Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Expanded Bronze · PPO · Blue Cross and Blue Shield of NC · North Carolina
At age 40 it costs between $617.17 and $694.31 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 11512NC0060004 |
|---|---|
| Insurer | Blue Cross and Blue Shield of NC |
| Metal level | Expanded Bronze |
| Plan type | PPO |
| Deductible (individual) | $7,000 |
| Deductible (family) | $14,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $95 |
| Specialist visit | $175 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | 50% Coinsurance after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-324-4973 |
Where it is sold, and what it costs there
90 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Guilford County | $482.92 | $548.11 | $617.17 | $862.50 | $1,310.64 |
| Randolph County | $482.92 | $548.11 | $617.17 | $862.50 | $1,310.64 |
| Rockingham County | $482.92 | $548.11 | $617.17 | $862.50 | $1,310.64 |
| Davidson County | $492.98 | $559.53 | $630.03 | $880.46 | $1,337.95 |
| Davie County | $492.98 | $559.53 | $630.03 | $880.46 | $1,337.95 |
| Forsyth County | $492.98 | $559.53 | $630.03 | $880.46 | $1,337.95 |
| Stokes County | $492.98 | $559.53 | $630.03 | $880.46 | $1,337.95 |
| Surry County | $492.98 | $559.53 | $630.03 | $880.46 | $1,337.95 |
| Yadkin County | $492.98 | $559.53 | $630.03 | $880.46 | $1,337.95 |
| Avery County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Buncombe County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Cherokee County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Clay County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Graham County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Haywood County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Henderson County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Jackson County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Macon County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Madison County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| McDowell County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Mitchell County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Montgomery County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Moore County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Polk County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Rutherford County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Swain County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Transylvania County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Yancey County | $498.01 | $565.24 | $636.46 | $889.45 | $1,351.60 |
| Alleghany County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Ashe County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Edgecombe County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Greene County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Nash County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Pitt County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Watauga County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Wayne County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Wilkes County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Wilson County | $503.04 | $570.95 | $642.89 | $898.43 | $1,365.25 |
| Alexander County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Bertie County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Bladen County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Burke County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Caldwell County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Camden County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Catawba County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Chowan County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Cumberland County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Currituck County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Gates County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Halifax County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Harnett County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Hertford County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Hoke County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Iredell County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Martin County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Northampton County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Pasquotank County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Perquimans County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Richmond County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Robeson County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Sampson County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Scotland County | $508.07 | $576.66 | $649.31 | $907.41 | $1,378.90 |
| Beaufort County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Brunswick County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Carteret County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Columbus County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Craven County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Dare County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Duplin County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Hyde County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Jones County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Lenoir County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| New Hanover County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Onslow County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Pamlico County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Pender County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Tyrrell County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Washington County | $513.10 | $582.37 | $655.74 | $916.40 | $1,392.55 |
| Anson County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Cabarrus County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Granville County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Mecklenburg County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Rowan County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Stanly County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Union County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Vance County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Warren County | $528.19 | $599.50 | $675.03 | $943.35 | $1,433.51 |
| Cleveland County | $543.28 | $616.62 | $694.31 | $970.30 | $1,474.46 |
| Gaston County | $543.28 | $616.62 | $694.31 | $970.30 | $1,474.46 |
| Lincoln County | $543.28 | $616.62 | $694.31 | $970.30 | $1,474.46 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.