in Guilford County, Davidson County, Forsyth County, and Randolph County
High Point, North Carolina residents have access to 9 Medicare plans for 2026 through Blue Cross NC, and Health Plans of NC helps locals navigate every available option at no cost, matching individuals to coverage that fits their providers, prescriptions, and budget.
High Point, North Carolina is home to approximately 19,000 Medicare-eligible residents, representing 16.1% of the city's total population of 115,263, all of whom can access a range of Medicare plan types for 2026. 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, giving High Point beneficiaries meaningful access to inpatient, outpatient, and specialist care. Health Plans of NC helps residents identify which plan type best aligns with their preferred providers and care needs across these local networks.
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 High Point, North Carolina provide coordinated care through defined provider networks that include Cone Health and Novant Health facilities.
Medicare Advantage HMO-POS plans offer High Point residents the flexibility to seek some out-of-network care while still accessing local providers like those within the Cone Health system.
Medicare Advantage PPO plans in High Point, North Carolina allow beneficiaries to visit both in-network and out-of-network providers, including specialists across Novant Health and Cone Health.
Medicare Supplement (Medigap) plans pair with Original Medicare and can be used at any Medicare-accepting provider, including Cone Health Moses Cone Hospital and Novant Health facilities in High Point.
Part D Prescription Drug Plans provide standalone drug coverage for High Point residents who prefer Original Medicare or a Medigap plan without built-in prescription benefits.
Dual Special Needs Plans (D-SNP) are available in High Point, North Carolina for residents who qualify for both Medicare and Medicaid, offering coordinated benefits through local health networks.
Blue Cross NC offers nine Medicare plans for 2026 in High Point, North Carolina, spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types to serve a broad range of coverage needs. Several plans carry a $0 monthly premium and connect beneficiaries to local provider networks including Cone Health and Novant Health, while premium-bearing plans offer enhanced benefits for those who want additional coverage. Health Plans of NC agents can walk High Point residents through every plan name, structure, and network detail to ensure the right fit before enrollment.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides access to Cone Health and Novant Health facilities in High Point, North Carolina for medical-only coverage without a drug benefit.
Blue Medicare Essential, HMO, $0.00 per month, connects High Point residents to coordinated care through in-network providers including Cone Health Moses Cone Hospital and Novant Health.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, gives High Point beneficiaries HMO-style coordinated care with some flexibility to access providers outside the primary network.
Blue Medicare Choice, HMO, $0.00 per month, offers High Point residents a structured HMO option with access to Cone Health and Novant Health providers at no monthly premium.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, provides High Point, North Carolina residents with an enhanced benefit set through an HMO-POS network that includes local Cone Health and Novant Health facilities.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, allows High Point residents the broadest network flexibility, including in-network and out-of-network access to regional hospitals and specialists.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, is available to High Point beneficiaries seeking an HMO-POS structure with added flexibility and access to local Cone Health and Novant Health providers.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, serves High Point residents who qualify for both Medicare and Medicaid, coordinating benefits across local health systems at no monthly plan premium.
Blue Medicare Rx Enhanced PDP, standalone Part D prescription drug plan, $163.20 per month, provides prescription drug coverage for High Point residents enrolled in Original Medicare or a Medigap plan.
For 2026, Medicare Advantage plan premiums in High Point, North Carolina range from $0.00 per month for plans like Blue Medicare Essential and Blue Medicare Freedom+ to $35.00 per month for the Blue Medicare PPO Enhanced, making several options accessible at little to no additional monthly cost beyond standard federal premiums. The standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20, which High Point residents on fixed incomes should weigh carefully against the drug coverage benefits provided. High Point's median household income of $61,228 means many residents may fall within the income thresholds for cost-reduction programs that can lower plan and prescription costs significantly.
Part A: $0 premium for most High Point, 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 9 available Medicare plans in High Point, North Carolina for 2026, giving local beneficiaries a full suite of options under a single insurer. These plans span HMO, HMO-POS, PPO, PDP, and D-SNP plan types, covering a wide range of coverage structures to match different healthcare needs and preferences. Blue Cross NC plan networks connect directly with High Point's major health systems, including Cone Health Moses Cone Hospital, Cone Health Wesley Long Hospital, Cone Health Annie Penn Hospital, and Novant Health, making network verification a critical step before enrolling. The plan type a High Point resident selects will determine referral requirements, out-of-pocket obligations, and access to specialists across these local facilities. Health Plans of NC compares every Blue Cross NC Medicare plan side-by-side at no cost, ensuring High Point residents fully understand their options before making a coverage decision.
Blue Cross NC: offers HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with a total of 9 Medicare plans available in High Point, North Carolina for 2026.
High Point, North Carolina residents with limited incomes may qualify for federal and state programs that significantly reduce Medicare costs, including Extra Help, also known as the Low Income Subsidy, which can lower Part D prescription drug expenses to near $0 for eligible beneficiaries. Medicare Savings Programs can help qualifying High Point residents cover Part B premiums and cost-sharing obligations, easing the financial burden of Original Medicare. High Point's uninsured rate of 11.5% and poverty rate of 14.7% highlight the importance of awareness around these assistance programs, as many residents may qualify without knowing it. Health Plans of NC checks eligibility for all available assistance programs at no cost, helping High Point residents access every dollar of support they are entitled to receive.
Extra Help and the Low Income Subsidy can reduce or eliminate Part D prescription drug premiums and copays for qualifying High Point, North Carolina residents.
Medicare Savings Programs may cover Part B premiums and cost-sharing for High Point residents who meet income and asset requirements set by the state of North Carolina.
The Healthy Blue Medicare DSNP is available to High Point residents who qualify for both Medicare and Medicaid, providing coordinated dual-eligible benefits at no monthly plan premium.
NC Medicaid may provide additional coverage for low-income High Point residents who do not yet qualify for Medicare or who need supplemental assistance alongside their Medicare benefits.
Health Plans of NC agents help High Point, North Carolina residents apply for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost, with no obligation to enroll in any plan.
Health Plans of NC licensed agents serve High Point, North Carolina residents at no cost, comparing every available 2026 Medicare plan side-by-side to match you with the right coverage for your providers, prescriptions, and budget. Call 800-797-0327 today to get personalized Medicare guidance, help with enrollment, or a review of your current plan during Open Enrollment.
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 High Point, 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
High Point, North Carolina ZIP Codes include: 27260, 27261, 27262, 27263, 27264, 27265, and 27268
