Obamacare 2022 Rates and Health Insurance Providers for Wake County , North Carolina

Obamacare 2022 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 | 2022 |

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 2022.

For detailed information on available 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

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.

Obamacare Providers, Plans and 2022 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.

Obamacare Rates and Providers for Other Years

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

You may also be interested in:

How To Sign Up for Obamacare in North Carolina

For 2022 health plans, North Carolina open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)

To get covered, you can go directly to the online health insurance marketplace for North Carolina. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.

Where's the North Carolina Health Care Exchange?

You can find the health insurance exchange for North Carolina at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.

more...  

North Carolina Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?

The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in North Carolina in 2021, that’s $17,609. For a family of four, it’s $36,156.)

However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.

North Carolina Has Not Expanded Medicaid

On March 24, 2021, the democratic governor of North Carolina, Roy Cooper, included Medicaid expansion in his state budget proposal for 2022-2023. As we near the end of 2021, the issue of Medicaid expansion is still hotly contested in North Carolina. Until North Carolina expands Medicaid eligibility, you may have fewer options for health coverage than people in states where Medicaid is more inclusive.

The Medicaid Coverage Gap

The Affordable Care Act assumed that Medicaid would be expanded to cover all Americans with incomes at or below 138% of the federal poverty level. And it created health plan subsidies for people with incomes between 100% - 400% of the poverty level.

That means North Carolina residents with incomes below the poverty level may fall into a coverage gap where they can get neither Medicaid nor ACA subsidies.

more...  

Get Help Finding a Health Insurance Plan in North Carolina

Get Help From North Carolina's Health Insurance Exchange

The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for North Carolina.

Help by phone: 800-318-2596 (TTY: 855-889-4325)

In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.

Get Help From a Licensed Insurance Broker

To directly connect with a North Carolina insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)

More Information

For more detailed information, see How Do I Sign Up for Obamacare in North Carolina?

  • Wake County, NC Obamacare Rates
  • General Info
  • Rates

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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
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$272,81
Toc - Plan #2 Blue Cross and Blue Shield of NC
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$287,45
Toc - Plan #3 Blue Cross and Blue Shield of NC
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$274,15
Toc - Plan #4 Blue Cross and Blue Shield of NC
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$205,65
Toc - Plan #5 Blue Cross and Blue Shield of NC
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$190,06
Toc - Plan #6 Blue Cross and Blue Shield of NC
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$183,75
Toc - Plan #7 Blue Cross and Blue Shield of NC
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$132,95

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UnitedHealthcare

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

Toc - Plan #8 UnitedHealthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$354,77
Toc - Plan #9 UnitedHealthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$314,28
Toc - Plan #10 UnitedHealthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$315,82
Toc - Plan #11 UnitedHealthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$317,14
Toc - Plan #12 UnitedHealthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$220,08
Toc - Plan #13 UnitedHealthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$225,80

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Bright Health

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

Toc - Plan #14 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$318,33
Toc - Plan #15 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$254,95
Toc - Plan #16 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$256,70
Toc - Plan #17 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$259,02
Toc - Plan #18 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$180,81
Toc - Plan #19 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$188,30
Toc - Plan #20 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$214,76
Toc - Plan #21 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$122,88
Toc - Plan #22 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$206,57
Toc - Plan #23 Bright Health
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$255,98

ADVERTISEMENT

Cigna Healthcare

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

Toc - Plan #24 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$229,38
Toc - Plan #25 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$222,35
Toc - Plan #26 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$254,80
Toc - Plan #27 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$361,94
Toc - Plan #28 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$254,53
Toc - Plan #29 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$231,29
Toc - Plan #30 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$254,20
Toc - Plan #31 Cigna Healthcare
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$254,86

ADVERTISEMENT

Ambetter of North Carolina

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

Toc - Plan #32 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$203,01
Toc - Plan #33 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$220,78
Toc - Plan #34 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$275,95
Toc - Plan #35 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$313,97
Toc - Plan #36 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$270,98
Toc - Plan #37 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$218,22
Toc - Plan #38 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$209,28
Toc - Plan #39 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$268,72
Toc - Plan #40 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$284,39
Toc - Plan #41 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$295,98
Toc - Plan #42 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$295,76
Toc - Plan #43 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$212,23
Toc - Plan #44 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$230,81
Toc - Plan #45 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$288,48
Toc - Plan #46 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$328,23
Toc - Plan #47 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$283,29
Toc - Plan #48 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$228,13
Toc - Plan #49 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$218,78
Toc - Plan #50 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$297,31
Toc - Plan #51 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$309,42
Toc - Plan #52 Ambetter of North Carolina
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
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
$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
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$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
$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.

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2022 Obamacare Rates for Wake County

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