Live Worry-Free. Find the Right Medicare Plan in NC. in Nash County
North Carolina
in North Carolina
Nash County, NC residents exploring Medicare coverage for 2026 can work with Health Plans of NC to compare all available plans from Blue Cross NC, with local care anchored by Nash UNC Health Care in Rocky Mount. Health Plans of NC agents provide free, no-pressure guidance to help every eligible resident find the right plan for their providers, prescriptions, and budget.
Nash County has approximately 18,000 Medicare-eligible residents, representing 19.0% of the county's total population of 95,451, making access to quality Medicare coverage a critical concern for a large share of the community. Nash UNC Health Care serves as the primary health system in the county, and Medicare beneficiaries can access its emergency, surgical, diagnostic, and rehabilitation services through multiple plan types. Coverage options in Nash County span Medicare Advantage HMO, HMO-POS, and PPO plans, a standalone Part D prescription drug plan, and a Dual Special Needs Plan for residents 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 | $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 Nash County allow beneficiaries to receive coordinated care through Nash UNC Health Care and affiliated primary care clinics in Rocky Mount.
Medicare Advantage HMO-POS plans offer the structure of an HMO with limited out-of-network flexibility, useful for Nash County residents who occasionally seek care at regional centers like Duke Raleigh Hospital.
Medicare Advantage PPO plans provide broader provider access, including facilities such as WakeMed Raleigh Campus and Rex Hospital, without requiring referrals for specialist visits.
Medicare Supplement (Medigap) plans pair with Original Medicare to cover out-of-pocket costs at nearly any Medicare-accepting provider nationwide, benefiting Nash County residents who travel or require care at multiple health systems.
Part D Prescription Drug Plans offer standalone drug coverage for Nash County residents on Original Medicare or a Medigap policy, covering medications available at local pharmacies including CVS and Walgreens.
The Dual Special Needs Plan (D-SNP) is designed for Nash County residents who qualify for both Medicare and Medicaid, providing coordinated benefits and disease management support through a single plan.
Blue Cross NC offers eight Medicare plans in Nash County for 2026, ranging from $0-premium Medicare Advantage options to a standalone prescription drug plan, each connecting beneficiaries to provider networks that include Nash UNC Health Care and regional systems such as Granville Health System in Oxford and Wilson Medical Center in Wilson. Plan types include HMO, HMO-POS, PPO, and a Dual Special Needs Plan, giving residents a range of structures to match their care preferences and financial situations. Health Plans of NC agents can walk Nash County residents through each plan's network, drug formulary, and cost-sharing details at no charge.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides access to Nash UNC Health Care and affiliated local providers for Medicare-covered medical services.
Blue Medicare Essential, HMO, $0.00 per month, delivers coordinated care through a defined network including Nash General Hospital and primary care clinics in Rocky Mount.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds out-of-network flexibility beyond the standard HMO structure while keeping the monthly premium at $0.
Blue Medicare Enhanced, HMO-POS, $47.00 per month, offers enhanced benefits within the Nash County provider network, including access to specialists at Rocky Mount Medical Park.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, allows Nash County residents to visit out-of-network providers such as WakeMed Raleigh Campus or Duke Raleigh Hospital with greater freedom.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, combines a $0 premium with HMO-POS flexibility for beneficiaries who want options beyond a strict local network.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is the Dual Special Needs Plan for Nash County residents enrolled in both Medicare and Medicaid, with care coordination through local providers.
Blue Medicare Rx Enhanced PDP, standalone Prescription Drug Plan, $163.20 per month, provides drug coverage for Nash County residents on Original Medicare or a Medigap plan, with preferred pharmacy access at local CVS and Walgreens locations.
In Nash County, 2026 Medicare Advantage plan premiums from Blue Cross NC range from $0.00 per month for plans such as Blue Medicare Essential and Blue Medicare Freedom+ up to $47.00 per month for Blue Medicare Enhanced and $53.00 per month for Blue Medicare PPO Enhanced, making low-cost coverage a realistic option for most residents. The standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20, which is an important cost consideration for residents choosing Original Medicare paired with a Medigap policy. Nash County's median household income of $60,704 means that total annual plan costs, including copays, deductibles, and drug expenses, deserve careful comparison, and Health Plans of NC agents can model the full-year cost of every available plan at no charge.
Part A: $0 premium for most Nash 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 Nash County for 2026, offering a total of eight plans across multiple coverage structures. Plan types available through Blue Cross NC in Nash County include HMO, HMO-POS, PPO, a standalone Prescription Drug Plan, and a Dual Special Needs Plan, giving beneficiaries meaningful variety in how their coverage is structured. Blue Cross NC's provider networks in Nash County include Nash UNC Health Care and PAM Specialty Hospital of Rocky Mount, which are the primary local facilities for inpatient and specialty care. Plan choice also affects access to regional systems outside Nash County, including Duke Raleigh Hospital, WakeMed Raleigh Campus, Granville Health System in Oxford, and Wilson Medical Center, all of which serve Nash County residents who need care beyond the local market. Health Plans of NC compares every available Medicare plan in Nash County side by side at no cost, helping residents find the Blue Cross NC option that best matches their providers, prescriptions, and budget.
Blue Cross NC, offering HMO, HMO-POS, PPO, PDP, and D-SNP plan types, with 8 total Medicare plans available in Nash County for 2026.
Nash County's uninsured rate of 11.8% and poverty rate of 14.0% mean that a meaningful portion of the county's Medicare population may qualify for programs that reduce or eliminate out-of-pocket costs. Extra Help, also known as the Low Income Subsidy, is a federal program that can reduce Part D prescription drug costs to near $0 for qualifying Nash County residents. Medicare Savings Programs can cover the Part B premium and other cost-sharing expenses for residents whose income falls within federal eligibility thresholds. Nash County residents who are enrolled in both Medicare and Medicaid may qualify for the Healthy Blue Medicare DSNP, which coordinates benefits across both programs through a single plan, and Health Plans of NC agents check eligibility for all of these programs at no cost.
Extra Help and the Low Income Subsidy can significantly reduce or eliminate Part D prescription drug premiums and copays for qualifying Nash County residents.
Medicare Savings Programs, including the Qualified Medicare Beneficiary program, can cover Part B premiums and cost-sharing for eligible low-income residents in Nash County.
The Healthy Blue Medicare DSNP is available in Nash County for residents enrolled in both Medicare and Medicaid, providing coordinated care and $0 premium coverage.
NC Medicaid may provide additional coverage and cost assistance for low-income Nash County residents who do not yet qualify for Medicare or who have gaps in their current coverage.
Health Plans of NC agents help Nash County residents apply for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost and with no sales pressure.
Health Plans of NC licensed agents serve Nash County residents at no cost, comparing every available Medicare plan side by side and providing personalized guidance for first-time enrollment, annual plan reviews, and mid-year coverage changes. Call 800-797-0327 to speak with a local agent who can help you find the right plan for your providers, prescriptions, and budget.
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 Nash 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
Nash County ZIP Codes include: 27557, 27802, 27803, 27804, 27807, 27809, 27815, 27816, 27856, 27868, 27878, 27882, and 27891
