Live Worry-Free. Find the Right Medicare Plan in NC. in Transylvania County
North Carolina
in North Carolina
Health Plans of NC helps Transylvania County, NC residents compare and enroll in Medicare plans for 2026, including options through Blue Cross NC that connect beneficiaries to local care at Transylvania Regional Hospital and Mission Health HCA facilities across the region.
Transylvania County, North Carolina has a population of 33,243, with approximately 10,000 residents who are Medicare-eligible, representing 30.8% of the county. Beneficiaries in Brevard, Rosman, Lake Toxaway, and Pisgah Forest have access to coverage options that include Medicare Advantage, Medicare Supplement, Part D prescription drug plans, and a Dual Special Needs Plan, all designed to work with local providers. Transylvania Regional Hospital in Brevard, Mission Hospital in Asheville, Pardee UNC Health Care in Hendersonville, and Haywood Regional Medical Center in Clyde all accept Medicare, giving county residents meaningful choices across multiple plan structures.
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 are available in Transylvania County and may include Transylvania Regional Hospital in Brevard within their approved provider networks.
Medicare Advantage HMO-POS plans offer some flexibility to receive care outside the primary network, which can benefit residents who see specialists at Mission Hospital in Asheville.
Medicare Advantage PPO plans in Transylvania County allow broader access to regional providers, including Pardee UNC Health Care in Hendersonville, with lower out-of-network cost sharing than HMO structures.
Medicare Supplement plans, also called Medigap, allow Transylvania County residents to see any provider nationwide that accepts Original Medicare, including Mission Urology in Brevard.
Part D Prescription Drug Plans provide standalone drug coverage that pairs with Original Medicare or a Medicare Supplement plan for residents in zip codes such as 28712, 28747, and 28768.
Dual Special Needs Plans are available for Transylvania County residents who qualify for both Medicare and Medicaid, coordinating benefits through a single plan structure tied to local health systems.
Blue Cross NC offers eight Medicare plans in Transylvania County for 2026, spanning HMO, HMO-POS, PPO, PDP, and D-SNP structures that connect beneficiaries to local and regional care. Several plans carry a $0 monthly premium beyond the standard Part B premium, while others offer enhanced benefits at a modest additional cost, giving residents in Brevard and surrounding communities a range of options to evaluate. Network arrangements under these plans can affect access to key facilities such as Transylvania Regional Hospital in Brevard and Asheville Cardiology Associates in Highlands.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, designed for beneficiaries who want medical coverage through an HMO-POS network that may include Transylvania Regional Hospital in Brevard.
Blue Medicare Essential, HMO, $0.00 per month, a managed care plan that connects Transylvania County residents to an approved network of local and regional providers.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, an HMO-POS option that provides some point-of-service flexibility for residents who may need care at regional facilities like Mission Hospital in Asheville.
Blue Medicare Enhanced, HMO-POS, $40.00 per month, an enhanced benefit plan that offers additional coverage features for Transylvania County residents willing to pay a modest monthly premium.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, a PPO structure that allows Transylvania County beneficiaries broader access to providers including Pardee UNC Health Care in Hendersonville.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, a $0 premium HMO-POS plan offering network-based access to local providers including Transylvania Regional Hospital and affiliated regional facilities.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, a Dual Special Needs Plan for Transylvania County residents who are enrolled in both Medicare and Medicaid, coordinating benefits under one plan.
Blue Medicare Rx Enhanced PDP, standalone Part D prescription drug plan, $163.20 per month, providing drug coverage that pairs with Original Medicare or a Medicare Supplement plan for Transylvania County residents.
In Transylvania County for 2026, Medicare Advantage plan premiums from Blue Cross NC range from $0.00 per month for plans like Blue Medicare Essential and Blue Medicare Freedom+ to $53.00 per month for Blue Medicare PPO Enhanced, giving residents a spectrum of cost options beyond the standard Part B premium. The standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20 for beneficiaries who need prescription drug coverage outside of a Medicare Advantage plan. With a median household income of $64,523 in Transylvania County, some residents may qualify for programs that reduce or eliminate these monthly costs, and Health Plans of NC can identify those opportunities at no charge.
Part A: $0 premium for most Transylvania 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 Transylvania County for 2026, offering a total of eight plans that span HMO, HMO-POS, PPO, PDP, and D-SNP plan types to meet a range of coverage needs. These plan structures allow Transylvania County beneficiaries to choose between tightly managed HMO networks, more flexible HMO-POS and PPO arrangements, standalone drug coverage through a Part D plan, or coordinated dual-eligible coverage through the D-SNP option. Blue Cross NC network agreements directly affect which local and regional facilities are accessible in-network, including Transylvania Regional Hospital in Brevard, Mission Health HCA facilities in Asheville, and Haywood Regional Medical Center in Clyde. The plan selected also determines whether Transylvania County residents can see local specialists such as those at Mission Urology in Brevard or Asheville Cardiology Associates in Highlands without incurring unexpected out-of-network costs. Health Plans of NC compares every available Medicare plan in Transylvania County side by side at no cost, helping beneficiaries match their provider preferences and care needs to the right Blue Cross NC plan.
Blue Cross NC, offering Medicare Advantage HMO, HMO-POS, PPO, Part D PDP, and D-SNP plan types, with eight total plans available to Transylvania County residents for 2026.
Transylvania County residents with limited income and resources 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 enrolled in a plan like Blue Medicare Rx Enhanced PDP. The Medicare Savings Program can help qualifying residents have their Part B premium paid on their behalf, providing meaningful monthly relief for those on fixed incomes. Residents who qualify for both Medicare and Medicaid may enroll in the Healthy Blue Medicare DSNP, a Dual Special Needs Plan that coordinates benefits under a single plan at no monthly premium. With an uninsured rate of 11.8% and a poverty rate of 14.2% in Transylvania County, a significant share of residents may be eligible for one or more of these assistance programs, and Health Plans of NC checks eligibility at no cost.
Extra Help and the Low Income Subsidy can reduce Part D prescription drug plan premiums, deductibles, and copays for qualifying Transylvania County residents with limited income and resources.
The Medicare Savings Program may cover the monthly Part B premium for eligible Transylvania County beneficiaries, freeing up household budget for other essential expenses.
The Healthy Blue Medicare DSNP is available for Transylvania County residents who qualify for both Medicare and Medicaid, offering coordinated benefits through a single $0 premium plan.
NC Medicaid provides additional health coverage for low-income Transylvania County residents who may not yet qualify for Medicare or who need benefits that Medicare does not cover.
Health Plans of NC agents can screen Transylvania County residents for all available financial assistance programs at no cost and guide them through the application process with no obligation to enroll.
Health Plans of NC licensed agents serve Transylvania County residents at no cost, comparing every available Medicare plan side by side to help you find the right coverage for your providers, prescriptions, and budget. Call us today at 800-797-0327 to get personalized help with enrollment, plan changes, or any Medicare question.
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 Transylvania 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 |
|---|---|---|
Angel Medical Ctr | 124 One Center Ct, Franklin, NC 28734 | (828) 524-8411 |
Cherokee Indian Hospital | 1 Hospital Rd, Cherokee, NC 28719 | (828) 497-9163 |
Erlanger Western Carolina Hosp | 3990 E US 64 Alt, Murphy, NC 28906 | (828) 837-8161 |
Harris Regional Hospital | 68 Hospital Rd, Sylva, NC 28779 | (828) 586-7000 |
Haywood Regional Medical Ctr | 262 Leroy George Dr, Clyde, NC 28721 | (828) 456-7311 |
Highlands-Cashiers Hospital | 190 Hospital Dr, Highlands, NC 28741 | (828) 526-1200 |
Swain Community Hospital | 45 Plateau St # 230, Bryson City, NC 28713 | (828) 488-2155 |
Transylvania Regional Hospital | 260 Hospital Dr, Brevard, NC 28712 | (828) 884-9111 |
Unity Healing Ctr | 448 Sequoyah Trl, Cherokee, NC 28719 | (828) 497-1800 |
Clinic | Address | Phone |
|---|---|---|
Angel Medical Ctr | 56 Medical Park Dr, Franklin, NC 28734 | (828) 542-8411 |
Asheville Cardiology Assoc | 190 Hospital Dr # 104, Highlands, NC 28741 | (828) 274-6000 |
Atlanta Gastroenterology Assoc | 145 Medical Park Ln # K, Murphy, NC 28906 | (404) 257-9000 |
Center For Family Medicine | 55 Holly Springs Park Dr, Franklin, NC 28734 | (828) 349-3550 |
Haywood Regional Medical Ctr | , Waynesville, NC 28786 | (828) 452-8070 |
Mission Community Primary Care | 57 White Owl Ln, Cashiers, NC 28717 | (828) 743-2491 |
Mission Health Ctr Highlands | 190 Hospital Dr, Highlands, NC 28741 | (828) 526-4942 |
Mission Urology-Brevard | 89 Hospital Dr # C, Brevard, NC 28712 | (828) 883-5858 |
Murphy Medical Ctr Emergency | 3990 E US 64 Alt, Murphy, NC 28906 | (828) 837-8300 |
Murphy Medical Ctr Human RSRCS | , Murphy, NC 28906 | (828) 835-7683 |
Murphy Medical Ctr Radiology | 3990 E US 64 Alt, Murphy, NC 28906 | (828) 835-7540 |
Murphy Medical Ctr | 3990 E US Highway 64 Alternate, Murphy, NC 28906 | (828) 835-7502 |
Murphy Medical Ctr | 4130 115 Highway 64 E, Murphy, NC 28906 | (828) 835-7505 |
Orthopedics-Sports Medicine | 190 Riverview St, Franklin, NC 28734 | (828) 349-8260 |
Ozarks Medical Ctr | PO Box 330, Marble, NC 28905 | (417) 257-5802 |
Primary Care Franklin | 190 Riverview St, Franklin, NC 28734 | (828) 349-6800 |
VA Medical Ctr | 45 HI Lane St, Canton, NC 28716 | (828) 298-7911 |
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
Transylvania County ZIP Codes include: 28708, 28712, 28718, 28747, 28766, 28768, 28772, and 28774
