Medicare in Pembroke · Robeson County, NC

2026 Medicare Advantage Plans in Pembroke, NC

Robeson County offers 44 Medicare Advantage plans for 2026 across 6 carriers, with an average premium of $18.5/mo and 24 plans rated 4★ or higher by CMS.

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  • Independent — not tied to any one carrier
  • Licensed in NC, SC, GA, FL, VA, MD, MI, KS, TX, OH
  • Free to you — agents are compensated by carriers

By the numbers · Robeson County

Quick facts for Pembroke, NC Medicare (2026)

44Medicare Advantage plans available (CMS PY2026)
$18.5/moaverage monthly MA premium (CMS PY2026)
24plans rated CMS 4★ or higher for 2026
22Special Needs Plans available in Robeson County
59%of Robeson County Medicare beneficiaries in an MA plan
6insurance carriers competing in Robeson County

Source: CMS Medicare Advantage/Part D Landscape (PY2026).

Health profile · why coverage choice matters here

Chronic conditions among Robeson County adults

Diagnosed diabetes 17%
Adult obesity 43%
Uninsured adults 18–64 25%

Source: County Health Rankings & Roadmaps 2024 — Robeson County.

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Part B Late Enrollment Penalty

Monthly penalty: $0.00

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Monthly surcharge: $0.00

Who covers you

Carriers in Robeson County (2026)

  • Anthem Blue Cross and Blue Shield

    Blue Medicare Essential Plus — leads county enrollment in Robeson County

  • UnitedHealthcare PPOD-SNP

    PPO + D-SNP dual-eligible plans; strong regional network

  • Humana HMO-POSPPO

    HumanaChoice PPO & HMO-POS options

  • Aetna (CVS Health) PPO

    PPO plans with Part D included

  • Wellcare by Centene HMO

    Low-premium HMO options

  • Liberty Medicare Advantage HMOPPO

    HMO/PPO plans available; ask your agent about current 2026 enrollment options

Where you get care

Hospitals & providers nearby

  • UNC Health Southeastern
    Lumberton ★★★☆☆
    300 W 27th St, Lumberton NC 28358

Confirm your doctors and preferred pharmacy are in-network before enrolling — networks vary by plan and carrier.

Sources: CMS Hospital Compare · CMS Landscape (PY2026).

Choosing a Medicare plan in Pembroke, NC — what matters here

  • Pembroke is home to The University of North Carolina at Pembroke and is a significant community in Robeson County. UNC Health Southeastern in Lumberton (3★ CMS) is the primary hospital for county residents.
  • Robeson County offers 44 Medicare Advantage plans for 2026 at an average of $18.50/mo, with 24 plans rated 4★ or higher. A licensed agent can compare all available options at no cost.
  • Robeson County's 17% diabetes rate and high chronic disease burden mean that reviewing formulary coverage for diabetes and cardiovascular medications is especially important when selecting a plan.
  • 22 Special Needs Plans are available in Robeson County. Dual-eligible beneficiaries may qualify for D-SNP plans with $0 cost-sharing and additional benefits. A licensed agent can confirm eligibility at no cost.

Not sure Medicare Advantage is the right path?

Also consider Original Medicare + a Supplement

Medicare Advantage isn't the only option. If you want the freedom to see any doctor or hospital in the U.S. that accepts Medicare — with no networks, no referrals, and no plan-specific prior authorizations — a Medicare Supplement (Medigap) plan paired with a standalone Part D drug plan may be a better fit for your situation.

  • No networks. See any Medicare-accepting provider nationwide — critical if you travel, split time between states, or have specialists outside your county.
  • Predictable costs. Plan G covers nearly every gap in Original Medicare except the Part B deductible (~$257/yr in 2026). No surprise bills from out-of-network care.
  • Enrollment window. Your guaranteed-issue Medigap Open Enrollment Period is 6 months from your Part B effective date. After it closes, health underwriting may apply in NC.

Medigap guide for Pembroke → NC Medicare Supplement overview →

Pembroke, NC Medicare questions, answered

How many Medicare Advantage plans are available in Pembroke, NC?

For 2026, there are 44 Medicare Advantage plans available in Pembroke (Robeson County), offered by 6 carriers including Anthem Blue Cross and Blue Shield, UnitedHealthcare, Humana, and others. 24 of those plans carry a CMS star rating of 4★ or higher. Source: CMS PY2026 Landscape.

What is the average Medicare Advantage premium in Pembroke for 2026?

The average monthly Medicare Advantage premium in Pembroke, NC is $18.5 for 2026, with an average CMS star rating of 3.76★ across available plans. Premiums and benefits vary — compare your specific options at Medicare.gov or with a licensed agent.

When can I change my Medicare plan in Pembroke?

The Annual Enrollment Period (AEP) runs October 15 – December 7 each year and is the main window to switch Medicare Advantage plans, change Part D drug plans, or return to Original Medicare. Changes take effect January 1. The Medicare Advantage Open Enrollment Period (January 1 – March 31) allows one plan switch for those already in Medicare Advantage. Special Enrollment Periods are available for qualifying events such as moving or losing other coverage.

Are there Special Needs Plans available in Robeson County?

Yes — Robeson County has 22 Special Needs Plans (SNPs) available for 2026. These plans are designed for dual-eligible beneficiaries (Medicare + Medicaid), people in institutions, and those with qualifying chronic conditions. SNPs often carry $0 premiums and additional chronic care benefits. A licensed agent can confirm your eligibility at no cost.

What hospital options are near Pembroke, NC?

UNC Health Southeastern in Lumberton 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 Pembroke?

No. Our guidance is free — licensed agents are compensated 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. Contact Medicare.gov or 1-800-MEDICARE to see all options.

Is Medicare coverage the same in Pembroke, NC?

Original Medicare (Part A and Part B) is a federal program, so its core coverage rules are the same in Pembroke, NC as anywhere else in the country. What varies locally is which Medicare Advantage, Part D, and Medigap plans are actually offered — plan availability, provider networks, and premiums are set at the county level, so the specific options in Robeson County won't match a different county even in the same state. That's why it's worth reviewing your local plan lineup each year rather than assuming coverage is identical everywhere.

When can I enroll in Medicare in Pembroke, NC?

Your Initial Enrollment Period (IEP) is a 7-month window centered on your 65th birthday — 3 months before, the month of, and 3 months after. After that, the Annual Enrollment Period (AEP) runs October 15 through December 7 each year, letting Pembroke residents switch Medicare Advantage or Part D plans for coverage starting January 1. A Special Enrollment Period (SEP) may also open outside these windows if you have a qualifying life event, such as moving to Pembroke or losing other health coverage.

How do I find a Medicare agent near Pembroke, NC?

Look for a licensed, independent agent who is appointed to sell plans in NC and familiar with the carriers and provider networks serving Robeson County. An independent agent can compare options across multiple carriers instead of representing just one. You can book a free, no-obligation consultation with a licensed agent serving Pembroke through this site's contact page, or call the number listed on this page to talk with someone directly.

Is there a Medicare agent in Pembroke, NC?

Yes. Kayla Price is a licensed independent insurance agent serving Pembroke, NC and Robeson County among the NC, SC, GA, FL, VA, MD, KS, TX, OH & MI she's licensed in. She works with 6 carriers offering plans in Robeson County, so she can compare options rather than represent just one company. You can book a free consultation directly at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB.

How do I find Medicare help in Pembroke?

The fastest way is to book a free, no-obligation review with a licensed agent who already works in Robeson County — Kayla Price at Price Services Group covers Pembroke, NC and can walk through the 44 Medicare Advantage plans available here for 2026. Schedule a time at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB, or use the contact page on this site. You can also always compare plans yourself at Medicare.gov or by calling 1-800-MEDICARE.

Does Price Services Group serve Pembroke, NC?

Yes — Pembroke, NC is within Kayla Price's real service area at Price Services Group. She is licensed in NC, SC, GA, FL, VA, MD, KS, TX, OH & MI and works with the carriers offering Medicare Advantage, Part D, and Medigap plans in Robeson County. Book a free plan review at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB to see what's available at your address.

What Medicare Advantage plans are available in Pembroke, NC?

Medicare Advantage plan availability varies by county in NC. Kayla Price can review all plans available in Pembroke and help you compare options by phone or video.

How much does Medicare cost in Pembroke, NC?

Medicare Part B costs $202.90 per month regardless of where you live in NC. Additional costs depend on which plan you choose. Kayla can walk you through all the costs for plans available in Pembroke.

When is the next Medicare enrollment period for residents of Pembroke, NC?

The Annual Enrollment Period (AEP) runs October 15 through December 7 each year for all Medicare beneficiaries including those in Pembroke, NC. If you're new to Medicare, your Initial Enrollment Period is based on your 65th birthday.

Enrollment windows

When can you change your Medicare plan?

Annual Enrollment Period

Oct 15 – Dec 7

Switch MA plans, add or drop Part D, or return to Original Medicare. Changes take effect January 1.

MA Open Enrollment Period

Jan 1 – Mar 31

One plan switch if you're already in Medicare Advantage. Changes start the first of the following month.

Initial Enrollment Period

7-month window at 65

3 months before, the month of, and 3 months after your 65th birthday. Enrolling on time avoids lifetime Part B and Part D penalties.

Book your free AEP review → All enrollment periods explained →

Your local agent

Talk to a licensed Medicare agent about Pembroke, NC plans

Kayla Price is a licensed, independent agent who works with 6 carriers serving Robeson County — free, no pressure. We do not offer every plan available in your area.

Book a free consultation →   (910) 631-1578

Kayla Price, Your personal Medicare & insurance consultant at Price Services Group, L.L.C.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048, 24 hours a day, 7 days a week, to get information on all of your options. Not affiliated with or endorsed by the U.S. government or the federal Medicare program. For informational purposes only — not insurance, legal, or financial advice. Plan availability, premiums, and benefits are based on CMS PY2026 data and subject to change. NPN: 18530055. Agency NPN: 20387435.