PlanVoyager
All plans in North CarolinaCompare with subsidy estimate
GoldHMO

Connect Gold 1500 Indiv Med Deductible

Cigna Healthcare

Starting at

$824

/month before subsidy

Key facts

Connect Gold 1500 Indiv Med Deductible is a 2026 Gold HMO health insurance plan from Cigna Healthcare, sold on the ACA Marketplace in North Carolina under plan ID 73943NC0070053. The monthly premium starts at $824 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,500 ($3,000 for a family), and the individual out-of-pocket maximum is $9,950 ($19,900 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
73943NC0070053
Plan year
2026
State
North Carolina
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$1,500

Family: $3,000

Out-of-Pocket Max

$9,950

Family: $19,900

Coinsurance

20%

You pay after deductible

Network Type

HMO

NCN001

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

Medical Services

Primary Care Visit$15.00
Specialist Visit$50.00
Urgent Care$50.00
Emergency Room20.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$2.00
Brand Name Drugs49.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
3.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

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

$3,770

your estimated cost

Deductible
$1,500
Copays
$10
Coinsurance
$2,200

Managing type 2 diabetes

A year of routine care

$1,620

your estimated cost

Deductible
$900
Copays
$700
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,800

your estimated cost

Deductible
$1,500
Copays
$200
Coinsurance
$100
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.
Check a medication
Check a doctor

Enter your ZIP code first to search nearby doctors.

Official Plan Documents
Published by Cigna Healthcare. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
Who This Plan Is Best For

This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

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

$1,653/month

Annual Premium

$9,888

OOP Maximum

$9,950

💡 What this means:

With a $1,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $9,950 total. Then insurance covers everything else for the year.

More plans from Cigna Healthcare in North Carolina

View all Marketplace plans in North Carolina

Frequently asked questions about Connect Gold 1500 Indiv Med Deductible

How much does Connect Gold 1500 Indiv Med Deductible cost per month?

Connect Gold 1500 Indiv Med Deductible from Cigna Healthcare starts at $824 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 Connect Gold 1500 Indiv Med Deductible?

The individual medical deductible is $1,500, and the family deductible is $3,000. 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 Connect Gold 1500 Indiv Med Deductible?

The most you would pay in a year for covered in-network care is $9,950 for an individual and $19,900 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Connect Gold 1500 Indiv Med Deductible HSA-eligible?

No. Connect Gold 1500 Indiv Med Deductible is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does Connect Gold 1500 Indiv Med Deductible use?

Connect Gold 1500 Indiv Med Deductible 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

Enroll at HealthCare.govBrowse North Carolina plans

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.