QHP Index

Everyday Bronze + Vision + Adult Dental

Expanded Bronze · HMO · Ambetter of North Carolina · North Carolina

At age 40 it costs between $479 and $609.49 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 ID77264NC0020028
InsurerAmbetter of North Carolina
Metal levelExpanded Bronze
Plan typeHMO
Deductible (individual)$8,450
Deductible (family)$16,900
Drug deductibleIncluded 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 room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$3
Preferred brand drugs45% Coinsurance after deductible
Specialty drugs50% Coinsurance after deductible
Adult dental includedYes
Child dental includedNo
Share of premium buying essential health benefits96.74%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-863-1310 · 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.

CountyAt 21At 30At 40At 50At 60
Alexander County $374.82$425.40 $479$669.40 $1,017.22
Burke County $374.82$425.40 $479$669.40 $1,017.22
Caldwell County $374.82$425.40 $479$669.40 $1,017.22
Catawba County $374.82$425.40 $479$669.40 $1,017.22
Iredell County $374.82$425.40 $479$669.40 $1,017.22
Franklin County $394.20$447.40 $503.77$704.02 $1,069.82
Johnston County $394.20$447.40 $503.77$704.02 $1,069.82
Wake County $394.20$447.40 $503.77$704.02 $1,069.82
Caswell County $395.69$449.10 $505.68$706.69 $1,073.88
Durham County $395.69$449.10 $505.68$706.69 $1,073.88
Lee County $395.69$449.10 $505.68$706.69 $1,073.88
Orange County $395.69$449.10 $505.68$706.69 $1,073.88
Person County $395.69$449.10 $505.68$706.69 $1,073.88
Granville County $403.14$457.55 $515.20$719.99 $1,094.09
Vance County $403.14$457.55 $515.20$719.99 $1,094.09
Warren County $403.14$457.55 $515.20$719.99 $1,094.09
Bladen County $408.34$463.45 $521.84$729.27 $1,108.20
Cumberland County $408.34$463.45 $521.84$729.27 $1,108.20
Harnett County $408.34$463.45 $521.84$729.27 $1,108.20
Hoke County $408.34$463.45 $521.84$729.27 $1,108.20
Richmond County $408.34$463.45 $521.84$729.27 $1,108.20
Robeson County $408.34$463.45 $521.84$729.27 $1,108.20
Sampson County $408.34$463.45 $521.84$729.27 $1,108.20
Scotland County $408.34$463.45 $521.84$729.27 $1,108.20
Alleghany County $426.22$483.75 $544.70$761.21 $1,156.73
Wilkes County $426.22$483.75 $544.70$761.21 $1,156.73
Brunswick County $431.46$489.69 $551.39$770.57 $1,170.95
Columbus County $431.46$489.69 $551.39$770.57 $1,170.95
New Hanover County $431.46$489.69 $551.39$770.57 $1,170.95
Pender County $431.46$489.69 $551.39$770.57 $1,170.95
Avery County $441.90$501.54 $564.73$789.21 $1,199.28
Buncombe County $441.90$501.54 $564.73$789.21 $1,199.28
Clay County $441.90$501.54 $564.73$789.21 $1,199.28
Graham County $441.90$501.54 $564.73$789.21 $1,199.28
Haywood County $441.90$501.54 $564.73$789.21 $1,199.28
Jackson County $441.90$501.54 $564.73$789.21 $1,199.28
Macon County $441.90$501.54 $564.73$789.21 $1,199.28
Madison County $441.90$501.54 $564.73$789.21 $1,199.28
McDowell County $441.90$501.54 $564.73$789.21 $1,199.28
Mitchell County $441.90$501.54 $564.73$789.21 $1,199.28
Polk County $441.90$501.54 $564.73$789.21 $1,199.28
Rutherford County $441.90$501.54 $564.73$789.21 $1,199.28
Swain County $441.90$501.54 $564.73$789.21 $1,199.28
Transylvania County $441.90$501.54 $564.73$789.21 $1,199.28
Yancey County $441.90$501.54 $564.73$789.21 $1,199.28
Montgomery County $476.92$541.29 $609.49$851.76 $1,294.32
Moore County $476.92$541.29 $609.49$851.76 $1,294.32

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.