Blue Care Gold Standard A | Statewide Doctors
Gold · HMO · Blue Cross and Blue Shield of NC · North Carolina
At age 40 it costs between $833.72 and $937.92 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 | 11512NC0430001 |
|---|---|
| Insurer | Blue Cross and Blue Shield of NC |
| Metal level | Gold |
| Plan type | HMO |
| 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
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 | $652.36 | $740.43 | $833.72 | $1,165.11 | $1,770.51 |
| Randolph County | $652.36 | $740.43 | $833.72 | $1,165.11 | $1,770.51 |
| Rockingham County | $652.36 | $740.43 | $833.72 | $1,165.11 | $1,770.51 |
| Davidson County | $665.95 | $755.85 | $851.08 | $1,189.39 | $1,807.39 |
| Davie County | $665.95 | $755.85 | $851.08 | $1,189.39 | $1,807.39 |
| Forsyth County | $665.95 | $755.85 | $851.08 | $1,189.39 | $1,807.39 |
| Stokes County | $665.95 | $755.85 | $851.08 | $1,189.39 | $1,807.39 |
| Surry County | $665.95 | $755.85 | $851.08 | $1,189.39 | $1,807.39 |
| Yadkin County | $665.95 | $755.85 | $851.08 | $1,189.39 | $1,807.39 |
| Avery County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Buncombe County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Cherokee County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Clay County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Graham County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Haywood County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Henderson County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Jackson County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Macon County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Madison County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| McDowell County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Mitchell County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Montgomery County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Moore County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Polk County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Rutherford County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Swain County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Transylvania County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Yancey County | $672.74 | $763.56 | $859.76 | $1,201.51 | $1,825.82 |
| Alleghany County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Ashe County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Edgecombe County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Greene County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Nash County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Pitt County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Watauga County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Wayne County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Wilkes County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Wilson County | $679.54 | $771.28 | $868.45 | $1,213.66 | $1,844.27 |
| Alexander County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Bertie County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Bladen County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Burke County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Caldwell County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Camden County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Catawba County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Chowan County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Cumberland County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Currituck County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Gates County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Halifax County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Harnett County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Hertford County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Hoke County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Iredell County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Martin County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Northampton County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Pasquotank County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Perquimans County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Richmond County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Robeson County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Sampson County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Scotland County | $686.34 | $779 | $877.14 | $1,225.80 | $1,862.73 |
| Beaufort County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Brunswick County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Carteret County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Columbus County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Craven County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Dare County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Duplin County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Hyde County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Jones County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Lenoir County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| New Hanover County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Onslow County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Pamlico County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Pender County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Tyrrell County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Washington County | $693.13 | $786.70 | $885.82 | $1,237.93 | $1,881.15 |
| Anson County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Cabarrus County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Granville County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Mecklenburg County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Rowan County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Stanly County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Union County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Vance County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Warren County | $713.52 | $809.85 | $911.88 | $1,274.35 | $1,936.49 |
| Cleveland County | $733.90 | $832.98 | $937.92 | $1,310.75 | $1,991.80 |
| Gaston County | $733.90 | $832.98 | $937.92 | $1,310.75 | $1,991.80 |
| Lincoln County | $733.90 | $832.98 | $937.92 | $1,310.75 | $1,991.80 |
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.