Live Worry-Free. Find the Right Medicare Plan in NC. in Wayne County
North Carolina
in North Carolina
Wayne County, NC residents have access to 8 Medicare plans for 2026 through Blue Cross NC, and Health Plans of NC helps local beneficiaries compare every option at no cost, connecting them with coverage that works alongside providers like UNC Health Wayne and Wayne Memorial Hospital.
Wayne County, NC has approximately 20,000 Medicare-eligible residents, representing 16.7% of the county's total population of 117,606, and all major Medicare coverage types are available to them for 2026. Local health systems including UNC Health Wayne and Wayne Memorial Hospital in Goldsboro participate in Medicare networks, giving beneficiaries access to inpatient, outpatient, and specialty care close to home. Coverage categories available in Wayne County span Medicare Advantage HMO, HMO-POS, and PPO plans, a Dual Special Needs Plan for those on both Medicare and Medicaid, a standalone Part D Prescription Drug Plan, and Medicare Supplement plans that work with any provider nationwide.
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 Wayne County connect beneficiaries to a coordinated network built around UNC Health Wayne and affiliated primary care clinics in Goldsboro.
Medicare Advantage HMO-POS plans offer slightly more flexibility than standard HMO plans, allowing Wayne County residents to access some out-of-network providers when needed.
Medicare Advantage PPO plans provide the broadest in-network and out-of-network flexibility among Advantage options, useful for residents who visit regional facilities like ECU Health Medical Center in Greenville.
Medicare Supplement (Medigap) plans allow Wayne County beneficiaries to see any provider that accepts Medicare nationwide, covering copays and deductibles that Original Medicare does not pay.
Part D Prescription Drug Plans provide standalone drug coverage for Wayne County residents who stay on Original Medicare, with access to pharmacies including Walgreens and CVS in Goldsboro.
Dual Special Needs Plans (D-SNP) are available in Wayne County for residents who qualify for both Medicare and Medicaid, coordinating benefits across both programs through a single plan.
Blue Cross NC offers eight Medicare plans in Wayne County for 2026, ranging from $0 premium Medicare Advantage options to a standalone Prescription Drug Plan, all designed to work with local providers including UNC Health Wayne, Wayne Memorial Hospital, and community clinics like Goshen Medical Center in Fremont and Mount Olive and UNC Family Medicine at Rosewood. Plan types include HMO, HMO-POS, PPO, and a D-SNP, giving Wayne County beneficiaries a range of network structures and cost-sharing arrangements to consider. Residents who regularly use specialists at facilities like Cherry Hospital in Goldsboro or seek care at ECU Health Medical Center in Greenville should confirm provider network participation when selecting a plan.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides medical-only Medicare Advantage coverage connected to Wayne County's local provider network including UNC Health Wayne.
Blue Medicare Essential, HMO, $0.00 per month, offers a fully coordinated HMO plan with $0 premium built around primary care and specialist access in Wayne County.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, adds point-of-service flexibility to the Essential plan structure for Wayne County residents who may occasionally need out-of-network care.
Blue Medicare Enhanced, HMO-POS, $47.00 per month, provides enhanced benefits and broader coverage options for Wayne County residents willing to pay a modest monthly premium.
Blue Medicare PPO Enhanced, PPO, $53.00 per month, offers the widest provider flexibility among Advantage plans available in Wayne County, including access to out-of-network providers at higher cost-sharing.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, combines $0 premium with point-of-service access, giving Wayne County beneficiaries added choice when seeking care locally or regionally.
Healthy Blue Medicare DSNP, HMO-POS, $0.00 per month, is designed for Wayne County residents who qualify for both Medicare and Medicaid, coordinating dual-program benefits through a single plan.
Blue Medicare Rx Enhanced PDP, standalone Prescription Drug Plan, $163.20 per month, provides comprehensive drug coverage for Wayne County residents on Original Medicare, with access to local pharmacies in Goldsboro and surrounding areas.
Wayne County residents choosing a Medicare Advantage plan for 2026 can select from options ranging from $0 per month for plans like Blue Medicare Essential and Blue Medicare Freedom+ to $47 per month for Blue Medicare Enhanced and $53 per month for Blue Medicare PPO Enhanced, with the standalone Blue Medicare Rx Enhanced PDP priced at $163.20 per month for those who need drug-only coverage. With a county median household income of $58,082, some Wayne County residents may fall within the income thresholds that qualify them for programs designed to reduce Medicare costs, including Extra Help for Part D expenses and Medicare Savings Programs that can offset premium and cost-sharing obligations. Health Plans of NC agents can review each plan's full cost structure, including copays, deductibles, and out-of-pocket maximums, so Wayne County beneficiaries understand the true annual cost of each option before enrolling.
Part A: $0 premium for most Wayne 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 Wayne County residents for 2026, offering a total of 8 plans across multiple plan types. Those plan types include Medicare Advantage HMO, HMO-POS, and PPO options, a Dual Special Needs Plan, and a standalone Part D Prescription Drug Plan, giving beneficiaries a range of network and coverage structures to choose from. Blue Cross NC's provider networks in Wayne County are anchored by UNC Health Wayne and Wayne Memorial Hospital in Goldsboro, and extend to community clinics such as Goshen Medical Center in Fremont and Mount Olive, UNC Family Medicine at Rosewood, and long-term care facilities including Brian Center Health and Rehabilitation and Willow Creek Nursing and Rehabilitation Center. The plan a Wayne County resident selects directly determines which local specialists, urgent care centers, and rehabilitation facilities they can access without incurring higher out-of-network costs, making provider network review an important step before enrollment. Health Plans of NC compares every Blue Cross NC Medicare plan available in Wayne County side by side at no cost, helping residents find the option that aligns with their preferred providers and coverage needs.
Blue Cross NC, offers Medicare Advantage HMO, HMO-POS, PPO, D-SNP, and Part D Prescription Drug Plans, 8 total plans available in Wayne County for 2026.
Wayne County residents with limited income and assets may qualify for Extra Help, also known as the Low Income Subsidy, which can reduce Part D prescription drug costs to near zero by helping cover premiums, deductibles, and copays associated with a standalone drug plan. Medicare Savings Programs administered through NC Medicaid can help qualifying beneficiaries cover Part B premiums and other cost-sharing expenses, providing meaningful relief for those on fixed incomes. Wayne County's uninsured rate of 12.1% and poverty rate of 16.9% indicate that a significant share of the community may be eligible for these assistance programs, and many residents may not yet know they qualify. Health Plans of NC agents check eligibility for all available assistance programs at no cost and can connect Wayne County residents who qualify for both Medicare and Medicaid with the Healthy Blue Medicare DSNP, which coordinates benefits across both programs in a single plan.
Extra Help (Low Income Subsidy) can reduce Part D drug plan costs to near $0 for Wayne County residents who meet federal income and asset thresholds.
Medicare Savings Programs can cover Part B premiums and cost-sharing for qualifying low-income Wayne County Medicare beneficiaries through NC Medicaid.
The Healthy Blue Medicare DSNP is available in Wayne County for residents who are enrolled in both Medicare and Medicaid, providing coordinated dual-program coverage at $0 premium.
NC Medicaid may provide additional coverage for low-income Wayne County residents who do not yet qualify for Medicare but need help with healthcare costs.
Health Plans of NC agents can screen Wayne County residents for all financial assistance programs at no cost and assist with enrollment in the appropriate plan or subsidy program.
Health Plans of NC licensed agents serve Wayne County residents at no cost, comparing every available Medicare Advantage, Medicare Supplement, and Part D plan side by side to find the coverage that best fits your providers, prescriptions, and budget. Call 800-797-0327 to speak with a local agent who can guide you through enrollment, plan changes, and financial assistance options with no pressure and no fees.
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 Wayne 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 |
|---|---|---|
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 |
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 |
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
Wayne County ZIP Codes include: 27530, 27531, 27532, 27533, 27534, 27830, 27863, 28333, 28365, and 28578
