Blue Value Gold Standard A | Limited Statewide Doctors
Gold · POS · Blue Cross and Blue Shield of NC · North Carolina
At age 40 it costs between $736.54 and $766.60 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 | 11512NC0100072 |
|---|---|
| Insurer | Blue Cross and Blue Shield of NC |
| Metal level | Gold |
| Plan type | POS |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $576.32 | $654.12 | $736.54 | $1,029.31 | $1,564.13 |
| Alexander County | $593.96 | $674.14 | $759.08 | $1,060.81 | $1,612.01 |
| Burke County | $593.96 | $674.14 | $759.08 | $1,060.81 | $1,612.01 |
| Caldwell County | $593.96 | $674.14 | $759.08 | $1,060.81 | $1,612.01 |
| Catawba County | $593.96 | $674.14 | $759.08 | $1,060.81 | $1,612.01 |
| Iredell County | $593.96 | $674.14 | $759.08 | $1,060.81 | $1,612.01 |
| Brunswick County | $599.84 | $680.82 | $766.60 | $1,071.31 | $1,627.97 |
| Columbus County | $599.84 | $680.82 | $766.60 | $1,071.31 | $1,627.97 |
| Duplin County | $599.84 | $680.82 | $766.60 | $1,071.31 | $1,627.97 |
| New Hanover County | $599.84 | $680.82 | $766.60 | $1,071.31 | $1,627.97 |
| Onslow County | $599.84 | $680.82 | $766.60 | $1,071.31 | $1,627.97 |
| Pender County | $599.84 | $680.82 | $766.60 | $1,071.31 | $1,627.97 |
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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When this plan’s price or benefits change.
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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.