Elite Bronze
Expanded Bronze · HMO · Ambetter of North Carolina · North Carolina
At age 40 it costs between $526.54 and $669.98 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 | 77264NC0010036 |
|---|---|
| Insurer | Ambetter of North Carolina |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $3,800 |
| Most you could pay in a year | $10,500 |
| Family maximum | $21,000 |
| Primary care visit | $60 |
| Specialist visit | $120 |
| Emergency room | $2,500 |
| Inpatient stay | 50% |
| Generic drugs | $3 |
| Preferred brand drugs | $195 |
| 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 | $412.01 | $467.62 | $526.54 | $735.84 | $1,118.18 |
| Burke County | $412.01 | $467.62 | $526.54 | $735.84 | $1,118.18 |
| Caldwell County | $412.01 | $467.62 | $526.54 | $735.84 | $1,118.18 |
| Catawba County | $412.01 | $467.62 | $526.54 | $735.84 | $1,118.18 |
| Iredell County | $412.01 | $467.62 | $526.54 | $735.84 | $1,118.18 |
| Franklin County | $433.32 | $491.80 | $553.77 | $773.89 | $1,176 |
| Johnston County | $433.32 | $491.80 | $553.77 | $773.89 | $1,176 |
| Wake County | $433.32 | $491.80 | $553.77 | $773.89 | $1,176 |
| Caswell County | $434.96 | $493.67 | $555.87 | $776.83 | $1,180.46 |
| Durham County | $434.96 | $493.67 | $555.87 | $776.83 | $1,180.46 |
| Lee County | $434.96 | $493.67 | $555.87 | $776.83 | $1,180.46 |
| Orange County | $434.96 | $493.67 | $555.87 | $776.83 | $1,180.46 |
| Person County | $434.96 | $493.67 | $555.87 | $776.83 | $1,180.46 |
| Granville County | $443.15 | $502.96 | $566.33 | $791.44 | $1,202.67 |
| Vance County | $443.15 | $502.96 | $566.33 | $791.44 | $1,202.67 |
| Warren County | $443.15 | $502.96 | $566.33 | $791.44 | $1,202.67 |
| Bladen County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Cumberland County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Harnett County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Hoke County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Richmond County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Robeson County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Sampson County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Scotland County | $448.86 | $509.45 | $573.63 | $801.65 | $1,218.19 |
| Alleghany County | $468.52 | $531.76 | $598.76 | $836.76 | $1,271.54 |
| Wilkes County | $468.52 | $531.76 | $598.76 | $836.76 | $1,271.54 |
| Brunswick County | $474.28 | $538.30 | $606.12 | $847.05 | $1,287.17 |
| Columbus County | $474.28 | $538.30 | $606.12 | $847.05 | $1,287.17 |
| New Hanover County | $474.28 | $538.30 | $606.12 | $847.05 | $1,287.17 |
| Pender County | $474.28 | $538.30 | $606.12 | $847.05 | $1,287.17 |
| Avery County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Buncombe County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Clay County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Graham County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Haywood County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Jackson County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Macon County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Madison County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| McDowell County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Mitchell County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Polk County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Rutherford County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Swain County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Transylvania County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Yancey County | $485.75 | $551.32 | $620.78 | $867.54 | $1,318.31 |
| Montgomery County | $524.25 | $595.01 | $669.98 | $936.29 | $1,422.78 |
| Moore County | $524.25 | $595.01 | $669.98 | $936.29 | $1,422.78 |
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.