Medicare in Franklin County by the numbers
| Franklin County | Virginia | |
|---|---|---|
| Residents age 65 and older | 14,066 | 1,498,879 statewide |
| Share of residents age 65+ | 25.3% | 17.2% statewide |
| People with Medicare | 16,335 | 1,764,998 statewide |
| Enrolled in Medicare Advantage | 7,397 | 698,851 statewide |
| Medicare Advantage share | 45.3% | 39.6% statewide |
Data: U.S. Census Bureau (2023 population estimates); CMS, September 2026. Medicare Advantage share is enrollees divided by people with Medicare.
Franklin County ranks 29th of 133 Virginia counties by number of residents age 65 and older, with about 14,066 people in that age group, or 25.3% of residents (statewide: 17.2%). About 4,821 more people are 60 to 64 and are heading toward Medicare; our turning 65 guide explains their first steps. By age, the 65-and-older group splits 59% ages 65 to 74, 33% ages 75 to 84 and 8% age 85 and up (Census 2023). About 45.3% of people with Medicare in Franklin County are enrolled in a Medicare Advantage plan. That is higher than the Virginia average of 39.6%. What most people do in a county is less important than what fits you. We weigh Medicare Advantage against Original Medicare with Medigap using your doctors, your drugs and your budget.
Who has Medicare in Franklin County
The U.S. Department of Agriculture classifies Franklin County as a metro county (counties in metro areas of 250,000 to 1 million population). Counties like this tend to have a wider choice of hospitals and Medicare plans than rural ones, though networks still differ plan by plan.
CMS counts 16,646 Medicare beneficiaries in Franklin County (2023). Their average age is 74, about the same as the Virginia average of 74. About 8% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 9%.
Among people in Original Medicare in Franklin County, CMS reported about 508 emergency room visits and 183 inpatient hospital stays per 1,000 beneficiaries in 2023, which is lower than the state average for emergency visits (589) and close to it for hospital stays (206). About 8% received home health care. These figures describe how people use care under Original Medicare; they do not show what any plan covers or costs.
Sources: CMS Medicare Geographic Variation, 2023; USDA Rural-Urban Continuum Codes, 2023.
Insurers choose which counties to serve each year, which means the Medicare Advantage and Part D plans you can pick in Franklin County can be different from the ones offered next door. We are not based in Franklin County; we help Franklin County residents by phone or video call.
Hospitals located in Franklin County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Franklin County:
- Carilion Franklin Memorial Hospital — Rocky Mount (acute care; nonprofit; emergency services; CMS overall rating 4 of 5)
A hospital being in the county does not mean every plan covers it. Medicare Advantage networks differ by plan, so we check the hospitals and doctors you actually use before you enroll. Ratings are CMS Care Compare overall hospital star ratings; they describe the hospital, not whether a plan covers it. Source: CMS Hospital General Information.
Where people live in Franklin County
Census Bureau 2023 estimates put the biggest communities in Franklin County at Rocky Mount (4,968), Boones Mill (261), counting only the part of each community inside the county.
We look up plans by ZIP code. In Franklin County, that means areas such as 24065, 24067, 24088, 24092, 24101, 24102, 24137, 24151, 24176, 24184, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Franklin County?
Reach out to us: fill out our short form or call (571) 354-0146, and a licensed agent will compare the plans available to you, check your doctors and drugs, and stay with you each year at renewal. For general Medicare information, the federal helpline is 1-800-MEDICARE (1-800-633-4227).
Medicare resources from official sources
- Medicare Plan Finder on Medicare.gov, searchable by ZIP code.
- Virginia’s Insurance Marketplace, Virginia’s own health insurance exchange, if you are not yet on Medicare.
- Medicare Care Compare for hospitals and doctors.
- Social Security: Medicare to enroll or check status.
- Virginia Bureau of Insurance: Virginia’s insurance regulator, including agent license lookup.
Coverage we offer Franklin County residents
As an independent agency we are not tied to one insurer, so for Franklin County residents we can compare Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities and Medicare Advantage.
Let’s check your Franklin County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonMedicare guides for Franklin County residents
- Do you really need a Medicare agent?
- Does Medicare cover dental, vision and hearing?
- What happens if you do nothing during open enrollment?
- Medicare 101 for families
Franklin County compared with similar Virginia counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Montgomery County | 14,290 | 35.4% | 8% | Metro |
| Washington County | 13,565 | 54.0% | 11% | Metro |
| Fauquier County | 13,440 | 27.3% | 6% | Metro |
| City of Portsmouth | 15,095 | 52.0% | 13% | Metro |
| York County | 13,033 | 26.1% | 3% | Metro |
| City of Suffolk | 15,699 | 41.8% | 8% | Metro |
See every Virginia county in our Virginia directory or go to our Virginia Medicare hub.