Standard Expanded Bronze + Vision + Adult Dental
Expanded Bronze · HMO · Ambetter of North Carolina · North Carolina
At age 40 it costs between $480.86 and $611.85 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 | 77264NC0020055 |
|---|---|
| Insurer | Ambetter of North Carolina |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay 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 | $376.27 | $427.05 | $480.86 | $672 | $1,021.17 |
| Burke County | $376.27 | $427.05 | $480.86 | $672 | $1,021.17 |
| Caldwell County | $376.27 | $427.05 | $480.86 | $672 | $1,021.17 |
| Catawba County | $376.27 | $427.05 | $480.86 | $672 | $1,021.17 |
| Iredell County | $376.27 | $427.05 | $480.86 | $672 | $1,021.17 |
| Franklin County | $395.72 | $449.14 | $505.72 | $706.75 | $1,073.97 |
| Johnston County | $395.72 | $449.14 | $505.72 | $706.75 | $1,073.97 |
| Wake County | $395.72 | $449.14 | $505.72 | $706.75 | $1,073.97 |
| Caswell County | $397.23 | $450.84 | $507.64 | $709.43 | $1,078.05 |
| Durham County | $397.23 | $450.84 | $507.64 | $709.43 | $1,078.05 |
| Lee County | $397.23 | $450.84 | $507.64 | $709.43 | $1,078.05 |
| Orange County | $397.23 | $450.84 | $507.64 | $709.43 | $1,078.05 |
| Person County | $397.23 | $450.84 | $507.64 | $709.43 | $1,078.05 |
| Granville County | $404.70 | $459.32 | $517.20 | $722.78 | $1,098.33 |
| Vance County | $404.70 | $459.32 | $517.20 | $722.78 | $1,098.33 |
| Warren County | $404.70 | $459.32 | $517.20 | $722.78 | $1,098.33 |
| Bladen County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Cumberland County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Harnett County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Hoke County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Richmond County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Robeson County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Sampson County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Scotland County | $409.92 | $465.25 | $523.87 | $732.10 | $1,112.50 |
| Alleghany County | $427.87 | $485.63 | $546.81 | $764.16 | $1,161.22 |
| Wilkes County | $427.87 | $485.63 | $546.81 | $764.16 | $1,161.22 |
| Brunswick County | $433.13 | $491.59 | $553.53 | $773.56 | $1,175.50 |
| Columbus County | $433.13 | $491.59 | $553.53 | $773.56 | $1,175.50 |
| New Hanover County | $433.13 | $491.59 | $553.53 | $773.56 | $1,175.50 |
| Pender County | $433.13 | $491.59 | $553.53 | $773.56 | $1,175.50 |
| Avery County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Buncombe County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Clay County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Graham County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Haywood County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Jackson County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Macon County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Madison County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| McDowell County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Mitchell County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Polk County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Rutherford County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Swain County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Transylvania County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Yancey County | $443.61 | $503.49 | $566.92 | $792.27 | $1,203.94 |
| Montgomery County | $478.77 | $543.39 | $611.85 | $855.06 | $1,299.35 |
| Moore County | $478.77 | $543.39 | $611.85 | $855.06 | $1,299.35 |
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.