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Questions

What is a Critical Access Hospital in North Carolina?

A Critical Access Hospital is a small rural hospital certified by Medicare that keeps no more than 25 inpatient beds, runs a 24-hour emergency department and is usually far from other hospitals. CMS lists 20 in North Carolina, in towns from Murphy to Nags Head. Medicare covers your care there like care at any other hospital.

What makes a hospital a Critical Access Hospital

Critical Access Hospital is a federal designation under 42 CFR Part 485, Subpart F. To qualify, a hospital generally must:

  • be in a rural area, or be treated as rural;
  • be more than a 35-mile drive from another hospital, or 15 miles in mountainous terrain or where only secondary roads exist (some older "necessary provider" designations are grandfathered);
  • keep no more than 25 inpatient beds, which can also be used as swing beds;
  • keep acute inpatient stays to an annual average of 96 hours or less;
  • offer emergency services 24 hours a day.

The 15-mile mountain rule matters in western North Carolina, where winding roads make short distances long drives.

North Carolina's 20 Critical Access Hospitals

CMS's Hospital General Information file, released November 12, 2026, lists 20 in 19 counties:

RegionTowns (county)
MountainsBryson City (Swain), Murphy (Cherokee), Franklin and Highlands (Macon), Brevard (Transylvania), Columbus (Polk), Spruce Pine (Mitchell), Linville (Avery), Jefferson (Ashe), Sparta (Alleghany)
PiedmontDanbury (Stokes), Siler City (Chatham), Troy (Montgomery)
East and coastWindsor (Bertie), Edenton (Chowan), Plymouth (Washington), Nags Head (Dare), Elizabethtown (Bladen), Burgaw (Pender), Southport (Brunswick)

North Carolina has no Rural Emergency Hospitals, the newer type with no inpatient beds. Listing is not an endorsement.

How Medicare works there

Medicare covers care at a Critical Access Hospital the same way it covers care at other hospitals. Part A covers inpatient stays and swing-bed skilled nursing care after a qualifying stay; Part B covers the emergency department, lab work, imaging and other outpatient services. Your usual deductibles and coinsurance apply; current amounts are on Medicare costs in 2026. A Medigap policy helps with them, and Original Medicare works at every Critical Access Hospital that accepts Medicare.

With a Medicare Advantage plan, check whether your local Critical Access Hospital is in network for non-emergency care such as lab work, imaging or a swing-bed stay. Emergency care is covered in or out of network.

If your nearest hospital is a Critical Access Hospital

  1. Use it in an emergency. Call 911 or go to the nearest emergency department.
  2. Ask where it transfers patients for surgery, cardiac or stroke care, and check that hospital against your plan's network.
  3. Ask about outpatient services close to home, such as lab, imaging, therapy and swing-bed recovery.

More in Medicare in rural and mountain North Carolina. To compare plans from the companies they work with, you can request a call from a licensed insurance agent.

What is a Rural Emergency Hospital?

Why North Carolina has none yet.

Does Medicare pay for air ambulance?

Transfers to larger hospitals.

Does Medicare cover telehealth in rural NC?

Visits from home through 2027.

Sources

More questions in this guide

Part of the guide: Medicare in Rural and Mountain North Carolina · All questions

Frequently asked questions

Does Medicare cover a stay at a Critical Access Hospital?

Yes. Part A covers inpatient care there, and Part B covers emergency and outpatient services, with the usual deductibles and coinsurance. Medicare Advantage plans cover it too if the hospital is in network, and emergency care is covered in or out of network.

What is a swing bed?

Critical Access Hospitals can use their inpatient beds either for hospital care or as swing beds for skilled nursing care after a hospital stay (42 CFR 485.620). That can let you recover close to home instead of at a distant nursing facility.

Will a Critical Access Hospital transfer me?

Often, for care it doesn't provide. Its inpatient stays average 96 hours or less, so patients who need surgery or intensive care are usually moved to a larger hospital, sometimes by helicopter.

Licensed insurance agents for North Carolina

These independent insurance agents are licensed in North Carolina and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Steven Graves

Steven Graves

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Independent licensed insurance agent in North Carolina

Southern Pines · English

Casey Gilley

Casey Gilley

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Independent licensed insurance agent in North Carolina

Chapel Hill · English

Jeff Kleinman

Jeff Kleinman

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Independent licensed insurance agent in North Carolina

Phoenix, AZ · English

Robin Depies

Robin Depies

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Independent licensed insurance agent in North Carolina

Colorado Springs, CO · English

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