Live Worry-Free. Find the Right Medicare Plan in NC. in Johnston County
North Carolina
in North Carolina
Health Plans of NC helps Johnston County, NC residents compare every available Medicare plan for 2026 at no cost, with local knowledge of providers like UNC Health Johnston in Smithfield and WakeMed facilities serving the area.
Johnston County is home to approximately 31,000 Medicare-eligible residents, representing 13.5% of the county's total population of 226,623, and those residents have access to multiple types of Medicare coverage for 2026. Local health systems including UNC Health Johnston in Smithfield and WakeMed participate in Medicare, giving beneficiaries a foundation of in-county hospital and outpatient care regardless of which coverage type they choose. Johnston County residents can select from Medicare Advantage HMO, HMO-POS, and PPO plans, a Dual Special Needs Plan, a standalone Part D prescription drug plan, or a Medicare Supplement policy that works alongside Original Medicare.
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 | $40.00/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 in Johnston County offer structured network coverage through providers such as UNC Health Johnston and affiliated primary care clinics.
Medicare Advantage HMO-POS plans allow Johnston County beneficiaries some flexibility to seek care outside the primary network, including at WakeMed facilities in the Raleigh area.
Medicare Advantage PPO plans give Johnston County residents the broadest in-network and out-of-network flexibility among Advantage plan types, useful for those who see specialists beyond the immediate county.
Medicare Supplement (Medigap) plans work alongside Original Medicare and allow Johnston County seniors to visit any Medicare-accepting provider nationwide, including Smithfield Pulmonology and Clayton Dialysis Center.
Part D Prescription Drug Plans are available as standalone coverage for Johnston County residents enrolled in Original Medicare or a Medicare Supplement plan who need help covering medication costs.
A Dual Special Needs Plan (D-SNP) is available for Johnston County residents who qualify for both Medicare and Medicaid, providing coordinated benefits tailored to their needs.
Blue Cross NC offers eight Medicare plans in Johnston County for 2026, spanning HMO, HMO-POS, PPO, D-SNP, and standalone Part D plan types, giving residents a range of premium and benefit configurations to choose from. Several plans carry a $0 monthly premium beyond Part B, while others include enhanced benefits at a modest additional cost, and all Advantage plans connect beneficiaries to a network that includes UNC Health Johnston and key specialty clinics like Smithfield Pulmonology and Clayton Dialysis Center. Health Plans of NC can walk Johnston County residents through each plan's specific network, drug formulary, and cost-sharing structure at no charge.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, covers medical services through a network that includes UNC Health Johnston and Johnston County primary care providers.
Blue Medicare Essential, HMO, $0.00 per month, provides coordinated HMO coverage with access to in-network facilities such as UNC Health Johnston in Smithfield.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility to essential HMO coverage for Johnston County residents who occasionally need out-of-network access.
Blue Medicare Enhanced, HMO-POS, $40.00 per month, offers an elevated benefit package with point-of-service flexibility, connecting members to UNC Health Johnston and surrounding specialty providers.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, delivers the broadest network access among Johnston County Advantage plans, including WakeMed facilities and Raleigh-area specialists.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, combines a $0 premium with point-of-service access, making it a flexible zero-cost option for Johnston County beneficiaries.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is designed for Johnston County residents who qualify for both Medicare and Medicaid, coordinating benefits across both programs.
Blue Medicare Rx Enhanced PDP, standalone Part D plan, $163.20 per month, provides prescription drug coverage for Johnston County residents enrolled in Original Medicare or a Medigap policy.
Johnston County residents choosing a Medicare Advantage plan for 2026 will find monthly premiums ranging from $0.00 for plans like Blue Medicare Essential and Blue Medicare Freedom+ up to $53.00 per month for the Blue Medicare PPO Enhanced, making Advantage plans a cost-accessible option for many households given the county median household income of $79,838. Residents selecting the standalone Blue Medicare Rx Enhanced PDP for prescription drug coverage will pay $163.20 per month, a cost that can be meaningfully reduced for those who qualify for the Extra Help program based on income and asset thresholds. Health Plans of NC agents help Johnston County residents calculate the full annual cost of each plan, including premiums, copays, and potential out-of-pocket maximums, so beneficiaries can make a financially sound decision.
Part A: $0 premium for most Johnston 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 Johnston County for 2026, offering a total of 8 plans across HMO, HMO-POS, PPO, D-SNP, and standalone Part D plan types. The Blue Cross NC network in Johnston County includes UNC Health Johnston in Smithfield as a primary hospital anchor, along with specialty facilities such as Smithfield Pulmonology, Clayton Dialysis Center, and FastMed Family Medicine locations in Clayton and Garner. WakeMed facilities in the Raleigh metro area also serve Johnston County residents, particularly those enrolled in PPO or HMO-POS plans that allow broader geographic access. The plan type a Johnston County resident selects directly determines whether they can access out-of-county specialists and WakeMed campuses at in-network rates or face higher out-of-pocket costs for those visits. Health Plans of NC compares every Blue Cross NC Medicare plan available in Johnston County side-by-side at no cost, helping residents match a plan to their preferred providers and care needs.
Blue Cross NC, offers HMO, HMO-POS, PPO, D-SNP, and Part D PDP plan types, 8 total Medicare plans available in Johnston County for 2026.
Johnston County residents with limited income and assets may qualify for the federal Extra Help program, also called the Low Income Subsidy, which can reduce or eliminate Part D prescription drug costs for eligible Medicare beneficiaries. Medicare Savings Programs administered through NC Medicaid can help qualifying Johnston County seniors pay their Part B premium and other cost-sharing amounts, providing significant annual savings for those who qualify. Johnston County's uninsured rate of 11.1% and poverty rate of 11.2% reflect a meaningful portion of the community that may be eligible for one or more of these programs, and dual-eligible residents can enroll in the Healthy Blue Medicare DSNP to coordinate benefits across both Medicare and Medicaid. Health Plans of NC agents check eligibility for all available financial assistance programs at no cost to Johnston County residents, ensuring beneficiaries do not leave money-saving benefits on the table.
Extra Help (Low Income Subsidy) can reduce Part D drug plan costs to near $0 per month for qualifying Johnston County Medicare beneficiaries.
Medicare Savings Programs may cover the Part B monthly premium and reduce copays for Johnston County residents who meet income requirements.
The Healthy Blue Medicare DSNP is available to Johnston County residents enrolled in both Medicare and Medicaid, combining benefits into a single coordinated plan at $0 monthly premium.
NC Medicaid may provide additional coverage for low-income Johnston County residents who do not yet qualify for Medicare or need supplemental assistance.
Health Plans of NC agents screen Johnston County residents for all financial assistance programs at no cost and help complete enrollment applications.
Health Plans of NC licensed agents serve Johnston County residents at no cost, comparing every available Medicare plan side-by-side and guiding beneficiaries through enrollment, plan changes, and financial assistance applications. Call 800-797-0327 today to speak with an agent who understands the local provider landscape and can help you find the right coverage for your needs.
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 Johnston 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 |
|---|---|---|
Central Regional Hospital | 300 Veazey Dr, Butner, NC 27509 | (919) 764-2000 |
Duke Raleigh Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609 | (919) 954-3000 |
Granville Health System | 1010 College St, Oxford, NC 27565 | (919) 690-3000 |
Holly Hill Hospital | 3019 Falstaff Rd, Raleigh, NC 27610 | (919) 250-7000 |
Nash General Hospital | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804 | (252) 962-8000 |
PAM Specialty Hosp Of Rocky Mt | 1051 Noell Ln, Rocky Mount, NC 27804 | (252) 451-2300 |
Rex Hospital | 4420 Lake Boone Trl, Raleigh, NC 27607 | (919) 784-3100 |
Strategic Behavioral Ctr Rlgh | 3200 Waterfield Dr, Garner, NC 27529 | (919) 800-4400 |
UNC Health Johnston | 509 N Brightleaf Blvd, Smithfield, NC 27577 | (919) 934-8171 |
UNC Hospitals At Wakebrook | 111 Sunnybrook Rd, Raleigh, NC 27610 | (984) 974-4800 |
WakeMed Cary Hospital | 1900 Kildaire Farm Rd, Cary, NC 27518 | (919) 350-8000 |
WakeMed North Hospital | 10000 Falls Of Neuse Rd, Raleigh, NC 27614 | (919) 350-8000 |
WakeMed Raleigh Campus | 3000 New Bern Ave, Raleigh, NC 27610 | (919) 350-8000 |
Wilson Medical Ctr | 1705 Tarboro St SW, Wilson, NC 27893 | (252) 399-8040 |
Clinic | Address | Phone |
|---|---|---|
Angier Pediatric & Adult Med | 441 Lakestone Commons Ave, Fuquay Varina, NC 27526 | (919) 577-0481 |
Benson Area Medical Ctr Inc | 11801 Vogel St, Raleigh, NC 27617 | (919) 207-4403 |
Beverly Medical Ctr | 6008 Creedmoor Rd, Raleigh, NC 27612 | (919) 844-4552 |
Brier Creek Medical Pavilion | 10207 Cerny St, Raleigh, NC 27617 | (919) 634-6269 |
Carolina Neuropsychology Svc | 3900 Barrett Dr # 102, Raleigh, NC 27609 | (919) 859-9040 |
Carolinas Center For Med | 3600 Glenwood Ave # 120, Raleigh, NC 27612 | (919) 461-5500 |
Clayton Dialysis Ctr | 86 Healthpark Way, Clayton, NC 27520 | (919) 550-7456 |
Clinton Dialysis Unit | 545 E Market St, Smithfield, NC 27577 | (919) 934-2826 |
Duke Raleigh Hosp Palliative | 3404 Wake Forest Rd, Raleigh, NC 27609 | (919) 862-5400 |
Duke Raleigh Hosp Pre | 3300 Executive Dr, Raleigh, NC 27609 | (919) 954-3940 |
Duke Raleigh Hosp | 3404 Wake Forest Rd, Raleigh, NC 27609 | (919) 862-5718 |
Duke Rheumatology Raleigh | 3480 Wake Forest Rd # 414, Raleigh, NC 27609 | (919) 613-2243 |
Duke Spine-Pain Mgmt-Raleigh | 3480 Wake Forest Rd, Raleigh, NC 27609 | (919) 862-5367 |
Duke Women's Health Heritage | 3000 Rogers Rd, Wake Forest, NC 27587 | (919) 385-2940 |
Eastern Carolina Pathology | 2693 Forest Hills Rd SW # B, Wilson, NC 27893 | (252) 234-2841 |
ECU Health Family Medicine | 1704 Glendale Dr. SW, Wilson, NC 27893 | (252) 246-8960 |
Fastmed Family Medicine | 11491 US 70 Business Hwy W, Clayton, NC 27520 | (919) 550-2484 |
Fastmed Family Medicine | 5156 N Carolina 42, Garner, NC 27529 | (919) 329-5000 |
Goshen Medical Ctr Inc | 1624 White Oak Church Rd, Apex, NC 27523 | (941) 267-2042 |
Granville Medical Ctr | 1010 College St, Oxford, NC 27565 | (919) 690-3000 |
Karissa Binkley | 1021 W Williams St # 105, Apex, NC 27502 | (919) 961-9885 |
Meso & Beyond Medical Ctr | 1000 N Main St # 100, Fuquay Varina, NC 27526 | (919) 285-4373 |
Pai Wellness Group | 9380 Falls Of Neuse Rd # 101, Raleigh, NC 27615 | (919) 529-3355 |
Rocky Mt Medical Park | 901 N Winstead Ave, Rocky Mount, NC 27804 | (252) 937-8507 |
Siemens Medical Solutions | 209 Gregson Dr, Cary, NC 27511 | (919) 461-0132 |
Smithfield Pulmonology | 706 Wilkins St # A, Smithfield, NC 27577 | (919) 989-1800 |
Southern Wake Medical Ctr | 415 Wake Chapel Rd, Fuquay Varina, NC 27526 | (919) 552-9143 |
Synchrony Energetics Incl | 3201 Nash St NW # A, Wilson, NC 27896 | (252) 373-4722 |
UNC Fertility | 7920 Acc Blvd # 300, Raleigh, NC 27617 | (919) 908-0000 |
Voyage Anesthesia PC | 101 Forest Dr # D, Knightdale, NC 27545 | (919) 341-0188 |
Wake Health Svc | , Franklinton, NC 27525 | (919) 494-5246 |
WakeMed Brier Creek Healthplex | 8001 T W Alexander Dr, Raleigh, NC 27617 | (919) 350-8000 |
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
Johnston County ZIP Codes include: 27504, 27520, 27524, 27527, 27528, 27542, 27555, 27568, 27569, 27576, 27577, and 27593
