Franklin County Medicare at a glance
| Franklin County | North Carolina | |
|---|---|---|
| Residents age 65 and older | 13,602 | 1,908,489 statewide |
| Share of residents age 65+ | 17.7% | 17.6% statewide |
| People with Medicare | 16,300 | 2,336,840 statewide |
| Enrolled in Medicare Advantage | 9,710 | 1,353,169 statewide |
| Medicare Advantage share | 59.6% | 57.9% statewide |
Figures come from the Census Bureau and CMS (September 2026).
With roughly 13,602 residents age 65 and older, Franklin County is 42nd among 100 North Carolina counties for older residents. That group is 17.7% of its population, compared with 17.6% across North Carolina. Another 5,622 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). Census 2023 estimates show 63% of the 65-plus population is under 75, 29% is 75 to 84 and 9% is 85 or older. Medicare Advantage enrollment in Franklin County is 59.6% of people with Medicare, close to the North Carolina average of 57.9%. 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
Franklin 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 15,836 Medicare beneficiaries in Franklin County (2023). Their average age is 72, about the same as the North Carolina average of 73. About 13% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 13%.
Among people in Original Medicare in Franklin County, CMS reported about 560 emergency room visits and 196 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 7% 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.
Where you live decides which Medicare Advantage and Part D plans you can join, and Franklin County may have a different set of plans than the counties around it. We are not based in Franklin County; we help Franklin County residents by phone or video call.
Hospitals and doctors near Franklin County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Franklin County. Residents often use hospitals in neighboring counties, which matters for Medicare Advantage because a plan’s network may include or leave out the hospital you use. We check your hospitals and doctors before you enroll.
Where people live in Franklin County
People in Franklin County live in communities such as Louisburg (3,269), Franklinton (2,718), Wake Forest (2,543), Youngsville (2,291), Bunn (361) (2023 population estimates, counting only the part of each community that lies inside the county).
Census ZIP Code Tabulation Areas mostly within Franklin County number 5: 27508, 27525, 27549, 27596, 27816. Your exact ZIP code is what decides which plans you can join.
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.
- Social Security: Medicare to enroll or check status.
- Medicare.gov: Medigap on how Medicare Supplement works.
- HealthCare.gov if you are not yet on Medicare.
- North Carolina Department of Insurance: North Carolina’s insurance regulator, including agent license lookup.
Coverage we offer Franklin County residents
Here is what we can help Franklin County residents with, drawing on plans from many insurers: final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance and life insurance.
Ready to compare plans in Franklin County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonPlain-English Medicare answers
- Medicare Advantage vs. Medigap: how to choose
- Medigap Plan G vs. Plan N
- Why a Medicare Advantage plan drops a doctor or drug
- Can I change my Medicare plan after December 7?
Franklin County compared with similar North Carolina counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Pender County | 12,496 | 52.5% | 11% | Metro |
| Stokes County | 10,609 | 70.8% | 16% | Metro |
| Edgecombe County | 10,519 | 67.4% | 21% | Metro |
| Davie County | 10,088 | 67.2% | 10% | Metro |
| Caldwell County | 17,365 | 68.8% | 17% | Metro |
| Person County | 8,542 | 62.7% | 14% | Metro |
See every North Carolina county in our North Carolina directory or go to our North Carolina Medicare hub.