QHP Index

AmeriHealth Caritas Next Bronze Essential + No Referrals

Bronze · HMO · AmeriHealth Caritas Next · North Carolina

At age 40 it costs between $450.47 and $557.48 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 ID17414NC0010004
InsurerAmeriHealth Caritas Next
Metal levelBronze
Plan typeHMO
Deductible (individual)$10,600
Deductible (family)$21,200
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,600
Family maximum$21,200
Primary care visit$25
Specialist visitNo Charge after Deductible
Emergency roomNo Charge after Deductible
Inpatient stayNo Charge after Deductible
Generic drugs$25
Preferred brand drugsNo Charge after Deductible
Specialty drugsNo Charge after Deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-613-2262 · TTY 711

Where it is sold, and what it costs there

41 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Davidson County $352.48$400.07 $450.47$629.53 $956.63
Davie County $352.48$400.07 $450.47$629.53 $956.63
Forsyth County $352.48$400.07 $450.47$629.53 $956.63
Stokes County $352.48$400.07 $450.47$629.53 $956.63
Surry County $352.48$400.07 $450.47$629.53 $956.63
Yadkin County $352.48$400.07 $450.47$629.53 $956.63
Guilford County $360.15$408.77 $460.27$643.22 $977.43
Randolph County $360.15$408.77 $460.27$643.22 $977.43
Rockingham County $360.15$408.77 $460.27$643.22 $977.43
Alexander County $380.47$431.83 $486.23$679.51 $1,032.58
Burke County $380.47$431.83 $486.23$679.51 $1,032.58
Caldwell County $380.47$431.83 $486.23$679.51 $1,032.58
Catawba County $380.47$431.83 $486.23$679.51 $1,032.58
Iredell County $380.47$431.83 $486.23$679.51 $1,032.58
Alamance County $431.07$489.26 $550.91$769.89 $1,169.92
Avery County $431.07$489.26 $550.91$769.89 $1,169.92
Buncombe County $431.07$489.26 $550.91$769.89 $1,169.92
Caswell County $431.07$489.26 $550.91$769.89 $1,169.92
Cherokee County $431.07$489.26 $550.91$769.89 $1,169.92
Clay County $431.07$489.26 $550.91$769.89 $1,169.92
Graham County $431.07$489.26 $550.91$769.89 $1,169.92
Granville County $431.07$489.26 $550.91$769.89 $1,169.92
Haywood County $431.07$489.26 $550.91$769.89 $1,169.92
Henderson County $431.07$489.26 $550.91$769.89 $1,169.92
Jackson County $431.07$489.26 $550.91$769.89 $1,169.92
Macon County $431.07$489.26 $550.91$769.89 $1,169.92
Madison County $431.07$489.26 $550.91$769.89 $1,169.92
McDowell County $431.07$489.26 $550.91$769.89 $1,169.92
Mitchell County $431.07$489.26 $550.91$769.89 $1,169.92
Person County $431.07$489.26 $550.91$769.89 $1,169.92
Polk County $431.07$489.26 $550.91$769.89 $1,169.92
Rutherford County $431.07$489.26 $550.91$769.89 $1,169.92
Swain County $431.07$489.26 $550.91$769.89 $1,169.92
Transylvania County $431.07$489.26 $550.91$769.89 $1,169.92
Vance County $431.07$489.26 $550.91$769.89 $1,169.92
Warren County $431.07$489.26 $550.91$769.89 $1,169.92
Yancey County $431.07$489.26 $550.91$769.89 $1,169.92
Alleghany County $436.21$495.10 $557.48$779.07 $1,183.87
Ashe County $436.21$495.10 $557.48$779.07 $1,183.87
Watauga County $436.21$495.10 $557.48$779.07 $1,183.87
Wilkes County $436.21$495.10 $557.48$779.07 $1,183.87

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.