Where to buy a plan in North Carolina
North Carolina uses HealthCare.gov for individual and family plans. Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 (source).
North Carolina Marketplace insurers by hospitals in network, 2027
Hospitals listed in at least one of each insurer's 2027 North Carolina plan networks, from the insurers' provider directory files loaded November 4, 2026. One plan's network can be smaller than another's from the same insurer.
| # | Insurer | Hospitals in network |
|---|---|---|
| 1 | Blue Cross and Blue Shield of NC | 89 of 120 |
| 2 | UnitedHealthcare | 62 of 120 |
| 3 | Ambetter | 60 of 120 |
| 4 | Oscar | 53 of 120 |
| 5 | AmeriHealth Caritas Next | 29 of 120 |
"Of" counts the open, non-VA hospitals in North Carolina on this site that have a Medicare number.
2027 monthly premiums in North Carolina by metal level
40-year-old, no tobacco, before tax credits. Lowest and highest premium across North Carolina counties, and the typical county's average. Most people pay less after tax credits.
| Metal level | Lowest | Typical county average | Highest |
|---|---|---|---|
| Bronze | $483 | $628 | $871 |
| Silver | $545 | $798 | $1,089 |
| Gold | $622 | $892 | $1,256 |
2027 Marketplace plan rates for 40-year-old, no tobacco, before tax credits, in 3 counties.
Medicaid income limits in North Carolina
The income limit for each group, as a share of the federal poverty line, as HealthCare.gov reports it for 2027. Adults in North Carolina qualify for Medicaid up to 133% of the poverty line. Ask a hospital which North Carolina Medicaid plans it takes.
- Adults133%of the poverty line
- Parents33%of the poverty line
- Pregnant people196%of the poverty line
- Children211%of the poverty line
Check a North Carolina hospital's networks
Each hospital page has an Insurance section with the Marketplace insurers whose plans list it and a plan checker.
- Presbyterian HospitalCharlotte, NC5 of 5CMS stars
- Duke University HospitalDurham, NC5 of 5CMS stars
- UNC HospitalsChapel Hill, NC5 of 5CMS stars
- Rex HospitalRaleigh, NC5 of 5CMS stars
- Duke Regional HospitalDurham, NC5 of 5CMS stars
- Margaret R Pardee Memorial HospitalHendersonville, NC5 of 5CMS stars
Source: HealthCare.gov Marketplace API (state exchange, Medicaid limits, plan rates). Individual Marketplace (ACA) plans only.
Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals
Networks change; confirm with your insurer before you go. Not affiliated with any insurer, HealthCare.gov or CMS.