Expanded_bronzeHMOHSA Eligible

Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors

Blue Cross and Blue Shield of NC

Starting at

$647

/month before subsidy

Key facts

Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors is a 2026 Expanded_bronze HMO health insurance plan from Blue Cross and Blue Shield of NC, sold on the ACA Marketplace in North Carolina under plan ID 11512NC0430010. The monthly premium starts at $647 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $8,500 ($17,000 for a family), and the individual out-of-pocket maximum is $8,500 ($17,000 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
11512NC0430010
Plan year
2026
State
North Carolina
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$8,500

Family: $17,000

Out-of-Pocket Max

$8,500

Family: $17,000

Coinsurance

0%

You pay after deductible

Network Type

HMO

NCN016

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit0.00% Coinsurance after deductible
Specialist Visit0.00% Coinsurance after deductible
Urgent Care0.00% Coinsurance after deductible
Emergency Room0.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs0.00% Coinsurance after deductible
Brand Name Drugs0.00% Coinsurance after deductible
Specialty Drugs0.00% Coinsurance after deductible
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$8,560

your estimated cost

Deductible
$8,500
Copays
$0
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$5,320

your estimated cost

Deductible
$5,300
Copays
$0
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by Blue Cross and Blue Shield of NC. These are the authoritative source for coverage details.
Who This Plan Is Best For

Review the plan details above to determine if this plan fits your healthcare needs and budget.

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,355/month

Annual Premium

$7,764

OOP Maximum

$8,500

💡 What this means:

With a $8,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $8,500 total. Then insurance covers everything else for the year.

More plans from Blue Cross and Blue Shield of NC in North Carolina

View all Marketplace plans in North Carolina

Frequently asked questions about Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors

How much does Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors cost per month?

Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors from Blue Cross and Blue Shield of NC starts at $647 per month before any subsidy in North Carolina. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors?

The individual medical deductible is $8,500, and the family deductible is $17,000. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors?

The most you would pay in a year for covered in-network care is $8,500 for an individual and $17,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors HSA-eligible?

Yes. Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors use?

Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.