Blue Advantage Silver Standard | Nationwide Doctors
Silver · PPO · Blue Cross and Blue Shield of NC · North Carolina
At age 40 it costs between $817.51 and $919.70 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 11512NC0060051 |
|---|---|
| Insurer | Blue Cross and Blue Shield of NC |
| Metal level | Silver |
| Plan type | PPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay 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 | $639.68 | $726.04 | $817.51 | $1,142.47 | $1,736.09 |
| Randolph County | $639.68 | $726.04 | $817.51 | $1,142.47 | $1,736.09 |
| Rockingham County | $639.68 | $726.04 | $817.51 | $1,142.47 | $1,736.09 |
| Davidson County | $653 | $741.16 | $834.53 | $1,166.26 | $1,772.24 |
| Davie County | $653 | $741.16 | $834.53 | $1,166.26 | $1,772.24 |
| Forsyth County | $653 | $741.16 | $834.53 | $1,166.26 | $1,772.24 |
| Stokes County | $653 | $741.16 | $834.53 | $1,166.26 | $1,772.24 |
| Surry County | $653 | $741.16 | $834.53 | $1,166.26 | $1,772.24 |
| Yadkin County | $653 | $741.16 | $834.53 | $1,166.26 | $1,772.24 |
| Avery County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Buncombe County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Cherokee County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Clay County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Graham County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Haywood County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Henderson County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Jackson County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Macon County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Madison County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| McDowell County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Mitchell County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Montgomery County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Moore County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Polk County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Rutherford County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Swain County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Transylvania County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Yancey County | $659.67 | $748.73 | $843.06 | $1,178.17 | $1,790.34 |
| Alleghany County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Ashe County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Edgecombe County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Greene County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Nash County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Pitt County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Watauga County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Wayne County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Wilkes County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Wilson County | $666.33 | $756.28 | $851.57 | $1,190.07 | $1,808.42 |
| Alexander County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Bertie County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Bladen County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Burke County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Caldwell County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Camden County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Catawba County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Chowan County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Cumberland County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Currituck County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Gates County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Halifax County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Harnett County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Hertford County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Hoke County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Iredell County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Martin County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Northampton County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Pasquotank County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Perquimans County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Richmond County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Robeson County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Sampson County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Scotland County | $672.99 | $763.84 | $860.08 | $1,201.96 | $1,826.49 |
| Beaufort County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Brunswick County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Carteret County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Columbus County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Craven County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Dare County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Duplin County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Hyde County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Jones County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Lenoir County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| New Hanover County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Onslow County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Pamlico County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Pender County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Tyrrell County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Washington County | $679.66 | $771.41 | $868.61 | $1,213.87 | $1,844.60 |
| Anson County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Cabarrus County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Granville County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Mecklenburg County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Rowan County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Stanly County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Union County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Vance County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Warren County | $699.65 | $794.10 | $894.15 | $1,249.57 | $1,898.85 |
| Cleveland County | $719.64 | $816.79 | $919.70 | $1,285.28 | $1,953.10 |
| Gaston County | $719.64 | $816.79 | $919.70 | $1,285.28 | $1,953.10 |
| Lincoln County | $719.64 | $816.79 | $919.70 | $1,285.28 | $1,953.10 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.