Live Worry-Free. Find the Right Medicare Plan in NC. in Alleghany County
North Carolina
in North Carolina
Health Plans of NC helps Alleghany County residents compare all 7 Medicare plans available through Blue Cross NC for 2026, including options that connect directly with Alleghany Memorial Hospital at 233 Doctors St in Sparta and regional facilities such as Hugh Chatham Memorial Hospital in Elkin.
Alleghany County, NC is home to approximately 3,000 Medicare-eligible residents, representing 29.7% of the county's total population of 11,075, a share that reflects the region's older demographic and the significant role Medicare plays in local healthcare access. Medicare coverage types available in the county include Medicare Advantage HMO and HMO-POS plans, a standalone Part D Prescription Drug Plan, and a Dual Special Needs Plan designed for residents eligible for both Medicare and Medicaid. Local providers that accept Medicare include Alleghany Memorial Hospital in Sparta, Alleghany Care and Rehabilitation Center, Daymark Recovery Services, Mountain View Family Practice, and Alleghany Medical Services, along with regional referral options such as Hugh Chatham Memorial Hospital in Elkin, Ashe Memorial Hospital in Jefferson, and Watauga Medical Center in Boone.
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 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 Alleghany County and connect beneficiaries to primary care at local clinics such as Mountain View Family Practice and Alleghany Medical Services in Sparta.
Medicare Advantage HMO-POS plans give Alleghany County residents the flexibility to seek care both in-network at Alleghany Memorial Hospital and, in some cases, from out-of-network providers at a higher cost share.
Part D Prescription Drug Plans are available as a standalone option for Alleghany County beneficiaries, allowing them to fill prescriptions at local pharmacies such as Alleghany Pharmacy and Sparta Prescription Shop in Sparta.
Dual Special Needs Plans are available for Alleghany County residents who qualify for both Medicare and Medicaid, providing coordinated coverage that includes access to local providers and behavioral health services such as Daymark Recovery Services.
Medicare Supplement (Medigap) plans are available through Blue Cross NC in Alleghany County, allowing beneficiaries to use any Medicare-accepting provider nationwide, including Watauga Medical Center in Boone and Atrium Health Wake Forest Baptist in Winston-Salem, without network restrictions.
Blue Cross NC offers 7 Medicare plans in Alleghany County for 2026, spanning HMO, HMO-POS, standalone Part D, and Dual Special Needs Plan structures, giving beneficiaries a range of options that connect to local providers including Alleghany Memorial Hospital and regional facilities such as Hugh Chatham Memorial Hospital in Elkin and Ashe Memorial Hospital in Jefferson. Several plans carry a $0 monthly premium beyond the standard Part B cost, while others include enhanced benefits at a modest additional premium, making it important to compare total out-of-pocket costs alongside the plan premium. Residents who require specialist care at facilities such as Watauga Medical Center in Boone or Novant Health Forsyth Medical Center in Winston-Salem should verify network coverage before selecting a plan, and licensed agents with Health Plans of NC can perform that comparison at no cost.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical-only coverage with access to Alleghany Memorial Hospital and affiliated local providers in Sparta.
Blue Medicare Essential, HMO, $0.00 per month, offers a structured network that includes primary care providers at Mountain View Family Practice and Alleghany Medical Services in Alleghany County.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility to the Essential HMO structure, allowing Alleghany County beneficiaries some access to providers outside the primary network.
Blue Medicare Enhanced, HMO-POS, $47.00 per month, includes enhanced benefits such as additional dental, vision, or drug coverage, with a network that connects to Alleghany Memorial Hospital and regional referral centers.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, is a zero-premium HMO-POS plan that gives Alleghany County residents access to both in-network local providers and limited out-of-network care options.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan for Alleghany County residents who qualify for both Medicare and Medicaid, coordinating benefits across local providers and behavioral health services such as Daymark Recovery Services.
Blue Medicare Rx Enhanced PDP, standalone Part D Prescription Drug Plan, $163.20 per month, provides prescription drug coverage for beneficiaries on Original Medicare or a plan without built-in drug benefits, with fill options at Alleghany Pharmacy and Sparta Prescription Shop in Sparta.
Alleghany County's median household income of $44,272 means that monthly plan premiums and out-of-pocket costs represent a meaningful portion of many residents' budgets, making it essential to evaluate the full cost picture beyond the monthly premium alone. For 2026, Medicare Advantage plan premiums in Alleghany County range from $0.00 per month for plans such as Blue Medicare Essential, Blue Medicare Essential Plus, Blue Medicare Medical Only, Blue Medicare Freedom+, and Healthy Blue Medicare DSNP, to $47.00 per month for Blue Medicare Enhanced, while the standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20. Residents whose income falls at or near qualifying thresholds may be eligible for programs that reduce these costs significantly, and Health Plans of NC agents can assess eligibility alongside plan selection at no charge.
Part A: $0 premium for most Alleghany County 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 sole Medicare carrier offering plans in Alleghany County for 2026, with a total of 7 plans available to eligible residents. Plan types offered by Blue Cross NC include Medicare Advantage HMO, Medicare Advantage HMO-POS, a standalone Part D Prescription Drug Plan, and a Dual Special Needs Plan, providing coverage structures suited to a range of health and budget needs in this rural county. Blue Cross NC carrier networks in Alleghany County connect directly with local providers including Alleghany Memorial Hospital at 233 Doctors St in Sparta, Alleghany Care and Rehabilitation Center, Mountain View Family Practice, and Alleghany Medical Services, making network verification an important step before enrollment. Plan selection also determines whether Alleghany County beneficiaries can access specialist care at regional facilities such as Hugh Chatham Memorial Hospital in Elkin, Ashe Memorial Hospital in Jefferson, and Watauga Medical Center in Boone without prior authorization requirements or additional cost exposure. Health Plans of NC agents compare every available Blue Cross NC Medicare plan side by side at no cost to the beneficiary, helping Alleghany County residents identify the option that best fits their preferred providers, prescription needs, and budget.
Blue Cross NC, offering Medicare Advantage HMO, Medicare Advantage HMO-POS, Part D Prescription Drug Plan, and Dual Special Needs Plan structures, with 7 total plans available in Alleghany County for 2026.
Alleghany County's uninsured rate of 14.7% and poverty rate of 17.4% highlight the importance of financial assistance programs that can reduce Medicare costs for lower-income residents. Extra Help, also known as the Low Income Subsidy, is a federal program that can reduce or eliminate Part D prescription drug costs for qualifying beneficiaries, and Medicare Savings Programs can cover the standard Part B premium for those who meet income and asset guidelines. Alleghany County residents who are eligible for both Medicare and Medicaid may qualify for the Healthy Blue Medicare DSNP, which coordinates benefits across both programs and connects enrollees with local providers and behavioral health services. Health Plans of NC agents check eligibility for all available assistance programs at no cost and help residents apply alongside selecting the right Medicare plan for their situation.
Extra Help (Low Income Subsidy) can significantly reduce monthly Part D prescription drug premiums and cost-sharing for qualifying Alleghany County Medicare beneficiaries.
Medicare Savings Programs can cover some or all of the standard Part B premium for Alleghany County residents who meet income and asset eligibility requirements.
The Healthy Blue Medicare DSNP is available for Alleghany County residents who qualify for both Medicare and Medicaid, offering coordinated zero-premium coverage through Blue Cross NC.
NC Medicaid may provide additional coverage for low-income Alleghany County residents who do not yet qualify for Medicare, helping to bridge gaps before Medicare eligibility begins.
Health Plans of NC agents help Alleghany County residents check eligibility for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost and with no obligation.
Licensed agents with Health Plans of NC serve Alleghany County residents directly, comparing every available Medicare plan side by side at no cost and no obligation, and providing hands-on help with enrollment, plan changes, and financial assistance applications. Call 800-797-0327 to speak with a local agent who knows the providers, plans, and programs available in Alleghany County.
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 Alleghany County
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.
Hospital | Address | Phone |
|---|---|---|
Alleghany Memorial Hospital | 233 Doctors St, Sparta, NC 28675 | (336) 372-5511 |
Ashe Memorial Hospital | 200 Hospital Ave, Jefferson, NC 28640 | (336) 846-7101 |
Atrium Health Wake Forest Bapt | 1 Medical Center Blvd, Winston Salem, NC 27157 | (336) 713-4500 |
Atrium Health Wake Forest Bapt | 1 Medical Center Blvd, Winston Salem, NC 27157 | (336) 716-2011 |
Atrium Health Wake Forest Bapt | 1370 W D St, North Wilkesboro, NC 28659 | (336) 651-8100 |
Atrium Health Wake Forest Bapt | Medical Center Blvd, Winston Salem, NC 27157 | (336) 716-2011 |
Atrium Health Wake Forrest | 250 Hospital Dr, Lexington, NC 27292 | (336) 248-5161 |
Davie Medical Ctr | 329 NC Highway 801 N, Bermuda Run, NC 27006 | (336) 998-1300 |
Hugh Chatham Memorial Hospital | 180 Parkwood Dr, Elkin, NC 28621 | (336) 527-7000 |
Lifebrite Community Hosp-Stks | 1570 NC 8 And 89 Hwy N, Danbury, NC 27016 | (336) 593-2831 |
Northern Regional Hospital | 830 Rockford St, Mount Airy, NC 27030 | (336) 719-7000 |
Novant Health Forsyth Med Ctr | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | (336) 718-5000 |
Novant Health Kernersville Med | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284 | (336) 564-4000 |
Novant Health Med Park Hosp | 1950 S Hawthorne Rd, Winston Salem, NC 27103 | (336) 718-0785 |
Novant Health Rehab Hosp An | 2475 Hillcrest Center Cir, Winston Salem, NC 27103 | (336) 754-3500 |
Novant Health Thomasville Med | 207 Old Lexington Rd, Thomasville, NC 27360 | (336) 472-2000 |
Old Vineyard Behavioral Health | 3637 Old Vineyard Rd, Winston Salem, NC 27104 | (336) 794-3550 |
Stokes Reynolds Meml Hosp Inc | , Danbury, NC 27016 | (336) 593-5356 |
Watauga Medical Ctr | 336 Deerfield Rd, Boone, NC 28607 | (828) 262-4100 |
Clinic | Address | Phone |
|---|---|---|
Appalachian Regional | 194 Doctors Dr, Boone, NC 28607 | (828) 386-2663 |
Appalachian Regional | 200 Hospital Ave # 6, Jefferson, NC 28640 | (828) 386-2663 |
Atrium Health Wake Forest Bapt | 10 Medical Park Dr # 1, Lexington, NC 27292 | (336) 716-9253 |
Bethany Medical Ctr | 1908 Caudle Dr # 100, Mount Airy, NC 27030 | (336) 883-0029 |
Boone Urology Ctr | 400 Shadowline Dr # 103-104, Boone, NC 28607 | (828) 264-5150 |
Cone Health Medcenter Krnrsvll | 1635 N Carolina Highway 66 S, Kernersville, NC 27284 | (336) 992-5100 |
Cone Health Medcenter Krnrsvll | 1635 NC 66 S, Kernersville, NC 27284 | (336) 992-5100 |
Cone Health Outpatient Rehab | 1635 N Carolina 66 # 255, Kernersville, NC 27284 | (336) 992-4820 |
Department Of Emergency Med | Medical Center Blvd, Winston Salem, NC 27157 | (336) 716-4625 |
Harmony Center For Women | 381 Deerfield Rd, Boone, NC 28607 | (828) 268-8970 |
Hoots Memorial Hospital | , Yadkinville, NC 27055 | (336) 679-6728 |
Lexington Medical Ctr | 811 W Main St, Lexington, NC 27293 | (803) 936-7203 |
Lung Center | 870 State Farm Rd # 100, Boone, NC 28607 | (828) 386-2746 |
Novant Health Bariatric Sltns | 760 Highland Oaks Dr # 200, Winston Salem, NC 27103 | (336) 277-4380 |
Novant Health Ortho-Sports | 7138 Village Medical Cir, Clemmons, NC 27012 | (336) 893-2400 |
Sneak-A-Peek | 2501 Neudorf Rd, Clemmons, NC 27012 | (336) 247-5141 |
Thomasville Medical Ctr | 6233 Denton Rd, Thomasville, NC 27360 | (336) 476-2537 |
Wake Forest Bapt Health Davie | 329 N Carolina Highway 801 N, Bermuda Run, NC 27006 | (336) 998-1300 |
Watauga Medical Ctr Outpatient | 1200 State Farm Rd, Boone, NC 28607 | (828) 262-4153 |
WFU Baptist Medical Ctr | Medical Center Blvd, Winston Salem, NC 27157 | (336) 713-7700 |
WFU Baptist Medical Ctr | Orthopaedic Surgery, Winston Salem, NC 27157 | (336) 716-2093 |
WFUBMC | 1450 Professional Park Dr, Winston Salem, NC 27103 | (336) 659-2701 |
Wilkes Regional Med Ctr Axlry | 500 Courthouse Dr, Wilkesboro, NC 28697 | (336) 651-8100 |
Wilkes Regional Medical Ctr | 1370 W D St, North Wilkesboro, NC 28659 | (336) 651-8100 |
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
Alleghany County ZIP Codes include: 28623, 28627, 28644, 28663, 28668, and 28675
