Live Worry-Free. Find the Right Medicare Plan in NC. in Guilford County
North Carolina
in North Carolina
Health Plans of NC helps Guilford County, NC residents compare all available Medicare plans for 2026 at no cost, connecting beneficiaries with coverage that works with major local health systems such as Cone Health and Novant Health.
Guilford County is home to approximately 85,000 Medicare-eligible residents, representing 15.6% of the county's total population of 542,987, and those residents have access to a broad range of Medicare coverage types for 2026. Major health systems including Cone Health Moses Cone Hospital, Cone Health Wesley Long Hospital, Cone Health Annie Penn Hospital, and Novant Health participate with Medicare, giving beneficiaries strong local options whether they choose a network-based Medicare Advantage plan or a more flexible Medicare Supplement policy. Health Plans of NC helps Guilford County beneficiaries match the right coverage category to their preferred local providers and budget at no cost.
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 in Guilford County may include primary care providers and specialists within the Cone Health and Novant Health networks, offering coordinated care at potentially lower out-of-pocket costs.
Medicare Advantage HMO-POS plans give Guilford County enrollees the option to seek some care outside the primary network, adding flexibility for residents who occasionally need providers beyond Cone Health facilities.
Medicare Advantage PPO plans available in Guilford County allow beneficiaries to visit both in-network providers at Cone Health and out-of-network providers such as Duke University Hospital in Durham, typically at different cost-sharing levels.
Medicare Supplement (Medigap) plans work alongside Original Medicare and are accepted by any Medicare-participating provider nationwide, making them well suited for Guilford County residents who want unrestricted access to specialists at UNC Hospitals or Duke Health.
Part D Prescription Drug Plans are available as standalone coverage for Guilford County residents who remain on Original Medicare or a Medicare Supplement plan and need help managing prescription costs at local pharmacies.
Dual Special Needs Plans (D-SNP) are available for Guilford County residents who qualify for both Medicare and Medicaid, offering coordinated benefits and access to local providers within a managed care structure.
Blue Cross NC offers nine Medicare plans in Guilford County for 2026, spanning HMO, HMO-POS, PPO, standalone Part D, and D-SNP plan types, with monthly premiums ranging from $0 to $163.20 beyond the standard Part B premium. Several of these plans are designed to connect enrollees with Cone Health facilities including Moses Cone Hospital and Wesley Long Hospital, as well as primary care practices such as LeBauer Healthcare and Bethany Medical Center throughout Greensboro and High Point. Beneficiaries should confirm that their specific providers, including Novant Health locations and specialty facilities such as Select Specialty Hospital in Greensboro, participate in a plan's network before enrolling.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, designed for beneficiaries who want medical-only Advantage coverage with access to in-network Guilford County providers.
Blue Medicare Essential, HMO, $0.00 per month, a structured HMO option that may include Cone Health primary care and specialist locations within its network.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility to the Essential plan, allowing some access to providers outside the primary HMO network.
Blue Medicare Choice, HMO, $0.00 per month, another zero-premium HMO option for Guilford County residents seeking coordinated care within a defined local provider network.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, offers an expanded HMO-POS benefit structure with potential for richer benefits at facilities like Cone Health Wesley Long Hospital.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, gives Guilford County enrollees the broadest network flexibility among Blue Cross NC Advantage plans, including the ability to see out-of-network providers at facilities such as Duke University Hospital.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, provides zero-premium HMO-POS coverage with point-of-service access options for Guilford County beneficiaries who want some out-of-network flexibility.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, a Dual Special Needs Plan for Guilford County residents enrolled in both Medicare and Medicaid, coordinating benefits across local providers.
Blue Medicare Rx Enhanced PDP, standalone Part D, $163.20 per month, a prescription drug plan for Original Medicare or Medicare Supplement enrollees in Guilford County, covering medications at pharmacies such as Walgreens and Harris Teeter Pharmacy.
For 2026, Guilford County residents can choose from Blue Cross NC Medicare Advantage plans with monthly premiums ranging from $0 for plans such as Blue Medicare Essential and Blue Medicare Freedom+ to $35 per month for Blue Medicare PPO Enhanced, while the standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20 for those who need separate drug coverage. Guilford County's median household income of $66,027 means many residents fall near thresholds that determine eligibility for federal programs that can significantly reduce out-of-pocket Medicare costs, making a full benefits check an important step before selecting a plan. Health Plans of NC agents review every available plan side by side and help Guilford County residents identify cost-saving programs that may lower premiums, deductibles, and copayments based on individual income and household circumstances.
Part A: $0 premium for most Guilford 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 Guilford County residents for 2026, with a total of nine plans available across multiple coverage categories. Those plan types include Health Maintenance Organization (HMO), HMO with Point-of-Service (HMO-POS), Preferred Provider Organization (PPO), standalone Part D Prescription Drug Plans (PDP), and a Dual Special Needs Plan (D-SNP) for residents enrolled in both Medicare and Medicaid. Blue Cross NC networks in Guilford County interact directly with major local health systems including Cone Health, which operates Moses Cone Hospital, Wesley Long Hospital, Annie Penn Hospital, and MedCenter High Point, as well as Novant Health and primary care practices such as LeBauer Healthcare and Bethany Medical Center. The plan a Guilford County resident selects will directly affect which local hospitals, specialists at facilities such as Select Specialty Hospital in Greensboro, and primary care practices are available in-network and at what cost-sharing level. Health Plans of NC compares every available Medicare plan in Guilford County side by side at no cost to the beneficiary, ensuring residents choose coverage that aligns with their preferred providers and healthcare needs.
Blue Cross NC, offers Medicare Advantage HMO, HMO-POS, PPO, standalone Part D PDP, and D-SNP plans, nine total plans available in Guilford County for 2026.
Guilford County residents with limited income may qualify for the federal Extra Help program, also known as the Low Income Subsidy, which can reduce Part D prescription drug costs to near zero for eligible Medicare beneficiaries. The Medicare Savings Program can cover Part B premiums and other cost-sharing expenses for qualifying low-income residents, and Guilford County's poverty rate of 15.2% means a meaningful share of the senior population may be eligible for this assistance. With an uninsured rate of 9.0% in Guilford County, identifying and enrolling eligible residents in financial assistance programs is a priority, and dual-eligible beneficiaries can access the Healthy Blue Medicare D-SNP to coordinate both Medicare and Medicaid benefits through a single plan. Health Plans of NC agents check eligibility for every available assistance program at no cost to Guilford County residents, helping beneficiaries secure all the savings they are entitled to before finalizing their Medicare coverage.
Extra Help (Low Income Subsidy) can dramatically reduce Part D prescription drug premiums, deductibles, and copayments for eligible Guilford County Medicare beneficiaries.
The Medicare Savings Program may cover Part B premiums and cost-sharing for qualifying low-income Guilford County residents who meet income and asset guidelines.
The Healthy Blue Medicare D-SNP is available for Guilford County residents enrolled in both Medicare and Medicaid, providing coordinated coverage and tailored drug formularies through Blue Cross NC.
NC Medicaid may provide additional coverage and cost assistance for low-income Guilford County residents who do not yet qualify for Medicare or who need supplemental benefits.
Health Plans of NC agents check eligibility for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost, guiding Guilford County residents through every step of the application process.
Health Plans of NC licensed agents serve Guilford County residents at no cost, comparing every available Medicare Advantage, Medicare Supplement, and Part D plan side by side to help you find the right coverage for your providers and budget. Call 800-797-0327 today to speak with a local agent who can guide you through enrollment, plan changes, and financial assistance programs with no pressure and no fees.
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 Guilford 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 |
|---|---|---|
Chatham Hospital | 475 Progress Blvd, Siler City, NC 27344 | (919) 799-4000 |
Cone Health Alamance Regl Med | 1240 Huffman Mill Rd, Burlington, NC 27215 | (336) 538-7000 |
Cone Health Annie Penn Hosp | 618 S Main St, Reidsville, NC 27320 | (336) 951-4000 |
Cone Health Behavioral Health | 700 Walter Reed Dr, Greensboro, NC 27403 | (336) 832-9700 |
Cone Health Medcenter High Pnt | 2630 Willard Dairy Rd, High Point, NC 27265 | (336) 884-3777 |
Cone Health Moses Cone Hosp | 1121 N Church St, Greensboro, NC 27401 | (336) 832-7000 |
Cone Health Wesley Long Hosp | 2400 W Friendly Ave, Greensboro, NC 27403 | (336) 832-1000 |
Cone Health Women's-Children's | 1121 N Church St, Greensboro, NC 27401 | (336) 832-6500 |
Duke Children's Hosp & Health | 2301 Erwin Rd, Durham, NC 27705 | (919) 668-4000 |
Duke Regional Hospital | 3643 N Roxboro St, Durham, NC 27704 | (919) 470-4000 |
Duke University Hospital | 2301 Erwin Rd, Durham, NC 27705 | (919) 684-8111 |
Durham VA Medical Ctr | 508 Fulton St, Durham, NC 27705 | (919) 286-0411 |
High Point Medical Ctr | 601 N Elm St, High Point, NC 27262 | (336) 878-6000 |
Kindred Healthcare | 2401 S Side Blvd, Greensboro, NC 27406 | (336) 604-2300 |
Lenox Baker Children's Hosp | 3000 Erwin Rd, Durham, NC 27705 | (919) 684-6669 |
North Carolina Specialty Hosp | 3916 Ben Franklin Blvd, Durham, NC 27704 | (919) 956-9300 |
Person Memorial Hospital | 615 Ridge Rd, Roxboro, NC 27573 | (336) 599-2121 |
Randolph Health | 364 White Oak St, Asheboro, NC 27203 | (336) 625-5151 |
Randolph Hospital | 364 White Oak St, Asheboro, NC 27203 | (336) 625-5151 |
Select Specialty Hosp-Durham | 3643 N Roxboro St # 6, Durham, NC 27704 | (984) 569-4040 |
Select Specialty Hosp-Grnsbr | 1200 N Elm St # 5, Greensboro, NC 27401 | (336) 832-5700 |
UNC Hospitals | 101 Manning Dr, Chapel Hill, NC 27514 | (984) 974-1000 |
UNC Rockingham Health Care | 117 E Kings Hwy, Eden, NC 27288 | (336) 623-9711 |
Clinic | Address | Phone |
|---|---|---|
Alamance Ear Nose & Throat LLP | 4030 Oaks Professional Pkwy # 201, Burlington, NC 27215 | (336) 226-0660 |
Alamance Regional Medical Ctr | 1240 Huffman Mill Rd, Burlington, NC 27215 | (336) 538-7000 |
Alamance Regional Pain Clinic | 1236 Huffman Mill Rd # 2000, Burlington, NC 27215 | (336) 538-7180 |
Bethany Medical At North Main | 819 N Main St # 112, High Point, NC 27262 | (336) 289-2299 |
Bethany Medical At South Main | 2805 S Main St, High Point, NC 27263 | (336) 289-2727 |
Bethany Medical Ctr | 3604 Peters Ct, High Point, NC 27265 | (336) 883-0029 |
Bethany Medical Ctr | 3801 W Market St, Greensboro, NC 27407 | (336) 883-0029 |
Bethany Medical Ctr | 507 N Lindsay St, High Point, NC 27262 | (336) 883-0029 |
Central Carolina Health Ntwrk | 1 Centerview Dr # 202, Greensboro, NC 27407 | (336) 292-0665 |
Chapel Hill Obstetrics-Gynecology | 6216 Fayetteville Rd, Durham, NC 27713 | (919) 942-8571 |
Clinical Choice | 7300 Cessna Dr, Greensboro, NC 27409 | (336) 550-4180 |
Cone Health Ctr For Maternal | 930 3rd St # 200, Greensboro, NC 27405 | (336) 890-3255 |
Cone Health Mebane Physical | 102 Medical Park Dr, Mebane, NC 27302 | (919) 304-5060 |
Cone Health Medcenter Mebane | 3940 Arrowhead Blvd # 110, Mebane, NC 27302 | (919) 568-7300 |
Cone Health Outpatient Rehab | 618 S Main St Inside Annie Pen, Reidsville, NC 27320 | (336) 951-4000 |
Cone Health Sleep Disorders | 509 N Elam Ave # 300-D, Greensboro, NC 27403 | (336) 832-0410 |
Cone Health Women's-Children's | 1121 N Church Street Entrance, Greensboro, NC 27401 | (336) 832-6500 |
Duke Cancer Ctr Acute Care | 20 Duke Medicine Cir, Durham, NC 27710 | (919) 668-6608 |
Duke Cancer Ctr Radiation | 20 Duke Medicine Cir, Durham, NC 27710 | (919) 660-2100 |
Duke Children's Health Ctr | 2301 Erwin Rd # 34ththfloor, Durham, NC 27705 | (919) 613-7777 |
Duke Health | 234 Crooked Creek Pkwy # 500, Durham, NC 27713 | (919) 684-3834 |
Duke Pediatric Dermatology | 5324 Mcfarland Rd # 410, Durham, NC 27707 | (919) 684-3432 |
Duke University Med Ctr Gen | , Durham, NC 27701 | (919) 684-2410 |
Duke University Med Ctr Gen | , Durham, NC 27710 | (919) 681-4722 |
Duke University Med Ctr Gen | PO Box 90950, Durham, NC 27708 | (919) 681-2020 |
Duke Wound Mgmt Clinic-Clinic | 40 Duke Medicine Cir, Durham, NC 27710 | (919) 684-3432 |
Health Center Of Hillsborough | 401 Meadowlands Dr # 101, Hillsborough, NC 27278 | (919) 241-5032 |
Lebauer Healthcare At Green | 709 Green Valley Rd, Greensboro, NC 27408 | (336) 547-1792 |
Lebauer Healthcare Grandover | 4023 Guilford College Rd, Greensboro, NC 27407 | (336) 890-2040 |
Lebauer Primary Care At Elam | 520 N Elam Ave, Greensboro, NC 27403 | (336) 547-1792 |
Renaissance Family Medicine | 2525c Phillips Ave, Greensboro, NC 27405 | (336) 832-7711 |
Sleep Disorders Ctr At | 1248 Huffman Mill Rd # 101, Burlington, NC 27215 | (866) 937-6692 |
UNC At Chapel Hill Medical Ctr | Cb 7010, Chapel Hill, NC 27599 | (919) 966-5136 |
UNC Hospitals Lab Hillsborough | 460 Waterstone Dr # Firstfloor, Hillsborough, NC 27278 | (919) 595-5970 |
UNC Hospitals Multispecialty | 101 Manning Dr # Firstfloor, Chapel Hill, NC 27514 | (984) 974-0150 |
University-NC-Health Care | 100 Sprunt St, Chapel Hill, NC 27517 | (919) 966-5500 |
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
Guilford County ZIP Codes include: 27214, 27235, 27249, 27260, 27261, 27262, 27264, 27265, 27268, 27282, 27283, 27301, 27310, 27313, 27342, 27358, 27377, 27395, 27401, 27402, 27403, 27404, 27405, 27406, 27407, 27408, 27409, 27410, 27411, 27412, 27413, 27415, 27416, 27417, 27419, 27420, 27425, 27427, 27429, 27435, 27438, 27455, 27480, 27495, 27497, 27498, and 27499
