Complete Gold + Vision + Adult Dental
Gold · HMO · Ambetter of North Carolina · North Carolina
At age 40 it costs between $665.54 and $846.84 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 | 77264NC0020007 |
|---|---|
| Insurer | Ambetter of North Carolina |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,450 |
| Deductible (family) | $2,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $30 |
| Specialty drugs | 30% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 96.74% |
| 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 | $520.78 | $591.07 | $665.54 | $930.09 | $1,413.36 |
| Burke County | $520.78 | $591.07 | $665.54 | $930.09 | $1,413.36 |
| Caldwell County | $520.78 | $591.07 | $665.54 | $930.09 | $1,413.36 |
| Catawba County | $520.78 | $591.07 | $665.54 | $930.09 | $1,413.36 |
| Iredell County | $520.78 | $591.07 | $665.54 | $930.09 | $1,413.36 |
| Franklin County | $547.70 | $621.63 | $699.95 | $978.18 | $1,486.44 |
| Johnston County | $547.70 | $621.63 | $699.95 | $978.18 | $1,486.44 |
| Wake County | $547.70 | $621.63 | $699.95 | $978.18 | $1,486.44 |
| Caswell County | $549.78 | $623.99 | $702.61 | $981.90 | $1,492.08 |
| Durham County | $549.78 | $623.99 | $702.61 | $981.90 | $1,492.08 |
| Lee County | $549.78 | $623.99 | $702.61 | $981.90 | $1,492.08 |
| Orange County | $549.78 | $623.99 | $702.61 | $981.90 | $1,492.08 |
| Person County | $549.78 | $623.99 | $702.61 | $981.90 | $1,492.08 |
| Granville County | $560.13 | $635.73 | $715.83 | $1,000.37 | $1,520.16 |
| Vance County | $560.13 | $635.73 | $715.83 | $1,000.37 | $1,520.16 |
| Warren County | $560.13 | $635.73 | $715.83 | $1,000.37 | $1,520.16 |
| Bladen County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Cumberland County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Harnett County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Hoke County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Richmond County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Robeson County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Sampson County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Scotland County | $567.35 | $643.93 | $725.06 | $1,013.27 | $1,539.77 |
| Alleghany County | $592.20 | $672.14 | $756.82 | $1,057.65 | $1,607.20 |
| Wilkes County | $592.20 | $672.14 | $756.82 | $1,057.65 | $1,607.20 |
| Brunswick County | $599.48 | $680.40 | $766.12 | $1,070.65 | $1,626.96 |
| Columbus County | $599.48 | $680.40 | $766.12 | $1,070.65 | $1,626.96 |
| New Hanover County | $599.48 | $680.40 | $766.12 | $1,070.65 | $1,626.96 |
| Pender County | $599.48 | $680.40 | $766.12 | $1,070.65 | $1,626.96 |
| Avery County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Buncombe County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Clay County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Graham County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Haywood County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Jackson County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Macon County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Madison County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| McDowell County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Mitchell County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Polk County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Rutherford County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Swain County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Transylvania County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Yancey County | $613.98 | $696.86 | $784.66 | $1,096.56 | $1,666.32 |
| Montgomery County | $662.64 | $752.08 | $846.84 | $1,183.45 | $1,798.37 |
| Moore County | $662.64 | $752.08 | $846.84 | $1,183.45 | $1,798.37 |
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.