Live Worry-Free. Find the Right Medicare Plan in NC. in Gates County
North Carolina
in North Carolina
Health Plans of NC helps Gates County, NC residents compare and enroll in Medicare coverage at no cost, connecting them with plans through Blue Cross NC that work with local health systems including ECU Health and Sentara.
Gates County, North Carolina has a population of 10,437, with approximately 2,000 residents currently eligible for Medicare, representing 22.0% of the county. Local health systems serving Medicare beneficiaries include ECU Health and Sentara, with access to facilities such as Sentara Albemarle Medical Center in Elizabeth City and ECU Health Chowan Hospital in Edenton. Gates County residents can choose from Medicare Advantage HMO, HMO-POS, and PPO plans, a Dual Special Needs Plan, a standalone Part D prescription drug plan, and Medicare Supplement coverage that works with any Medicare-accepting provider.
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 through Blue Cross NC and connect Gates County beneficiaries to contracted providers within the ECU Health and Sentara networks.
Medicare Advantage HMO-POS plans give Gates County residents some flexibility to see out-of-network providers while still accessing in-network facilities like ECU Health Chowan Hospital in Edenton.
Medicare Advantage PPO plans allow Gates County beneficiaries broader access to providers, including specialists at ECU Health and Sentara facilities across the region.
Medicare Supplement (Medigap) plans pair with Original Medicare and allow Gates County seniors to use any Medicare-accepting provider nationwide, including hospitals such as ECU Health Roanoke-Chowan Hospital in Ahoskie.
Part D Prescription Drug Plans provide standalone drug coverage for Gates County residents who prefer to keep Original Medicare, with access to local and regional pharmacies.
Dual Special Needs Plans (D-SNP) are available for Gates County residents who qualify for both Medicare and Medicaid, providing coordinated coverage through Blue Cross NC.
For 2026, Blue Cross NC offers eight Medicare plans in Gates County, ranging from $0 premium Medicare Advantage options to a standalone Part D prescription drug plan. These plans connect Gates County beneficiaries to regional provider networks that include ECU Health and Sentara hospitals and clinics. Selecting the right plan determines which primary care physicians, specialists, and facilities such as ECU Health Multispecialty in Edenton or ECU Health Family Medicine in Hertford are covered at in-network rates.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical-only Medicare Advantage coverage connected to ECU Health and Sentara network providers in and around Gates County.
Blue Medicare Essential, HMO, $0.00 per month, offers a $0 premium Medicare Advantage option for Gates County residents seeking full coverage within a defined ECU Health and Sentara network.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, combines a $0 premium with HMO-POS flexibility, giving Gates County beneficiaries some access to out-of-network ECU Health facilities when needed.
Blue Medicare Enhanced, HMO-POS, $47.00 per month, provides enhanced Medicare Advantage benefits including additional dental, vision, and hearing coverage for Gates County residents within the Blue Cross NC network.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, offers Gates County seniors the broadest Medicare Advantage network flexibility, including access to Sentara Albemarle Medical Center and ECU Health facilities.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, gives Gates County beneficiaries a $0 premium HMO-POS option with access to regional health systems including ECU Health Chowan Hospital in Edenton.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan designed for Gates County residents who qualify for both Medicare and Medicaid, coordinating benefits through Blue Cross NC.
Blue Medicare Rx Enhanced PDP, Part D Prescription Drug Plan, $163.20 per month, provides standalone drug coverage for Gates County residents who remain on Original Medicare and need access to local and regional pharmacies.
Gates County residents have access to six $0 premium Medicare Advantage plans through Blue Cross NC for 2026, making it possible to obtain comprehensive coverage without paying a monthly plan premium beyond standard Medicare costs. The Blue Medicare Enhanced HMO-POS is available for $47.00 per month and the Blue Medicare PPO Enhanced for $53.00 per month, while the standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20. With a county median household income of $61,612, many Gates County residents may qualify for Medicare Savings Programs or Extra Help benefits that further reduce their out-of-pocket Medicare expenses, and Health Plans of NC agents can identify every cost-reduction program available at no charge.
Part A: $0 premium for most Gates 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 serving Gates County for 2026, offering a total of eight plans designed to meet the diverse needs of the county's Medicare-eligible residents. Plan types available through Blue Cross NC in Gates County include Medicare Advantage HMO, HMO-POS, and PPO plans, a Dual Special Needs Plan, and a standalone Part D prescription drug plan. The Blue Cross NC carrier network in Gates County connects beneficiaries directly to major regional health systems including ECU Health and Sentara, with in-network access to facilities such as Sentara Albemarle Medical Center in Elizabeth City and ECU Health Chowan Hospital in Edenton. The specific plan a Gates County resident selects determines which hospitals, primary care physicians, and specialists are covered at in-network rates, making plan type and network verification essential for those who rely on clinics such as ECU Health Neurology in Edenton or ECU Health Heart and Vascular Care in Roanoke Rapids. Health Plans of NC licensed agents compare every available Medicare plan in Gates County side by side at no cost, helping residents identify the option that best fits their provider preferences.
Blue Cross NC, offers Medicare Advantage HMO, HMO-POS, and PPO plans, a D-SNP, and a standalone Part D prescription drug plan, with a total of eight plans available in Gates County for 2026.
Gates County residents who have limited income and resources may qualify for Extra Help, also known as the Low Income Subsidy, which can reduce Part D prescription drug costs to near $0 for eligible beneficiaries. Medicare Savings Programs are available to help qualifying Gates County seniors have their Part B premiums paid on their behalf by the state of North Carolina. With a poverty rate of 11.8% and an uninsured rate of 6.6% in Gates County, a meaningful number of residents may be eligible for financial assistance programs that significantly lower their Medicare costs. Health Plans of NC agents check eligibility for every available assistance program at no cost, ensuring Gates County residents are not paying more than necessary for their Medicare coverage.
Extra Help (Low Income Subsidy) can reduce or eliminate Part D prescription drug premiums and copays for Gates County residents who meet federal income and asset limits.
Medicare Savings Programs can cover Part B premiums for qualifying Gates County seniors, with eligibility determined by income and household size.
The Healthy Blue Medicare D-SNP is available for Gates County residents who qualify for both Medicare and Medicaid, providing coordinated benefits through Blue Cross NC at $0 per month.
NC Medicaid may provide additional coverage for low-income Gates County residents who do not yet qualify for Medicare or who need supplemental assistance beyond their Medicare plan.
Health Plans of NC agents screen every Gates County applicant for financial assistance programs at no cost and help with enrollment in the right plan and savings program.
Health Plans of NC licensed agents serve residents throughout Gates County, including Gatesville, Sunbury, Eure, and surrounding communities, comparing every available Medicare plan side by side at no cost and with no pressure. Call 800-797-0327 to speak with a local agent who can help you enroll, review your current coverage, or make a plan change 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 Gates 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 |
|---|---|---|
ECU Health Bertie Hospital | 1403 S King St, Windsor, NC 27983 | (252) 794-6600 |
ECU Health Chowan Hospital | 211 Virginia Rd, Edenton, NC 27932 | (252) 482-8451 |
ECU Health Edgecombe Hospital | 111 Hospital Dr, Tarboro, NC 27886 | (252) 641-7700 |
ECU Health North Hospital | 250 Smith Church Rd, Roanoke Rapids, NC 27870 | (252) 535-8011 |
ECU Health Roanoke-Chowan Hosp | 500 Academy St S, Ahoskie, NC 27910 | (252) 209-3000 |
Martin General Hospital | 310 S Mccaskey Rd, Williamston, NC 27892 | (252) 809-6300 |
Outer Banks Hospital | 4800 S Croatan Hwy, Nags Head, NC 27959 | (252) 449-4500 |
Sentara Albemarle Medical Ctr | 1144 N Road St, Elizabeth City, NC 27909 | (252) 335-0531 |
Washington Regional Med Ctr | 958 US Highway 64 E, Plymouth, NC 27962 | (252) 793-4135 |
Clinic | Address | Phone |
|---|---|---|
ECU Health Endocrinology-Ahsk | 226 Academy St S, Ahoskie, NC 27910 | (252) 209-3991 |
ECU Health Family Medicine | 1124 Harvey Point Rd, Hertford, NC 27944 | (252) 426-2946 |
ECU Health Family Medicine | 1385 Medical Center Dr # 4942, Roanoke Rapids, NC 27870 | (252) 537-9176 |
ECU Health Heart-Vascular Care | 220 Smith Church Rd, Roanoke Rapids, NC 27870 | (252) 537-9268 |
ECU Health Internal Medicine | 104 Mark Dr, Edenton, NC 27932 | (252) 482-5171 |
ECU Health Multispecialty | 113 Virginia Rd, Edenton, NC 27932 | (252) 482-3047 |
ECU Health Neurology-Edenton | 203 Earnhart Dr # B, Edenton, NC 27932 | (252) 482-5868 |
ECU Health Orthopedics-Roanoke | 171 N Carolina 125, Roanoke Rapids, NC 27870 | (252) 537-5631 |
ECU Health Pulmonology-Ahoskie | 222 Academy St S, Ahoskie, NC 27910 | (252) 209-3440 |
ECU Health Sleep Medicine | 240 Smith Church Rd # A, Roanoke Rapids, NC 27870 | (252) 535-1082 |
Halifax Regional Med Ctr Inc | 250 Smith Church Rd, Roanoke Rapids, NC, 27870, Not AvailableIsland Medical Ctr, 715 US Highway 64, Manteo, NC 27954 | (252) 473-2500 |
Sentara Vascular Specialists | 5200 N Croatan Hwy # 6, Kitty Hawk, NC 27949 | (252) 255-6125 |
Signature Healthcare | 305 E 14th St, Roanoke Rapids, NC 27870 | (252) 537-6181 |
Vidant Sleep Medicine-Roanoke | 240 Smith Church Rd, Roanoke Rapids, NC 27870 | (252) 535-1082 |
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
Gates County ZIP Codes include: 27926, 27935, 27937, 27938, 27946, 27969, and 27979
