifying Goldsboro, North Carolina Medicare beneficiaries.
Medicare Savings Programs administered through North Carolina Medicaid can cover the standard Part B premium for low-income Goldsboro residents who meet income and asset eligibility requirements.
The Healthy Blue Medicare DSNP is available to Goldsboro, North Carolina residents enrolled in both Medicare and Medicaid, coordinating dual benefits through a single $0 premium plan.
NC Medicaid provides additional coverage for qualifying low-income Goldsboro residents and can work alongside Medicare to minimize gaps in coverage and reduce overall healthcare spending.
Health Plans of NC licensed agents help Goldsboro residents apply for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost during any eligible enrollment period.
Health Plans of NC licensed agents serve Goldsboro, North Carolina residents at absolutely no cost, comparing every available 2026 Medicare plan side-by-side and assisting with enrollment, plan changes, and financial assistance applications. Call 800-797-0327 today to speak with a local Medicare expert who can help you find the right coverage for your needs and budget.
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 Goldsboro, 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
Goldsboro, North Carolina ZIP Codes include: 27530, 27531, 27532, 27533, and 27534
