Medicare in Clinton · Sampson County, NC
2026 Medicare Advantage Plans in Clinton, NC
Sampson County offers 32 Medicare Advantage plans for 2026 across 5 carriers, with an average premium of $25.93/mo and 18 plans rated 4★ or higher by CMS. With the highest diabetes rate in North Carolina, choosing the right plan — and the right drug coverage — matters here more than most places.
By the numbers · Sampson County
Quick facts for Clinton, NC Medicare (2026)
Source: CMS Medicare Advantage/Part D Landscape (PY2026) & CMS Medicare Monthly Enrollment by County.
Health profile · why coverage choice matters here
Chronic conditions among Sampson County adults
Sampson County has the highest diagnosed diabetes rate in North Carolina at 13.5% (County Health Rankings 2024). The right Medicare plan matches your drug formulary and specialist network to your conditions — before you enroll.
Source: County Health Rankings & Roadmaps 2024 — Sampson County.
Who covers you
Carriers in Sampson County (2026)
- Humana — HMO & PPO options; broad NC network
- UnitedHealthcare — PPO + D-SNP dual-eligible plans
- Blue Cross and Blue Shield of NC — Statewide NC BCBS network
- Aetna (CVS Health) — PPO plans; Part D included
- Wellcare by Centene — Low-premium HMO options
Where you get care
Hospitals & providers nearby
- Sampson Regional Medical Center
Clinton · CMS 3★ overall hospital rating
Confirm your doctors and pharmacy are in-network before you enroll — networks vary by plan and carrier.
Sources: CMS Hospital Compare — Overall Star Ratings · CMS Medicare Advantage/Part D Landscape (PY2026).
Choosing a Medicare plan in Clinton, NC — what matters here
- Diabetes coverage is critical — Sampson County's 13.5% diabetes rate is the highest in NC. Check that insulin, oral diabetes medications, and endocrinology visits are covered under any plan you consider.
- Sampson Regional Medical Center — The main hospital in Clinton is rated 3★ by CMS. Confirm it and your doctors are in-network for your chosen plan before you enroll.
- 21 Special Needs Plans (SNPs) — Sampson County has 21 Medicare Special Needs Plans designed for dual-eligible (Medicare + Medicaid) beneficiaries and those with chronic conditions. These often include extra benefits like transportation and meals.
- 61% already in Medicare Advantage — 61.34% of Clinton Medicare beneficiaries are already enrolled in an MA plan. That means competition here is high and plan options change each year — review your coverage annually.
- Average star rating: 3.38★ — The average CMS star rating across Clinton plans is 3.38★, with 18 plans rated 4★ or higher. We help you identify which higher-rated plans match your providers.
Clinton, NC Medicare questions, answered
How many Medicare Advantage plans are available in Clinton, NC (ZIP 28328)?
For 2026, there are 32 Medicare Advantage plans available in Clinton, NC (ZIPs 28328/28329), offered by 5 carriers including Humana, UnitedHealthcare, BCBS NC, Aetna, and Wellcare. 18 of those plans carry a CMS star rating of 4★ or higher. Source: CMS PY2026 Landscape.
What is the average Medicare Advantage premium in Clinton, NC for 2026?
The average monthly Medicare Advantage premium in Clinton, NC is $25.93 for 2026, with an average CMS star rating of 3.38★ across available plans. Premiums and benefits vary — compare your specific options at Medicare.gov or ask a licensed advisor.
Why does diabetes coverage matter so much in Sampson County?
Sampson County has a 13.5% diagnosed diabetes rate among adults — the highest in North Carolina per County Health Rankings 2024. For Medicare beneficiaries with diabetes, matching a plan's drug formulary and specialist network to your prescriptions and endocrinologist is especially important. We review this for every client at no cost.
What is the hospital in Clinton, NC rated by CMS?
Sampson Regional Medical Center (CMS Certification #340024) in Clinton is rated 3★ by CMS Hospital Compare. Before enrolling in any Medicare Advantage plan, confirm your hospital and doctors are in that plan's network.
Is there a cost for help choosing a Medicare plan in Clinton, NC?
No. Our guidance is free — licensed agents are paid by the insurance carriers, not by you. We compare the plans available in your ZIP code against your doctors, prescriptions, and budget. We do not offer every plan available in your area.
Talk to a licensed Medicare advisor about Clinton, NC plans
Free, no pressure. We do not offer every plan available in your area.