The numbers behind Medicare in Randolph County
| Randolph County | North Carolina | |
|---|---|---|
| Residents age 65 and older | 27,575 | 1,908,489 statewide |
| Share of residents age 65+ | 18.7% | 17.6% statewide |
| People with Medicare | 34,771 | 2,336,840 statewide |
| Enrolled in Medicare Advantage | 25,198 | 1,353,169 statewide |
| Medicare Advantage share | 72.5% | 57.9% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
Randolph County ranks 19th of 100 North Carolina counties by number of residents age 65 and older, with about 27,575 people in that age group, or 18.7% of residents (statewide: 17.6%). Another 10,226 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). Among residents 65 and older, 59% are 65 to 74, 32% are 75 to 84 and 9% are 85 or older (Census 2023 estimates). Medicare Advantage enrollment in Randolph County is 72.5% of people with Medicare, higher than the North Carolina average of 57.9%. A county average does not tell you which kind of plan fits you. Whether Medicare Advantage or Original Medicare with a Medigap plan is the better fit depends on your doctors, your prescriptions and how you want to handle costs, so we compare both for your ZIP code.
Who has Medicare in Randolph County
The U.S. Department of Agriculture classifies Randolph 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 33,868 Medicare beneficiaries in Randolph County (2023). Their average age is 72, about the same as the North Carolina average of 73. About 17% are “dual eligible,” meaning they have both Medicare and Medicaid, higher than the state figure of 13%. Where many people have both, special plans for dual-eligible members can matter; see our Medicaid and dual eligible guide, since availability varies by plan and area.
Among people in Original Medicare in Randolph County, CMS reported about 597 emergency room visits and 223 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (572) and close to it for hospital stays (210). 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 Randolph County can be different from the ones offered next door. We are not based in Randolph County; we help Randolph County residents by phone or video call.
Hospitals located in Randolph County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Randolph County:
- Randolph Hospital — Asheboro (acute care; nonprofit; emergency services; CMS overall rating 4 of 5)
Network rules, not geography, decide whether a plan covers a hospital. We look up the hospitals and doctors you use and check them against each plan 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.
Randolph County: communities and ZIP codes
Census Bureau 2023 estimates put the biggest communities in Randolph County at Asheboro (27,726), Archdale (11,696), Trinity (7,155), Randleman (4,674), Liberty (2,704), Ramseur (1,785), counting only the part of each community inside the county.
We look up plans by ZIP code. In Randolph County, that means areas such as 27203, 27205, 27233, 27248, 27263, 27316, 27317, 27341, 27350, 27355, 27370, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Randolph 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.
- HealthCare.gov if you are not yet on Medicare.
- Medicare Care Compare for hospitals and doctors.
- Social Security: Medicare to enroll or check status.
- North Carolina Department of Insurance: North Carolina’s insurance regulator, including agent license lookup.
Coverage we offer Randolph County residents
Here is what we can help Randolph County residents with, drawing on plans from many insurers: annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance and final expense insurance.
Let’s check your Randolph County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonPlain-English Medicare answers
- Why a Medicare Advantage plan drops a doctor or drug
- When can you switch Medicare plans? Every enrollment window
- Medicare Advantage vs. Medigap: how to choose
- Medicare Parts A, B, C and D explained
Randolph County compared with similar North Carolina counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Rowan County | 27,394 | 65.5% | 13% | Metro |
| Pitt County | 26,398 | 56.8% | 17% | Metro |
| Moore County | 25,839 | 50.6% | 7% | Metro |
| Orange County | 25,228 | 52.0% | 9% | Metro |
| Alamance County | 31,260 | 71.4% | 16% | Metro |
| Catawba County | 31,389 | 59.5% | 14% | Metro |
See every North Carolina county in our North Carolina directory or go to our North Carolina Medicare hub.