Live Worry-Free. Find the Right Medicare Plan in NC. in Davidson County
North Carolina
in North Carolina
Davidson County, NC residents have access to 9 Medicare plans for 2026 through Blue Cross NC, and Health Plans of NC helps every eligible resident compare options at no cost to find coverage that works with local providers like Atrium Health Wake Forest Baptist in Lexington.
Davidson County has approximately 32,000 Medicare-eligible residents, representing 18.6% of the county's total population of 171,063, and those residents can choose from Medicare Advantage, Medicare Supplement, Part D Prescription Drug Plans, and Dual Special Needs Plans for 2026. Atrium Health Wake Forest Baptist in Lexington and UNC Health are key health systems serving Davidson County Medicare beneficiaries, and both accept Original Medicare as well as Medicare Advantage plans available in the county. Health Plans of NC helps Davidson County residents navigate every available plan type at no cost, ensuring coverage works with the hospitals, specialists, and pharmacies they already use.
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 Davidson County and connect beneficiaries to local providers within a defined network anchored by Atrium Health Wake Forest Baptist in Lexington.
Medicare Advantage HMO-POS plans offer Davidson County residents added flexibility to seek some out-of-network care while still centering coverage around local health systems.
Medicare Advantage PPO plans are available in Davidson County and allow beneficiaries to see both in-network and out-of-network providers, including specialists affiliated with UNC Health.
Medicare Supplement (Medigap) plans are available to Davidson County residents who want to use any Medicare-accepting provider nationwide, including those at Novant Health Thomasville Medical Center.
Part D Prescription Drug Plans are available as standalone coverage for Davidson County residents who remain on Original Medicare and need help covering prescription costs at local pharmacies.
Dual Special Needs Plans (D-SNP) are available in Davidson County for residents who qualify for both Medicare and Medicaid, with coordinated care designed around local health system resources.
Blue Cross NC offers 9 Medicare plans in Davidson County for 2026, spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types designed to work with the county's healthcare providers. Several plans carry $0 monthly premiums, while others offer enhanced benefits at a modest monthly cost, giving Davidson County residents a range of options to match their health needs and preferred providers. Each plan connects beneficiaries to a network of local hospitals and specialists, and confirming that preferred providers participate before enrolling is essential to getting the most from any plan.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical coverage through local HMO-POS networks including providers connected to Atrium Health Wake Forest Baptist in Lexington.
Blue Medicare Essential, HMO, $0.00 per month, offers a $0 premium HMO structure with access to Davidson County providers within the Blue Cross NC Medicare Advantage network.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, combines $0 premium cost with point-of-service flexibility for Davidson County residents who occasionally need care outside the primary network.
Blue Medicare Choice, HMO, $0.00 per month, is a $0 premium HMO option connecting Davidson County beneficiaries to in-network physicians and facilities across the local area.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, provides an enhanced benefit package through the HMO-POS structure for Davidson County residents willing to pay a modest monthly premium.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, gives Davidson County beneficiaries the broadest network flexibility, including the ability to see out-of-network providers at a higher cost-sharing level.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, offers a $0 premium option with point-of-service access designed to give Davidson County residents additional provider choice within the Blue Cross NC network.
Healthy Blue Medicare DSNP, D-SNP, $0.00 per month, is designed for Davidson County residents who are enrolled in both Medicare and Medicaid, coordinating benefits across both programs at no monthly premium.
Blue Medicare Rx Enhanced PDP, standalone Part D plan, $163.20 per month, provides prescription drug coverage for Davidson County residents on Original Medicare who need a standalone drug plan at a local pharmacy.
Davidson County Medicare Advantage plan premiums for 2026 range from $0 per month for plans like Blue Medicare Essential and Blue Medicare Freedom+ to $35 per month for Blue Medicare PPO Enhanced, making several options accessible even on a tight budget. With a county median household income of $62,426, some Davidson County residents may qualify for cost-reduction programs that lower out-of-pocket expenses beyond the monthly premium, including subsidies that reduce Part D drug costs significantly. Health Plans of NC agents review every available plan side-by-side with Davidson County residents at no cost to identify the most affordable combination of premium, copays, and drug coverage based on individual income and health needs.
Part A: $0 premium for most Davidson 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 Medicare carrier offering plans in Davidson County for 2026, with a total of 9 plans available to eligible residents across multiple plan types. Those plan types include Medicare Advantage HMO, HMO-POS, and PPO options, a standalone Part D Prescription Drug Plan, and a Dual Special Needs Plan for residents enrolled in both Medicare and Medicaid. Blue Cross NC Medicare Advantage networks in Davidson County are anchored by local health systems and facilities including Atrium Health Wake Forest Baptist in Lexington, meaning that plan selection directly affects which hospitals and specialists a beneficiary can access at the lowest cost. Choosing the right plan tier also affects access to long-term care facilities such as Alston Brook Nursing and Rehabilitation Center and Piedmont Crossing Retirement Community, as well as mental health services through Daymark Recovery Services in Davidson County. Health Plans of NC agents compare every Blue Cross NC Medicare plan available in Davidson County side-by-side at no cost, helping residents match their coverage to the local providers and facilities they already rely on.
Blue Cross NC, offers Medicare Advantage HMO, HMO-POS, PPO, Part D PDP, and D-SNP plan types, with 9 total plans available in Davidson County for 2026.
Davidson County residents with limited income and resources may qualify for Extra Help, also called the Low Income Subsidy, which can reduce Part D prescription drug costs to near $0 and is available through the Social Security Administration. Medicare Savings Programs can cover the Part B premium entirely for qualifying Davidson County beneficiaries, providing meaningful monthly relief for those on fixed incomes. Davidson County residents who are enrolled in both Medicare and Medicaid may qualify for the Healthy Blue Medicare D-SNP plan, which coordinates benefits across both programs and carries a $0 monthly premium. With an uninsured rate of 10.4% and a poverty rate of 13.8% in Davidson County, understanding every available assistance program is especially important, and Health Plans of NC checks eligibility for all financial assistance options at no cost.
Extra Help (Low Income Subsidy) can reduce Part D prescription drug costs for eligible Davidson County residents to near $0 per month based on income and resource limits.
Medicare Savings Programs may cover the monthly Part B premium entirely for qualifying low-income Davidson County Medicare beneficiaries, providing significant annual savings.
The Healthy Blue Medicare D-SNP plan coordinates Medicare and Medicaid benefits for Davidson County residents who qualify for both programs, with a $0 monthly premium.
NC Medicaid may provide additional coverage for low-income Davidson County residents who do not yet qualify for Medicare or who need benefits beyond what Medicare covers.
Health Plans of NC agents screen Davidson County residents for every financial assistance program at no cost and help complete enrollment applications to maximize available savings.
Health Plans of NC licensed agents serve Davidson County residents at no cost and with no pressure, comparing every available Medicare Advantage, Medicare Supplement, and Part D plan side-by-side to match coverage to your health needs, preferred providers, and budget. Call 800-797-0327 today to speak with a local agent who can help you enroll, review your current coverage, or make changes 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 Davidson 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
Davidson County ZIP Codes include: 27239, 27292, 27293, 27294, 27295, 27299, 27351, 27360, 27361, 27373, and 27374
