AmeriHealth Caritas Next Gold Signature + No Referrals
Gold · HMO · AmeriHealth Caritas Next · North Carolina
At age 40 it costs between $609.93 and $754.81 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 | 17414NC0010009 |
|---|---|
| Insurer | AmeriHealth Caritas Next |
| 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 | No |
| 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 | 1-833-613-2262 · 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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Davidson County | $477.26 | $541.68 | $609.93 | $852.37 | $1,295.26 |
| Davie County | $477.26 | $541.68 | $609.93 | $852.37 | $1,295.26 |
| Forsyth County | $477.26 | $541.68 | $609.93 | $852.37 | $1,295.26 |
| Stokes County | $477.26 | $541.68 | $609.93 | $852.37 | $1,295.26 |
| Surry County | $477.26 | $541.68 | $609.93 | $852.37 | $1,295.26 |
| Yadkin County | $477.26 | $541.68 | $609.93 | $852.37 | $1,295.26 |
| Guilford County | $487.63 | $553.46 | $623.19 | $870.91 | $1,323.42 |
| Randolph County | $487.63 | $553.46 | $623.19 | $870.91 | $1,323.42 |
| Rockingham County | $487.63 | $553.46 | $623.19 | $870.91 | $1,323.42 |
| Alexander County | $515.14 | $584.69 | $658.35 | $920.04 | $1,398.09 |
| Burke County | $515.14 | $584.69 | $658.35 | $920.04 | $1,398.09 |
| Caldwell County | $515.14 | $584.69 | $658.35 | $920.04 | $1,398.09 |
| Catawba County | $515.14 | $584.69 | $658.35 | $920.04 | $1,398.09 |
| Iredell County | $515.14 | $584.69 | $658.35 | $920.04 | $1,398.09 |
| Alamance County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Avery County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Buncombe County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Caswell County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Cherokee County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Clay County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Graham County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Granville County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Haywood County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Henderson County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Jackson County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Macon County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Madison County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| McDowell County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Mitchell County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Person County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Polk County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Rutherford County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Swain County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Transylvania County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Vance County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Warren County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Yancey County | $583.66 | $662.45 | $745.92 | $1,042.41 | $1,584.05 |
| Alleghany County | $590.62 | $670.36 | $754.81 | $1,054.85 | $1,602.94 |
| Ashe County | $590.62 | $670.36 | $754.81 | $1,054.85 | $1,602.94 |
| Watauga County | $590.62 | $670.36 | $754.81 | $1,054.85 | $1,602.94 |
| Wilkes County | $590.62 | $670.36 | $754.81 | $1,054.85 | $1,602.94 |
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.