2026 plan year · North Carolina
2026 health insurance plans in Randolph County, NC
75 Marketplace plans from 5 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $548benchmark silver (age 40)
- $422cheapest bronze (age 40)
- 5insurers
- +24.6%benchmark change vs. 2025
Insurer changes from 2025
- Leaving: Aetna CVS Health, CareSource, WellCare of North Carolina. See what to do if your insurer leaves.
Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| AmeriHealth Caritas Next Bronze Essential + No Referrals AmeriHealth Caritas Next · HMO | $360 | $460 | $977 | $10,600 | $10,600 | $25 |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals UnitedHealthcare · HMO | $502 | $642 | $1,363 | $10,600 | $10,600 | No Charge after Deductible |
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Everyday Bronze with Atrium Health Ambetter of North Carolina · HMO | $330 | $422 | $896 | $8,450 | $10,150 | $40 |
| Standard Expanded Bronze with Atrium Health Ambetter of North Carolina · HMO | $331 | $424 | $900 | $7,500 | $10,000 | $50 |
| Everyday Bronze with Atrium Health + Vision + Adult Dental Ambetter of North Carolina · HMO | $341 | $436 | $926 | $8,450 | $10,150 | $40 |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Ambetter of North Carolina · HMO | $343 | $438 | $930 | $7,500 | $10,000 | $50 |
| Blue Local Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Atrium Health Blue Cross and Blue Shield of NC · EPO | $363 | $464 | $985 | $7,000 | $10,600 | $95 |
| AmeriHealth Caritas Next Bronze Signature + No Referrals AmeriHealth Caritas Next · HMO | $364 | $465 | $988 | $7,500 | $10,000 | $50 |
| AmeriHealth Caritas Next Bronze Premier + No Referrals AmeriHealth Caritas Next · HMO | $372 | $476 | $1,010 | $3,850 | $10,600 | $40 |
| Elite Bronze with Atrium Health Ambetter of North Carolina · HMO | $375 | $479 | $1,018 | $0 | $10,500 | $60 |
| Blue Local Bronze Standard | with Atrium Health Blue Cross and Blue Shield of NC · EPO | $378 | $483 | $1,025 | $7,500 | $10,000 | $50 |
| Elite Bronze with Atrium Health + Vision + Adult Dental Ambetter of North Carolina · HMO | $388 | $496 | $1,052 | $0 | $10,500 | $60 |
| Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Cone Health Blue Cross and Blue Shield of NC · EPO | $405 | $517 | $1,098 | $7,000 | $10,600 | $95 |
| Blue Home Bronze Standard | with Cone Health Blue Cross and Blue Shield of NC · EPO | $421 | $538 | $1,142 | $7,500 | $10,000 | $50 |
| Connect Bronze 5500 Indiv Med Deductible Cigna Healthcare · HMO | $451 | $576 | $1,224 | $5,500 | $10,250 | $15 |
| Connect Bronze CMS Standard Cigna Healthcare · HMO | $451 | $577 | $1,225 | $7,500 | $10,000 | $50 |
| Connect Bronze 6500 Indiv Med Deductible Cigna Healthcare · HMO | $453 | $580 | $1,231 | $6,500 | $9,900 | $5 |
| Connect myDiabetesCare Bronze Cigna Healthcare · HMO | $457 | $584 | $1,241 | $6,000 | $9,900 | $10 |
| Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $468 | $599 | $1,271 | $7,000 | $10,600 | $95 |
| Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $483 | $617 | $1,311 | $7,000 | $10,600 | $95 |
| Blue Care Bronze Standard | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $489 | $624 | $1,326 | $7,500 | $10,000 | $50 |
| Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $494 | $632 | $1,341 | $4,000 | $10,600 | $60 |
| Blue Advantage Bronze Standard | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $502 | $642 | $1,363 | $7,500 | $10,000 | $50 |
| Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $507 | $647 | $1,375 | $8,500 | $8,500 | No Charge after Deductible |
| Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $509 | $651 | $1,382 | $4,000 | $10,600 | $60 |
| Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $522 | $667 | $1,417 | $8,500 | $8,500 | No Charge after Deductible |
| UHC Bronze Standard (No Referrals) UnitedHealthcare · HMO | $530 | $678 | $1,439 | $7,500 | $10,000 | $50 |
| UHC Bronze Standard+ Dental + Vision (No Referrals) UnitedHealthcare · HMO | $550 | $703 | $1,493 | $7,500 | $10,000 | $50 |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · HMO | $551 | $705 | $1,496 | $0 | $10,600 | $55 |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Standard Silver with Atrium Health Ambetter of North Carolina · HMO | $424 | $542 | $1,152 | $6,000 | $8,900 | $40 |
| Focused Silver with Atrium Health Ambetter of North Carolina · HMO | $429 | $548 | $1,164 | $6,300 | $8,400 | $40 |
| Standard Silver with Atrium Health + Vision + Adult Dental Ambetter of North Carolina · HMO | $439 | $561 | $1,191 | $6,000 | $8,900 | $40 |
| Focused Silver with Atrium Health + Vision + Adult Dental Ambetter of North Carolina · HMO | $443 | $566 | $1,203 | $6,300 | $8,400 | $40 |
| AmeriHealth Caritas Next Silver Essential + No Referrals AmeriHealth Caritas Next · HMO | $472 | $604 | $1,282 | $6,100 | $9,000 | $25 |
| Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health Blue Cross and Blue Shield of NC · EPO | $476 | $608 | $1,292 | $2,800 | $10,600 | $40 |
| AmeriHealth Caritas Next Silver Signature + No Referrals AmeriHealth Caritas Next · HMO | $476 | $609 | $1,293 | $6,000 | $8,900 | $40 |
| Blue Local Silver Standard | with Atrium Health Blue Cross and Blue Shield of NC · EPO | $481 | $615 | $1,306 | $6,000 | $8,900 | $40 |
| AmeriHealth Caritas Next Silver Premier + No Referrals AmeriHealth Caritas Next · HMO | $486 | $622 | $1,320 | $400 | $10,200 | $50 |
| Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Cone Health Blue Cross and Blue Shield of NC · EPO | $530 | $677 | $1,439 | $2,800 | $10,600 | $40 |
| Blue Home Silver Standard | with Cone Health Blue Cross and Blue Shield of NC · EPO | $536 | $685 | $1,454 | $6,000 | $8,900 | $40 |
| Connect Silver 5000 Indiv Med Deductible Cigna Healthcare · HMO | $561 | $717 | $1,523 | $5,000 | $8,850 | $30 |
| Connect Silver 3600 Indiv Med Deductible Cigna Healthcare · HMO | $562 | $719 | $1,526 | $3,600 | $9,150 | $20 |
| Connect Silver CMS Standard Cigna Healthcare · HMO | $562 | $719 | $1,527 | $6,000 | $8,900 | $40 |
| Connect myDiabetesCare Silver Cigna Healthcare · HMO | $569 | $727 | $1,544 | $4,300 | $9,200 | $10 |
| Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $614 | $785 | $1,666 | $2,800 | $10,600 | $40 |
| Blue Care Silver Standard | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $622 | $795 | $1,689 | $6,000 | $8,900 | $40 |
| Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $633 | $809 | $1,718 | $2,800 | $10,600 | $40 |
| Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $635 | $811 | $1,723 | $3,000 | $10,600 | $45 |
| Blue Advantage Silver Standard | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $640 | $818 | $1,736 | $6,000 | $8,900 | $40 |
| Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $654 | $836 | $1,775 | $3,000 | $10,600 | $45 |
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · HMO | $732 | $935 | $1,986 | $3,550 | $10,000 | $40 |
| UHC Silver Standard (No Referrals) UnitedHealthcare · HMO | $733 | $937 | $1,990 | $6,000 | $8,900 | $40 |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) UnitedHealthcare · HMO | $742 | $948 | $2,013 | $2,500 | $10,150 | $30 |
| UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) UnitedHealthcare · HMO | $751 | $960 | $2,040 | $3,550 | $10,000 | $40 |
| UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare · HMO | $762 | $973 | $2,067 | $2,500 | $10,150 | $30 |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Standard Gold with Atrium Health Ambetter of North Carolina · HMO | $439 | $561 | $1,191 | $2,000 | $8,200 | $30 |
| Standard Gold with Atrium Health + Vision + Adult Dental Ambetter of North Carolina · HMO | $454 | $580 | $1,231 | $2,000 | $8,200 | $30 |
| Complete Gold with Atrium Health Ambetter of North Carolina · HMO | $459 | $586 | $1,245 | $1,450 | $7,500 | $15 |
| Complete Gold with Atrium Health + Vision + Adult Dental Ambetter of North Carolina · HMO | $474 | $606 | $1,287 | $1,450 | $7,500 | $15 |
| AmeriHealth Caritas Next Gold Signature + No Referrals AmeriHealth Caritas Next · HMO | $488 | $623 | $1,323 | $2,000 | $8,200 | $30 |
| Blue Local Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health Blue Cross and Blue Shield of NC · EPO | $499 | $638 | $1,355 | $1,800 | $10,600 | $15 |
| Blue Local Gold Standard A | with Atrium Health Blue Cross and Blue Shield of NC · EPO | $504 | $645 | $1,369 | $2,000 | $8,200 | $30 |
| AmeriHealth Caritas Next Gold Premier + No Referrals AmeriHealth Caritas Next · HMO | $507 | $647 | $1,375 | $850 | $8,500 | $15 |
| Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Cone Health Blue Cross and Blue Shield of NC · EPO | $556 | $711 | $1,510 | $1,800 | $10,600 | $15 |
| Blue Home Gold Standard A | with Cone Health Blue Cross and Blue Shield of NC · EPO | $562 | $718 | $1,525 | $2,000 | $8,200 | $30 |
| Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $644 | $823 | $1,749 | $1,800 | $10,600 | $15 |
| Blue Care Gold Standard A | Statewide Doctors Blue Cross and Blue Shield of NC · HMO | $652 | $834 | $1,771 | $2,000 | $8,200 | $30 |
| Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $664 | $849 | $1,802 | $1,800 | $10,600 | $15 |
| Blue Advantage Gold Standard A | Nationwide Doctors Blue Cross and Blue Shield of NC · PPO | $671 | $857 | $1,820 | $2,000 | $8,200 | $30 |
| Connect Gold CMS Standard Cigna Healthcare · HMO | $677 | $865 | $1,837 | $2,000 | $8,200 | $30 |
| Connect Gold 1500 Indiv Med Deductible Cigna Healthcare · HMO | $678 | $866 | $1,840 | $1,500 | $9,950 | $15 |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · HMO | $811 | $1,037 | $2,202 | $0 | $10,600 | $20 |
| UHC Gold Standard (No Referrals) UnitedHealthcare · HMO | $816 | $1,042 | $2,213 | $2,000 | $8,200 | $30 |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) UnitedHealthcare · HMO | $835 | $1,067 | $2,266 | $750 | $9,200 | $15 |
| UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) UnitedHealthcare · HMO | $855 | $1,092 | $2,320 | $750 | $9,200 | $15 |
Care quality in Randolph County
Marketplace plans use networks. Check that the hospitals and doctors you'd want are in network, and how they're rated.
Turning 65?
Marketplace plans are for people who aren't on Medicare. See Medicare Advantage plans in Randolph County.
Frequently asked questions
How many Marketplace health plans are available in Randolph County, NC for 2026?
75 plans from 5 insurers: Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.
What is the benchmark silver plan premium in Randolph County, NC?
For 2026, the second-lowest-cost silver plan costs $548 a month for a 40-year-old before tax credits, up 24.6% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Randolph County, NC?
The lowest bronze premium for a 40-year-old is $422 a month before tax credits. Bronze plans have low premiums but high deductibles.
Did any insurers leave Randolph County, NC?
Aetna CVS Health, CareSource, WellCare of North Carolina offered plans here in 2025 but don't for 2026. If you had one of their plans, you'll need to pick a new plan during open enrollment, or you may be moved to a similar plan automatically.