in Davidson County
Lexington, North Carolina residents can access 9 Medicare plans for 2026 through Blue Cross NC, and Health Plans of NC is here to help every eligible local senior compare options and enroll at no cost, with direct connections to Atrium Health Wake Forest Baptist Lexington and UNC Health.
Lexington, North Carolina has a population of 19,691, and approximately 3,000 residents, representing 13.6% of the city, are eligible for Medicare coverage in 2026. Seniors in Lexington can access care through Medicare-accepting health systems including Atrium Health Wake Forest Baptist Lexington and UNC Health, both of which serve Davidson County beneficiaries across a range of specialties. Multiple Medicare coverage types are available to meet different health and financial needs, from bundled Advantage plans to standalone drug coverage and specialized plans for dual-eligible residents.
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 are available in Lexington, North Carolina and connect beneficiaries to primary care and specialist networks at Atrium Health Wake Forest Baptist Lexington.
Medicare Advantage HMO-POS plans offer Lexington seniors some flexibility to seek care outside the core network when needed, while still anchoring to local Davidson County providers.
Medicare Advantage PPO plans in Lexington, North Carolina provide the broadest in-network and out-of-network access among Advantage plan types, including access to UNC Health facilities.
Medicare Supplement (Medigap) plans work alongside Original Medicare and allow Lexington seniors to visit any Medicare-accepting provider nationwide, including specialists beyond Davidson County.
Part D Prescription Drug Plans offer standalone drug coverage for Lexington, North Carolina residents who prefer to keep Original Medicare rather than enroll in a Medicare Advantage plan.
Dual Special Needs Plans (D-SNP) are available in Lexington for residents who qualify for both Medicare and Medicaid, providing coordinated coverage through local health system networks.
For 2026, Blue Cross NC offers nine Medicare plans in Lexington, North Carolina spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with many featuring $0 monthly premiums beyond the standard Part B amount. Each plan is structured to connect Lexington beneficiaries with local providers, including facilities within the Atrium Health Wake Forest Baptist Lexington and UNC Health networks, though network access varies by plan type. Health Plans of NC agents can walk Lexington residents through each plan side-by-side at no cost to identify the best fit based on health needs, preferred providers, and prescription drug use.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides hospital and medical coverage connected to local Davidson County provider networks without a standalone drug benefit.
Blue Medicare Essential, HMO, $0.00 per month, bundles hospital, medical, and drug coverage into one plan with access to Lexington-area in-network providers including Atrium Health Wake Forest Baptist Lexington.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, offers the same bundled coverage as the Essential plan with added flexibility to seek care at certain out-of-network providers when necessary.
Blue Medicare Choice, HMO, $0.00 per month, is an HMO option available in Lexington, North Carolina that coordinates care through a defined network of local physicians and facilities.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, provides enhanced benefits beyond standard Advantage coverage with in-network and point-of-service access to Davidson County health providers.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, is the broadest network option available in Lexington, North Carolina, allowing beneficiaries to access both in-network and out-of-network providers including UNC Health facilities.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, gives Lexington beneficiaries a no-premium HMO-POS option with the ability to use point-of-service benefits when accessing care outside the primary network.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan designed for Lexington residents who are enrolled in both Medicare and Medicaid, coordinating benefits across both programs.
Blue Medicare Rx Enhanced PDP, standalone Part D prescription drug plan, $163.20 per month, provides drug coverage for Lexington seniors who remain on Original Medicare and need a separate plan for prescription costs.
In 2026, most Medicare Advantage plans available in Lexington, North Carolina carry $0 monthly premiums, while the Blue Medicare Enhanced HMO-POS is priced at $30.00 per month, the Blue Medicare PPO Enhanced PPO is priced at $35.00 per month, and the Blue Medicare Rx Enhanced PDP standalone drug plan is priced at $163.20 per month. Lexington's median household income of $41,775 means that a meaningful share of local Medicare enrollees may qualify for income-based programs that further reduce their out-of-pocket costs beyond what low-premium Advantage plans already offer. Health Plans of NC agents help Lexington residents identify every available cost-reduction program and match them to the plan that delivers the best value for their specific financial situation.
Part A: $0 premium for most Lexington, 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 Lexington, North Carolina, offering a total of 9 plans across multiple coverage categories including HMO, HMO-POS, PPO, standalone Part D prescription drug plans, and a Dual Special Needs Plan for dual-eligible beneficiaries. Blue Cross NC's provider networks in the Lexington area are built to include local health systems such as Atrium Health Wake Forest Baptist Lexington and UNC Health, giving enrollees access to in-network care close to home. The plan type a Lexington resident selects directly affects which local physicians, specialists, and hospital facilities they can access at in-network cost-sharing rates, making the choice of plan type as important as the premium. HMO plans generally require Lexington beneficiaries to select a primary care physician and coordinate referrals within a defined local network, while the PPO and HMO-POS options offer varying degrees of flexibility to access care outside that network. Health Plans of NC compares every Blue Cross NC Medicare plan available in Lexington side-by-side at no cost, so seniors can make fully informed enrollment decisions.
Blue Cross NC, offering HMO, HMO-POS, PPO, Part D PDP, and D-SNP plan types, with a total of 9 Medicare plans available in Lexington, North Carolina for 2026.
Lexington, North Carolina has an uninsured rate of 15.9% and a poverty rate of 25.4%, meaning a substantial portion of the local population may qualify for programs that reduce Medicare costs significantly. The Extra Help program, also known as the Low Income Subsidy, can reduce Part D prescription drug costs to near $0 per month for residents whose income falls near or below 150% of the federal poverty level. Medicare Savings Programs can help cover the Part B monthly premium for qualifying Lexington seniors, and the Healthy Blue Medicare DSNP plan is available for residents who are enrolled in both Medicare and Medicaid. Health Plans of NC agents check eligibility for every available assistance program at no cost and help Lexington residents apply for the benefits they qualify for.
Extra Help (Low Income Subsidy) can reduce Part D prescription drug premiums and copayments significantly for eligible Lexington, North Carolina residents with limited income and resources.
Medicare Savings Programs may cover the monthly Part B premium and other cost-sharing amounts for Lexington seniors who meet income and asset requirements set by North Carolina Medicaid.
The Healthy Blue Medicare DSNP plan is available for Lexington residents who qualify for both Medicare and Medicaid, offering coordinated benefits and reduced out-of-pocket costs through a single plan.
NC Medicaid may provide additional coverage for low-income Lexington residents who do not yet qualify for Medicare or who need supplemental assistance beyond what Medicare covers.
Health Plans of NC licensed agents help Lexington, North Carolina residents check their eligibility for all financial assistance programs and complete enrollment at no cost to the beneficiary.
Health Plans of NC licensed agents serve Lexington, North Carolina residents at no cost, comparing every available Medicare plan side-by-side and providing guidance through 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 health 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 Lexington, 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
Lexington, North Carolina ZIP Codes include: 27292, 27293, 27294, and 27295
