Live Worry-Free. Find the Right Medicare Plan in NC. in Madison County
North Carolina
in North Carolina
Health Plans of NC helps Madison County, NC residents compare and enroll in Medicare plans from Blue Cross NC, including coverage options that work with local health systems like Mission Hospital and HCA Healthcare affiliated providers.
Madison County, NC has a population of approximately 21,640 residents, with around 5,000 individuals representing 23.1% of the county eligible for Medicare. Beneficiaries in Madison County have access to coverage through major local health systems including Mission Hospital and HCA Healthcare affiliated providers, as well as facilities like Blue Ridge Regional Hospital in nearby Spruce Pine and the Mars Hill Medical Center at 119 Mountain View Rd. Available Medicare coverage types in Madison County include Medicare Advantage HMO, HMO-POS, and PPO plans, standalone Part D Prescription Drug Plans, Medicare Supplement 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 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 Madison County provide bundled hospital, medical, and often drug coverage through in-network providers including Mission Hospital in Asheville.
Medicare Advantage HMO-POS plans offer point-of-service flexibility, giving Madison County residents some access to out-of-network providers when needed, including Mission Health System clinics.
Medicare Advantage PPO plans allow Madison County beneficiaries to visit both in-network and out-of-network Medicare providers, including Blue Ridge Regional Hospital in Spruce Pine, with varying cost-sharing.
Medicare Supplement plans, also called Medigap, work alongside Original Medicare and let Madison County residents use any provider that accepts Medicare nationwide, including Mission Health System's CarePartners Rehabilitation Hospital.
Part D Prescription Drug Plans provide standalone drug coverage for Madison County seniors who choose Original Medicare or a Medicare Supplement plan without built-in drug benefits.
The Dual Special Needs Plan, or D-SNP, is available in Madison County for residents who qualify for both Medicare and Medicaid, providing coordinated coverage through local Mission Health and HCA Healthcare affiliated providers.
For 2026, Blue Cross NC offers eight Medicare plans in Madison County, spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with several carrying a $0 monthly premium. These plans connect Madison County beneficiaries to provider networks that include Mission Hospital in Asheville, Blue Ridge Regional Hospital in Spruce Pine, Mission Hospital McDowell in Marion, and the Mars Hill Medical Center. Health Plans of NC can walk Madison County residents through every plan option side by side at no cost, helping match coverage to preferred local providers and prescription drug needs.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical-only coverage through in-network providers including Mission Hospital and affiliated Mission Health System clinics in the region.
Blue Medicare Essential, HMO, $0.00 per month, bundles hospital and medical coverage through a defined HMO network that includes key Madison County area providers like Mission Hospital in Asheville.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility to the Essential HMO structure, allowing some access to providers outside the core network including Blue Ridge Regional Hospital.
Blue Medicare Enhanced, HMO-POS, $40.00 per month, offers an enhanced benefit level with HMO-POS flexibility, connecting Madison County residents to Mission Health System facilities including Mission Hospital McDowell in Marion.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, provides the broadest network flexibility of the available plans, allowing Madison County beneficiaries to use both in-network and out-of-network Medicare providers.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, is a $0 premium HMO-POS option connecting Madison County seniors to Mission Health System and affiliated providers including the Mars Hill Medical Center.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is a Dual Special Needs Plan designed for Madison County residents enrolled in both Medicare and Medicaid, coordinating care through local Mission Health and HCA Healthcare affiliated providers.
Blue Medicare Rx Enhanced PDP, Prescription Drug Plan, $163.20 per month, is a standalone Part D drug plan available to Madison County residents who want prescription drug coverage alongside Original Medicare or a Medicare Supplement plan.
Madison County residents can access several Blue Cross NC Medicare Advantage plans for 2026 at a $0 monthly premium, while enhanced plan options like Blue Medicare Enhanced run $40.00 per month and Blue Medicare PPO Enhanced runs $53.00 per month, offering additional benefits or greater network flexibility for those willing to pay a modest premium. Madison County's median household income of $58,628 means that some residents may fall within income thresholds that qualify them for programs designed to reduce Medicare Part D and Part B costs, making it especially worthwhile to review all available assistance options before selecting a plan. Health Plans of NC reviews every available plan and assistance program with Madison County residents at no cost, ensuring each beneficiary finds coverage that fits both their healthcare needs and their budget.
Part A: $0 premium for most Madison 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 Madison County for 2026, offering a total of eight Medicare plans across multiple plan types. The available plan types include Medicare Advantage HMO, HMO-POS, and PPO options, a standalone Part D Prescription Drug Plan, and a Dual Special Needs Plan, giving Madison County beneficiaries a range of structures to choose from. Blue Cross NC Medicare Advantage networks in western North Carolina include Mission Hospital in Asheville, Blue Ridge Regional Hospital in Spruce Pine, Mission Hospital McDowell in Marion, and Mission Health System affiliated clinics such as the Mars Hill Medical Center at 119 Mountain View Rd. The plan type a Madison County beneficiary selects directly affects which specialists, hospitals, and community clinics they can access at the lowest cost, including facilities like Mission Health System's CarePartners Rehabilitation Hospital and Asheville Cardiology Associates locations in the region. Health Plans of NC compares every Blue Cross NC Medicare plan available in Madison County side by side at no cost, so residents are never limited to a single plan recommendation.
Blue Cross NC, offering Medicare Advantage HMO, HMO-POS, and PPO plans, a standalone Part D Prescription Drug Plan, and a D-SNP, with a total of eight plans available in Madison County for 2026.
Madison County residents with limited income 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 in North Carolina to help cover Part B premiums and other out-of-pocket costs for seniors who meet income and resource requirements. Madison County has an uninsured rate of 8.7% and a poverty rate of 11.4%, meaning a meaningful share of residents may qualify for one or more of these assistance programs and should review their eligibility before choosing a plan. Health Plans of NC checks eligibility for every available assistance program at no cost, including the Healthy Blue Medicare D-SNP for Madison County residents who qualify for both Medicare and Medicaid.
Extra Help and the Low Income Subsidy program can significantly reduce monthly Part D prescription drug premiums and copayments for qualifying Madison County residents.
Medicare Savings Programs administered through North Carolina Medicaid can cover Part B premiums entirely for eligible low-income Madison County beneficiaries.
The Healthy Blue Medicare D-SNP is available at $0 per month for Madison County residents who are enrolled in both Medicare and Medicaid and qualify for dual-eligible coordinated care.
NC Medicaid provides an additional layer of coverage for low-income Madison County residents who meet eligibility criteria alongside their Medicare enrollment.
Health Plans of NC licensed agents help Madison County residents check eligibility for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost and with no obligation.
Health Plans of NC licensed agents serve Madison 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 and assist with enrollment or plan changes. Call us today at 800-797-0327 to speak with a local agent who understands Madison County's healthcare providers and Medicare options.
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 Madison 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 |
|---|---|---|
Adventhealth Hendersonville | 100 Hospital Dr, Hendersonville, NC 28792 | (828) 684-8501 |
Asheville Specialty Hospital | 428 Biltmore Ave # 4, Asheville, NC 28801 | (828) 213-5400 |
Asheville VA Medical Ctr | 1100 Tunnel Rd, Asheville, NC 28805 | (828) 298-7911 |
Blue Ridge Regional Hospital | 125 Hospital Dr, Spruce Pine, NC 28777 | (828) 765-4201 |
Broughton Hospital | 1000 S Sterling St, Morganton, NC 28655 | (828) 433-2111 |
Caldwell UNC Health Care | 321 Mulberry St SW, Lenoir, NC 28645 | (828) 757-5100 |
Charles A Cannon Jr Meml Hosp | 434 Hospital Dr, Newland, NC 28657 | (828) 737-7000 |
Forum Health Asheville | 1312 Patton Ave, Asheville, NC 28806 | (828) 252-9833 |
Mission Children's Hospital | 11 Vanderbilt Park Dr, Asheville, NC 28803 | (828) 213-1740 |
Mission Hospital Mcdowell | 430 Rankin Dr, Marion, NC 28752 | (828) 659-5000 |
Mission Hospital | 509 Biltmore Ave, Asheville, NC 28801 | (828) 213-1111 |
Pardee UNC Health Care | 800 N Justice St, Hendersonville, NC 28791 | (828) 696-1000 |
St Luke's Hospital | 101 Hospital Dr, Columbus, NC 28722 | (828) 894-3311 |
St Lukes Hospital | 101 Hospital Dr, Columbus, NC 28722 | (828) 894-3311 |
UNC Health Blue Ridge | 2201 S Sterling St, Morganton, NC 28655 | (828) 580-5000 |
UNC Health Care Blue Ridge | 720 Malcolm Blvd, Valdese, NC 28690 | (828) 580-7640 |
Clinic | Address | Phone |
|---|---|---|
AMCHC | 225 Patton Ave # 200, Asheville, NC 28801 | (828) 412-5315 |
Apex Brain Ctr | 600 Julian Ln # 650, Arden, NC 28704 | (828) 708-5274 |
Asheville Cardiology Assoc-MRN | 472 Rankin Dr # Entrance3, Marion, NC 28752 | (828) 652-0005 |
Asheville Cardiology Assoc | 189 Hospital Dr # 2ndfloor, Spruce Pine, NC 28777 | (828) 274-6000 |
Asheville Cardiology Assoc | 387 US 70 W, Marion, NC 28752 | (828) 274-6000 |
Asheville Cardiology Assoc | 589 Peniel Rd, Columbus, NC 28722 | (828) 274-6000 |
Asheville Children's Med Ctr | 7 Vanderbilt Park Dr # 100a, Asheville, NC 28803 | (828) 258-0969 |
Asheville Orthopaedic Assoc | 1 Hospital Dr, Asheville, NC 28801 | (828) 252-7331 |
Asheville Orthopaedic Assoc | 2315 Asheville Hwy, Hendersonville, NC 28791 | (828) 782-9330 |
Asheville Orthopaedic Assoc | 472 Rankin Dr # Entrance3, Marion, NC 28752 | (828) 252-7331 |
Atrium Health At Hm-Hm Med | 141 Fiddlers Run Blvd, Morganton, NC 28655 | (828) 879-9050 |
Atrium Health At Home | 141 Fiddlers Run Blvd, Morganton, NC 28655 | (828) 580-6450 |
Atrium Health Shelby Women's | 446 N Carolina 108, Rutherfordton, NC 28139 | (980) 487-2570 |
Blue Ridge Med Ctr Mayland | , Spruce Pine, NC 28777 | (828) 765-4113 |
Blue Ridge Med Ctr Yancy Cmps | 800 Medical Campus Dr, Burnsville, NC 28714 | (828) 682-0200 |
Blue Ridge Med Ctr-Yancey Cmps | 125 Hospital Dr, Spruce Pine, NC 28777 | (828) 765-4201 |
Carolina Spine & Neurosurgery | 2315 Asheville Hwy, Hendersonville, NC 28791 | (828) 255-7776 |
Carolinas Healthcare Syst Blue | 1766 Connelly Springs Rd, Lenoir, NC 28645 | (828) 728-8224 |
Carolinas Medical Ctr At Hm | 141 Fiddlers Run Blvd, Morganton, NC 28655 | (828) 580-6441 |
Catawba Valley Medical Ctr | 309 S College St, Morganton, NC 28655 | (828) 326-3803 |
Fastmed Family Medicine | 160 Hendersonville Rd, Asheville, NC 28803 | (828) 210-2835 |
Gastroenterology-Mission | 11 Vanderbilt Park Dr # 2, Asheville, NC 28803 | (828) 213-1740 |
Happy Valley Medical Ctr | 1345 NC Highway 268, Lenoir, NC 28645 | (828) 754-6850 |
Keys Of Hope Medical Ctr | 295 Carson St # K, Marion, NC 28752 | (828) 659-6334 |
Levine Cancer Inst-Blue Ridge | 720 Malcolm Blvd, Connelly Springs, NC 28612 | (828) 580-7536 |
Mars Hill Medical Ctr | 119 Mountain View Rd, Mars Hill, NC 28754 | (828) 689-3507 |
Mauzy-Phillips Ctr | 125 Hospital Dr, Spruce Pine, NC 28777 | (828) 766-3555 |
Mission Children's Outpatient | 11 Vanderbilt Park Dr, Asheville, NC 28803 | (828) 213-1740 |
Mission Children's Specialists | 11 Vanderbilt Prk Dr # 2ndfloor, Asheville, NC 28803 | (828) 213-1740 |
Mission Community Medicine-Brk | 149 W Parker Rd, Morganton, NC 28655 | (828) 433-4933 |
Mission Community Medicine-Nb | 339 Nebo School Rd, Nebo, NC 28761 | (828) 652-6326 |
Mission Community Orthopedics | 189 Hospital Dr # 2ndfloor, Spruce Pine, NC 28777 | (828) 766-3555 |
Mission Community Urological | 189 Hospital Dr # 2ndfloor, Spruce Pine, NC 28777 | (828) 766-3555 |
Mission Health Ctr Highway 70 | 387 US 70 W, Marion, NC 28752 | (828) 652-6386 |
Mission Health Ctr Sugar Hill | 1633 Sugar Hill Rd, Marion, NC 28752 | (828) 652-7776 |
Mission Health Mauzy-Phillips | 189 Hospital Dr # 2ndfloor, Spruce Pine, NC 28777 | (828) 766-3555 |
Mission Health Partners | 50 Schenck Pkwy, Asheville, NC 28803 | (828) 213-3250 |
Mission Hospital-Smoking | 1 Hospital Dr, Asheville, NC 28801 | (828) 213-5527 |
Mission Hospital-St Joseph | 428 Biltmore Ave, Asheville, NC 28801 | (828) 213-1111 |
Mission Medical Oncology | 430 Rankin Dr # Entrance3, Marion, NC 28752 | (800) 506-2550 |
Mission Neurology Svc | 509 Biltmore Ave, Asheville, NC 28801 | (828) 213-1439 |
Mission Neurology-Outpatient | 1 Hospital Dr # 3200, Asheville, NC 28801 | (828) 213-9530 |
Mission Orthopedic Trauma Svc | 1 Hospital Dr # 4200, Asheville, NC 28801 | (828) 213-1994 |
Mission Outpatient Svc Sugar | 1633 Sugar Hill Rd # Entranceb, Marion, NC 28752 | (828) 252-7331 |
Mission St Joseph's Health | 890 Hendersonville Rd, Asheville, NC 28803 | (828) 274-7026 |
Mission Urology-Asheville | 1 Hospital Dr # 4100, Asheville, NC 28801 | (828) 254-8883 |
Mission Urology-Mcdowell | 472 Rankin Dr # Entrance3, Marion, NC 28752 | (828) 659-5700 |
Mission Weight Management | 1 Hospital Dr # 3400, Asheville, NC 28801 | (828) 213-4100 |
Mission Women's Care-Spruce Pn | 189 Hospital Dr # 2ndfloor, Spruce Pine, NC 28777 | (828) 766-3555 |
Mission Workwell-Medical Park | 2 Medical Park Dr # 102, Asheville, NC 28803 | (828) 213-9600 |
Occupational Medicine Ctr | 288 S Ridgecrest Ave, Rutherfordton, NC 28139 | (828) 286-5508 |
Sloop Medical Office Plaza | 436 Hospital Dr, Newland, NC 28657 | (828) 733-0280 |
Stonecreek Health & Rehab LLC | 455 Victoria Rd, Asheville, NC 28801 | (828) 225-3829 |
Surgical Specialist-Carolina | 1998 Hendersonville Rd # 40, Asheville, NC 28803 | (828) 585-2575 |
Valdese Patient Svc Ctr | 730 Malcolm Blvd # 160, Rutherford College, NC 28671 | (828) 580-7456 |
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
Madison County ZIP Codes include: 28743, 28753, and 28754
