Medicare Supplement (Medigap) in Elizabeth City, North Carolina: A Clear 2027 Guide
In Elizabeth City, North Carolina, Medigap is the route many people take to make their Medicare costs predictable. This 2027 guide lays out the standardized plans, what each helps pay, and your enrollment rights in Pasquotank County, in straightforward language.
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For 2026, the Medicare.gov Medigap policy search listed 29 insurers selling Medicare Supplement (Medigap) policies in North Carolina, which includes Elizabeth City.
Medigap plans in Elizabeth City follow the federal standardized letters in 2027, so a Plan G or Plan N covers the same benefits in Elizabeth City whichever insurer sells it; the price is what differs.
In Pasquotank County, which includes Elizabeth City, 9,831 people had Medicare in 2026, and about 46% of them were in Medicare Advantage rather than Original Medicare.
| Fact | Figure | Source |
|---|---|---|
| Medigap insurers in North Carolina, 2026 | 29 | Medicare.gov Medigap policy search (2026) |
| People with Medicare in Pasquotank County, 2026 | 9,831 | CMS county data and Census ACS (2026) |
| Share in Medicare Advantage in Pasquotank County, 2026 | 46% | CMS State/County MA Penetration (2026) |
| Standard Part B premium, 2026 | $202.90 a month | CMS 2026 Part B announcement |
Medicare Supplement (Medigap) chart
Medigap plan comparison chart (2027)
What each standardized Medigap plan pays in North Carolina. Medigap plans are standardized by federal law, so a plan letter covers the same benefits whichever insurer sells it; the price is what differs. “100%” means the plan pays the whole benefit, a lower percentage means it pays that share, “No” means it does not cover it.
| Benefit | Plan A | Plan B | Plan C | Plan D | Plan F | Plan G | Plan K | Plan L | Plan M | Plan N |
|---|---|---|---|---|---|---|---|---|---|---|
| Part A coinsurance and hospital costs, up to 365 days after Medicare benefits are used | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| Part B coinsurance or copayment | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100%* |
| Blood (first 3 pints) | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
| Part A hospice care coinsurance or copayment | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
| Skilled nursing facility care coinsurance | No | No | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
| Part A deductible | No | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 50% | 100% |
| Part B deductible | No | No | 100% | No | 100% | No | No | No | No | No |
| Part B excess charges | No | No | No | No | 100% | 100% | No | No | No | No |
| Foreign travel emergency (up to plan limits) | No | No | 80% | 80% | 80% | 80% | No | No | 80% | 80% |
| Yearly out-of-pocket limit | No | No | No | No | No | No | Yes** | Yes** | No | No |
| Sold in North Carolina (2026 Medicare.gov search) | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Plans C and F can be bought only by people who were eligible for Medicare before January 1, 2020; people new to Medicare since then can buy the other letters. Plans F and G also come in a high-deductible version that pays after a yearly deductible. * Plan N pays the Part B coinsurance except for a copayment for some office visits and for emergency-room visits that do not lead to an inpatient admission. ** Plans K and L pay 100% of covered services for the rest of the year once you reach their yearly out-of-pocket limit, which CMS sets each year. Massachusetts, Minnesota and Wisconsin standardize Medigap their own way, so this chart does not apply there.
Source: Federal Medigap standardization rules (CMS, medicare.gov); Medicare.gov Medigap policy search (2026). No plan or insurer is ranked.
By ZIP code
Medicare plans by ZIP code in Elizabeth City
Elizabeth City covers 1 ZIP code in Pasquotank County, where 39 Medicare Advantage plans are offered for 2027 (40 for 2026). Medicare plans are offered county by county, so every ZIP code in a county has the same Medicare Advantage lineup. Enter your ZIP code in the plan finder at the top of this page to compare the plans offered there.
| ZIP code | County | Medicare Advantage plans changing or leaving for 2027 |
|---|---|---|
| 27909 | Pasquotank County | 14 |
Sources: ZIP codes, GeoNames US postal codes (CC BY 4.0), limited to Census ZCTAs; changes, CMS MA Landscape files, CY2026 vs CY2027 comparison, mapped to ZIP codes with the Census ZCTA-to-county file (a ZIP code that crosses a county line is counted with the county holding most of its land). Counts only; no plan is ranked.
Good to know
Medigap in Elizabeth City: questions (2027)
What is a Medigap plan, and how does it work in Elizabeth City?
When can I buy a Medigap policy in Elizabeth City?
What is the difference between Medicare Advantage and Medicare Supplement in Elizabeth City?
What does Medicare cost in Elizabeth City for 2027?
In Medicare, the line that matters isn't your city limit — it's your county. Elizabeth City sits in Pasquotank County (part of Elizabeth City area), and plan availability, networks, and costs are all set at that county level, so the figures on this page reflect Pasquotank County rather than Elizabeth City on its own.
39 Medicare Advantage plans are available for 2027. Roughly 46% of people with Medicare in the county have chosen Medicare Advantage over Original Medicare, among the roughly 7,612 residents who are 65 or older. These are official area-level counts, not a ranking or an endorsement of any plan.
From here you'll find the companies active around Elizabeth City, how the parts of Medicare fit together, what coverage costs in 2027, when you can enroll, and where to get free help.
Pasquotank County at a glance
Elizabeth City is in Pasquotank County. Medigap plans are standardized by letter everywhere, so the local question is how many neighbors use them and what the alternatives look like. Pasquotank County's figures, from CMS:
| People with Medicare | 9,831 |
|---|---|
| Residents 65 and older | 7,612 |
| Share in Medicare Advantage instead | 46% |
Where Medigap fits in your Medicare
Original Medicare (Part A and Part B) pays most of your covered costs — but not all. You're left with deductibles, coinsurance, and copays, and there's no annual out-of-pocket maximum in Original Medicare on its own. That open-ended exposure is the gap Medigap policies are designed to help close.
Medigap policies are sold by private insurers but standardized by the federal government and labeled with letters (such as Plan G or Plan N). Because they're standardized, a given lettered plan covers the same things no matter who sells it — what differs is price and service. Medigap pairs with Original Medicare, not Medicare Advantage, and doesn't include drugs, so people on this path usually add a stand-alone Part D plan.
This guide explains how the standardized plans and your enrollment rights work in Elizabeth City, North Carolina. We explain the framework — we don't rank plans or quote specific premiums.
Who sells Medigap here
Medigap insurers serving Elizabeth City
29 insurers sell Medigap policies in North Carolina, offering Plans A, B, C, D, F, F-HD, G, G-HD, K, L, M, N. Medigap policies are sold statewide, and prices vary by insurer for the same letter.
See all North Carolina Medigap insurers and the plans each sells →
Source: Medicare.gov Medigap policy search. No insurer is ranked or recommended.
By the numbers
How people get Medicare in Pasquotank County
(MA penetration in Pasquotank County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

What Medicare costs in 2027
It helps to separate the costs everyone shares from the costs that vary by plan. The program-level numbers here are set nationally — the same whether you're in a big city or a rural county.
Part B premium. Most people pay the standard Part B premium of $202.90 a month in 2026 (2026 amount; 2027 figure will be posted when CMS releases it). Part A is premium-free for most people who worked and paid Medicare taxes long enough.
Part D drug costs. In 2027, a Part D plan's yearly deductible can be no more than $700, and a $2,400 cap limits what you pay out of pocket for covered prescriptions across the year — a real change for anyone with high drug costs.
Higher earners pay more for Parts B and D through an income-related adjustment called IRMAA, which for 2026 starts above $109,000 in annual income for an individual and is based on your 2024 tax return. Most people fall below that line and pay the standard amounts. The 2027 brackets will be posted when CMS releases them.
Plan-specific costs. What an individual plan charges — its premium, deductible, copays, and what it covers — varies by plan and changes yearly. We don't publish those figures or rank plans; Medicare's Plan Finder shows the current details for your situation, and a licensed agent can walk you through them.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
Your Medicare enrollment calendar
The dates that follow are set federally, so they don't change from state to state — only your personal timing does.
It starts with your Initial Enrollment Period — the 7-month window around your 65th birthday month — the window around turning 65 when you first sign up. Missing it can mean late penalties that stick around, so it's the one not to sleep on.
After that, the big recurring window is the Annual Enrollment Period, October 15 – December 7, when anyone can join, switch, or drop an Advantage or Part D plan for a January 1 start. And if you're already in an Advantage plan, the Medicare Advantage Open Enrollment (January 1 – March 31) gives you one more chance to change course.
Life events — a move, a loss of other coverage — can also trigger a Special Enrollment Period. The calendar below shows the whole year at a glance.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
Where to get free, unbiased help near Elizabeth City
Good Medicare help exists and it's free — you don't have to figure this out solo or pay for guidance.
For official specifics and the Plan Finder tool, go straight to Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048). And a licensed agent can compare options and handle the paperwork with you.
One note on who we are: MyMedicarePlans.org is an independent, privately owned educational resource — not Medicare, not a government agency, and not affiliated with one. Our job is to help you get oriented, then hand you off to the official sources and licensed professionals for plan decisions.
Latest Medicare Supplement guides for Elizabeth City
New Medicare Supplement guides from North Carolina
- Chapel Hill guide to Medigap: how the standardized plan letters work
- Before you renew your Medigap plan in Cary, read this
- Medigap letters in Cary, NC: how to choose (explained)
- Three ways NC insurers price the same Medigap letter
- Shopping Medigap in Fayetteville: how the same plan letter can look very different by insurer
- Why North Carolina Has No Medigap Birthday Rule
- Does Plan C or F still work for you in Fayetteville?
- Forsyth County Medigap: The Yearly Reset Explained