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Obamacare 2021 Rates and Health Insurance Providers for Wake County , North Carolina

Obamacare > Rates > North Carolina > Wake County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 |

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 Wake County, NC.

The health insurance rates listed below are for calendar year 2021.

Obamacare Providers, Plans and 2021 Rates for Wake County, North Carolina

Below, you’ll find a summary of the 52 plans for Wake County, North Carolina and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

  • Blue Cross and Blue Shield of NC

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

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

  • Bright Health

    Local: 1-855-521-9349 | Toll Free: 1-855-521-9349
  • Cigna Healthcare

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

  • Ambetter of North Carolina

    Local: 1-833-863-1310 | Toll Free: 1-833-863-1310
  • For detailed information on available subsidies to make your coverage affordable, you must take one of the following actions:

    The table below shows premiums for the following profiles at various ages:

    • Individuals
    • Couples
    • Couples with 1, 2, or 3 children
    • Individuals with 1, 2, or 3 children
    • A child alone

    Each plan links to the insurance provider's website. You can find the following:

    • Summary of plan benefits and costs
    • Plan brochure
    • Provider Directory where you can find out which doctors and hospitals in the Cary, NC area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Wake County

    ADVERTISEMENT

    Blue Cross and Blue Shield of NC

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

    Toc - Plan #1

    Gold

    (POS) Blue Home Gold 2500 (local network with UNC Health Alliance)

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $356,62
    $404,76
    $455,76
    $636,92
    $967,87
    $713,24
    $809,52
    $911,52
    $1 273,84
    $1 935,74
    $986,05
    $1 082,33
    $1 184,33
    $1 546,65
    $1 258,86
    $1 355,14
    $1 457,14
    $1 819,46
    $1 531,67
    $1 627,95
    $1 729,95
    $2 092,27
    $629,43
    $677,57
    $728,57
    $909,73
    $902,24
    $950,38
    $1 001,38
    $1 182,54
    $1 175,05
    $1 223,19
    $1 274,19
    $1 455,35
    $272,81
    Toc - Plan #2

    Silver

    (POS) Blue Home Silver 4000 (local network with UNC Health Alliance)

    Annual Out of Pocket Expenses
    Individual Family
    $4,000 $8,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $375,75
    $426,48
    $480,21
    $671,09
    $1 019,79
    $751,50
    $852,96
    $960,42
    $1 342,18
    $2 039,58
    $1 038,95
    $1 140,41
    $1 247,87
    $1 629,63
    $1 326,40
    $1 427,86
    $1 535,32
    $1 917,08
    $1 613,85
    $1 715,31
    $1 822,77
    $2 204,53
    $663,20
    $713,93
    $767,66
    $958,54
    $950,65
    $1 001,38
    $1 055,11
    $1 245,99
    $1 238,10
    $1 288,83
    $1 342,56
    $1 533,44
    $287,45
    Toc - Plan #3

    Silver

    (POS) Blue Home Silver 6300 (local network with UNC Health Alliance)

    Annual Out of Pocket Expenses
    Individual Family
    $6,300 $12,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $358,37
    $406,75
    $458,00
    $640,05
    $972,62
    $716,74
    $813,50
    $916,00
    $1 280,10
    $1 945,24
    $990,89
    $1 087,65
    $1 190,15
    $1 554,25
    $1 265,04
    $1 361,80
    $1 464,30
    $1 828,40
    $1 539,19
    $1 635,95
    $1 738,45
    $2 102,55
    $632,52
    $680,90
    $732,15
    $914,20
    $906,67
    $955,05
    $1 006,30
    $1 188,35
    $1 180,82
    $1 229,20
    $1 280,45
    $1 462,50
    $274,15
    Toc - Plan #4

    Expanded Bronze

    (POS) Blue Home Bronze 7550 (local network with UNC Health Alliance)

    Annual Out of Pocket Expenses
    Individual Family
    $7,550 $15,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $268,82
    $305,11
    $343,55
    $480,11
    $729,58
    $537,64
    $610,22
    $687,10
    $960,22
    $1 459,16
    $743,29
    $815,87
    $892,75
    $1 165,87
    $948,94
    $1 021,52
    $1 098,40
    $1 371,52
    $1 154,59
    $1 227,17
    $1 304,05
    $1 577,17
    $474,47
    $510,76
    $549,20
    $685,76
    $680,12
    $716,41
    $754,85
    $891,41
    $885,77
    $922,06
    $960,50
    $1 097,06
    $205,65
    Toc - Plan #5

    Expanded Bronze

    (POS) Blue Home Bronze 7000 (local network with UNC Health Alliance, HSA eligible)

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $248,44
    $281,98
    $317,51
    $443,71
    $674,27
    $496,88
    $563,96
    $635,02
    $887,42
    $1 348,54
    $686,94
    $754,02
    $825,08
    $1 077,48
    $877,00
    $944,08
    $1 015,14
    $1 267,54
    $1 067,06
    $1 134,14
    $1 205,20
    $1 457,60
    $438,50
    $472,04
    $507,57
    $633,77
    $628,56
    $662,10
    $697,63
    $823,83
    $818,62
    $852,16
    $887,69
    $1 013,89
    $190,06
    Toc - Plan #6

    Bronze

    (POS) Blue Home Bronze 8550 (local network with UNC Health Alliance)

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $240,19
    $272,62
    $306,96
    $428,98
    $651,88
    $480,38
    $545,24
    $613,92
    $857,96
    $1 303,76
    $664,13
    $728,99
    $797,67
    $1 041,71
    $847,88
    $912,74
    $981,42
    $1 225,46
    $1 031,63
    $1 096,49
    $1 165,17
    $1 409,21
    $423,94
    $456,37
    $490,71
    $612,73
    $607,69
    $640,12
    $674,46
    $796,48
    $791,44
    $823,87
    $858,21
    $980,23
    $183,75
    Toc - Plan #7

    Catastrophic

    (POS) Blue Home Catastrophic (local network with UNC Health Alliance)

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $173,79
    $197,25
    $222,10
    $310,39
    $471,67
    $347,58
    $394,50
    $444,20
    $620,78
    $943,34
    $480,53
    $527,45
    $577,15
    $753,73
    $613,48
    $660,40
    $710,10
    $886,68
    $746,43
    $793,35
    $843,05
    $1 019,63
    $306,74
    $330,20
    $355,05
    $443,34
    $439,69
    $463,15
    $488,00
    $576,29
    $572,64
    $596,10
    $620,95
    $709,24
    $132,95
    ADVERTISEMENT

    UnitedHealthcare

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

    Toc - Plan #8

    Gold

    (HMO) Balance Gold 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $463,75
    $526,36
    $592,68
    $828,26
    $1 258,63
    $927,50
    $1 052,72
    $1 185,36
    $1 656,52
    $2 517,26
    $1 282,27
    $1 407,49
    $1 540,13
    $2 011,29
    $1 637,04
    $1 762,26
    $1 894,90
    $2 366,06
    $1 991,81
    $2 117,03
    $2 249,67
    $2 720,83
    $818,52
    $881,13
    $947,45
    $1 183,03
    $1 173,29
    $1 235,90
    $1 302,22
    $1 537,80
    $1 528,06
    $1 590,67
    $1 656,99
    $1 892,57
    $354,77
    Toc - Plan #9

    Silver

    (HMO) Balance Plus Silver 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $4,500 $9,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $410,82
    $466,28
    $525,03
    $733,72
    $1 114,96
    $821,64
    $932,56
    $1 050,06
    $1 467,44
    $2 229,92
    $1 135,92
    $1 246,84
    $1 364,34
    $1 781,72
    $1 450,20
    $1 561,12
    $1 678,62
    $2 096,00
    $1 764,48
    $1 875,40
    $1 992,90
    $2 410,28
    $725,10
    $780,56
    $839,31
    $1 048,00
    $1 039,38
    $1 094,84
    $1 153,59
    $1 362,28
    $1 353,66
    $1 409,12
    $1 467,87
    $1 676,56
    $314,28
    Toc - Plan #10

    Silver

    (HMO) Balance Silver 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $412,83
    $468,57
    $527,60
    $737,32
    $1 120,43
    $825,66
    $937,14
    $1 055,20
    $1 474,64
    $2 240,86
    $1 141,48
    $1 252,96
    $1 371,02
    $1 790,46
    $1 457,30
    $1 568,78
    $1 686,84
    $2 106,28
    $1 773,12
    $1 884,60
    $2 002,66
    $2 422,10
    $728,65
    $784,39
    $843,42
    $1 053,14
    $1 044,47
    $1 100,21
    $1 159,24
    $1 368,96
    $1 360,29
    $1 416,03
    $1 475,06
    $1 684,78
    $315,82
    Toc - Plan #11

    Silver

    (HMO) Value Silver 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $5,500 $11,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $414,56
    $470,52
    $529,81
    $740,40
    $1 125,11
    $829,12
    $941,04
    $1 059,62
    $1 480,80
    $2 250,22
    $1 146,26
    $1 258,18
    $1 376,76
    $1 797,94
    $1 463,40
    $1 575,32
    $1 693,90
    $2 115,08
    $1 780,54
    $1 892,46
    $2 011,04
    $2 432,22
    $731,70
    $787,66
    $846,95
    $1 057,54
    $1 048,84
    $1 104,80
    $1 164,09
    $1 374,68
    $1 365,98
    $1 421,94
    $1 481,23
    $1 691,82
    $317,14
    Toc - Plan #12

    Expanded Bronze

    (HMO) Balance Bronze 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $7,500 $15,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $287,69
    $326,53
    $367,67
    $513,81
    $780,79
    $575,38
    $653,06
    $735,34
    $1 027,62
    $1 561,58
    $795,46
    $873,14
    $955,42
    $1 247,70
    $1 015,54
    $1 093,22
    $1 175,50
    $1 467,78
    $1 235,62
    $1 313,30
    $1 395,58
    $1 687,86
    $507,77
    $546,61
    $587,75
    $733,89
    $727,85
    $766,69
    $807,83
    $953,97
    $947,93
    $986,77
    $1 027,91
    $1 174,05
    $220,08
    Toc - Plan #13

    Expanded Bronze

    (HMO) Value Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $295,17
    $335,02
    $377,23
    $527,17
    $801,09
    $590,34
    $670,04
    $754,46
    $1 054,34
    $1 602,18
    $816,14
    $895,84
    $980,26
    $1 280,14
    $1 041,94
    $1 121,64
    $1 206,06
    $1 505,94
    $1 267,74
    $1 347,44
    $1 431,86
    $1 731,74
    $520,97
    $560,82
    $603,03
    $752,97
    $746,77
    $786,62
    $828,83
    $978,77
    $972,57
    $1 012,42
    $1 054,63
    $1 204,57
    $225,80
    ADVERTISEMENT

    Bright Health

    Local: 1-855-521-9349 | Toll Free: 1-855-521-9349

    Toc - Plan #14

    Gold

    (HMO) Gold 2500

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $416,12
    $472,30
    $531,80
    $743,19
    $1 129,35
    $832,24
    $944,60
    $1 063,60
    $1 486,38
    $2 258,70
    $1 150,57
    $1 262,93
    $1 381,93
    $1 804,71
    $1 468,90
    $1 581,26
    $1 700,26
    $2 123,04
    $1 787,23
    $1 899,59
    $2 018,59
    $2 441,37
    $734,45
    $790,63
    $850,13
    $1 061,52
    $1 052,78
    $1 108,96
    $1 168,46
    $1 379,85
    $1 371,11
    $1 427,29
    $1 486,79
    $1 698,18
    $318,33
    Toc - Plan #15

    Silver

    (HMO) Silver 5000

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $333,26
    $378,26
    $425,91
    $595,21
    $904,48
    $666,52
    $756,52
    $851,82
    $1 190,42
    $1 808,96
    $921,47
    $1 011,47
    $1 106,77
    $1 445,37
    $1 176,42
    $1 266,42
    $1 361,72
    $1 700,32
    $1 431,37
    $1 521,37
    $1 616,67
    $1 955,27
    $588,21
    $633,21
    $680,86
    $850,16
    $843,16
    $888,16
    $935,81
    $1 105,11
    $1 098,11
    $1 143,11
    $1 190,76
    $1 360,06
    $254,95
    Toc - Plan #16

    Silver

    (HMO) Silver 3000

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $7,500 $15,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $335,55
    $380,85
    $428,83
    $599,29
    $910,68
    $671,10
    $761,70
    $857,66
    $1 198,58
    $1 821,36
    $927,80
    $1 018,40
    $1 114,36
    $1 455,28
    $1 184,50
    $1 275,10
    $1 371,06
    $1 711,98
    $1 441,20
    $1 531,80
    $1 627,76
    $1 968,68
    $592,25
    $637,55
    $685,53
    $855,99
    $848,95
    $894,25
    $942,23
    $1 112,69
    $1 105,65
    $1 150,95
    $1 198,93
    $1 369,39
    $256,70
    Toc - Plan #17

    Silver

    (HMO) Silver $0 Deductible

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $338,59
    $384,30
    $432,72
    $604,73
    $918,95
    $677,18
    $768,60
    $865,44
    $1 209,46
    $1 837,90
    $936,20
    $1 027,62
    $1 124,46
    $1 468,48
    $1 195,22
    $1 286,64
    $1 383,48
    $1 727,50
    $1 454,24
    $1 545,66
    $1 642,50
    $1 986,52
    $597,61
    $643,32
    $691,74
    $863,75
    $856,63
    $902,34
    $950,76
    $1 122,77
    $1 115,65
    $1 161,36
    $1 209,78
    $1 381,79
    $259,02
    Toc - Plan #18

    Expanded Bronze

    (HMO) Bronze 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $236,36
    $268,27
    $302,07
    $422,14
    $641,48
    $472,72
    $536,54
    $604,14
    $844,28
    $1 282,96
    $653,53
    $717,35
    $784,95
    $1 025,09
    $834,34
    $898,16
    $965,76
    $1 205,90
    $1 015,15
    $1 078,97
    $1 146,57
    $1 386,71
    $417,17
    $449,08
    $482,88
    $602,95
    $597,98
    $629,89
    $663,69
    $783,76
    $778,79
    $810,70
    $844,50
    $964,57
    $180,81
    Toc - Plan #19

    Expanded Bronze

    (HMO) Bronze $0 Primary Care

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $246,15
    $279,38
    $314,58
    $439,62
    $668,05
    $492,30
    $558,76
    $629,16
    $879,24
    $1 336,10
    $680,60
    $747,06
    $817,46
    $1 067,54
    $868,90
    $935,36
    $1 005,76
    $1 255,84
    $1 057,20
    $1 123,66
    $1 194,06
    $1 444,14
    $434,45
    $467,68
    $502,88
    $627,92
    $622,75
    $655,98
    $691,18
    $816,22
    $811,05
    $844,28
    $879,48
    $1 004,52
    $188,30
    Toc - Plan #20

    Expanded Bronze

    (HMO) Bronze 7000 HSA

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $280,74
    $318,64
    $358,78
    $501,39
    $761,92
    $561,48
    $637,28
    $717,56
    $1 002,78
    $1 523,84
    $776,24
    $852,04
    $932,32
    $1 217,54
    $991,00
    $1 066,80
    $1 147,08
    $1 432,30
    $1 205,76
    $1 281,56
    $1 361,84
    $1 647,06
    $495,50
    $533,40
    $573,54
    $716,15
    $710,26
    $748,16
    $788,30
    $930,91
    $925,02
    $962,92
    $1 003,06
    $1 145,67
    $214,76
    Toc - Plan #21

    Catastrophic

    (HMO) Catastrophic 3 $0 PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $160,63
    $182,32
    $205,29
    $286,89
    $435,96
    $321,26
    $364,64
    $410,58
    $573,78
    $871,92
    $444,14
    $487,52
    $533,46
    $696,66
    $567,02
    $610,40
    $656,34
    $819,54
    $689,90
    $733,28
    $779,22
    $942,42
    $283,51
    $305,20
    $328,17
    $409,77
    $406,39
    $428,08
    $451,05
    $532,65
    $529,27
    $550,96
    $573,93
    $655,53
    $122,88
    Toc - Plan #22

    Expanded Bronze

    (HMO) Bronze $0 Medical Deductible

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $270,03
    $306,49
    $345,10
    $482,28
    $732,86
    $540,06
    $612,98
    $690,20
    $964,56
    $1 465,72
    $746,63
    $819,55
    $896,77
    $1 171,13
    $953,20
    $1 026,12
    $1 103,34
    $1 377,70
    $1 159,77
    $1 232,69
    $1 309,91
    $1 584,27
    $476,60
    $513,06
    $551,67
    $688,85
    $683,17
    $719,63
    $758,24
    $895,42
    $889,74
    $926,20
    $964,81
    $1 101,99
    $206,57
    Toc - Plan #23

    Silver

    (HMO) Silver $0 Primary Care

    Annual Out of Pocket Expenses
    Individual Family
    $6,700 $13,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $334,61
    $379,78
    $427,63
    $597,62
    $908,14
    $669,22
    $759,56
    $855,26
    $1 195,24
    $1 816,28
    $925,20
    $1 015,54
    $1 111,24
    $1 451,22
    $1 181,18
    $1 271,52
    $1 367,22
    $1 707,20
    $1 437,16
    $1 527,50
    $1 623,20
    $1 963,18
    $590,59
    $635,76
    $683,61
    $853,60
    $846,57
    $891,74
    $939,59
    $1 109,58
    $1 102,55
    $1 147,72
    $1 195,57
    $1 365,56
    $255,98
    ADVERTISEMENT

    Cigna Healthcare

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

    Toc - Plan #24

    Expanded Bronze

    (HMO) Cigna Connect 6900 (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $299,84
    $340,32
    $383,20
    $535,51
    $813,77
    $599,68
    $680,64
    $766,40
    $1 071,02
    $1 627,54
    $829,06
    $910,02
    $995,78
    $1 300,40
    $1 058,44
    $1 139,40
    $1 225,16
    $1 529,78
    $1 287,82
    $1 368,78
    $1 454,54
    $1 759,16
    $529,22
    $569,70
    $612,58
    $764,89
    $758,60
    $799,08
    $841,96
    $994,27
    $987,98
    $1 028,46
    $1 071,34
    $1 223,65
    $229,38
    Toc - Plan #25

    Bronze

    (HMO) Cigna Connect 8550 (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $290,65
    $329,89
    $371,45
    $519,10
    $788,82
    $581,30
    $659,78
    $742,90
    $1 038,20
    $1 577,64
    $803,65
    $882,13
    $965,25
    $1 260,55
    $1 026,00
    $1 104,48
    $1 187,60
    $1 482,90
    $1 248,35
    $1 326,83
    $1 409,95
    $1 705,25
    $513,00
    $552,24
    $593,80
    $741,45
    $735,35
    $774,59
    $816,15
    $963,80
    $957,70
    $996,94
    $1 038,50
    $1 186,15
    $222,35
    Toc - Plan #26

    Silver

    (HMO) Cigna Connect 3500 (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $333,07
    $378,03
    $425,66
    $594,86
    $903,95
    $666,14
    $756,06
    $851,32
    $1 189,72
    $1 807,90
    $920,94
    $1 010,86
    $1 106,12
    $1 444,52
    $1 175,74
    $1 265,66
    $1 360,92
    $1 699,32
    $1 430,54
    $1 520,46
    $1 615,72
    $1 954,12
    $587,87
    $632,83
    $680,46
    $849,66
    $842,67
    $887,63
    $935,26
    $1 104,46
    $1 097,47
    $1 142,43
    $1 190,06
    $1 359,26
    $254,80
    Toc - Plan #27

    Gold

    (HMO) Cigna Connect 1000 (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $473,12
    $536,99
    $604,65
    $844,99
    $1 284,05
    $946,24
    $1 073,98
    $1 209,30
    $1 689,98
    $2 568,10
    $1 308,18
    $1 435,92
    $1 571,24
    $2 051,92
    $1 670,12
    $1 797,86
    $1 933,18
    $2 413,86
    $2 032,06
    $2 159,80
    $2 295,12
    $2 775,80
    $835,06
    $898,93
    $966,59
    $1 206,93
    $1 197,00
    $1 260,87
    $1 328,53
    $1 568,87
    $1 558,94
    $1 622,81
    $1 690,47
    $1 930,81
    $361,94
    Toc - Plan #28

    Silver

    (HMO) Cigna Connect 4250 (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $4,250 $8,500 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $332,72
    $377,64
    $425,22
    $594,24
    $903,00
    $665,44
    $755,28
    $850,44
    $1 188,48
    $1 806,00
    $919,97
    $1 009,81
    $1 104,97
    $1 443,01
    $1 174,50
    $1 264,34
    $1 359,50
    $1 697,54
    $1 429,03
    $1 518,87
    $1 614,03
    $1 952,07
    $587,25
    $632,17
    $679,75
    $848,77
    $841,78
    $886,70
    $934,28
    $1 103,30
    $1 096,31
    $1 141,23
    $1 188,81
    $1 357,83
    $254,53
    Toc - Plan #29

    Expanded Bronze

    (HMO) Cigna Connect 5900 (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $5,900 $11,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $302,34
    $343,16
    $386,39
    $539,98
    $820,55
    $604,68
    $686,32
    $772,78
    $1 079,96
    $1 641,10
    $835,97
    $917,61
    $1 004,07
    $1 311,25
    $1 067,26
    $1 148,90
    $1 235,36
    $1 542,54
    $1 298,55
    $1 380,19
    $1 466,65
    $1 773,83
    $533,63
    $574,45
    $617,68
    $771,27
    $764,92
    $805,74
    $848,97
    $1 002,56
    $996,21
    $1 037,03
    $1 080,26
    $1 233,85
    $231,29
    Toc - Plan #30

    Silver

    (HMO) Cigna Connect 5500 (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $5,500 $11,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $332,29
    $377,15
    $424,67
    $593,47
    $901,84
    $664,58
    $754,30
    $849,34
    $1 186,94
    $1 803,68
    $918,78
    $1 008,50
    $1 103,54
    $1 441,14
    $1 172,98
    $1 262,70
    $1 357,74
    $1 695,34
    $1 427,18
    $1 516,90
    $1 611,94
    $1 949,54
    $586,49
    $631,35
    $678,87
    $847,67
    $840,69
    $885,55
    $933,07
    $1 101,87
    $1 094,89
    $1 139,75
    $1 187,27
    $1 356,07
    $254,20
    Toc - Plan #31

    Silver

    (HMO) Cigna Connect 3500 Diabetes Care (with Duke Health and WakeMed)

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $333,15
    $378,13
    $425,77
    $595,01
    $904,17
    $666,30
    $756,26
    $851,54
    $1 190,02
    $1 808,34
    $921,16
    $1 011,12
    $1 106,40
    $1 444,88
    $1 176,02
    $1 265,98
    $1 361,26
    $1 699,74
    $1 430,88
    $1 520,84
    $1 616,12
    $1 954,60
    $588,01
    $632,99
    $680,63
    $849,87
    $842,87
    $887,85
    $935,49
    $1 104,73
    $1 097,73
    $1 142,71
    $1 190,35
    $1 359,59
    $254,86
    ADVERTISEMENT

    Ambetter of North Carolina

    Local: 1-833-863-1310 | Toll Free: 1-833-863-1310

    Toc - Plan #32

    Bronze

    (HMO) Ambetter Essential Care 1 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $265,39
    $301,20
    $339,15
    $473,96
    $720,23
    $530,78
    $602,40
    $678,30
    $947,92
    $1 440,46
    $733,79
    $805,41
    $881,31
    $1 150,93
    $936,80
    $1 008,42
    $1 084,32
    $1 353,94
    $1 139,81
    $1 211,43
    $1 287,33
    $1 556,95
    $468,40
    $504,21
    $542,16
    $676,97
    $671,41
    $707,22
    $745,17
    $879,98
    $874,42
    $910,23
    $948,18
    $1 082,99
    $203,01
    Toc - Plan #33

    Expanded Bronze

    (HMO) Ambetter Essential Care 2 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $288,62
    $327,57
    $368,84
    $515,45
    $783,28
    $577,24
    $655,14
    $737,68
    $1 030,90
    $1 566,56
    $798,02
    $875,92
    $958,46
    $1 251,68
    $1 018,80
    $1 096,70
    $1 179,24
    $1 472,46
    $1 239,58
    $1 317,48
    $1 400,02
    $1 693,24
    $509,40
    $548,35
    $589,62
    $736,23
    $730,18
    $769,13
    $810,40
    $957,01
    $950,96
    $989,91
    $1 031,18
    $1 177,79
    $220,78
    Toc - Plan #34

    Silver

    (HMO) Ambetter Balanced Care 11 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $360,72
    $409,41
    $460,99
    $644,24
    $978,98
    $721,44
    $818,82
    $921,98
    $1 288,48
    $1 957,96
    $997,39
    $1 094,77
    $1 197,93
    $1 564,43
    $1 273,34
    $1 370,72
    $1 473,88
    $1 840,38
    $1 549,29
    $1 646,67
    $1 749,83
    $2 116,33
    $636,67
    $685,36
    $736,94
    $920,19
    $912,62
    $961,31
    $1 012,89
    $1 196,14
    $1 188,57
    $1 237,26
    $1 288,84
    $1 472,09
    $275,95
    Toc - Plan #35

    Gold

    (HMO) Ambetter Secure Care 5 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $410,43
    $465,83
    $524,52
    $733,01
    $1 113,88
    $820,86
    $931,66
    $1 049,04
    $1 466,02
    $2 227,76
    $1 134,83
    $1 245,63
    $1 363,01
    $1 779,99
    $1 448,80
    $1 559,60
    $1 676,98
    $2 093,96
    $1 762,77
    $1 873,57
    $1 990,95
    $2 407,93
    $724,40
    $779,80
    $838,49
    $1 046,98
    $1 038,37
    $1 093,77
    $1 152,46
    $1 360,95
    $1 352,34
    $1 407,74
    $1 466,43
    $1 674,92
    $313,97
    Toc - Plan #36

    Silver

    (HMO) Ambetter Balanced Care 12 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $354,23
    $402,04
    $452,69
    $632,64
    $961,36
    $708,46
    $804,08
    $905,38
    $1 265,28
    $1 922,72
    $979,44
    $1 075,06
    $1 176,36
    $1 536,26
    $1 250,42
    $1 346,04
    $1 447,34
    $1 807,24
    $1 521,40
    $1 617,02
    $1 718,32
    $2 078,22
    $625,21
    $673,02
    $723,67
    $903,62
    $896,19
    $944,00
    $994,65
    $1 174,60
    $1 167,17
    $1 214,98
    $1 265,63
    $1 445,58
    $270,98
    Toc - Plan #37

    Expanded Bronze

    (HMO) Ambetter Essential Care 5 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $8,100 $16,200 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $285,26
    $323,76
    $364,55
    $509,46
    $774,18
    $570,52
    $647,52
    $729,10
    $1 018,92
    $1 548,36
    $788,74
    $865,74
    $947,32
    $1 237,14
    $1 006,96
    $1 083,96
    $1 165,54
    $1 455,36
    $1 225,18
    $1 302,18
    $1 383,76
    $1 673,58
    $503,48
    $541,98
    $582,77
    $727,68
    $721,70
    $760,20
    $800,99
    $945,90
    $939,92
    $978,42
    $1 019,21
    $1 164,12
    $218,22
    Toc - Plan #38

    Expanded Bronze

    (HMO) Ambetter Essential Care 10 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $273,58
    $310,50
    $349,62
    $488,59
    $742,46
    $547,16
    $621,00
    $699,24
    $977,18
    $1 484,92
    $756,44
    $830,28
    $908,52
    $1 186,46
    $965,72
    $1 039,56
    $1 117,80
    $1 395,74
    $1 175,00
    $1 248,84
    $1 327,08
    $1 605,02
    $482,86
    $519,78
    $558,90
    $697,87
    $692,14
    $729,06
    $768,18
    $907,15
    $901,42
    $938,34
    $977,46
    $1 116,43
    $209,28
    Toc - Plan #39

    Silver

    (HMO) Ambetter Balanced Care 29 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $351,27
    $398,68
    $448,91
    $627,36
    $953,33
    $702,54
    $797,36
    $897,82
    $1 254,72
    $1 906,66
    $971,26
    $1 066,08
    $1 166,54
    $1 523,44
    $1 239,98
    $1 334,80
    $1 435,26
    $1 792,16
    $1 508,70
    $1 603,52
    $1 703,98
    $2 060,88
    $619,99
    $667,40
    $717,63
    $896,08
    $888,71
    $936,12
    $986,35
    $1 164,80
    $1 157,43
    $1 204,84
    $1 255,07
    $1 433,52
    $268,72
    Toc - Plan #40

    Silver

    (HMO) Ambetter Balanced Care 25 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $371,76
    $421,94
    $475,10
    $663,95
    $1 008,93
    $743,52
    $843,88
    $950,20
    $1 327,90
    $2 017,86
    $1 027,91
    $1 128,27
    $1 234,59
    $1 612,29
    $1 312,30
    $1 412,66
    $1 518,98
    $1 896,68
    $1 596,69
    $1 697,05
    $1 803,37
    $2 181,07
    $656,15
    $706,33
    $759,49
    $948,34
    $940,54
    $990,72
    $1 043,88
    $1 232,73
    $1 224,93
    $1 275,11
    $1 328,27
    $1 517,12
    $284,39
    Toc - Plan #41

    Silver

    (HMO) Ambetter Balanced Care 27 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $386,91
    $439,13
    $494,46
    $691,01
    $1 050,05
    $773,82
    $878,26
    $988,92
    $1 382,02
    $2 100,10
    $1 069,80
    $1 174,24
    $1 284,90
    $1 678,00
    $1 365,78
    $1 470,22
    $1 580,88
    $1 973,98
    $1 661,76
    $1 766,20
    $1 876,86
    $2 269,96
    $682,89
    $735,11
    $790,44
    $986,99
    $978,87
    $1 031,09
    $1 086,42
    $1 282,97
    $1 274,85
    $1 327,07
    $1 382,40
    $1 578,95
    $295,98
    Toc - Plan #42

    Silver

    (HMO) Ambetter Balanced Care 28 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $386,62
    $438,81
    $494,09
    $690,49
    $1 049,27
    $773,24
    $877,62
    $988,18
    $1 380,98
    $2 098,54
    $1 069,00
    $1 173,38
    $1 283,94
    $1 676,74
    $1 364,76
    $1 469,14
    $1 579,70
    $1 972,50
    $1 660,52
    $1 764,90
    $1 875,46
    $2 268,26
    $682,38
    $734,57
    $789,85
    $986,25
    $978,14
    $1 030,33
    $1 085,61
    $1 282,01
    $1 273,90
    $1 326,09
    $1 381,37
    $1 577,77
    $295,76
    Toc - Plan #43

    Bronze

    (HMO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $277,44
    $314,88
    $354,56
    $495,49
    $752,95
    $554,88
    $629,76
    $709,12
    $990,98
    $1 505,90
    $767,11
    $841,99
    $921,35
    $1 203,21
    $979,34
    $1 054,22
    $1 133,58
    $1 415,44
    $1 191,57
    $1 266,45
    $1 345,81
    $1 627,67
    $489,67
    $527,11
    $566,79
    $707,72
    $701,90
    $739,34
    $779,02
    $919,95
    $914,13
    $951,57
    $991,25
    $1 132,18
    $212,23
    Toc - Plan #44

    Expanded Bronze

    (HMO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $301,73
    $342,45
    $385,59
    $538,86
    $818,86
    $603,46
    $684,90
    $771,18
    $1 077,72
    $1 637,72
    $834,27
    $915,71
    $1 001,99
    $1 308,53
    $1 065,08
    $1 146,52
    $1 232,80
    $1 539,34
    $1 295,89
    $1 377,33
    $1 463,61
    $1 770,15
    $532,54
    $573,26
    $616,40
    $769,67
    $763,35
    $804,07
    $847,21
    $1 000,48
    $994,16
    $1 034,88
    $1 078,02
    $1 231,29
    $230,81
    Toc - Plan #45

    Silver

    (HMO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $377,11
    $428,01
    $481,93
    $673,50
    $1 023,44
    $754,22
    $856,02
    $963,86
    $1 347,00
    $2 046,88
    $1 042,70
    $1 144,50
    $1 252,34
    $1 635,48
    $1 331,18
    $1 432,98
    $1 540,82
    $1 923,96
    $1 619,66
    $1 721,46
    $1 829,30
    $2 212,44
    $665,59
    $716,49
    $770,41
    $961,98
    $954,07
    $1 004,97
    $1 058,89
    $1 250,46
    $1 242,55
    $1 293,45
    $1 347,37
    $1 538,94
    $288,48
    Toc - Plan #46

    Gold

    (HMO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $429,07
    $486,98
    $548,34
    $766,30
    $1 164,47
    $858,14
    $973,96
    $1 096,68
    $1 532,60
    $2 328,94
    $1 186,37
    $1 302,19
    $1 424,91
    $1 860,83
    $1 514,60
    $1 630,42
    $1 753,14
    $2 189,06
    $1 842,83
    $1 958,65
    $2 081,37
    $2 517,29
    $757,30
    $815,21
    $876,57
    $1 094,53
    $1 085,53
    $1 143,44
    $1 204,80
    $1 422,76
    $1 413,76
    $1 471,67
    $1 533,03
    $1 750,99
    $328,23
    Toc - Plan #47

    Silver

    (HMO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $370,32
    $420,30
    $473,26
    $661,37
    $1 005,02
    $740,64
    $840,60
    $946,52
    $1 322,74
    $2 010,04
    $1 023,93
    $1 123,89
    $1 229,81
    $1 606,03
    $1 307,22
    $1 407,18
    $1 513,10
    $1 889,32
    $1 590,51
    $1 690,47
    $1 796,39
    $2 172,61
    $653,61
    $703,59
    $756,55
    $944,66
    $936,90
    $986,88
    $1 039,84
    $1 227,95
    $1 220,19
    $1 270,17
    $1 323,13
    $1 511,24
    $283,29
    Toc - Plan #48

    Expanded Bronze

    (HMO) Ambetter Essential Care 5 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $8,100 $16,200 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $298,22
    $338,47
    $381,11
    $532,60
    $809,34
    $596,44
    $676,94
    $762,22
    $1 065,20
    $1 618,68
    $824,57
    $905,07
    $990,35
    $1 293,33
    $1 052,70
    $1 133,20
    $1 218,48
    $1 521,46
    $1 280,83
    $1 361,33
    $1 446,61
    $1 749,59
    $526,35
    $566,60
    $609,24
    $760,73
    $754,48
    $794,73
    $837,37
    $988,86
    $982,61
    $1 022,86
    $1 065,50
    $1 216,99
    $228,13
    Toc - Plan #49

    Expanded Bronze

    (HMO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $286,00
    $324,60
    $365,50
    $510,78
    $776,18
    $572,00
    $649,20
    $731,00
    $1 021,56
    $1 552,36
    $790,78
    $867,98
    $949,78
    $1 240,34
    $1 009,56
    $1 086,76
    $1 168,56
    $1 459,12
    $1 228,34
    $1 305,54
    $1 387,34
    $1 677,90
    $504,78
    $543,38
    $584,28
    $729,56
    $723,56
    $762,16
    $803,06
    $948,34
    $942,34
    $980,94
    $1 021,84
    $1 167,12
    $218,78
    Toc - Plan #50

    Silver

    (HMO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $388,65
    $441,10
    $496,68
    $694,10
    $1 054,76
    $777,30
    $882,20
    $993,36
    $1 388,20
    $2 109,52
    $1 074,61
    $1 179,51
    $1 290,67
    $1 685,51
    $1 371,92
    $1 476,82
    $1 587,98
    $1 982,82
    $1 669,23
    $1 774,13
    $1 885,29
    $2 280,13
    $685,96
    $738,41
    $793,99
    $991,41
    $983,27
    $1 035,72
    $1 091,30
    $1 288,72
    $1 280,58
    $1 333,03
    $1 388,61
    $1 586,03
    $297,31
    Toc - Plan #51

    Silver

    (HMO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $404,48
    $459,08
    $516,92
    $722,39
    $1 097,74
    $808,96
    $918,16
    $1 033,84
    $1 444,78
    $2 195,48
    $1 118,38
    $1 227,58
    $1 343,26
    $1 754,20
    $1 427,80
    $1 537,00
    $1 652,68
    $2 063,62
    $1 737,22
    $1 846,42
    $1 962,10
    $2 373,04
    $713,90
    $768,50
    $826,34
    $1 031,81
    $1 023,32
    $1 077,92
    $1 135,76
    $1 341,23
    $1 332,74
    $1 387,34
    $1 445,18
    $1 650,65
    $309,42
    Toc - Plan #52

    Silver

    (HMO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $404,18
    $458,74
    $516,53
    $721,85
    $1 096,92
    $808,36
    $917,48
    $1 033,06
    $1 443,70
    $2 193,84
    $1 117,55
    $1 226,67
    $1 342,25
    $1 752,89
    $1 426,74
    $1 535,86
    $1 651,44
    $2 062,08
    $1 735,93
    $1 845,05
    $1 960,63
    $2 371,27
    $713,37
    $767,93
    $825,72
    $1 031,04
    $1 022,56
    $1 077,12
    $1 134,91
    $1 340,23
    $1 331,75
    $1 386,31
    $1 444,10
    $1 649,42
    $309,19

    ‡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 Wake County here.

    Wake County is in “Rating Area 13” of North Carolina.

    Currently, there are 52 plans offered in Rating Area 13.

    Obamacare Rates and Providers for Other Years

    2014 | 2015 | 2016| 2017 | 2018 | 2019 2020 2021

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