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๐Ÿ›๏ธ North Carolina (NC)

ACA Health Insurance Guide for North Carolina Residents

Exchange

HealthCare.gov

Federal exchange

Medicaid Expansion

โœ… Expanded

Adults up to 138% FPL eligible

Avg. Benchmark Premium

$560/mo

Age 40, Silver plan

North Carolina Overview

North Carolina expanded Medicaid in 2023 after years of debate. The state uses HealthCare.gov and has a large marketplace enrollment.

How to Enroll in North Carolina

North Carolina uses the federal exchange at HealthCare.gov.

Visit HealthCare.gov during Open Enrollment to browse plans, compare premiums, and apply for subsidies. You can also call the marketplace helpline at 1-800-318-2596.

Medicaid in North Carolina

North Carolina has expanded Medicaid under the ACA.

Adults with household income up to 138% of the Federal Poverty Level may qualify for Medicaid coverage with little or no premium cost. If your income drops due to the subsidy cliff, Medicaid may be an option.

Calculate Your North Carolina Premiums

See how the subsidy cliff affects your specific situation.

Open Calculator โ†’

See How the 2026 Subsidy Cliff Affects You

Enter your income and household size for a personalized premium comparison.

Calculate Your 2026 Premium Impact โ†’

โš ๏ธ Disclaimer

This calculator provides estimates for educational purposes only. It is not a substitute for professional advice. Actual premiums, subsidies, and eligibility may vary based on your specific circumstances, location, and available plans. We are not licensed insurance agents or brokers. For official information, visit HealthCare.gov or contact a licensed insurance professional. This site is not affiliated with the U.S. government, CMS, or any insurance company.