Union County Medicare at a glance
| Union County | North Carolina | |
|---|---|---|
| Residents age 65 and older | 35,466 | 1,908,489 statewide |
| Share of residents age 65+ | 13.8% | 17.6% statewide |
| People with Medicare | 43,569 | 2,336,840 statewide |
| Enrolled in Medicare Advantage | 23,229 | 1,353,169 statewide |
| Medicare Advantage share | 53.3% | 57.9% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
Among North Carolina’s 100 counties, Union County comes in 11th for residents age 65 and up (35,466). Older adults make up 13.8% of the population here; the state figure is 17.6%. The 14,930 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. Among residents 65 and older, 60% are 65 to 74, 32% are 75 to 84 and 9% are 85 or older (Census 2023 estimates). Medicare Advantage enrollment in Union County is 53.3% of people with Medicare, close to the North Carolina average of 57.9%. Averages cannot choose a plan for you. Medicare Advantage and Original Medicare with a Medigap plan each suit different people, depending on doctors, medicines and how you prefer to handle costs, and we compare both at your ZIP code.
Who has Medicare in Union County
Union County is a metro county; the U.S. Department of Agriculture describes it as: counties in metro areas of 1 million population or more. Metro counties usually have more hospitals and more insurers competing for Medicare members, so there can be more plans to compare.
CMS counts 40,288 Medicare beneficiaries in Union County (2023). Their average age is 73, about the same as the North Carolina average of 73. About 9% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 13%.
Among people in Original Medicare in Union County, CMS reported about 598 emergency room visits and 212 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 9% 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.
Medicare Advantage and Part D plan availability and provider networks are set county by county, so the plans open to you in Union County may differ from those in a neighboring county. We are not based in Union County; we help Union County residents by phone or video call.
Hospitals located in Union County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Union County:
- Atrium Health Union — Monroe (acute care; government-owned; emergency services; CMS overall rating 4 of 5)
Being located in the county is not the same as being in your plan’s network. Each Medicare Advantage plan builds its own network, so we confirm that your hospital and your doctors are included before you choose. 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 Union County
Census Bureau 2023 estimates put the biggest communities in Union County at Indian Trail (42,854), Monroe (37,797), Waxhaw (23,073), Stallings (16,771), Weddington (14,072), Wesley Chapel (9,280), counting only the part of each community inside the county.
Census ZIP Code Tabulation Areas mostly within Union County number 8: 28079, 28103, 28104, 28108, 28110, 28112, 28173, 28174. Your exact ZIP code is what decides which plans you can join.
Questions about Medicare in Union 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 Union County residents
We work with many carriers, which lets us compare more than one option for Union County households, including Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance and annuities.
Let’s check your Union County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonRead next
- What Medicare Part D actually costs
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- Medicare Advantage vs. Medigap: how to choose
- Medigap Plan G vs. Plan N
Union County compared with similar North Carolina counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Iredell County | 34,075 | 60.1% | 9% | Metro |
| Johnston County | 33,935 | 56.9% | 14% | Metro |
| Davidson County | 33,888 | 71.4% | 13% | Metro |
| Cabarrus County | 33,340 | 63.1% | 11% | Metro |
| Henderson County | 32,282 | 47.3% | 7% | 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.