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Some may think that Medicare eligibility in North Carolina is complicated. However, understanding the qualifications for Medicare is the easy part. Making a decision about your NC Medicare options is where it can get difficult. HealthMarkets can help guide you through the system—at no charge to you—so that you can get the right plan for your budget and your needs.

Are you ready to find Medicare plans now? Get your free FitScore® and begin shopping online.

Who Has Medicare Eligibility in North Carolina?

You may have Medicare eligibility in North Carolina if you’re a U.S. citizen or a permanent legal resident who has lived in the U.S. for more than five years and one or more of the following applies to you1
  • You are 65 or older.
  • You have been on Social Security Disability Insurance (SSDI) for two years.
  • You have end-stage renal disease (ESRD) or Lou Gehrig’s disease.

Understanding Medicare Eligibility in North Carolina and Choosing a Plan

Once you’re eligible for Medicare, it’s time to review your choices. Medicare is actually divided into four separate parts, which are:

Medicare Parts A & B are provided by the government. If you want drug coverage or extra help to pay out-of-pocket costs with a Medicare Supplement plan, you can purchase them separately through a private insurance company.

Medicare Advantage plans are offered through private insurance companies. With this option, you’ll get Part A and Part B coverage in a single plan that often includes drug, dental, and vision coverage, as well.3

Many North Carolinians receive Medicare benefits: 

  • More than 2 million North Carolina residents were enrolled in Medicare in 2020,4 which is approximately 19 % of the population.5
  • 802,645 chose a Medicare Advantage plan for 2020.4
  • In 2020, almost 57% of Medicare enrollees who applied for a low-income subsidy received Extra Help with their prescription costs.

How Do I Apply for Medicare in North Carolina?

You can apply for Medicare in North Carolina by contacting the Social Security Administration, either by phone or online.

HealthMarkets’ FitScore® technology you determine which type of Medicare is best for you in North Carolina. We can help answer your questions about Medicare, find plans that meet your needs, and even help with enrollment— all at no additional charge to you.

Simply answer a few quick questions about your insurance needs, and we can scan to find the right plan for you and your loved ones. Then, we’ll continuously compare plans for you, year after year, so you can shop once and save again and again.

Get your free FitScore and get started with an online quote now.


1. Original Medicare (Part A and B) Eligibility and Enrollment, CMS. 2020. Retrieved from | 2. What Medicare Part D drug plans cover, Medicare. 2020. Retrieved from | 3. Understanding Medicare Advantage Plans, Medicare. 2020. Retrieved from | 4. Total Number of Medicare Beneficiaries, KFF. 2020. Retrieved from,%22sort%22:%22asc%22%7D | 5. QuickFacts North Carolina, U.S. Census Bureau. 2019. Retrieved from | 6. Extra Help with Medicare Prescription Drug Plan Costs. SSA. 2020. Retrieved from 

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