AmeriHealth Caritas Next Gold Premier + No Referrals
Gold · HMO · AmeriHealth Caritas Next · North Carolina
At age 40 it costs between $633.54 and $784.03 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 | 17414NC0010014 |
|---|---|
| Insurer | AmeriHealth Caritas Next |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $850 |
| Deductible (family) | $1,700 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,500 |
| Family maximum | $17,000 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $60 |
| Specialty drugs | 50% Coinsurance after deductible |
| 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 | $495.73 | $562.65 | $633.54 | $885.37 | $1,345.40 |
| Davie County | $495.73 | $562.65 | $633.54 | $885.37 | $1,345.40 |
| Forsyth County | $495.73 | $562.65 | $633.54 | $885.37 | $1,345.40 |
| Stokes County | $495.73 | $562.65 | $633.54 | $885.37 | $1,345.40 |
| Surry County | $495.73 | $562.65 | $633.54 | $885.37 | $1,345.40 |
| Yadkin County | $495.73 | $562.65 | $633.54 | $885.37 | $1,345.40 |
| Guilford County | $506.51 | $574.89 | $647.32 | $904.62 | $1,374.66 |
| Randolph County | $506.51 | $574.89 | $647.32 | $904.62 | $1,374.66 |
| Rockingham County | $506.51 | $574.89 | $647.32 | $904.62 | $1,374.66 |
| Alexander County | $535.09 | $607.32 | $683.84 | $955.66 | $1,452.21 |
| Burke County | $535.09 | $607.32 | $683.84 | $955.66 | $1,452.21 |
| Caldwell County | $535.09 | $607.32 | $683.84 | $955.66 | $1,452.21 |
| Catawba County | $535.09 | $607.32 | $683.84 | $955.66 | $1,452.21 |
| Iredell County | $535.09 | $607.32 | $683.84 | $955.66 | $1,452.21 |
| Alamance County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Avery County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Buncombe County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Caswell County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Cherokee County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Clay County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Graham County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Granville County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Haywood County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Henderson County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Jackson County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Macon County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Madison County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| McDowell County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Mitchell County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Person County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Polk County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Rutherford County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Swain County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Transylvania County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Vance County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Warren County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Yancey County | $606.26 | $688.10 | $774.79 | $1,082.77 | $1,645.37 |
| Alleghany County | $613.49 | $696.31 | $784.03 | $1,095.68 | $1,664.99 |
| Ashe County | $613.49 | $696.31 | $784.03 | $1,095.68 | $1,664.99 |
| Watauga County | $613.49 | $696.31 | $784.03 | $1,095.68 | $1,664.99 |
| Wilkes County | $613.49 | $696.31 | $784.03 | $1,095.68 | $1,664.99 |
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.