Enhanced Asthma/COPD Care Silver with $0 Drug Options
Silver · HMO · Ambetter of North Carolina · North Carolina
At age 40 it costs between $611.34 and $777.87 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,900 | $8,150 | $40 | $3 |
| up to 150% of the federal poverty level | $100 | $1,500 | No Charge | No Charge |
| 150% to 200% | $850 | $3,250 | $10 | No Charge |
| 200% to 250% | $5,150 | $7,900 | $25 | $3 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 77264NC0010009 |
|---|---|
| Insurer | Ambetter of North Carolina |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,900 |
| Deductible (family) | $11,800 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,150 |
| Family maximum | $16,300 |
| Primary care visit | $40 |
| Specialist visit | $60 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 |
| 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 | 1-833-863-1310 · TTY 1-833-863-1310 |
Where it is sold, and what it costs there
47 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 |
|---|---|---|---|---|---|
| Alexander County | $478.36 | $542.93 | $611.34 | $854.34 | $1,298.26 |
| Burke County | $478.36 | $542.93 | $611.34 | $854.34 | $1,298.26 |
| Caldwell County | $478.36 | $542.93 | $611.34 | $854.34 | $1,298.26 |
| Catawba County | $478.36 | $542.93 | $611.34 | $854.34 | $1,298.26 |
| Iredell County | $478.36 | $542.93 | $611.34 | $854.34 | $1,298.26 |
| Franklin County | $503.10 | $571.01 | $642.95 | $898.52 | $1,365.39 |
| Johnston County | $503.10 | $571.01 | $642.95 | $898.52 | $1,365.39 |
| Wake County | $503.10 | $571.01 | $642.95 | $898.52 | $1,365.39 |
| Caswell County | $505.01 | $573.17 | $645.39 | $901.93 | $1,370.57 |
| Durham County | $505.01 | $573.17 | $645.39 | $901.93 | $1,370.57 |
| Lee County | $505.01 | $573.17 | $645.39 | $901.93 | $1,370.57 |
| Orange County | $505.01 | $573.17 | $645.39 | $901.93 | $1,370.57 |
| Person County | $505.01 | $573.17 | $645.39 | $901.93 | $1,370.57 |
| Granville County | $514.51 | $583.96 | $657.53 | $918.90 | $1,396.36 |
| Vance County | $514.51 | $583.96 | $657.53 | $918.90 | $1,396.36 |
| Warren County | $514.51 | $583.96 | $657.53 | $918.90 | $1,396.36 |
| Bladen County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Cumberland County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Harnett County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Hoke County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Richmond County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Robeson County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Sampson County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Scotland County | $521.15 | $591.49 | $666.01 | $930.75 | $1,414.37 |
| Alleghany County | $543.97 | $617.40 | $695.18 | $971.52 | $1,476.31 |
| Wilkes County | $543.97 | $617.40 | $695.18 | $971.52 | $1,476.31 |
| Brunswick County | $550.66 | $624.99 | $703.73 | $983.46 | $1,494.46 |
| Columbus County | $550.66 | $624.99 | $703.73 | $983.46 | $1,494.46 |
| New Hanover County | $550.66 | $624.99 | $703.73 | $983.46 | $1,494.46 |
| Pender County | $550.66 | $624.99 | $703.73 | $983.46 | $1,494.46 |
| Avery County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Buncombe County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Clay County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Graham County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Haywood County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Jackson County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Macon County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Madison County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| McDowell County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Mitchell County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Polk County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Rutherford County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Swain County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Transylvania County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Yancey County | $563.98 | $640.11 | $720.76 | $1,007.25 | $1,530.62 |
| Montgomery County | $608.67 | $690.83 | $777.87 | $1,087.07 | $1,651.92 |
| Moore County | $608.67 | $690.83 | $777.87 | $1,087.07 | $1,651.92 |
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.