Live Worry-Free. Find the Right Medicare Plan in NC. in Forsyth County
North Carolina
in North Carolina
Health Plans of NC helps Forsyth County residents navigate all 9 Medicare plans available for 2026, connecting beneficiaries to coverage that works with major local health systems such as Novant Health Forsyth Medical Center and Atrium Health Wake Forest Baptist Medical Center.
Forsyth County is home to approximately 64,000 Medicare-eligible residents, representing 16.6% of the county's total population of 386,740, and the county supports a comprehensive healthcare network to serve them. Major health systems including Novant Health Forsyth Medical Center, Novant Health Kernersville Medical Center, Novant Health Med Park Hospital, Novant Health Rehabilitation Hospital, and Atrium Health Wake Forest Baptist Medical Center accept Medicare and provide access to a wide spectrum of services spanning primary care, oncology, neurology, cardiac treatment, orthopedics, and behavioral health. Forsyth County residents can choose from Medicare Advantage plans, Medicare Supplement plans, standalone Part D Prescription Drug Plans, and a Dual Special Needs Plan 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 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 Forsyth County and provide coordinated care through in-network providers including Novant Health Forsyth Medical Center and affiliated primary care physicians.
Medicare Advantage HMO-POS plans offer point-of-service flexibility, allowing Forsyth County beneficiaries some access to out-of-network providers including specialists at Atrium Health Wake Forest Baptist Medical Center.
Medicare Advantage PPO plans give Forsyth County residents the broadest in-plan network flexibility, supporting access to both Novant Health and Atrium Health Wake Forest Baptist facilities.
Medicare Supplement plans, also called Medigap, allow Forsyth County beneficiaries to use any Medicare-accepting provider nationwide, including all Novant Health and Atrium Health Wake Forest Baptist locations, without network restrictions.
Part D Prescription Drug Plans provide standalone prescription coverage for Forsyth County residents on Original Medicare, with access to local pharmacies including Walgreens and CVS locations throughout Winston-Salem.
Dual Special Needs Plans are available in Forsyth County for residents who qualify for both Medicare and Medicaid, offering integrated benefits and coordinated care across local health systems.
Blue Cross NC offers nine Medicare plans in Forsyth County for 2026, spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with premiums ranging from $0 per month to $163.20 per month depending on the plan selected. Several plans carry $0 monthly premiums and connect beneficiaries to in-network providers at Novant Health Forsyth Medical Center, Novant Health Kernersville Medical Center, and Atrium Health Wake Forest Baptist Medical Center, while higher-premium options may offer expanded benefits or broader access. Health Plans of NC can compare each of these plans side-by-side so Forsyth County residents can identify which plan best matches their preferred providers, prescription needs, and desired coverage level.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical-only Medicare Advantage coverage with access to Novant Health and Atrium Health Wake Forest Baptist in-network providers in Forsyth County.
Blue Medicare Essential, HMO, $0.00 per month, offers coordinated HMO coverage connecting Forsyth County beneficiaries to primary care and specialist services within the Blue Cross NC network.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility to essential HMO coverage, allowing some access to providers outside the standard network when needed.
Blue Medicare Choice, HMO, $0.00 per month, delivers structured HMO coverage with in-network access to Forsyth County hospitals and specialty clinics affiliated with Blue Cross NC.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, provides enhanced benefits with point-of-service access and may include additional dental, vision, or hearing benefits beyond standard Medicare coverage.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, offers Forsyth County residents the broadest network flexibility among Medicare Advantage plans, including access to out-of-network providers at a higher cost-share.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, combines $0 premium affordability with HMO-POS flexibility, supporting access to Novant Health and Atrium Health Wake Forest Baptist network providers.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan designed for Forsyth County residents who qualify for both Medicare and Medicaid, offering integrated benefit coordination.
Blue Medicare Rx Enhanced PDP, standalone Prescription Drug Plan, $163.20 per month, provides comprehensive drug coverage for Forsyth County residents on Original Medicare or a Medicare Supplement plan, with access to local pharmacies throughout Winston-Salem.
For 2026, Forsyth County residents can choose from Medicare Advantage plans with monthly premiums as low as $0.00 per month for plans such as Blue Medicare Essential and Blue Medicare Freedom+, or pay $30.00 per month for Blue Medicare Enhanced or $35.00 per month for Blue Medicare PPO Enhanced, making a range of price points available to fit different budgets. The standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20 for residents who need prescription drug coverage alongside Original Medicare or a Medicare Supplement plan. Forsyth County's median household income of $65,541 means that some residents may qualify for income-based assistance programs that further reduce out-of-pocket Medicare costs, and Health Plans of NC can help determine eligibility at no charge.
Part A: $0 premium for most Forsyth 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 to Forsyth County residents for 2026, with a total of 9 plans available spanning HMO, HMO-POS, PPO, standalone PDP, and D-SNP plan types, giving beneficiaries a range of coverage structures to evaluate. The Blue Cross NC provider network in Forsyth County connects directly with major local health systems including Novant Health Forsyth Medical Center, Novant Health Kernersville Medical Center, Novant Health Med Park Hospital, Novant Health Rehabilitation Hospital, and Atrium Health Wake Forest Baptist Medical Center. The carrier a resident selects determines which hospitals, specialists, and facilities fall within their plan's network, meaning a plan that does not include a preferred provider could limit access to services such as the oncology team at Atrium Health Wake Forest Baptist or the orthopedic specialists at Novant Health. Choosing a plan without comparing network details carefully could result in higher out-of-pocket costs or restricted access to the behavioral health services available at Old Vineyard Behavioral Health in Winston-Salem. Health Plans of NC agents compare every available Medicare plan in Forsyth County side-by-side at no cost, ensuring residents select coverage aligned with their specific provider preferences and healthcare needs.
Blue Cross NC, offering Medicare Advantage HMO, HMO-POS, and PPO plans, a standalone Part D Prescription Drug Plan, and a Dual Special Needs Plan, with 9 total plans available in Forsyth County for 2026.
Forsyth County has an uninsured rate of 10.5% and a poverty rate of 14.7%, meaning a meaningful share of the county's Medicare-eligible population may qualify for financial assistance programs that significantly reduce healthcare costs. The Extra Help program, also known as the Low Income Subsidy, can reduce Part D prescription drug costs to near $0 for qualifying Forsyth County residents, while Medicare Savings Programs can cover the Part B premium and other cost-sharing expenses for those who meet income and resource requirements. Residents who qualify for both Medicare and Medicaid may be eligible for the Healthy Blue Medicare DSNP, a Dual Special Needs Plan available in Forsyth County that coordinates benefits across both programs and provides additional support services. Health Plans of NC agents check eligibility for all available assistance programs at no cost and help Forsyth County residents apply so they never miss out on savings they have earned.
Extra Help, also called the Low Income Subsidy, can reduce monthly Part D prescription drug premiums and copayments to near $0 for qualifying Forsyth County residents.
Medicare Savings Programs administered through NC Medicaid can cover the monthly Part B premium and reduce cost-sharing for eligible low-income Forsyth County beneficiaries.
The Healthy Blue Medicare DSNP is available in Forsyth County for residents who qualify for both Medicare and Medicaid, offering coordinated benefits and integrated care management.
NC Medicaid may provide additional coverage for Forsyth County residents with limited income and resources, and eligibility can be screened alongside Medicare plan options.
Health Plans of NC licensed agents check eligibility for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost to Forsyth County residents, simplifying the application process.
Health Plans of NC licensed agents serve Forsyth County residents at no cost and with no pressure, comparing every available Medicare plan side-by-side to match each beneficiary with coverage that fits their health needs, preferred providers, and budget. Call 800-797-0327 today to speak with a local agent who can help with plan selection, enrollment, and any future plan changes.
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 Forsyth 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
Forsyth County ZIP Codes include: 27009, 27010, 27012, 27023, 27040, 27045, 27050, 27051, 27094, 27098, 27099, 27101, 27102, 27103, 27104, 27105, 27106, 27107, 27108, 27109, 27110, 27111, 27113, 27114, 27115, 27116, 27117, 27120, 27127, 27130, 27150, 27151, 27152, 27155, 27156, 27157, 27198, 27199, 27284, and 27285
