2026 data Public-data reference. official source

Mecklenburg, North Carolina Health Insurance

Open-data reference.

81 ACA plans from 5 issuers — Plan year 2026

Mecklenburg, North Carolina offers 81 ACA marketplace plans from 5 issuers for plan year 2026. Bronze plans start at $518/mo and Silver plans start at $472/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$599
Avg Silver Premium/mo
$478
Benchmark Premium/mo
+30.9%
Year-over-Year Change
$4,870
Avg Deductible

What the Numbers Say About Mecklenburg

Mecklenburg, North Carolina has 81 ACA marketplace plans offered by 5 issuers for plan year 2026. The average Silver-tier premium comes in at $599/mo for a 27-year-old non-tobacco user, with the lowest Silver at $472 and the highest at $785. Bronze plans start at $518/mo — useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.

The benchmark (second-lowest Silver) premium is $478/mo, the figure the IRS uses to calculate your Advance Premium Tax Credit. Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $4,870 and the average out-of-pocket maximum is $9,641 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Mecklenburg shifted by +30.9%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 5 issuers active in Mecklenburg, consumers have meaningful competition to pressure premiums lower. This page is informational only and is not insurance, medical, or tax advice — verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Bronze

1 plan
$518/mo avg
$518 — $518

Silver

30 plans
$599/mo avg
$472 — $785

Gold

19 plans
$667/mo avg
$504 — $882

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Mecklenburg is $478/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

81

Plan year

Issuers in market

5

Competitive market

Benchmark Silver

$478 /mo

Sets your subsidy ceiling

Avg deductible

$4,870

Across all metal tiers

Mecklenburg ACA plans by premium and deductible

Each marker is the Mecklenburg average for one metal tier (and the local Bronze low / Silver high extremes where data is available). The dashed line marks the federal out-of-pocket-maximum ceiling.

Source: CMS Marketplace PUF for Mecklenburg, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

No data to plot
Source: CMS Marketplace PUF for Mecklenburg, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

Issuers in Mecklenburg

Issuer Plans Avg Premium (Age 27)
Blue Cross and Blue Shield of NC 30 $601/mo
Oscar Health Plan of North Carolina, Inc 14 $440/mo
Ambetter of North Carolina 14 $467/mo
UnitedHealthcare 13 $727/mo
Cigna Healthcare 10 $540/mo

All Plans in Mecklenburg

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
UnitedHealthcare
Bronze HMO $517.74 $631.36 $10,600 $10,600
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health
Blue Cross and Blue Shield of NC
Expanded Bronze EPO $366.43 $446.85 $7,000 $10,600
Bronze Classic Standard | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Expanded Bronze HMO $368.36 $449.20 $7,500 $10,000
Bronze Simple Diabetes | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Expanded Bronze HMO $375.73 $458.19 $5,500 $10,150
Bronze Classic 4700 | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Expanded Bronze HMO $376.90 $459.61 $4,700 $9,600
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Expanded Bronze HMO $377.93 $460.88 $5,500 $10,150
Everyday Bronze with Atrium Health
Ambetter of North Carolina
Expanded Bronze HMO $380.77 $464.33 $8,450 $10,150
Blue Home Bronze Standard | with Novant Health
Blue Cross and Blue Shield of NC
Expanded Bronze EPO $381.22 $464.89 $7,500 $10,000
Standard Expanded Bronze with Atrium Health
Ambetter of North Carolina
Expanded Bronze HMO $382.25 $466.14 $7,500 $10,000
Bronze Simple Chronic Care CKM | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Expanded Bronze HMO $383.63 $467.82 $5,500 $10,150
Everyday Bronze with Atrium Health + Vision + Adult Dental
Ambetter of North Carolina
Expanded Bronze HMO $393.58 $479.96 $8,450 $10,150
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Ambetter of North Carolina
Expanded Bronze HMO $395.11 $481.82 $7,500 $10,000
Bronze Elite + PCP Saver Plus | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Expanded Bronze HMO $410.58 $500.69 $0 $10,600
Elite Bronze with Atrium Health
Ambetter of North Carolina
Expanded Bronze HMO $432.64 $527.59 $0 $10,500
Elite Bronze with Atrium Health + Vision + Adult Dental
Ambetter of North Carolina
Expanded Bronze HMO $447.20 $545.34 $0 $10,500
Connect Bronze 5500 Indiv Med Deductible
Cigna Healthcare
Expanded Bronze HMO $449.35 $547.97 $5,500 $10,250
Connect Bronze CMS Standard
Cigna Healthcare
Expanded Bronze HMO $449.75 $548.45 $7,500 $10,000
Connect Bronze 6500 Indiv Med Deductible
Cigna Healthcare
Expanded Bronze HMO $451.87 $551.04 $6,500 $9,900
Blue Local Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Atrium Health
Blue Cross and Blue Shield of NC
Expanded Bronze EPO $454.99 $554.84 $7,000 $10,600
Connect myDiabetesCare Bronze
Cigna Healthcare
Expanded Bronze HMO $455.65 $555.65 $6,000 $9,900
Blue Local Bronze Standard | with Atrium Health
Blue Cross and Blue Shield of NC
Expanded Bronze EPO $473.42 $577.32 $7,500 $10,000
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $537.01 $654.86 $7,000 $10,600
UHC Bronze Standard (No Referrals)
UnitedHealthcare
Expanded Bronze HMO $546.86 $666.88 $7,500 $10,000
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $553.54 $675.03 $7,000 $10,600
Blue Care Bronze Standard | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $559.94 $682.82 $7,500 $10,000
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $566.41 $690.72 $4,000 $10,600
UHC Bronze Standard+ Dental + Vision (No Referrals)
UnitedHealthcare
Expanded Bronze HMO $567.27 $691.77 $7,500 $10,000
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Expanded Bronze HMO $568.62 $693.41 $0 $10,600
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $575.63 $701.97 $7,500 $10,000
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $580.60 $708.02 $8,500 $8,500
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $583.73 $711.83 $4,000 $10,600
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $598.40 $729.73 $8,500 $8,500
Silver Simple PCP Saver | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Silver HMO $471.62 $575.12 $5,500 $9,900
Silver Classic Standard | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Silver HMO $477.94 $582.84 $6,000 $8,900
Silver Simple Diabetes | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Silver HMO $478.64 $583.68 $6,500 $10,000
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health
Blue Cross and Blue Shield of NC
Silver EPO $480.39 $585.82 $2,800 $10,600
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Silver HMO $480.61 $586.08 $6,200 $9,600
Silver Simple Chronic Care CKM | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Silver HMO $481.65 $587.35 $5,900 $10,150
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Silver HMO $482.42 $588.29 $6,000 $10,150
Silver Classic | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Silver HMO $484.25 $590.53 $5,400 $9,200
Blue Home Silver Standard | with Novant Health
Blue Cross and Blue Shield of NC
Silver EPO $485.66 $592.25 $6,000 $8,900
Standard Silver with Atrium Health
Ambetter of North Carolina
Silver HMO $489.53 $596.97 $6,000 $8,900
Focused Silver with Atrium Health
Ambetter of North Carolina
Silver HMO $494.54 $603.07 $6,300 $8,400
Standard Silver with Atrium Health + Vision + Adult Dental
Ambetter of North Carolina
Silver HMO $506.00 $617.05 $6,000 $8,900
Focused Silver with Atrium Health + Vision + Adult Dental
Ambetter of North Carolina
Silver HMO $511.18 $623.37 $6,300 $8,400
Connect Silver 5000 Indiv Med Deductible
Cigna Healthcare
Silver HMO $559.21 $681.94 $5,000 $8,850
Connect Silver 3600 Indiv Med Deductible
Cigna Healthcare
Silver HMO $560.27 $683.23 $3,600 $9,150
Connect Silver CMS Standard
Cigna Healthcare
Silver HMO $560.47 $683.47 $6,000 $8,900
Connect myDiabetesCare Silver
Cigna Healthcare
Silver HMO $566.84 $691.24 $4,300 $9,200
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health
Blue Cross and Blue Shield of NC
Silver EPO $596.49 $727.40 $2,800 $10,600
Blue Local Silver Standard | with Atrium Health
Blue Cross and Blue Shield of NC
Silver EPO $603.02 $735.36 $6,000 $8,900
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Cross and Blue Shield of NC
Silver HMO $703.75 $858.20 $2,800 $10,600
Blue Care Silver Standard | Statewide Doctors
Blue Cross and Blue Shield of NC
Silver HMO $713.25 $869.78 $6,000 $8,900
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Cross and Blue Shield of NC
Silver PPO $725.38 $884.58 $2,800 $10,600
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Cross and Blue Shield of NC
Silver HMO $727.52 $887.19 $3,000 $10,600
Blue Advantage Silver Standard | Nationwide Doctors
Blue Cross and Blue Shield of NC
Silver PPO $733.23 $894.15 $6,000 $8,900
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Cross and Blue Shield of NC
Silver PPO $749.85 $914.42 $3,000 $10,600
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Silver HMO $754.59 $920.20 $3,550 $10,000
UHC Silver Standard (No Referrals)
UnitedHealthcare
Silver HMO $756.00 $921.92 $6,000 $8,900
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UnitedHealthcare
Silver HMO $765.03 $932.92 $2,500 $10,150
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
Silver HMO $775.00 $945.09 $3,550 $10,000
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UnitedHealthcare
Silver HMO $785.44 $957.81 $2,500 $10,150
Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Novant Health
Blue Cross and Blue Shield of NC
Gold EPO $504.05 $614.67 $1,800 $10,600
Standard Gold with Atrium Health
Ambetter of North Carolina
Gold HMO $506.06 $617.13 $2,000 $8,200
Blue Home Gold Standard A | with Novant Health
Blue Cross and Blue Shield of NC
Gold EPO $509.14 $620.88 $2,000 $8,200
Gold Classic Standard | with Atrium Health
Oscar Health Plan of North Carolina, Inc
Gold HMO $514.60 $627.54 $2,000 $8,200
Standard Gold with Atrium Health + Vision + Adult Dental
Ambetter of North Carolina
Gold HMO $523.09 $637.89 $2,000 $8,200
Complete Gold with Atrium Health
Ambetter of North Carolina
Gold HMO $529.05 $645.16 $1,450 $7,500
Complete Gold with Atrium Health + Vision + Adult Dental
Ambetter of North Carolina
Gold HMO $546.85 $666.87 $1,450 $7,500
Blue Local Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health
Blue Cross and Blue Shield of NC
Gold EPO $625.90 $763.26 $1,800 $10,600
Blue Local Gold Standard A | with Atrium Health
Blue Cross and Blue Shield of NC
Gold EPO $632.22 $770.97 $2,000 $8,200
Connect Gold CMS Standard
Cigna Healthcare
Gold HMO $674.45 $822.47 $2,000 $8,200
Connect Gold 1500 Indiv Med Deductible
Cigna Healthcare
Gold HMO $675.58 $823.85 $1,500 $9,950
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Cross and Blue Shield of NC
Gold HMO $738.53 $900.61 $1,800 $10,600
Blue Care Gold Standard A | Statewide Doctors
Blue Cross and Blue Shield of NC
Gold HMO $747.77 $911.88 $2,000 $8,200
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Cross and Blue Shield of NC
Gold PPO $761.20 $928.26 $1,800 $10,600
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Cross and Blue Shield of NC
Gold PPO $768.78 $937.50 $2,000 $8,200
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Gold HMO $836.86 $1,020.52 $0 $10,600
UHC Gold Standard (No Referrals)
UnitedHealthcare
Gold HMO $841.09 $1,025.68 $2,000 $8,200
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
UnitedHealthcare
Gold HMO $861.14 $1,050.13 $750 $9,200
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
UnitedHealthcare
Gold HMO $881.55 $1,075.02 $750 $9,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $495/mo $389 $1,013 32 6
2023 $506/mo $390 $985 34 5
2024 $470/mo $386 $1,044 34 6
2025 $487/mo $392 $1,063 41 8
2026 $599/mo $472 $785 30 5

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Related Health & Cost Data

Frequently Asked Questions

How many ACA plans are available in Mecklenburg, NC?

There are 81 ACA marketplace plans available in Mecklenburg from 5 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Mecklenburg?

The lowest-premium plan in Mecklenburg starts at $518/mo (Bronze tier, age 27). Silver plans start at $472/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Mecklenburg?

The benchmark (second-lowest Silver) premium in Mecklenburg is $478/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in Mecklenburg?

Average premiums in Mecklenburg changed by +30.9% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in Mecklenburg?

The average annual deductible across all plans in Mecklenburg is $4,870, and the average out-of-pocket maximum is $9,641. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in Mecklenburg?

There are 5 insurance issuers offering ACA marketplace plans in Mecklenburg, including Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Ambetter of North Carolina, and others. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer: This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

All federal data sources used on this page

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Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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