Brunswick County, North Carolina Obamacare 2024 Rates

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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Brunswick County, NC.

The health insurance rates listed below are for calendar year 2024.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 54 Plans and 2024 Rates for Brunswick County, North Carolina

Below, you’ll find a summary of the 54 plans for Brunswick County, North Carolina and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.


Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |



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Blue Cross and Blue Shield of NC

Local: 1-800-324-4973 | Toll Free: 1-800-324-4973

Toc - Plan #1 Blue Cross and Blue Shield of NC
Silver

(PPO) Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$2,750 $5,500 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$491.26
$557.58
$627.83
$877.39
$1,333.28
$867.07
$933.39
$1,003.64
$1,253.20
$1,242.88
$1,309.20
$1,379.45
$1,629.01
$1,618.69
$1,685.01
$1,755.26
$2,004.82
$375.81
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$982.52
$1,115.16
$1,255.66
$1,754.78
$2,666.56
$1,358.33
$1,490.97
$1,631.47
$2,130.59
$1,734.14
$1,866.78
$2,007.28
$2,506.40
$2,109.95
$2,242.59
$2,383.09
$2,882.21
$375.81
Toc - Plan #2 Blue Cross and Blue Shield of NC
Silver

(PPO) Blue Advantage Silver Secure | $15 PCP | $15 Tier 1 Rx | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$1,600 $3,200 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$511.85
$580.95
$654.14
$914.16
$1,389.16
$903.42
$972.52
$1,045.71
$1,305.73
$1,294.99
$1,364.09
$1,437.28
$1,697.30
$1,686.56
$1,755.66
$1,828.85
$2,088.87
$391.57
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,023.70
$1,161.90
$1,308.28
$1,828.32
$2,778.32
$1,415.27
$1,553.47
$1,699.85
$2,219.89
$1,806.84
$1,945.04
$2,091.42
$2,611.46
$2,198.41
$2,336.61
$2,482.99
$3,003.03
$391.57
Toc - Plan #3 Blue Cross and Blue Shield of NC
Expanded Bronze

(PPO) Blue Advantage Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372.00
$422.22
$475.42
$664.39
$1,009.61
$656.58
$706.80
$760.00
$948.97
$941.16
$991.38
$1,044.58
$1,233.55
$1,225.74
$1,275.96
$1,329.16
$1,518.13
$284.58
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$744.00
$844.44
$950.84
$1,328.78
$2,019.22
$1,028.58
$1,129.02
$1,235.42
$1,613.36
$1,313.16
$1,413.60
$1,520.00
$1,897.94
$1,597.74
$1,698.18
$1,804.58
$2,182.52
$284.58
Toc - Plan #4 Blue Cross and Blue Shield of NC
Gold

(PPO) Blue Advantage Gold | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$1,800 $3,600 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$509.47
$578.25
$651.10
$909.91
$1,382.70
$899.21
$967.99
$1,040.84
$1,299.65
$1,288.95
$1,357.73
$1,430.58
$1,689.39
$1,678.69
$1,747.47
$1,820.32
$2,079.13
$389.74
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,018.94
$1,156.50
$1,302.20
$1,819.82
$2,765.40
$1,408.68
$1,546.24
$1,691.94
$2,209.56
$1,798.42
$1,935.98
$2,081.68
$2,599.30
$2,188.16
$2,325.72
$2,471.42
$2,989.04
$389.74
Toc - Plan #5 Blue Cross and Blue Shield of NC
Expanded Bronze

(PPO) Blue Advantage Bronze | HSA Eligible | Integrated | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$8,050 $16,100 Annual Deductible
$8,050 $16,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$373.16
$423.54
$476.90
$666.46
$1,012.76
$658.63
$709.01
$762.37
$951.93
$944.10
$994.48
$1,047.84
$1,237.40
$1,229.57
$1,279.95
$1,333.31
$1,522.87
$285.47
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$746.32
$847.08
$953.80
$1,332.92
$2,025.52
$1,031.79
$1,132.55
$1,239.27
$1,618.39
$1,317.26
$1,418.02
$1,524.74
$1,903.86
$1,602.73
$1,703.49
$1,810.21
$2,189.33
$285.47
Toc - Plan #6 Blue Cross and Blue Shield of NC
Catastrophic

(PPO) Blue Advantage Catastrophic | 3 PCP $35 | Integrated | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$9,450 $18,900 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$294.75
$334.54
$376.69
$526.42
$799.95
$520.23
$560.02
$602.17
$751.90
$745.71
$785.50
$827.65
$977.38
$971.19
$1,010.98
$1,053.13
$1,202.86
$225.48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$589.50
$669.08
$753.38
$1,052.84
$1,599.90
$814.98
$894.56
$978.86
$1,278.32
$1,040.46
$1,120.04
$1,204.34
$1,503.80
$1,265.94
$1,345.52
$1,429.82
$1,729.28
$225.48
Toc - Plan #7 Blue Cross and Blue Shield of NC
Silver

(PPO) Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$515.34
$584.91
$658.60
$920.40
$1,398.63
$909.58
$979.15
$1,052.84
$1,314.64
$1,303.82
$1,373.39
$1,447.08
$1,708.88
$1,698.06
$1,767.63
$1,841.32
$2,103.12
$394.24
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,030.68
$1,169.82
$1,317.20
$1,840.80
$2,797.26
$1,424.92
$1,564.06
$1,711.44
$2,235.04
$1,819.16
$1,958.30
$2,105.68
$2,629.28
$2,213.40
$2,352.54
$2,499.92
$3,023.52
$394.24
Toc - Plan #8 Blue Cross and Blue Shield of NC
Expanded Bronze

(PPO) Blue Advantage Bronze | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$394.09
$447.29
$503.65
$703.84
$1,069.56
$695.57
$748.77
$805.13
$1,005.32
$997.05
$1,050.25
$1,106.61
$1,306.80
$1,298.53
$1,351.73
$1,408.09
$1,608.28
$301.48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$788.18
$894.58
$1,007.30
$1,407.68
$2,139.12
$1,089.66
$1,196.06
$1,308.78
$1,709.16
$1,391.14
$1,497.54
$1,610.26
$2,010.64
$1,692.62
$1,799.02
$1,911.74
$2,312.12
$301.48
Toc - Plan #9 Blue Cross and Blue Shield of NC
Gold

(PPO) Blue Advantage Gold Standard | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$509.53
$578.32
$651.18
$910.02
$1,382.86
$899.32
$968.11
$1,040.97
$1,299.81
$1,289.11
$1,357.90
$1,430.76
$1,689.60
$1,678.90
$1,747.69
$1,820.55
$2,079.39
$389.79
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,019.06
$1,156.64
$1,302.36
$1,820.04
$2,765.72
$1,408.85
$1,546.43
$1,692.15
$2,209.83
$1,798.64
$1,936.22
$2,081.94
$2,599.62
$2,188.43
$2,326.01
$2,471.73
$2,989.41
$389.79
Toc - Plan #10 Blue Cross and Blue Shield of NC
Silver

(PPO) Blue Advantage Silver Standard | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$498.56
$565.87
$637.16
$890.43
$1,353.09
$879.96
$947.27
$1,018.56
$1,271.83
$1,261.36
$1,328.67
$1,399.96
$1,653.23
$1,642.76
$1,710.07
$1,781.36
$2,034.63
$381.40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$997.12
$1,131.74
$1,274.32
$1,780.86
$2,706.18
$1,378.52
$1,513.14
$1,655.72
$2,162.26
$1,759.92
$1,894.54
$2,037.12
$2,543.66
$2,141.32
$2,275.94
$2,418.52
$2,925.06
$381.40
Toc - Plan #11 Blue Cross and Blue Shield of NC
Expanded Bronze

(PPO) Blue Advantage Bronze Standard | Nationwide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$381.63
$433.15
$487.72
$681.59
$1,035.74
$673.58
$725.10
$779.67
$973.54
$965.53
$1,017.05
$1,071.62
$1,265.49
$1,257.48
$1,309.00
$1,363.57
$1,557.44
$291.95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$763.26
$866.30
$975.44
$1,363.18
$2,071.48
$1,055.21
$1,158.25
$1,267.39
$1,655.13
$1,347.16
$1,450.20
$1,559.34
$1,947.08
$1,639.11
$1,742.15
$1,851.29
$2,239.03
$291.95
Toc - Plan #12 Blue Cross and Blue Shield of NC
Gold

(POS) Blue Value Gold | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$1,800 $3,600 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$440.35
$499.80
$562.77
$786.47
$1,195.11
$777.22
$836.67
$899.64
$1,123.34
$1,114.09
$1,173.54
$1,236.51
$1,460.21
$1,450.96
$1,510.41
$1,573.38
$1,797.08
$336.87
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$880.70
$999.60
$1,125.54
$1,572.94
$2,390.22
$1,217.57
$1,336.47
$1,462.41
$1,909.81
$1,554.44
$1,673.34
$1,799.28
$2,246.68
$1,891.31
$2,010.21
$2,136.15
$2,583.55
$336.87
Toc - Plan #13 Blue Cross and Blue Shield of NC
Expanded Bronze

(POS) Blue Value Bronze | HSA Eligible | Integrated | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$8,050 $16,100 Annual Deductible
$8,050 $16,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$322.48
$366.01
$412.13
$575.95
$875.21
$569.18
$612.71
$658.83
$822.65
$815.88
$859.41
$905.53
$1,069.35
$1,062.58
$1,106.11
$1,152.23
$1,316.05
$246.70
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$644.96
$732.02
$824.26
$1,151.90
$1,750.42
$891.66
$978.72
$1,070.96
$1,398.60
$1,138.36
$1,225.42
$1,317.66
$1,645.30
$1,385.06
$1,472.12
$1,564.36
$1,892.00
$246.70
Toc - Plan #14 Blue Cross and Blue Shield of NC
Catastrophic

(POS) Blue Value Catastrophic | 3 PCP $35 | Integrated | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$9,450 $18,900 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$254.78
$289.18
$325.61
$455.04
$691.47
$449.69
$484.09
$520.52
$649.95
$644.60
$679.00
$715.43
$844.86
$839.51
$873.91
$910.34
$1,039.77
$194.91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$509.56
$578.36
$651.22
$910.08
$1,382.94
$704.47
$773.27
$846.13
$1,104.99
$899.38
$968.18
$1,041.04
$1,299.90
$1,094.29
$1,163.09
$1,235.95
$1,494.81
$194.91
Toc - Plan #15 Blue Cross and Blue Shield of NC
Silver

(POS) Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$445.41
$505.54
$569.23
$795.50
$1,208.84
$786.15
$846.28
$909.97
$1,136.24
$1,126.89
$1,187.02
$1,250.71
$1,476.98
$1,467.63
$1,527.76
$1,591.45
$1,817.72
$340.74
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$890.82
$1,011.08
$1,138.46
$1,591.00
$2,417.68
$1,231.56
$1,351.82
$1,479.20
$1,931.74
$1,572.30
$1,692.56
$1,819.94
$2,272.48
$1,913.04
$2,033.30
$2,160.68
$2,613.22
$340.74
Toc - Plan #16 Blue Cross and Blue Shield of NC
Expanded Bronze

(POS) Blue Value Bronze | $60 PCP | $20 Tier 1 Rx | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$340.59
$386.57
$435.27
$608.29
$924.36
$601.14
$647.12
$695.82
$868.84
$861.69
$907.67
$956.37
$1,129.39
$1,122.24
$1,168.22
$1,216.92
$1,389.94
$260.55
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$681.18
$773.14
$870.54
$1,216.58
$1,848.72
$941.73
$1,033.69
$1,131.09
$1,477.13
$1,202.28
$1,294.24
$1,391.64
$1,737.68
$1,462.83
$1,554.79
$1,652.19
$1,998.23
$260.55
Toc - Plan #17 Blue Cross and Blue Shield of NC
Silver

(POS) Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$2,750 $5,500 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$424.55
$481.86
$542.57
$758.25
$1,152.23
$749.33
$806.64
$867.35
$1,083.03
$1,074.11
$1,131.42
$1,192.13
$1,407.81
$1,398.89
$1,456.20
$1,516.91
$1,732.59
$324.78
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$849.10
$963.72
$1,085.14
$1,516.50
$2,304.46
$1,173.88
$1,288.50
$1,409.92
$1,841.28
$1,498.66
$1,613.28
$1,734.70
$2,166.06
$1,823.44
$1,938.06
$2,059.48
$2,490.84
$324.78
Toc - Plan #18 Blue Cross and Blue Shield of NC
Silver

(POS) Blue Value Silver Secure | $15 PCP | $15 Tier 1 Rx | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$1,600 $3,200 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$442.37
$502.09
$565.35
$790.07
$1,200.59
$780.78
$840.50
$903.76
$1,128.48
$1,119.19
$1,178.91
$1,242.17
$1,466.89
$1,457.60
$1,517.32
$1,580.58
$1,805.30
$338.41
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$884.74
$1,004.18
$1,130.70
$1,580.14
$2,401.18
$1,223.15
$1,342.59
$1,469.11
$1,918.55
$1,561.56
$1,681.00
$1,807.52
$2,256.96
$1,899.97
$2,019.41
$2,145.93
$2,595.37
$338.41
Toc - Plan #19 Blue Cross and Blue Shield of NC
Expanded Bronze

(POS) Blue Value Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$321.52
$364.93
$410.90
$574.23
$872.61
$567.48
$610.89
$656.86
$820.19
$813.44
$856.85
$902.82
$1,066.15
$1,059.40
$1,102.81
$1,148.78
$1,312.11
$245.96
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$643.04
$729.86
$821.80
$1,148.46
$1,745.22
$889.00
$975.82
$1,067.76
$1,394.42
$1,134.96
$1,221.78
$1,313.72
$1,640.38
$1,380.92
$1,467.74
$1,559.68
$1,886.34
$245.96
Toc - Plan #20 Blue Cross and Blue Shield of NC
Gold

(POS) Blue Value Gold Standard | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$440.45
$499.91
$562.90
$786.64
$1,195.38
$777.39
$836.85
$899.84
$1,123.58
$1,114.33
$1,173.79
$1,236.78
$1,460.52
$1,451.27
$1,510.73
$1,573.72
$1,797.46
$336.94
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$880.90
$999.82
$1,125.80
$1,573.28
$2,390.76
$1,217.84
$1,336.76
$1,462.74
$1,910.22
$1,554.78
$1,673.70
$1,799.68
$2,247.16
$1,891.72
$2,010.64
$2,136.62
$2,584.10
$336.94
Toc - Plan #21 Blue Cross and Blue Shield of NC
Silver

(POS) Blue Value Silver Standard | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$430.91
$489.08
$550.70
$769.61
$1,169.49
$760.56
$818.73
$880.35
$1,099.26
$1,090.21
$1,148.38
$1,210.00
$1,428.91
$1,419.86
$1,478.03
$1,539.65
$1,758.56
$329.65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$861.82
$978.16
$1,101.40
$1,539.22
$2,338.98
$1,191.47
$1,307.81
$1,431.05
$1,868.87
$1,521.12
$1,637.46
$1,760.70
$2,198.52
$1,850.77
$1,967.11
$2,090.35
$2,528.17
$329.65
Toc - Plan #22 Blue Cross and Blue Shield of NC
Expanded Bronze

(POS) Blue Value Bronze Standard | Statewide Doctors

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-324-4973

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$329.85
$374.38
$421.55
$589.11
$895.21
$582.19
$626.72
$673.89
$841.45
$834.53
$879.06
$926.23
$1,093.79
$1,086.87
$1,131.40
$1,178.57
$1,346.13
$252.34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$659.70
$748.76
$843.10
$1,178.22
$1,790.42
$912.04
$1,001.10
$1,095.44
$1,430.56
$1,164.38
$1,253.44
$1,347.78
$1,682.90
$1,416.72
$1,505.78
$1,600.12
$1,935.24
$252.34

ADVERTISEMENT

WellCare of North Carolina

Local: 1-833-925-2861 | Toll Free: 1-833-925-2861 | TTY: 1-833-925-2861

Toc - Plan #23 WellCare of North Carolina
Expanded Bronze

(PPO) WellCare Secure Health Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-925-2861

Annual Out of Pocket Expenses:

Individual Family
$7,100 $14,200 Annual Deductible
$9,250 $18,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$671.22
$761.82
$857.81
$1,198.78
$1,821.67
$1,184.70
$1,275.30
$1,371.29
$1,712.26
$1,698.18
$1,788.78
$1,884.77
$2,225.74
$2,211.66
$2,302.26
$2,398.25
$2,739.22
$513.48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,342.44
$1,523.64
$1,715.62
$2,397.56
$3,643.34
$1,855.92
$2,037.12
$2,229.10
$2,911.04
$2,369.40
$2,550.60
$2,742.58
$3,424.52
$2,882.88
$3,064.08
$3,256.06
$3,938.00
$513.48
Toc - Plan #24 WellCare of North Carolina
Silver

(PPO) WellCare Secure Health Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-925-2861

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,100 $16,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$871.90
$989.60
$1,114.28
$1,557.20
$2,366.31
$1,538.90
$1,656.60
$1,781.28
$2,224.20
$2,205.90
$2,323.60
$2,448.28
$2,891.20
$2,872.90
$2,990.60
$3,115.28
$3,558.20
$667.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,743.80
$1,979.20
$2,228.56
$3,114.40
$4,732.62
$2,410.80
$2,646.20
$2,895.56
$3,781.40
$3,077.80
$3,313.20
$3,562.56
$4,448.40
$3,744.80
$3,980.20
$4,229.56
$5,115.40
$667.00
Toc - Plan #25 WellCare of North Carolina
Gold

(PPO) WellCare Secure Health Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-925-2861

Annual Out of Pocket Expenses:

Individual Family
$1,850 $3,700 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$910.96
$1,033.93
$1,164.20
$1,626.96
$2,472.33
$1,607.84
$1,730.81
$1,861.08
$2,323.84
$2,304.72
$2,427.69
$2,557.96
$3,020.72
$3,001.60
$3,124.57
$3,254.84
$3,717.60
$696.88
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,821.92
$2,067.86
$2,328.40
$3,253.92
$4,944.66
$2,518.80
$2,764.74
$3,025.28
$3,950.80
$3,215.68
$3,461.62
$3,722.16
$4,647.68
$3,912.56
$4,158.50
$4,419.04
$5,344.56
$696.88
Toc - Plan #26 WellCare of North Carolina
Expanded Bronze

(PPO) Standard Expanded Bronze WellCare

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-925-2861

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$665.85
$755.73
$850.94
$1,189.19
$1,807.08
$1,175.22
$1,265.10
$1,360.31
$1,698.56
$1,684.59
$1,774.47
$1,869.68
$2,207.93
$2,193.96
$2,283.84
$2,379.05
$2,717.30
$509.37
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,331.70
$1,511.46
$1,701.88
$2,378.38
$3,614.16
$1,841.07
$2,020.83
$2,211.25
$2,887.75
$2,350.44
$2,530.20
$2,720.62
$3,397.12
$2,859.81
$3,039.57
$3,229.99
$3,906.49
$509.37
Toc - Plan #27 WellCare of North Carolina
Silver

(PPO) Standard Silver WellCare

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-925-2861

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$852.88
$968.01
$1,089.97
$1,523.23
$2,314.70
$1,505.33
$1,620.46
$1,742.42
$2,175.68
$2,157.78
$2,272.91
$2,394.87
$2,828.13
$2,810.23
$2,925.36
$3,047.32
$3,480.58
$652.45
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,705.76
$1,936.02
$2,179.94
$3,046.46
$4,629.40
$2,358.21
$2,588.47
$2,832.39
$3,698.91
$3,010.66
$3,240.92
$3,484.84
$4,351.36
$3,663.11
$3,893.37
$4,137.29
$5,003.81
$652.45
Toc - Plan #28 WellCare of North Carolina
Gold

(PPO) Standard Gold WellCare

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-925-2861

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$884.95
$1,004.41
$1,130.95
$1,580.50
$2,401.73
$1,561.93
$1,681.39
$1,807.93
$2,257.48
$2,238.91
$2,358.37
$2,484.91
$2,934.46
$2,915.89
$3,035.35
$3,161.89
$3,611.44
$676.98
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,769.90
$2,008.82
$2,261.90
$3,161.00
$4,803.46
$2,446.88
$2,685.80
$2,938.88
$3,837.98
$3,123.86
$3,362.78
$3,615.86
$4,514.96
$3,800.84
$4,039.76
$4,292.84
$5,191.94
$676.98

ADVERTISEMENT

UnitedHealthcare

Local: 1-800-980-5357 | Toll Free: 1-800-980-5357 | TTY: 1-800-980-5357

Toc - Plan #29 UnitedHealthcare
Silver

(HMO) UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$3,250 $6,500 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$464.16
$526.83
$593.20
$829.00
$1,259.74
$819.25
$881.92
$948.29
$1,184.09
$1,174.34
$1,237.01
$1,303.38
$1,539.18
$1,529.43
$1,592.10
$1,658.47
$1,894.27
$355.09
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$928.32
$1,053.66
$1,186.40
$1,658.00
$2,519.48
$1,283.41
$1,408.75
$1,541.49
$2,013.09
$1,638.50
$1,763.84
$1,896.58
$2,368.18
$1,993.59
$2,118.93
$2,251.67
$2,723.27
$355.09
Toc - Plan #30 UnitedHealthcare
Gold

(HMO) UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$750 $1,500 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$526.75
$597.86
$673.19
$940.78
$1,429.60
$929.72
$1,000.83
$1,076.16
$1,343.75
$1,332.69
$1,403.80
$1,479.13
$1,746.72
$1,735.66
$1,806.77
$1,882.10
$2,149.69
$402.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,053.50
$1,195.72
$1,346.38
$1,881.56
$2,859.20
$1,456.47
$1,598.69
$1,749.35
$2,284.53
$1,859.44
$2,001.66
$2,152.32
$2,687.50
$2,262.41
$2,404.63
$2,555.29
$3,090.47
$402.97
Toc - Plan #31 UnitedHealthcare
Expanded Bronze

(HMO) UHC Bronze Value HSA (No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$6,700 $13,400 Annual Deductible
$8,050 $16,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$357.77
$406.07
$457.23
$638.97
$970.98
$631.46
$679.76
$730.92
$912.66
$905.15
$953.45
$1,004.61
$1,186.35
$1,178.84
$1,227.14
$1,278.30
$1,460.04
$273.69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$715.54
$812.14
$914.46
$1,277.94
$1,941.96
$989.23
$1,085.83
$1,188.15
$1,551.63
$1,262.92
$1,359.52
$1,461.84
$1,825.32
$1,536.61
$1,633.21
$1,735.53
$2,099.01
$273.69
Toc - Plan #32 UnitedHealthcare
Silver

(HMO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$468.49
$531.74
$598.74
$836.73
$1,271.49
$826.89
$890.14
$957.14
$1,195.13
$1,185.29
$1,248.54
$1,315.54
$1,553.53
$1,543.69
$1,606.94
$1,673.94
$1,911.93
$358.40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$936.98
$1,063.48
$1,197.48
$1,673.46
$2,542.98
$1,295.38
$1,421.88
$1,555.88
$2,031.86
$1,653.78
$1,780.28
$1,914.28
$2,390.26
$2,012.18
$2,138.68
$2,272.68
$2,748.66
$358.40
Toc - Plan #33 UnitedHealthcare
Gold

(HMO) UHC Gold Standard (No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$530.32
$601.91
$677.75
$947.15
$1,439.29
$936.01
$1,007.60
$1,083.44
$1,352.84
$1,341.70
$1,413.29
$1,489.13
$1,758.53
$1,747.39
$1,818.98
$1,894.82
$2,164.22
$405.69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,060.64
$1,203.82
$1,355.50
$1,894.30
$2,878.58
$1,466.33
$1,609.51
$1,761.19
$2,299.99
$1,872.02
$2,015.20
$2,166.88
$2,705.68
$2,277.71
$2,420.89
$2,572.57
$3,111.37
$405.69
Toc - Plan #34 UnitedHealthcare
Silver

(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$473.76
$537.72
$605.47
$846.14
$1,285.79
$836.19
$900.15
$967.90
$1,208.57
$1,198.62
$1,262.58
$1,330.33
$1,571.00
$1,561.05
$1,625.01
$1,692.76
$1,933.43
$362.43
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$947.52
$1,075.44
$1,210.94
$1,692.28
$2,571.58
$1,309.95
$1,437.87
$1,573.37
$2,054.71
$1,672.38
$1,800.30
$1,935.80
$2,417.14
$2,034.81
$2,162.73
$2,298.23
$2,779.57
$362.43
Toc - Plan #35 UnitedHealthcare
Silver

(HMO) UHC Silver Standard (No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$470.18
$533.66
$600.90
$839.75
$1,276.08
$829.87
$893.35
$960.59
$1,199.44
$1,189.56
$1,253.04
$1,320.28
$1,559.13
$1,549.25
$1,612.73
$1,679.97
$1,918.82
$359.69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$940.36
$1,067.32
$1,201.80
$1,679.50
$2,552.16
$1,300.05
$1,427.01
$1,561.49
$2,039.19
$1,659.74
$1,786.70
$1,921.18
$2,398.88
$2,019.43
$2,146.39
$2,280.87
$2,758.57
$359.69
Toc - Plan #36 UnitedHealthcare
Expanded Bronze

(HMO) UHC Bronze Standard (No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$351.06
$398.45
$448.65
$626.99
$952.78
$619.62
$667.01
$717.21
$895.55
$888.18
$935.57
$985.77
$1,164.11
$1,156.74
$1,204.13
$1,254.33
$1,432.67
$268.56
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$702.12
$796.90
$897.30
$1,253.98
$1,905.56
$970.68
$1,065.46
$1,165.86
$1,522.54
$1,239.24
$1,334.02
$1,434.42
$1,791.10
$1,507.80
$1,602.58
$1,702.98
$2,059.66
$268.56
Toc - Plan #37 UnitedHealthcare
Bronze

(HMO) UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$6,350 $12,700 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$336.46
$381.89
$430.00
$600.93
$913.16
$593.86
$639.29
$687.40
$858.33
$851.26
$896.69
$944.80
$1,115.73
$1,108.66
$1,154.09
$1,202.20
$1,373.13
$257.40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$672.92
$763.78
$860.00
$1,201.86
$1,826.32
$930.32
$1,021.18
$1,117.40
$1,459.26
$1,187.72
$1,278.58
$1,374.80
$1,716.66
$1,445.12
$1,535.98
$1,632.20
$1,974.06
$257.40
Toc - Plan #38 UnitedHealthcare
Expanded Bronze

(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$8,250 $16,500 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$344.44
$390.93
$440.19
$615.16
$934.80
$607.93
$654.42
$703.68
$878.65
$871.42
$917.91
$967.17
$1,142.14
$1,134.91
$1,181.40
$1,230.66
$1,405.63
$263.49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$688.88
$781.86
$880.38
$1,230.32
$1,869.60
$952.37
$1,045.35
$1,143.87
$1,493.81
$1,215.86
$1,308.84
$1,407.36
$1,757.30
$1,479.35
$1,572.33
$1,670.85
$2,020.79
$263.49
Toc - Plan #39 UnitedHealthcare
Expanded Bronze

(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$363.90
$413.03
$465.07
$649.93
$987.63
$642.29
$691.42
$743.46
$928.32
$920.68
$969.81
$1,021.85
$1,206.71
$1,199.07
$1,248.20
$1,300.24
$1,485.10
$278.39
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$727.80
$826.06
$930.14
$1,299.86
$1,975.26
$1,006.19
$1,104.45
$1,208.53
$1,578.25
$1,284.58
$1,382.84
$1,486.92
$1,856.64
$1,562.97
$1,661.23
$1,765.31
$2,135.03
$278.39
Toc - Plan #40 UnitedHealthcare
Silver

(HMO) UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$466.63
$529.62
$596.35
$833.39
$1,266.42
$823.60
$886.59
$953.32
$1,190.36
$1,180.57
$1,243.56
$1,310.29
$1,547.33
$1,537.54
$1,600.53
$1,667.26
$1,904.30
$356.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$933.26
$1,059.24
$1,192.70
$1,666.78
$2,532.84
$1,290.23
$1,416.21
$1,549.67
$2,023.75
$1,647.20
$1,773.18
$1,906.64
$2,380.72
$2,004.17
$2,130.15
$2,263.61
$2,737.69
$356.97
Toc - Plan #41 UnitedHealthcare
Gold

(HMO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$533.01
$604.97
$681.19
$951.96
$1,446.59
$940.76
$1,012.72
$1,088.94
$1,359.71
$1,348.51
$1,420.47
$1,496.69
$1,767.46
$1,756.26
$1,828.22
$1,904.44
$2,175.21
$407.75
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,066.02
$1,209.94
$1,362.38
$1,903.92
$2,893.18
$1,473.77
$1,617.69
$1,770.13
$2,311.67
$1,881.52
$2,025.44
$2,177.88
$2,719.42
$2,289.27
$2,433.19
$2,585.63
$3,127.17
$407.75
Toc - Plan #42 UnitedHealthcare
Silver

(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$486.94
$552.68
$622.31
$869.67
$1,321.55
$859.45
$925.19
$994.82
$1,242.18
$1,231.96
$1,297.70
$1,367.33
$1,614.69
$1,604.47
$1,670.21
$1,739.84
$1,987.20
$372.51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$973.88
$1,105.36
$1,244.62
$1,739.34
$2,643.10
$1,346.39
$1,477.87
$1,617.13
$2,111.85
$1,718.90
$1,850.38
$1,989.64
$2,484.36
$2,091.41
$2,222.89
$2,362.15
$2,856.87
$372.51
Toc - Plan #43 UnitedHealthcare
Gold

(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-980-5357

Annual Out of Pocket Expenses:

Individual Family
$750 $1,500 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$548.30
$622.32
$700.72
$979.26
$1,488.08
$967.75
$1,041.77
$1,120.17
$1,398.71
$1,387.20
$1,461.22
$1,539.62
$1,818.16
$1,806.65
$1,880.67
$1,959.07
$2,237.61
$419.45
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,096.60
$1,244.64
$1,401.44
$1,958.52
$2,976.16
$1,516.05
$1,664.09
$1,820.89
$2,377.97
$1,935.50
$2,083.54
$2,240.34
$2,797.42
$2,354.95
$2,502.99
$2,659.79
$3,216.87
$419.45

ADVERTISEMENT

Cigna Healthcare

Local: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777

Toc - Plan #44 Cigna Healthcare
Bronze

(HMO) Connect Bronze 9450 Indiv Med Deductible

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$9,450 $18,900 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$508.26
$576.87
$649.55
$907.75
$1,379.41
$897.08
$965.69
$1,038.37
$1,296.57
$1,285.90
$1,354.51
$1,427.19
$1,685.39
$1,674.72
$1,743.33
$1,816.01
$2,074.21
$388.82
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,016.52
$1,153.74
$1,299.10
$1,815.50
$2,758.82
$1,405.34
$1,542.56
$1,687.92
$2,204.32
$1,794.16
$1,931.38
$2,076.74
$2,593.14
$2,182.98
$2,320.20
$2,465.56
$2,981.96
$388.82
Toc - Plan #45 Cigna Healthcare
Expanded Bronze

(HMO) Connect Bronze 6500 Indiv Med Deductible

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$537.36
$609.91
$686.75
$959.73
$1,458.40
$948.44
$1,020.99
$1,097.83
$1,370.81
$1,359.52
$1,432.07
$1,508.91
$1,781.89
$1,770.60
$1,843.15
$1,919.99
$2,192.97
$411.08
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,074.72
$1,219.82
$1,373.50
$1,919.46
$2,916.80
$1,485.80
$1,630.90
$1,784.58
$2,330.54
$1,896.88
$2,041.98
$2,195.66
$2,741.62
$2,307.96
$2,453.06
$2,606.74
$3,152.70
$411.08
Toc - Plan #46 Cigna Healthcare
Expanded Bronze

(HMO) Connect Bronze 5500 Indiv Med Deductible

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$532.88
$604.82
$681.02
$951.72
$1,446.24
$940.53
$1,012.47
$1,088.67
$1,359.37
$1,348.18
$1,420.12
$1,496.32
$1,767.02
$1,755.83
$1,827.77
$1,903.97
$2,174.67
$407.65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,065.76
$1,209.64
$1,362.04
$1,903.44
$2,892.48
$1,473.41
$1,617.29
$1,769.69
$2,311.09
$1,881.06
$2,024.94
$2,177.34
$2,718.74
$2,288.71
$2,432.59
$2,584.99
$3,126.39
$407.65
Toc - Plan #47 Cigna Healthcare
Silver

(HMO) Connect Silver 4500 Indiv Med Deductible

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$621.34
$705.22
$794.07
$1,109.71
$1,686.31
$1,096.66
$1,180.54
$1,269.39
$1,585.03
$1,571.98
$1,655.86
$1,744.71
$2,060.35
$2,047.30
$2,131.18
$2,220.03
$2,535.67
$475.32
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,242.68
$1,410.44
$1,588.14
$2,219.42
$3,372.62
$1,718.00
$1,885.76
$2,063.46
$2,694.74
$2,193.32
$2,361.08
$2,538.78
$3,170.06
$2,668.64
$2,836.40
$3,014.10
$3,645.38
$475.32
Toc - Plan #48 Cigna Healthcare
Silver

(HMO) Connect Silver 3500 Indiv Med Deductible

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$621.19
$705.06
$793.89
$1,109.45
$1,685.92
$1,096.40
$1,180.27
$1,269.10
$1,584.66
$1,571.61
$1,655.48
$1,744.31
$2,059.87
$2,046.82
$2,130.69
$2,219.52
$2,535.08
$475.21
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,242.38
$1,410.12
$1,587.78
$2,218.90
$3,371.84
$1,717.59
$1,885.33
$2,062.99
$2,694.11
$2,192.80
$2,360.54
$2,538.20
$3,169.32
$2,668.01
$2,835.75
$3,013.41
$3,644.53
$475.21
Toc - Plan #49 Cigna Healthcare
Silver

(HMO) Connect Silver 1500 Indiv Med Deductible

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$628.60
$713.46
$803.35
$1,122.67
$1,706.01
$1,109.48
$1,194.34
$1,284.23
$1,603.55
$1,590.36
$1,675.22
$1,765.11
$2,084.43
$2,071.24
$2,156.10
$2,245.99
$2,565.31
$480.88
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,257.20
$1,426.92
$1,606.70
$2,245.34
$3,412.02
$1,738.08
$1,907.80
$2,087.58
$2,726.22
$2,218.96
$2,388.68
$2,568.46
$3,207.10
$2,699.84
$2,869.56
$3,049.34
$3,687.98
$480.88
Toc - Plan #50 Cigna Healthcare
Silver

(HMO) Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$626.82
$711.44
$801.07
$1,119.49
$1,701.18
$1,106.33
$1,190.95
$1,280.58
$1,599.00
$1,585.84
$1,670.46
$1,760.09
$2,078.51
$2,065.35
$2,149.97
$2,239.60
$2,558.02
$479.51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,253.64
$1,422.88
$1,602.14
$2,238.98
$3,402.36
$1,733.15
$1,902.39
$2,081.65
$2,718.49
$2,212.66
$2,381.90
$2,561.16
$3,198.00
$2,692.17
$2,861.41
$3,040.67
$3,677.51
$479.51
Toc - Plan #51 Cigna Healthcare
Expanded Bronze

(HMO) Connect Bronze CMS Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$529.75
$601.26
$677.02
$946.13
$1,437.74
$935.01
$1,006.52
$1,082.28
$1,351.39
$1,340.27
$1,411.78
$1,487.54
$1,756.65
$1,745.53
$1,817.04
$1,892.80
$2,161.91
$405.26
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,059.50
$1,202.52
$1,354.04
$1,892.26
$2,875.48
$1,464.76
$1,607.78
$1,759.30
$2,297.52
$1,870.02
$2,013.04
$2,164.56
$2,702.78
$2,275.28
$2,418.30
$2,569.82
$3,108.04
$405.26
Toc - Plan #52 Cigna Healthcare
Expanded Bronze

(HMO) Connect Bronze 0 Indiv Med Deductible

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$565.40
$641.73
$722.58
$1,009.81
$1,534.50
$997.93
$1,074.26
$1,155.11
$1,442.34
$1,430.46
$1,506.79
$1,587.64
$1,874.87
$1,862.99
$1,939.32
$2,020.17
$2,307.40
$432.53
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,130.80
$1,283.46
$1,445.16
$2,019.62
$3,069.00
$1,563.33
$1,715.99
$1,877.69
$2,452.15
$1,995.86
$2,148.52
$2,310.22
$2,884.68
$2,428.39
$2,581.05
$2,742.75
$3,317.21
$432.53
Toc - Plan #53 Cigna Healthcare
Silver

(HMO) Connect Silver CMS Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$620.63
$704.41
$793.16
$1,108.44
$1,684.38
$1,095.41
$1,179.19
$1,267.94
$1,583.22
$1,570.19
$1,653.97
$1,742.72
$2,058.00
$2,044.97
$2,128.75
$2,217.50
$2,532.78
$474.78
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,241.26
$1,408.82
$1,586.32
$2,216.88
$3,368.76
$1,716.04
$1,883.60
$2,061.10
$2,691.66
$2,190.82
$2,358.38
$2,535.88
$3,166.44
$2,665.60
$2,833.16
$3,010.66
$3,641.22
$474.78
Toc - Plan #54 Cigna Healthcare
Gold

(HMO) Connect Gold CMS Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$842.66
$956.42
$1,076.92
$1,504.99
$2,286.98
$1,487.29
$1,601.05
$1,721.55
$2,149.62
$2,131.92
$2,245.68
$2,366.18
$2,794.25
$2,776.55
$2,890.31
$3,010.81
$3,438.88
$644.63
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,685.32
$1,912.84
$2,153.84
$3,009.98
$4,573.96
$2,329.95
$2,557.47
$2,798.47
$3,654.61
$2,974.58
$3,202.10
$3,443.10
$4,299.24
$3,619.21
$3,846.73
$4,087.73
$4,943.87
$644.63

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Brunswick County here.

Brunswick County is in “Rating Area 15” of North Carolina.

Currently, there are 54 plans offered in Rating Area 15.

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2024 Obamacare Plans for Brunswick County, NC

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