Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors
Expanded Bronze · POS · Blue Cross and Blue Shield of NC · North Carolina
At age 40 it costs between $558.79 and $581.59 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 | 11512NC0100054 |
|---|---|
| Insurer | Blue Cross and Blue Shield of NC |
| Metal level | Expanded Bronze |
| Plan type | POS |
| Deductible (individual) | $4,000 |
| Deductible (family) | $8,000 |
| Drug deductible | $1,000 |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $60 |
| Specialist visit | $120 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $75 Copay 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
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 | $437.24 | $496.27 | $558.79 | $780.91 | $1,186.67 |
| Alexander County | $450.62 | $511.45 | $575.89 | $804.81 | $1,222.98 |
| Burke County | $450.62 | $511.45 | $575.89 | $804.81 | $1,222.98 |
| Caldwell County | $450.62 | $511.45 | $575.89 | $804.81 | $1,222.98 |
| Catawba County | $450.62 | $511.45 | $575.89 | $804.81 | $1,222.98 |
| Iredell County | $450.62 | $511.45 | $575.89 | $804.81 | $1,222.98 |
| Brunswick County | $455.08 | $516.52 | $581.59 | $812.77 | $1,235.09 |
| Columbus County | $455.08 | $516.52 | $581.59 | $812.77 | $1,235.09 |
| Duplin County | $455.08 | $516.52 | $581.59 | $812.77 | $1,235.09 |
| New Hanover County | $455.08 | $516.52 | $581.59 | $812.77 | $1,235.09 |
| Onslow County | $455.08 | $516.52 | $581.59 | $812.77 | $1,235.09 |
| Pender County | $455.08 | $516.52 | $581.59 | $812.77 | $1,235.09 |
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.