Bronze Classic Standard
Expanded Bronze · HMO · Oscar Health Plan of North Carolina, Inc · North Carolina
At age 40 it costs between $457.07 and $660.57 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 | 69803NC0010050 |
|---|---|
| Insurer | Oscar Health Plan of North Carolina, Inc |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| 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 | 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 | 1-855-672-2755 · TTY 1-855-672-2755 |
Where it is sold, and what it costs there
11 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 | $357.66 | $405.93 | $457.07 | $638.76 | $970.65 |
| Rockingham County | $357.66 | $405.93 | $457.07 | $638.76 | $970.65 |
| Alamance County | $382.06 | $433.62 | $488.25 | $682.33 | $1,036.87 |
| Buncombe County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
| Henderson County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
| Madison County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
| McDowell County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
| Mitchell County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
| Polk County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
| Transylvania County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
| Yancey County | $516.89 | $586.66 | $660.57 | $923.15 | $1,402.81 |
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.