Live Worry-Free. Find the Right Medicare Plan in NC. in Stokes County
North Carolina
in North Carolina
Health Plans of NC helps Stokes County, NC residents find and enroll in the right Medicare plan for 2026, with access to all 8 available Blue Cross NC plans and local coverage through health systems including Lifebrite Community Hospital in Danbury and Northern Regional Hospital in Mount Airy.
Stokes County, North Carolina is home to approximately 44,889 residents, and around 10,000 of them, representing 22.5% of the county population, are eligible for Medicare coverage. Stokes County Medicare beneficiaries have access to multiple coverage types through Blue Cross NC, including Medicare Advantage, Medicare Supplement, Part D prescription drug plans, and a Dual Special Needs Plan designed for residents enrolled in both Medicare and Medicaid. Local health systems that accept Medicare and serve Stokes County residents include Lifebrite Community Hospital and Stokes Reynolds Memorial Hospital in Danbury, Northern Regional Hospital in Mount Airy, and major regional referral centers such as Atrium Health Wake Forest Baptist and Novant Health Forsyth Medical Center in Winston-Salem.
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 | $30.00/month |
Blue Medicare PPO Enhanced | PPO | $35.00/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 Stokes County through Blue Cross NC and are accepted at Lifebrite Community Hospital in Danbury for covered inpatient and outpatient services.
Medicare Advantage HMO-POS plans give Stokes County residents the option to access both in-network providers locally and some out-of-network care when needed for specialty services in Winston-Salem.
Medicare Advantage PPO plans in Stokes County offer greater provider flexibility, allowing beneficiaries to use facilities like Northern Regional Hospital in Mount Airy without requiring a referral.
Medicare Supplement (Medigap) plans work alongside Original Medicare and are accepted by any Medicare-participating provider nationwide, including all regional hospitals serving Stokes County residents.
Part D Prescription Drug Plans are available as standalone coverage for Stokes County residents who choose Original Medicare or a Medicare Supplement plan instead of a Medicare Advantage plan.
Dual Special Needs Plans (D-SNP) are available in Stokes County for residents who qualify for both Medicare and Medicaid, providing coordinated coverage through local and regional health system networks.
Blue Cross NC offers 8 Medicare plans in Stokes County for 2026, spanning HMO, HMO-POS, PPO, PDP, and D-SNP plan types with monthly premiums ranging from $0 to $163.20 depending on the plan selected. Several of the available plans carry $0 monthly premiums and connect Stokes County beneficiaries to in-network providers including Lifebrite Community Hospital, Stokes Reynolds Memorial Hospital, and the broader Atrium Health Wake Forest Baptist and Novant Health networks in Winston-Salem. Stokes County residents should verify that their preferred local doctors and specialists are included in a plan's network before enrolling, particularly for HMO plans that require in-network use for non-emergency care.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, covers medical services through an HMO-POS network that includes local Stokes County providers and regional referral hospitals.
Blue Medicare Essential, HMO, $0.00 per month, provides in-network coverage through a defined HMO network serving Stokes County residents at facilities including Lifebrite Community Hospital in Danbury.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, combines HMO cost structure with limited out-of-network access for Stokes County residents who occasionally need care outside the primary network.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, offers an enhanced benefit tier for Stokes County residents who want additional coverage features beyond the $0 premium HMO-POS options.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, gives Stokes County residents the broadest provider flexibility among Medicare Advantage plans, including access to Novant Health Forsyth Medical Center and Atrium Health Wake Forest Baptist without requiring a primary care referral.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, provides Stokes County beneficiaries with an HMO-POS structure and $0 premium, making it an accessible option for residents seeking comprehensive Medicare Advantage coverage at no additional monthly cost.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is designed specifically for Stokes County residents who are enrolled in both Medicare and Medicaid, coordinating benefits through local and regional health system networks.
Blue Medicare Rx Enhanced PDP, standalone Part D prescription drug plan, $163.20 per month, provides prescription drug coverage for Stokes County residents on Original Medicare or a Medicare Supplement plan, with access to local and chain pharmacies in the plan's preferred network.
Stokes County residents enrolling in Medicare Advantage for 2026 can choose from plans priced at $0 per month up to $35 per month, with the Blue Medicare Rx Enhanced PDP standalone drug plan carrying a monthly premium of $163.20 for those who need Part D coverage outside of a Medicare Advantage plan. With a median household income of $60,039 in Stokes County, many residents may qualify for income-based assistance programs that reduce out-of-pocket Medicare costs, including Extra Help for prescription drug expenses and Medicare Savings Programs that help cover standard Medicare premiums. Health Plans of NC agents can review a Stokes County resident's full financial picture at no cost to identify which cost-reduction programs apply and which plan combination delivers the lowest total annual expense.
Part A: $0 premium for most Stokes 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 Stokes County residents in 2026, offering a total of 8 plans across multiple plan types to give beneficiaries a range of coverage approaches. Those plan types include Medicare Advantage HMO, HMO-POS, and PPO plans, a standalone Part D Prescription Drug Plan, and a Dual Special Needs Plan for residents enrolled in both Medicare and Medicaid. Blue Cross NC plan networks in Stokes County connect beneficiaries to local facilities including Lifebrite Community Hospital and Stokes Reynolds Memorial Hospital in Danbury, as well as major regional systems such as Atrium Health Wake Forest Baptist in Winston-Salem and Northern Regional Hospital in Mount Airy. The plan type a Stokes County resident selects directly affects whether they can access specialists at facilities like Novant Health Forsyth Medical Center or Hugh Chatham Memorial Hospital in Elkin without incurring out-of-network costs. Health Plans of NC compares every available Blue Cross NC Medicare plan side-by-side at no cost to Stokes County residents, helping each person match their provider relationships and health needs to the right plan.
Blue Cross NC, offering Medicare Advantage HMO, HMO-POS, and PPO plans, a standalone Part D Prescription Drug Plan, and a D-SNP, with 8 total plans available in Stokes County for 2026.
Stokes 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 is available to eligible Medicare beneficiaries regardless of which plan they choose. Medicare Savings Programs can help qualifying Stokes County residents cover the cost of their Part B premium and other cost-sharing obligations, easing financial pressure for those living on fixed incomes. With an uninsured rate of 8.6% and a poverty rate of 12.0% in Stokes County, a meaningful share of residents may be eligible for one or more of these assistance programs, including the Healthy Blue Medicare D-SNP for those who qualify for both Medicare and Medicaid. Health Plans of NC agents check eligibility for all available assistance programs at no cost during every enrollment conversation, ensuring Stokes County residents do not leave savings on the table.
Extra Help (Low Income Subsidy) reduces or eliminates Part D prescription drug costs for Stokes County residents who meet federal income and resource limits.
Medicare Savings Programs can cover Part B premium costs and reduce cost-sharing for qualifying Stokes County Medicare beneficiaries with limited household resources.
The Healthy Blue Medicare D-SNP coordinates Medicare and Medicaid benefits for dual-eligible Stokes County residents, providing comprehensive coverage at no monthly premium.
NC Medicaid may provide additional cost-sharing assistance for low-income Stokes County residents who do not yet qualify for Medicare or who qualify for both programs simultaneously.
Health Plans of NC agents help Stokes County residents apply for Extra Help, Medicare Savings Programs, and D-SNP enrollment at no cost and with no obligation to enroll in any specific plan.
Health Plans of NC licensed agents serve residents of King, Walnut Cove, Danbury, Ararat, and communities throughout Stokes County 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 to speak with a local agent who can help you find the right Medicare coverage for your health needs 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 Stokes 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 |
|---|---|---|
Alleghany Memorial Hospital | 233 Doctors St, Sparta, NC 28675 | (336) 372-5511 |
Ashe Memorial Hospital | 200 Hospital Ave, Jefferson, NC 28640 | (336) 846-7101 |
Atrium Health Wake Forest Bapt | 1 Medical Center Blvd, Winston Salem, NC 27157 | (336) 713-4500 |
Atrium Health Wake Forest Bapt | 1 Medical Center Blvd, Winston Salem, NC 27157 | (336) 716-2011 |
Atrium Health Wake Forest Bapt | 1370 W D St, North Wilkesboro, NC 28659 | (336) 651-8100 |
Atrium Health Wake Forest Bapt | Medical Center Blvd, Winston Salem, NC 27157 | (336) 716-2011 |
Atrium Health Wake Forrest | 250 Hospital Dr, Lexington, NC 27292 | (336) 248-5161 |
Davie Medical Ctr | 329 NC Highway 801 N, Bermuda Run, NC 27006 | (336) 998-1300 |
Hugh Chatham Memorial Hospital | 180 Parkwood Dr, Elkin, NC 28621 | (336) 527-7000 |
Lifebrite Community Hosp-Stks | 1570 NC 8 And 89 Hwy N, Danbury, NC 27016 | (336) 593-2831 |
Northern Regional Hospital | 830 Rockford St, Mount Airy, NC 27030 | (336) 719-7000 |
Novant Health Forsyth Med Ctr | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | (336) 718-5000 |
Novant Health Kernersville Med | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284 | (336) 564-4000 |
Novant Health Med Park Hosp | 1950 S Hawthorne Rd, Winston Salem, NC 27103 | (336) 718-0785 |
Novant Health Rehab Hosp An | 2475 Hillcrest Center Cir, Winston Salem, NC 27103 | (336) 754-3500 |
Novant Health Thomasville Med | 207 Old Lexington Rd, Thomasville, NC 27360 | (336) 472-2000 |
Old Vineyard Behavioral Health | 3637 Old Vineyard Rd, Winston Salem, NC 27104 | (336) 794-3550 |
Stokes Reynolds Meml Hosp Inc | , Danbury, NC 27016 | (336) 593-5356 |
Watauga Medical Ctr | 336 Deerfield Rd, Boone, NC 28607 | (828) 262-4100 |
Clinic | Address | Phone |
|---|---|---|
Appalachian Regional | 194 Doctors Dr, Boone, NC 28607 | (828) 386-2663 |
Appalachian Regional | 200 Hospital Ave # 6, Jefferson, NC 28640 | (828) 386-2663 |
Atrium Health Wake Forest Bapt | 10 Medical Park Dr # 1, Lexington, NC 27292 | (336) 716-9253 |
Bethany Medical Ctr | 1908 Caudle Dr # 100, Mount Airy, NC 27030 | (336) 883-0029 |
Boone Urology Ctr | 400 Shadowline Dr # 103-104, Boone, NC 28607 | (828) 264-5150 |
Cone Health Medcenter Krnrsvll | 1635 N Carolina Highway 66 S, Kernersville, NC 27284 | (336) 992-5100 |
Cone Health Medcenter Krnrsvll | 1635 NC 66 S, Kernersville, NC 27284 | (336) 992-5100 |
Cone Health Outpatient Rehab | 1635 N Carolina 66 # 255, Kernersville, NC 27284 | (336) 992-4820 |
Department Of Emergency Med | Medical Center Blvd, Winston Salem, NC 27157 | (336) 716-4625 |
Harmony Center For Women | 381 Deerfield Rd, Boone, NC 28607 | (828) 268-8970 |
Hoots Memorial Hospital | , Yadkinville, NC 27055 | (336) 679-6728 |
Lexington Medical Ctr | 811 W Main St, Lexington, NC 27293 | (803) 936-7203 |
Lung Center | 870 State Farm Rd # 100, Boone, NC 28607 | (828) 386-2746 |
Novant Health Bariatric Sltns | 760 Highland Oaks Dr # 200, Winston Salem, NC 27103 | (336) 277-4380 |
Novant Health Ortho-Sports | 7138 Village Medical Cir, Clemmons, NC 27012 | (336) 893-2400 |
Sneak-A-Peek | 2501 Neudorf Rd, Clemmons, NC 27012 | (336) 247-5141 |
Thomasville Medical Ctr | 6233 Denton Rd, Thomasville, NC 27360 | (336) 476-2537 |
Wake Forest Bapt Health Davie | 329 N Carolina Highway 801 N, Bermuda Run, NC 27006 | (336) 998-1300 |
Watauga Medical Ctr Outpatient | 1200 State Farm Rd, Boone, NC 28607 | (828) 262-4153 |
WFU Baptist Medical Ctr | Medical Center Blvd, Winston Salem, NC 27157 | (336) 713-7700 |
WFU Baptist Medical Ctr | Orthopaedic Surgery, Winston Salem, NC 27157 | (336) 716-2093 |
WFUBMC | 1450 Professional Park Dr, Winston Salem, NC 27103 | (336) 659-2701 |
Wilkes Regional Med Ctr Axlry | 500 Courthouse Dr, Wilkesboro, NC 28697 | (336) 651-8100 |
Wilkes Regional Medical Ctr | 1370 W D St, North Wilkesboro, NC 28659 | (336) 651-8100 |
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
Stokes County ZIP Codes include: 27016, 27019, 27021, 27022, 27042, 27043, 27046, 27052, and 27053
