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Pamlico County

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Pamlico County, NC residents have access to 7 Medicare plans for 2026 through Blue Cross NC, and Health Plans of NC helps local seniors compare every option at no cost, including plans that work with CarolinaEast Medical Center in New Bern.


What Medicare options are available in Pamlico County, NC?

Pamlico County, NC has a population of 12,315, and approximately 4,000 residents, representing 30.7% of the county, are eligible for Medicare, reflecting the area's notably high share of older adults in a small-town coastal setting. Seniors in Pamlico County have access to major regional health systems including CarolinaEast Medical Center in New Bern and ECU Health Beaufort Hospital in Washington, both of which accept Medicare and serve as primary referral destinations for county residents. Coverage options available to Pamlico County Medicare beneficiaries span several plan types, from zero-premium Medicare Advantage HMO and HMO-POS plans to standalone Part D drug coverage 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

$47.00/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 are available in Pamlico County and may include access to primary care and specialist services at CarolinaEast Medical Center in New Bern.

  • Medicare Advantage HMO-POS plans give Pamlico County seniors added flexibility to see providers both inside and outside the plan network, including at ECU Health facilities in the region.

  • Medicare Supplement (Medigap) plans are accepted by any provider nationwide that accepts Medicare, making them a strong fit for Pamlico County retirees who travel or use multiple regional health systems.

  • Part D Prescription Drug Plans are available as standalone coverage for Pamlico County residents enrolled in Original Medicare or a Medicare Supplement plan who need help covering medication costs.

  • Dual Special Needs Plans (D-SNP) are available in Pamlico County for residents who qualify for both Medicare and Medicaid, providing coordinated benefits through a single plan.


What Medicare plans are available in Pamlico County for 2026?

For 2026, Blue Cross NC offers seven Medicare plans in Pamlico County, including multiple HMO and HMO-POS Medicare Advantage options, a standalone Part D prescription drug plan, and a Dual Special Needs Plan for dual-eligible residents. Several of these plans carry a $0 monthly premium, making them accessible options for Pamlico County seniors who want structured coverage with built-in benefits while using regional providers like CarolinaEast Medical Center and ECU Health Beaufort Hospital. Pamlico County residents should verify that their preferred hospitals and physicians are in-network before enrolling in any HMO or HMO-POS plan, since network participation directly affects out-of-pocket costs.

  • Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical-only coverage with access to in-network providers in the Pamlico County area including CarolinaEast Medical Center.

  • Blue Medicare Essential, HMO, $0.00 per month, offers structured HMO coverage for Pamlico County seniors coordinating care through a primary care provider within the Blue Cross NC network.

  • Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility for Pamlico County enrollees who occasionally need to see providers outside the standard HMO network.

  • Blue Medicare Enhanced, HMO-POS, $47.00 per month, provides an enhanced benefit package with HMO-POS network access for Pamlico County seniors who want richer plan features for a modest monthly premium.

  • Blue Medicare Freedom+, HMO-POS, $0.00 per month, gives Pamlico County residents a zero-premium HMO-POS option with the flexibility to access care at regional health systems in eastern North Carolina.

  • Healthy Blue Medicare D-SNP, HMO-POS, $0.00 per month, is designed for Pamlico County residents who are enrolled in both Medicare and Medicaid and coordinates benefits across both programs.

  • Blue Medicare Rx Enhanced PDP, standalone Part D prescription drug plan, $163.20 per month, provides prescription coverage for Pamlico County residents on Original Medicare or a Medigap plan who need dedicated drug benefit protection.


How much does Medicare cost in Pamlico County?

In Pamlico County, most Medicare Advantage plans from Blue Cross NC are available at $0.00 per month beyond standard government premiums, with the Blue Medicare Enhanced HMO-POS plan priced at $47.00 per month and the Blue Medicare Rx Enhanced PDP standalone drug plan priced at $163.20 per month. With a median household income of $61,624 in Pamlico County, many seniors are budget-conscious, and the availability of multiple zero-premium Advantage plans gives residents meaningful options for managing monthly healthcare expenses. Pamlico County residents who need help evaluating total plan costs, including copays, deductibles, and drug formularies, can work with Health Plans of NC agents at no cost to find the most affordable combination of coverage for their specific situation.

  • Part A: $0 premium for most Pamlico 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.


Which insurance companies offer Medicare plans in Pamlico County for 2026?

Blue Cross NC is the Medicare carrier serving Pamlico County for 2026, offering a total of 7 plans across multiple plan types including HMO, HMO-POS, a standalone Part D prescription drug plan, and a Dual Special Needs Plan. The HMO and HMO-POS plan structures from Blue Cross NC interact with regional health systems in eastern North Carolina, including CarolinaEast Medical Center in New Bern, ECU Health Medical Center in Greenville, ECU Health Beaufort Hospital in Washington, Carteret Health Care in Morehead City, and UNC Lenoir Health Care in Kinston. The plan a Pamlico County resident selects directly determines which of these facilities and specialists they can access at the lowest possible cost under their coverage. Pamlico County seniors who rely on specialists at multiple regional health systems should carefully review in-network status for each plan before enrolling, since HMO plans in particular may limit coverage to a defined set of providers. Health Plans of NC agents compare every available Medicare plan in Pamlico County side by side at no cost, helping residents identify the option that best matches their providers, prescriptions, and budget.

  • Blue Cross NC, offering HMO, HMO-POS, Part D PDP, and D-SNP plan types, with 7 total Medicare plans available to Pamlico County residents for 2026.


Who qualifies for Medicare financial assistance in Pamlico County?

Pamlico County residents with limited income and resources may qualify for the federal Extra Help program, also called the Low Income Subsidy, which can reduce or eliminate Part D prescription drug premiums and copays for eligible Medicare beneficiaries. Medicare Savings Programs are available to help qualifying Pamlico County seniors cover Part B premiums, deductibles, and cost-sharing, reducing the overall financial burden of Medicare enrollment. With an uninsured rate of 8.6% and a poverty rate of 12.4% in Pamlico County, a meaningful share of local residents may be eligible for these programs and for the Healthy Blue Medicare D-SNP plan, which coordinates benefits for those enrolled in both Medicare and Medicaid. Health Plans of NC agents check eligibility for every available assistance program at no cost, ensuring Pamlico County seniors are not leaving money-saving benefits on the table.

  • Extra Help and Low Income Subsidy programs can reduce Part D drug plan premiums and copays to near zero for Pamlico County residents who meet federal income and resource limits.

  • Medicare Savings Programs can pay some or all of the Part B premium for qualifying Pamlico County seniors, significantly lowering monthly out-of-pocket Medicare costs.

  • The Healthy Blue Medicare D-SNP is available in Pamlico County for residents who qualify for both Medicare and Medicaid, providing coordinated care and additional cost protections through a single plan.

  • NC Medicaid may provide additional coverage for low-income Pamlico County residents who do not yet qualify for Medicare or who need benefits beyond what Medicare provides.

  • Health Plans of NC agents screen Pamlico County residents for all available assistance programs at no cost and guide eligible individuals through the application process with no obligation.


Get free Medicare help in Pamlico County

Health Plans of NC licensed agents serve Pamlico County residents at no cost, comparing every available 2026 Medicare plan side by side and helping with enrollment, plan changes, and financial assistance screening. Call us today at 800-797-0327 to get personalized, no-pressure guidance from an agent who knows the Pamlico County healthcare landscape.

  • 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 Pamlico 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.


What hospitals are in Pamlico County?

Hospital

Address

Phone

Carolina East Medical Ctr

2000 Neuse Blvd, New Bern, NC 28560

(252) 633-8111

Carteret Health Care

3500 Arendell St, Morehead City, NC 28557

(252) 499-6000

Cherry Hospital

1401 W Ash St, Goldsboro, NC 27530

(919) 947-7000

ECU Health Beaufort Hosp A

628 E 12th St, Washington, NC 27889

(252) 975-4100

ECU Health Maynard Children's

2102 Stantonsburg Rd, Greenville, NC 27834

(252) 816-3714

ECU Health Medical Ctr

2100 Stantonsburg Rd, Greenville, NC 27834

(252) 847-4100

UNC Lenoir Health Care

100 Airport Rd, Kinston, NC 28501

(252) 522-7000

Walter B Jones Alcohol & Drug

2577 W 5th St, Greenville, NC 27834

(252) 830-3426

Wayne MEMORIAL Hospital

2605 Medical Office Pl, Goldsboro, NC 27534

(919) 731-6112

Wayne UNC Health Care

2700 Wayne Memorial Dr, Goldsboro, NC 27534

(919) 736-1110


What clinics are in Pamlico County?

Clinic

Address

Phone

Abhishek K Mishra MD

701 Doctors Dr, Kinston, NC 28501

(252) 559-2200

Acupuncture Of Eastern NC

1425 S Glenburnie Rd # 6, New Bern, NC 28562

(252) 665-3294

Audit-Tel

, Greenville, NC 27858

(252) 353-3331

Cape Carteret Family Medicine

1057d Cedar Point Blvd # D, Cedar Point, NC 28584

(252) 764-2121

Community Care Plan-Eastern

521 Moye Blvd # C, Greenville, NC 27834

(252) 816-0830

East Carolina Heart Inst

526 Moye Blvd, Greenville, NC 27834

(252) 847-5755

East Carolina Univ Family Med

101 Heart Dr, Greenville, NC 27834

(252) 744-4611

East Coast Onsite Medical Care

505 Greenville Blvd SE, Greenville, NC 27858

(252) 754-2273

Ecu Department-Family Medicine

101 Heart Dr, Greenville, NC 27834

(252) 744-2607

ECU Health Bover Hospital

1209 Brown St, Washington, NC 27889

(252) 975-4308

ECU Health Family Medicine-LA

101 S Carey St, La Grange, NC 28551

(252) 566-4021

ECU Health Gamma Knife Ctr

2100 Stantonsburg Rd, Greenville, NC 27834

(252) 847-2611

ECU Health Gastroenterology

521 Moye Blvd # C, Greenville, NC 27834

(252) 816-0800

ECU Health Heart-Vascular Care

701 Doctors Dr # B, Kinston, NC 28501

(252) 559-2200

ECU Health Sleep Ctr-Grnvll

4 Doctors Park Medical Dr, Greenville, NC 27834

(252) 847-7500

Goshen Medical Ctr-Fremont

109 S Sycamore St, Fremont, NC 27830

(919) 242-4382

Goshen Medical Ctr

2001 Neuse Blvd, New Bern, NC 28560

(910) 219-1082

Goshen Medical Ctr

325 N Carolina Highway 55, Mount Olive, NC 28365

(919) 658-5900

Healthfirst Medical Ctr Inc

1201 Carolina Ave, Washington, NC 27889

(252) 833-0365

Lindsey Roberson FNP

701 Doctors Dr, Kinston, NC 28501

(252) 559-2200

Med Center 1

1688 E Arlington Blvd, Greenville, NC 27858

(252) 353-1464

Miracles In Sight

620 Red Banks Rd, Greenville, NC 27858

(252) 751-0785

Snow Hill Medical Ctr

1106 Kingold Blvd, Snow Hill, NC 28580

(252) 747-2921

UNC Family Medicine At Rswd

2600 US Highway 70 W, Goldsboro, NC 27530

(919) 739-4808

Vidant Medical Ctr

3900 E 10th St, Greenville, NC 27858

(252) 847-4325

Vidant Outpatient Rehab

2310 Stantonsburg Rd, Greenville, NC 27834

(252) 847-6603

Vitality Health & Wellness

1429 E Fire Tower Rd # 104, Greenville, NC 27858

(252) 364-2802

Westcare Innovative Healthcare

2710 Beddard Rd, Grimesland, NC 27837

(252) 754-0920


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Blue Medicare Supplement

Blue Medicare Supplement from Blue Cross and Blue Shield of North Carolina
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Blue Medicare Supplement ℠ from Blue Cross and Blue Shield of North Carolina

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.

With Blue Medicare Supplement, you’ll enjoy:

• 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

Blue-to-Blue ℠: Flexibility to change

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

Guaranteed acceptance

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

No waiting periods

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.

SilverSneakers®

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

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In your community: • Group activities and classes5 offered outside the gym

Always talk with your doctor before starting an exercise program.

TruHearing® 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.

About Blue Cross NC

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.

Ready to get started? Contact me today to:

• 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

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Pamlico County ZIP Codes include: 28509, 28510, 28515, 28529, 28537, 28552, 28556, 28571, 28583, and 28587

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