Blue Value Bronze Standard | Limited Statewide Doctors
Expanded Bronze · POS · Blue Cross and Blue Shield of NC · North Carolina
At age 40 it costs between $550.89 and $573.39 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 | 11512NC0100074 |
|---|---|
| Insurer | Blue Cross and Blue Shield of NC |
| Metal level | Expanded Bronze |
| Plan type | POS |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 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
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 | $431.06 | $489.25 | $550.89 | $769.87 | $1,169.90 |
| Alexander County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Burke County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Caldwell County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Catawba County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Iredell County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Brunswick County | $448.66 | $509.23 | $573.39 | $801.31 | $1,217.66 |
| Columbus County | $448.66 | $509.23 | $573.39 | $801.31 | $1,217.66 |
| Duplin County | $448.66 | $509.23 | $573.39 | $801.31 | $1,217.66 |
| New Hanover County | $448.66 | $509.23 | $573.39 | $801.31 | $1,217.66 |
| Onslow County | $448.66 | $509.23 | $573.39 | $801.31 | $1,217.66 |
| Pender County | $448.66 | $509.23 | $573.39 | $801.31 | $1,217.66 |
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.