Live Worry-Free. Find the Right Medicare Plan in NC. in Wilkes County
North Carolina
in North Carolina
Health Plans of NC helps Wilkes County, NC residents compare all 8 Medicare plans available for 2026, including options that include Atrium Health Wake Forest Baptist Wilkes Medical Center in their provider networks.
Wilkes County is home to approximately 15,000 Medicare-eligible residents, representing 22.7% of the county's total population of 65,983, and all of them have access to a meaningful range of Medicare coverage types for 2026. Local health systems including Atrium Health Wake Forest Baptist Wilkes Medical Center accept Medicare, giving beneficiaries access to hospital, specialty, and outpatient care close to home. Medicare options available in Wilkes County include Medicare Advantage HMO, HMO-POS, and PPO plans, a standalone Part D prescription drug plan, a Dual Special Needs Plan, and Medicare Supplement coverage for those who prefer broader provider access.
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 in Wilkes County provide coordinated care through networks that include Atrium Health Wake Forest Baptist Wilkes Medical Center in North Wilkesboro.
Medicare Advantage HMO-POS plans offer the structure of an HMO with added flexibility to seek some out-of-network care at facilities like Hugh Chatham Memorial Hospital in Elkin.
Medicare Advantage PPO plans in Wilkes County allow beneficiaries to visit both in-network and out-of-network providers, including regional referral centers like Atrium Health Wake Forest Baptist in Winston-Salem.
Medicare Supplement (Medigap) plans work alongside Original Medicare and allow Wilkes County residents to use any Medicare-accepting provider nationwide, including specialists at Watauga Medical Center in Boone.
Part D Prescription Drug Plans provide standalone drug coverage for Wilkes County residents who choose Original Medicare or a Medicare Supplement plan.
Dual Special Needs Plans (D-SNP) are available for Wilkes County residents who qualify for both Medicare and Medicaid, providing coordinated benefits through local provider networks.
Blue Cross NC offers eight Medicare plans in Wilkes County for 2026, ranging from $0 premium Medicare Advantage options to a standalone Part D prescription drug plan, all designed to work with local provider networks. Several plans feature HMO-POS structures that give members access to Atrium Health Wake Forest Baptist Wilkes Medical Center and affiliated facilities while allowing limited out-of-network access to regional hospitals like Hugh Chatham Memorial Hospital in Elkin and Ashe Memorial Hospital in Jefferson. Health Plans of NC can compare each of these plans side by side to help Wilkes County residents identify which plan best fits their provider preferences and prescription needs.
Blue Medicare Medical Only, HMO-POS, $0.00 per month, provides hospital and medical coverage through local networks including Atrium Health Wake Forest Baptist Wilkes Medical Center.
Blue Medicare Essential, HMO, $0.00 per month, offers coordinated care through an HMO network that connects members to North Wilkesboro-area providers.
Blue Medicare Essential Plus, HMO-POS, $0.00 per month, combines HMO structure with point-of-service flexibility for access to regional facilities like Watauga Medical Center in Boone.
Blue Medicare Enhanced, HMO-POS, $30.00 per month, provides enhanced benefits through a network that includes Atrium Health Wake Forest Baptist facilities in Wilkes County and the greater region.
Blue Medicare PPO Enhanced, PPO, $35.00 per month, allows Wilkes County members to visit both in-network providers and out-of-network facilities such as Novant Health Forsyth Medical Center in Winston-Salem.
Blue Medicare Freedom+, HMO-POS, $0.00 per month, gives members point-of-service access beyond standard HMO networks, including referral options to Atrium Health Wake Forest Baptist in Winston-Salem.
Healthy Blue Medicare DSNP, $0.00 per month, is a Dual Special Needs Plan designed for Wilkes County residents who qualify for both Medicare and Medicaid, coordinating benefits through local health systems.
Blue Medicare Rx Enhanced PDP, $163.20 per month, is a standalone Part D prescription drug plan for Wilkes County residents who prefer Original Medicare or a Medigap policy for their medical coverage.
In 2026, Wilkes County residents can choose from Medicare Advantage plans ranging from $0.00 per month for plans like Blue Medicare Medical Only, Blue Medicare Essential, Blue Medicare Essential Plus, and Blue Medicare Freedom+ to $30.00 per month for Blue Medicare Enhanced and $35.00 per month for Blue Medicare PPO Enhanced. The standalone Blue Medicare Rx Enhanced PDP carries a monthly premium of $163.20 for residents who need prescription drug coverage outside of a Medicare Advantage plan. Given Wilkes County's median household income of $50,438, the availability of several $0 premium Medicare Advantage plans makes cost-effective coverage accessible, and residents may also qualify for programs that further reduce their out-of-pocket costs.
Part A: $0 premium for most Wilkes 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 offering plans to Wilkes County residents for 2026, with a total of 8 plans available for beneficiaries to compare during Annual Enrollment. Plan types offered by Blue Cross NC in Wilkes County include Medicare Advantage HMO, HMO-POS, and PPO plans, a Dual Special Needs Plan, and a standalone Part D prescription drug plan, as well as Medicare Supplement coverage for those who prefer broader access. Blue Cross NC networks in Wilkes County connect members to local facilities including Atrium Health Wake Forest Baptist Wilkes Medical Center at 1370 W D St in North Wilkesboro, which serves as a primary point of care for many county residents. Choosing the right plan type affects which specialists and hospitals a beneficiary can access, including regional options such as Hugh Chatham Memorial Hospital in Elkin, Ashe Memorial Hospital in Jefferson, and Watauga Medical Center in Boone. Health Plans of NC compares every Blue Cross NC Medicare plan available in Wilkes County side by side at no cost, helping residents match their plan to the providers they rely on.
Blue Cross NC, offers Medicare Advantage HMO, HMO-POS, and PPO plans, a D-SNP, a standalone Part D prescription drug plan, and Medicare Supplement coverage, with 8 total plans available in Wilkes County for 2026.
Wilkes County residents who have limited income and resources may qualify for the Extra Help program, also known as the Low Income Subsidy, which can reduce or eliminate Part D prescription drug premiums, deductibles, and copayments. The Medicare Savings Program can help eligible Wilkes County residents have their Part B premium covered by the state, reducing their annual Medicare costs significantly. With a poverty rate of 16.4% and an uninsured rate of 11.4% in Wilkes County, a meaningful portion of residents may also qualify for the Healthy Blue Medicare DSNP, which coordinates Medicare and Medicaid benefits for dual-eligible individuals. Health Plans of NC agents can screen Wilkes County residents for every available financial assistance program at no cost, ensuring eligible beneficiaries receive every dollar of savings they are entitled to.
Extra Help and the Low Income Subsidy can reduce Part D drug costs for qualifying Wilkes County residents to near $0 each month.
The Medicare Savings Program may cover Part B premiums for Wilkes County residents who meet income and asset requirements set by the state.
The Healthy Blue Medicare DSNP is available to Wilkes County residents who qualify for both Medicare and Medicaid, providing coordinated $0 premium coverage.
NC Medicaid may provide additional coverage for low-income Wilkes County residents who do not yet qualify for Medicare or need supplemental assistance.
Health Plans of NC agents can check your eligibility for all assistance programs at no cost and help you enroll in the right plan during any qualifying enrollment period.
Health Plans of NC licensed agents serve Wilkes County residents at no cost, comparing every available Medicare Advantage, Medicare Supplement, and Part D plan side by side to find the right fit for your providers, prescriptions, and budget. Call 800-797-0327 today to speak with a local agent who can guide you through enrollment or help you review your coverage during Annual Enrollment.
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 Wilkes 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
Wilkes County ZIP Codes include: 28606, 28624, 28635, 28649, 28651, 28654, 28656, 28659, 28665, 28669, 28670, 28674, 28685, and 28697
