in Wilson County
Wilson, North Carolina residents have access to 8 Medicare plans for 2026, and Health Plans of NC helps locals served by UNC Health Wilson and ECU Health find the right coverage at no cost.
In Wilson, North Carolina, approximately 9,000 residents are Medicare-eligible, representing 17.9% of the city's total population of 47,740, making access to quality Medicare coverage a critical priority for a substantial share of the community. Wilson seniors benefit from local healthcare through UNC Health Wilson and ECU Health, both of which serve Medicare beneficiaries across Wilson County. Available coverage categories include Medicare Advantage plans, Medicare Supplement plans, standalone Part D prescription drug plans, and Dual Special Needs Plans for those who qualify for both Medicare and Medicaid.
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 Wilson, North Carolina and may include access to primary care physicians and specialists affiliated with UNC Health Wilson.
Medicare Advantage HMO-POS plans in Wilson, North Carolina offer flexible in-network and limited out-of-network access, including care at ECU Health facilities.
Medicare Advantage PPO plans in Wilson, North Carolina provide broader provider choice, allowing seniors to access specialists at both UNC Health Wilson and ECU Health.
Medicare Supplement (Medigap) plans are available to Wilson, North Carolina residents who want to reduce out-of-pocket costs when using Original Medicare at any provider that accepts Medicare nationwide.
Part D Prescription Drug Plans are available as standalone coverage for Wilson, North Carolina seniors enrolled in Original Medicare who need help covering medication costs.
Dual Special Needs Plans (D-SNP) are available in Wilson, North Carolina for residents who qualify for both Medicare and Medicaid, providing coordinated care through local health systems.
For 2026, Blue Cross NC offers eight Medicare plans in Wilson, North Carolina, spanning HMO, HMO-POS, PPO, PDP, and D-SNP coverage types, giving seniors a range of options to match their healthcare needs and provider preferences. Several plans carry a $0 monthly premium, while others offer enhanced benefits at a modest additional cost, and each plan connects beneficiaries to local provider networks including those associated with UNC Health Wilson and ECU Health. Wilson residents should verify that their preferred doctors, specialists, and facilities are included in the network of any plan they consider before enrolling.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical coverage through in-network providers in the Wilson, North Carolina area including those affiliated with local health systems.
Blue Medicare Essential, HMO, $0.00 per month, bundles hospital and medical coverage at no additional premium for Wilson, North Carolina seniors seeking straightforward managed care.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds out-of-network flexibility to the Essential plan structure for Wilson, North Carolina seniors who may need care outside the primary network.
Blue Medicare Enhanced, HMO-POS, $47.00 per month, offers an elevated benefit package for Wilson, North Carolina residents who want additional coverage beyond the standard zero-premium options.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, gives Wilson, North Carolina seniors the broadest provider access of any Medicare Advantage plan available locally, including out-of-network care.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, is a zero-premium plan available in Wilson, North Carolina that combines HMO structure with some point-of-service flexibility.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan designed for Wilson, North Carolina residents who are enrolled in both Medicare and Medicaid.
Blue Medicare Rx Enhanced PDP, standalone Part D prescription drug plan, $163.20 per month, provides comprehensive drug coverage for Wilson, North Carolina seniors enrolled in Original Medicare who need a standalone medication benefit.
Wilson, North Carolina seniors can choose from Medicare Advantage plans ranging from $0.00 per month for plans like Blue Medicare Essential and Blue Medicare Freedom+ to $53.00 per month for the Blue Medicare PPO Enhanced, giving residents at various budget levels a viable option for 2026 coverage. The standalone Blue Medicare Rx Enhanced PDP prescription drug plan is priced at $163.20 per month for those who prefer to keep Original Medicare and add drug coverage separately. With a median household income of $47,294 in Wilson, North Carolina, many residents may qualify for federal assistance programs that can reduce or eliminate out-of-pocket Medicare costs, and Health Plans of NC can help determine eligibility at no cost.
Part A: $0 premium for most Wilson, 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 Wilson, North Carolina, offering all 8 available Medicare plans in the area. The plans span multiple coverage structures including HMO, HMO-POS, PPO, standalone Part D prescription drug plans, and a Dual Special Needs Plan, giving Wilson seniors a comprehensive set of options. Blue Cross NC carrier networks are built to connect Wilson, North Carolina beneficiaries with local healthcare providers, and residents should confirm that UNC Health Wilson and ECU Health facilities and affiliated physicians are included in their chosen plan's network. The plan a Wilson, North Carolina resident selects directly determines which doctors, specialists, and hospitals they can access at in-network cost-sharing levels, making plan comparison an essential step before enrollment. Health Plans of NC compares every available Medicare plan side-by-side at no cost so Wilson residents can make a fully informed decision before their enrollment deadline.
Blue Cross NC, offering HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with a total of 8 Medicare plans available in Wilson, North Carolina for 2026.
Wilson, North Carolina residents with limited income and resources may qualify for Extra Help, also known as the Low Income Subsidy, which can dramatically reduce Part D prescription drug costs for Medicare beneficiaries who meet federal eligibility thresholds. Medicare Savings Programs can help qualifying Wilson seniors by covering the Part B premium and other cost-sharing expenses, providing meaningful relief for those on fixed incomes. With a poverty rate of 25.1% and an uninsured rate of 13.7% in Wilson, North Carolina, a significant number of residents may be eligible for these programs as well as the Healthy Blue Medicare DSNP for those enrolled in both Medicare and Medicaid. Health Plans of NC agents serving Wilson, North Carolina check eligibility for all available assistance programs at no cost and help residents apply during any time of year.
Extra Help (Low Income Subsidy) can reduce or eliminate Part D prescription drug premiums and copayments for qualifying Wilson, North Carolina Medicare beneficiaries.
Medicare Savings Programs may cover the Part B premium and cost-sharing for Wilson, North Carolina residents who meet state income and asset guidelines.
The Dual Special Needs Plan (D-SNP) is available for Wilson, North Carolina residents who qualify for both Medicare and Medicaid, providing coordinated benefits under one plan.
NC Medicaid may provide additional coverage and financial assistance for low-income Wilson, North Carolina residents who are approaching or already enrolled in Medicare.
Health Plans of NC licensed agents help Wilson, North Carolina seniors check eligibility and apply for financial assistance programs at absolutely no cost to the resident.
Health Plans of NC licensed agents serve Wilson, North Carolina residents at no cost, comparing every available 2026 Medicare plan side-by-side to help seniors find the right coverage for their health needs and budget. Call 800-797-0327 today to speak with a local Medicare expert who can guide you through enrollment, plan changes, and financial assistance options.
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 Wilson, 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
Wilson, North Carolina ZIP Codes include: 27893, 27894, 27895, and 27896
