Gaston County has its own not-for-profit system, CaroMont Health, and Charlotte’s Atrium and Novant hospitals twenty minutes east — three systems, three contracts.
What to know before you compare plans in Gaston County
Gaston County offers a wide Medicare Advantage menu, every Medigap carrier in North Carolina and the full Part D lineup. CaroMont Regional Medical Center, a 476-bed hospital with a Level III trauma center, is the county’s own; many residents also use Atrium or Novant in Charlotte for specialty care, which an HMO network may or may not include. Gaston was one of the 25 counties in the Hurricane Helene disaster declaration.
We compare what is sold at your ZIP code, confirm CaroMont and any Charlotte specialists, and set Advantage beside a Medigap policy.
Care close to home
Major care in the area includes:
CaroMont Regional Medical Center
CaroMont Regional Medical Center – Mount Holly
Atrium Health (Charlotte, nearby)
Novant Health (Charlotte, nearby)
Atrium Health Lincoln (Lincolnton)
Plan networks differ — we check that your doctors and hospital are covered before you enroll.
Communities we serve
Downtown Gastonia, Belmont, Mount Holly, Cramerton, Dallas, Bessemer City, Kings Mountain, Lincolnton (nearby).
When you can enroll
Turning 65? Your Initial Enrollment Period is the 7 months around your birthday. Already on Medicare? The Annual Election Period is Oct 15–Dec 7, and Medicare Advantage Open Enrollment runs Jan 1–Mar 31. Moving into North Carolina, or a plan leaving your county, opens a Special Enrollment Period.
Your options
Which kind of plan fits you in Gastonia?
Medicare Advantage
All-in-one Part C plans, often $0 premium, that use a local network — so which hospital system you use, your county and your prescriptions matter.
Medigap pairs with Original Medicare and lets you see any provider nationwide that accepts Medicare — Duke, UNC, Atrium, Mayo, or the clinic in your county seat.
Gaston County typically offers a wide Medicare Advantage menu, every Medigap carrier in North Carolina, and the full Part D lineup, set by ZIP code and changing each plan year.
Is CaroMont in my plan’s network?
CaroMont accepts Original Medicare and therefore any Medigap policy. It contracts with some Medicare Advantage plans and not others, and the list changes yearly. We confirm before you enroll.
How much does your help cost?
Nothing. Independent agents are paid by the carriers when you enroll, so comparing plans and reviewing your coverage each year is free to you.
Written and reviewed by Darin Weidauer — licensed insurance agent (NPN 18580338, NC License #18580338), Gerontologist (USC Leonard Davis School of Gerontology), MBA, Registered Social Security Analyst, and 22-year U.S. Air Force veteran.Last reviewed September 13, 2026. Plan availability, benefits and costs change every plan year — verify current details at Medicare.gov, 1-800-MEDICARE, or NC SHIIP at 855-408-1212.