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Providers for Zip Code 27707

Obamacare 2019 Marketplace Rates For Durham County, North Carolina

Friday, April 19th, 2024


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Durham County, North Carolina.

Obamacare Providers, Plans and 2019 Rates for Durham County

Durham County is in “Rating Area 11” of North Carolina.

Currently, there are 13 plans offered in Rating Area 11.

Below, you’ll find a summary of plans and rates for each of these providers. This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Durham, NC area accept this insurance coverage as within the plan's "network".
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Blue Cross and Blue Shield of NC

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

Plan: (POS) Blue Value Bronze 7900 (limited network with UNC Health Alliance)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-324-4973 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$253.24
$287.43
$323.64
$452.29
$687.29
$506.48
$574.86
$647.28
$904.58
$1,374.58
$700.21
$768.59
$841.01
$1,098.31
$893.94
$962.32
$1,034.74
$1,292.04
$1,087.67
$1,156.05
$1,228.47
$1,485.77
$446.97
$481.16
$517.37
$646.02
$640.70
$674.89
$711.10
$839.75
$834.43
$868.62
$904.83
$1,033.48
$231.21

Plan: (POS) Blue Value Catastrophic (limited network with UNC Health Alliance)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-324-4973 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Catastrophic 21
30
40
50
60
$160.96
$182.69
$205.71
$287.47
$436.85
$321.92
$365.38
$411.42
$574.94
$873.70
$445.05
$488.51
$534.55
$698.07
$568.18
$611.64
$657.68
$821.20
$691.31
$734.77
$780.81
$944.33
$284.09
$305.82
$328.84
$410.60
$407.22
$428.95
$451.97
$533.73
$530.35
$552.08
$575.10
$656.86
$146.96

Plan: (POS) Blue Value Gold 2500 (limited network with UNC Health Alliance)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-324-4973 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$382.31
$433.92
$488.59
$682.81
$1,037.59
$764.62
$867.84
$977.18
$1,365.62
$2,075.18
$1,057.09
$1,160.31
$1,269.65
$1,658.09
$1,349.56
$1,452.78
$1,562.12
$1,950.56
$1,642.03
$1,745.25
$1,854.59
$2,243.03
$674.78
$726.39
$781.06
$975.28
$967.25
$1,018.86
$1,073.53
$1,267.75
$1,259.72
$1,311.33
$1,366.00
$1,560.22
$349.05

Plan: (POS) Blue Value Silver 4000 (limited network with UNC Health Alliance)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-324-4973 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$376.60
$427.44
$481.29
$672.61
$1,022.09
$753.20
$854.88
$962.58
$1,345.22
$2,044.18
$1,041.30
$1,142.98
$1,250.68
$1,633.32
$1,329.40
$1,431.08
$1,538.78
$1,921.42
$1,617.50
$1,719.18
$1,826.88
$2,209.52
$664.70
$715.54
$769.39
$960.71
$952.80
$1,003.64
$1,057.49
$1,248.81
$1,240.90
$1,291.74
$1,345.59
$1,536.91
$343.84

Plan: (POS) Blue Value Silver 7000 (limited network with UNC Health Alliance)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-324-4973 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $7,000 : Family: $14,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$353.32
$401.02
$451.54
$631.03
$958.91
$706.64
$802.04
$903.08
$1,262.06
$1,917.82
$976.93
$1,072.33
$1,173.37
$1,532.35
$1,247.22
$1,342.62
$1,443.66
$1,802.64
$1,517.51
$1,612.91
$1,713.95
$2,072.93
$623.61
$671.31
$721.83
$901.32
$893.90
$941.60
$992.12
$1,171.61
$1,164.19
$1,211.89
$1,262.41
$1,441.90
$322.58

Plan: (POS) Blue Value Bronze 7000 (limited network with UNC Health Alliance)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-324-4973 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $7,000 : Family: $14,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Expanded Bronze 21
30
40
50
60
$267.38
$303.48
$341.71
$477.54
$725.67
$534.76
$606.96
$683.42
$955.08
$1,451.34
$739.31
$811.51
$887.97
$1,159.63
$943.86
$1,016.06
$1,092.52
$1,364.18
$1,148.41
$1,220.61
$1,297.07
$1,568.73
$471.93
$508.03
$546.26
$682.09
$676.48
$712.58
$750.81
$886.64
$881.03
$917.13
$955.36
$1,091.19
$244.12

Plan: (POS) Blue Value Bronze 6750 (limited network with UNC Health Alliance, HSA eligible)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-324-4973 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $6,750 : Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$260.87
$296.09
$333.39
$465.91
$708.00
$521.74
$592.18
$666.78
$931.82
$1,416.00
$721.31
$791.75
$866.35
$1,131.39
$920.88
$991.32
$1,065.92
$1,330.96
$1,120.45
$1,190.89
$1,265.49
$1,530.53
$460.44
$495.66
$532.96
$665.48
$660.01
$695.23
$732.53
$865.05
$859.58
$894.80
$932.10
$1,064.62
$238.17
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Ambetter of North Carolina Inc.

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

Plan: (HMO) Ambetter Secure Care 1 (2019) with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-833-863-1310 - Provider Directory for This Plan: (Ambetter of North Carolina Inc.)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$602.64
$683.98
$770.16
$1,076.29
$1,635.53
$1,205.28
$1,367.96
$1,540.32
$2,152.58
$3,271.06
$1,666.29
$1,828.97
$2,001.33
$2,613.59
$2,127.30
$2,289.98
$2,462.34
$3,074.60
$2,588.31
$2,750.99
$2,923.35
$3,535.61
$1,063.65
$1,144.99
$1,231.17
$1,537.30
$1,524.66
$1,606.00
$1,692.18
$1,998.31
$1,985.67
$2,067.01
$2,153.19
$2,459.32
$550.20

Plan: (HMO) Ambetter Essential Care 1 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-833-863-1310 - Provider Directory for This Plan: (Ambetter of North Carolina Inc.)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$426.70
$484.29
$545.31
$762.07
$1,158.04
$853.40
$968.58
$1,090.62
$1,524.14
$2,316.08
$1,179.82
$1,295.00
$1,417.04
$1,850.56
$1,506.24
$1,621.42
$1,743.46
$2,176.98
$1,832.66
$1,947.84
$2,069.88
$2,503.40
$753.12
$810.71
$871.73
$1,088.49
$1,079.54
$1,137.13
$1,198.15
$1,414.91
$1,405.96
$1,463.55
$1,524.57
$1,741.33
$389.57

Plan: (HMO) Ambetter Essential Care 2 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-833-863-1310 - Provider Directory for This Plan: (Ambetter of North Carolina Inc.)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$431.69
$489.96
$551.69
$770.98
$1,171.58
$863.38
$979.92
$1,103.38
$1,541.96
$2,343.16
$1,193.61
$1,310.15
$1,433.61
$1,872.19
$1,523.84
$1,640.38
$1,763.84
$2,202.42
$1,854.07
$1,970.61
$2,094.07
$2,532.65
$761.92
$820.19
$881.92
$1,101.21
$1,092.15
$1,150.42
$1,212.15
$1,431.44
$1,422.38
$1,480.65
$1,542.38
$1,761.67
$394.12

Plan: (HMO) Ambetter Balanced Care 3 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-833-863-1310 - Provider Directory for This Plan: (Ambetter of North Carolina Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$512.40
$581.56
$654.84
$915.13
$1,390.63
$1,024.80
$1,163.12
$1,309.68
$1,830.26
$2,781.26
$1,416.78
$1,555.10
$1,701.66
$2,222.24
$1,808.76
$1,947.08
$2,093.64
$2,614.22
$2,200.74
$2,339.06
$2,485.62
$3,006.20
$904.38
$973.54
$1,046.82
$1,307.11
$1,296.36
$1,365.52
$1,438.80
$1,699.09
$1,688.34
$1,757.50
$1,830.78
$2,091.07
$467.81

Plan: (HMO) Ambetter Balanced Care 11 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-833-863-1310 - Provider Directory for This Plan: (Ambetter of North Carolina Inc.)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$444.84
$504.88
$568.49
$794.46
$1,207.26
$889.68
$1,009.76
$1,136.98
$1,588.92
$2,414.52
$1,229.97
$1,350.05
$1,477.27
$1,929.21
$1,570.26
$1,690.34
$1,817.56
$2,269.50
$1,910.55
$2,030.63
$2,157.85
$2,609.79
$785.13
$845.17
$908.78
$1,134.75
$1,125.42
$1,185.46
$1,249.07
$1,475.04
$1,465.71
$1,525.75
$1,589.36
$1,815.33
$406.13

Plan: (HMO) Ambetter Balanced Care 5 (2019)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-833-863-1310 - Provider Directory for This Plan: (Ambetter of North Carolina Inc.)

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$453.45
$514.66
$579.50
$809.85
$1,230.65
$906.90
$1,029.32
$1,159.00
$1,619.70
$2,461.30
$1,253.78
$1,376.20
$1,505.88
$1,966.58
$1,600.66
$1,723.08
$1,852.76
$2,313.46
$1,947.54
$2,069.96
$2,199.64
$2,660.34
$800.33
$861.54
$926.38
$1,156.73
$1,147.21
$1,208.42
$1,273.26
$1,503.61
$1,494.09
$1,555.30
$1,620.14
$1,850.49
$413.99

‡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 Durham County here.

 

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