Live Worry-Free. Find the Right Medicare Plan in NC. in Lee County
North Carolina
in North Carolina
Lee County, NC residents have access to 8 Medicare plans for 2026 through Blue Cross NC, and Health Plans of NC provides free, personalized plan comparisons for every eligible beneficiary in the county, including those served by Central Carolina Hospital and UNC Health.
Lee County, NC has approximately 11,000 Medicare-eligible residents, representing 16.9% of the county's total population of 64,565, all of whom have access to multiple Medicare coverage types for 2026. Local health systems including Central Carolina Hospital in Sanford and UNC Health accept Medicare, giving beneficiaries a range of in-network options depending on the plan type they choose. Coverage categories available to Lee County residents include Medicare Advantage HMO, HMO-POS, and PPO plans, a Dual Special Needs Plan, a standalone Part D prescription drug plan, and Medicare Supplement policies that work 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 | $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 in Lee County provide bundled hospital, medical, and drug coverage with care coordinated through providers affiliated with Central Carolina Hospital.
Medicare Advantage HMO-POS plans offer the structure of an HMO with added flexibility to seek care outside the network in certain situations, useful for Lee County residents who occasionally travel beyond Sanford.
Medicare Advantage PPO plans give Lee County beneficiaries the broadest in-network and out-of-network access among Advantage plan types, including access to UNC Health facilities.
Medicare Supplement (Medigap) plans work alongside Original Medicare and allow Lee County seniors to use any Medicare-accepting provider nationwide, including Central Carolina Hospital and UNC Health.
Part D Prescription Drug Plans provide standalone drug coverage for Lee County residents enrolled in Original Medicare or a Medicare Supplement plan who need separate prescription benefits.
Dual Special Needs Plans (D-SNP) are available to Lee County residents who qualify for both Medicare and Medicaid, coordinating benefits across both programs through a single plan.
Blue Cross NC offers eight Medicare plans in Lee County for 2026, spanning HMO, HMO-POS, PPO, D-SNP, and Part D prescription drug plan types, each with distinct network structures and cost-sharing arrangements. Several plans carry $0 monthly premiums and are designed to work with providers in and around Sanford, including those affiliated with Central Carolina Hospital, while premium-bearing plans offer enhanced benefits at a predictable monthly cost. Lee County residents can compare all eight plans side by side through Health Plans of NC at no cost to identify which plan best fits their providers, prescriptions, and budget.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides hospital and medical coverage through an HMO-POS network that includes Central Carolina Hospital in Sanford.
Blue Medicare Essential, HMO, $0.00 per month, bundles hospital, medical, and drug coverage into a $0-premium HMO plan available to Lee County beneficiaries through local Blue Cross NC network providers.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility to the Essential plan structure, allowing Lee County residents limited access to providers outside the HMO network.
Blue Medicare Enhanced, HMO-POS, $47.00 per month, offers enhanced benefits above the Essential tier through an HMO-POS network that includes providers serving the Lee County area.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, provides the widest network access among Blue Cross NC Advantage plans in Lee County, including in-network and out-of-network coverage options.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, combines a $0 premium with HMO-POS flexibility, designed for Lee County seniors who want low-cost coverage with some out-of-network access.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan for Lee County residents enrolled in both Medicare and Medicaid, coordinating benefits through a single $0-premium plan.
Blue Medicare Rx Enhanced PDP, Part D Prescription Drug Plan, $163.20 per month, provides standalone drug coverage for Lee County residents on Original Medicare or a Medigap policy who need a separate prescription plan.
For 2026, Lee County residents can choose from multiple Blue Cross NC Medicare Advantage plans with monthly premiums ranging from $0 for plans like Blue Medicare Essential and Blue Medicare Freedom+ to $47 per month for Blue Medicare Enhanced and $53 per month for Blue Medicare PPO Enhanced, while the standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20. Lee County's median household income of $63,060 means that some residents may fall within income thresholds that qualify them for federal programs designed to reduce Medicare out-of-pocket costs, particularly for prescription drug coverage. Health Plans of NC agents can review a beneficiary's full financial picture to identify whether any premium reduction or cost-sharing assistance programs apply to their specific situation.
Part A: $0 premium for most Lee 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 Lee County residents for 2026, with a total of 8 plans available in the county spanning a broad range of coverage structures. Plan types offered by Blue Cross NC in Lee County include HMO, HMO-POS, PPO, D-SNP, and Part D Prescription Drug Plans, giving beneficiaries meaningful flexibility in how they structure their coverage. The Blue Cross NC provider network in Lee County connects directly to Central Carolina Hospital in Sanford and extends to facilities affiliated with UNC Health, making network verification a critical step before enrollment. Selecting the right plan affects not only monthly costs but also access to specific physicians, specialists, and facilities in and around the Sanford area, so understanding each plan's network scope is essential. Health Plans of NC agents compare every available Blue Cross NC Medicare plan side by side for Lee County residents at no cost, ensuring beneficiaries make informed enrollment decisions.
Blue Cross NC, offering HMO, HMO-POS, PPO, D-SNP, and Part D PDP plan types, with 8 total Medicare plans available in Lee County for 2026.
Lee County residents with limited income and resources 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 $0 and lower plan deductibles and copayments significantly. Medicare Savings Programs can help qualifying Lee County seniors have their Part B premiums paid on their behalf by the state, reducing a significant recurring expense for those who meet income guidelines. Lee County's uninsured rate of 12.4% and poverty rate of 15.5% indicate that a meaningful portion of local seniors may be eligible for one or more of these assistance programs, yet many go unenrolled simply because they are unaware of their options. Health Plans of NC agents screen Lee County residents for every available assistance program at no cost and assist with the application process from start to finish.
Extra Help (Low Income Subsidy) can reduce Part D drug plan premiums, deductibles, and copayments for Lee County residents who meet federal income and resource limits.
Medicare Savings Programs administered through North Carolina Medicaid can cover Part B premiums for qualifying Lee County seniors, removing a recurring monthly cost.
The Healthy Blue Medicare DSNP is available to Lee County residents enrolled in both Medicare and Medicaid, coordinating benefits and reducing out-of-pocket costs through a single $0-premium plan.
NC Medicaid may provide additional coverage for low-income Lee County residents who do not yet qualify for Medicare or who need benefits beyond what Medicare covers.
Health Plans of NC agents check eligibility for all financial assistance programs at no cost and help Lee County beneficiaries apply, ensuring no available savings are left on the table.
Health Plans of NC licensed agents serve Lee County residents at no cost, comparing every available Medicare Advantage, Medicare Supplement, and Part D plan side by side to find the right fit for your providers, prescriptions, and budget. Call 800-797-0327 today to speak with a local agent who can guide you through enrollment, plan changes, and financial assistance options with no pressure and no obligation.
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 Lee 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 |
|---|---|---|
Atrium Health Anson | 2301 US Highway 74 W, Wadesboro, NC 28170 | (704) 994-4500 |
Betsy Johnson Hospital | 800 Tilghman Dr, Dunn, NC 28334 | (910) 892-1000 |
Cape Fear Valley Medical Ctr | 1638 Owen Dr, Fayetteville, NC 28304 | (910) 615-4000 |
Central Carolina Hospital | 1135 Carthage St, Sanford, NC 27330 | (919) 774-2100 |
Central Harnett Hospital | 215 Brightwater Dr, Lillington, NC 27546 | (910) 892-1000 |
Fayetteville VA Hosp Med Ctr | 2300 Ramsey St, Fayetteville, NC 28301 | (910) 488-2120 |
First Health Montgomery Meml | 520 Allen St, Troy, NC 27371 | (910) 571-5000 |
First Health Moore Regl Hosp-Hk | 6408 Fayetteville Rd, Raeford, NC 28376 | (910) 878-6000 |
First Health Moore Regl Hosp | 155 Memorial Dr, Pinehurst, NC 28374 | (910) 715-1000 |
First HealthMoore Regl Hosp | 925 S Long Dr, Rockingham, NC 28379 | (910) 417-3000 |
Highsmith-Rainey Spec Hosp | 150 Robeson St, Fayetteville, NC 28301 | (910) 615-1000 |
Hoke Hospital | 210 Medical Pavilion Dr, Raeford, NC 28376 | (910) 904-8000 |
Scotland Memorial Hospital | 500 Lauchwood Dr, Laurinburg, NC 28352 | (910) 291-7000 |
Womack Army Medical Ctr | 2817 Reilly St, Fort Bragg, NC 28310 | (910) 907-6000 |
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-Gynclgy | 6216 Fayetteville Rd, Durham, NC 27713 | (919) 942-8571 |
Clinical Choice | 7300 Cessna Dr, Greensboro, NC 27409 | (336) 550-4180 |
Cone Health Covid-19 Testing | 1238 Huffman Mill Rd, Burlington, NC 27215 | (336) 890-1140 |
Cone Health Covid-19 Testing | 1830 Lendew St, Greensboro, NC 27408 | (336) 890-1140 |
Cone Health Covid-19 Testing | 2363 Corporation Pkwy, Burlington, NC 27215 | (336) 890-1140 |
Cone Health Covid-19 Testing | 525 Maple Ave, Reidsville, NC 27320 | (336) 890-1140 |
Cone Health Covid-19 Testing | 617 S Main St, Reidsville, NC 27320 | (336) 890-1140 |
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
Lee County ZIP Codes include: 27237, 27330, 27331, 27332, and 28355
