Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors
Gold · POS · Blue Cross and Blue Shield of NC · North Carolina
At age 40 it costs between $729.05 and $758.80 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 | 11512NC0100034 |
|---|---|
| Insurer | Blue Cross and Blue Shield of NC |
| Metal level | Gold |
| Plan type | POS |
| Deductible (individual) | $1,800 |
| Deductible (family) | $3,600 |
| Drug deductible | $400 |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $15 |
| Specialist visit | $40 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $35 Copay after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 99.80% |
| 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
12 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 |
|---|---|---|---|---|---|
| Surry County | $570.46 | $647.47 | $729.05 | $1,018.84 | $1,548.23 |
| Alexander County | $587.92 | $667.29 | $751.36 | $1,050.03 | $1,595.61 |
| Burke County | $587.92 | $667.29 | $751.36 | $1,050.03 | $1,595.61 |
| Caldwell County | $587.92 | $667.29 | $751.36 | $1,050.03 | $1,595.61 |
| Catawba County | $587.92 | $667.29 | $751.36 | $1,050.03 | $1,595.61 |
| Iredell County | $587.92 | $667.29 | $751.36 | $1,050.03 | $1,595.61 |
| Brunswick County | $593.74 | $673.89 | $758.80 | $1,060.42 | $1,611.41 |
| Columbus County | $593.74 | $673.89 | $758.80 | $1,060.42 | $1,611.41 |
| Duplin County | $593.74 | $673.89 | $758.80 | $1,060.42 | $1,611.41 |
| New Hanover County | $593.74 | $673.89 | $758.80 | $1,060.42 | $1,611.41 |
| Onslow County | $593.74 | $673.89 | $758.80 | $1,060.42 | $1,611.41 |
| Pender County | $593.74 | $673.89 | $758.80 | $1,060.42 | $1,611.41 |
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.