Everyday Bronze
Expanded Bronze · HMO · Ambetter of North Carolina · North Carolina
At age 40 it costs between $463.41 and $589.65 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 | 77264NC0010028 |
|---|---|
| Insurer | Ambetter of North Carolina |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $8,450 |
| Deductible (family) | $16,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,150 |
| Family maximum | $20,300 |
| Primary care visit | $40 |
| Specialist visit | $90 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | 45% Coinsurance after deductible |
| 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 | $362.61 | $411.56 | $463.41 | $647.61 | $984.11 |
| Burke County | $362.61 | $411.56 | $463.41 | $647.61 | $984.11 |
| Caldwell County | $362.61 | $411.56 | $463.41 | $647.61 | $984.11 |
| Catawba County | $362.61 | $411.56 | $463.41 | $647.61 | $984.11 |
| Iredell County | $362.61 | $411.56 | $463.41 | $647.61 | $984.11 |
| Franklin County | $381.36 | $432.84 | $487.37 | $681.10 | $1,035 |
| Johnston County | $381.36 | $432.84 | $487.37 | $681.10 | $1,035 |
| Wake County | $381.36 | $432.84 | $487.37 | $681.10 | $1,035 |
| Caswell County | $382.81 | $434.48 | $489.22 | $683.69 | $1,038.93 |
| Durham County | $382.81 | $434.48 | $489.22 | $683.69 | $1,038.93 |
| Lee County | $382.81 | $434.48 | $489.22 | $683.69 | $1,038.93 |
| Orange County | $382.81 | $434.48 | $489.22 | $683.69 | $1,038.93 |
| Person County | $382.81 | $434.48 | $489.22 | $683.69 | $1,038.93 |
| Granville County | $390.01 | $442.66 | $498.43 | $696.55 | $1,058.47 |
| Vance County | $390.01 | $442.66 | $498.43 | $696.55 | $1,058.47 |
| Warren County | $390.01 | $442.66 | $498.43 | $696.55 | $1,058.47 |
| Bladen County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Cumberland County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Harnett County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Hoke County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Richmond County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Robeson County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Sampson County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Scotland County | $395.05 | $448.37 | $504.86 | $705.53 | $1,072.13 |
| Alleghany County | $412.35 | $468 | $526.97 | $736.43 | $1,119.08 |
| Wilkes County | $412.35 | $468 | $526.97 | $736.43 | $1,119.08 |
| Brunswick County | $417.42 | $473.75 | $533.44 | $745.49 | $1,132.84 |
| Columbus County | $417.42 | $473.75 | $533.44 | $745.49 | $1,132.84 |
| New Hanover County | $417.42 | $473.75 | $533.44 | $745.49 | $1,132.84 |
| Pender County | $417.42 | $473.75 | $533.44 | $745.49 | $1,132.84 |
| Avery County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Buncombe County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Clay County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Graham County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Haywood County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Jackson County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Macon County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Madison County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| McDowell County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Mitchell County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Polk County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Rutherford County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Swain County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Transylvania County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Yancey County | $427.51 | $485.22 | $546.35 | $763.52 | $1,160.25 |
| Montgomery County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Moore County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
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.