AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals

AmeriHealth Caritas Next · 2027 plan year

BronzeHSA eligible

Ind. deductible: $12,000
Family deductible: $24,000
Ind. OOP max: $12,000
Family OOP max: $24,000

Compare with other Bronze plans in NC

Side by side: deductibles, out-of-pocket limits and copays.

UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)UnitedHealthcare · Deductible $11,750 · Out-of-pocket max $11,750
Everyday BronzeAmbetter of North Carolina · Deductible $9,350 · Out-of-pocket max $11,000
Everyday Bronze + Vision + Adult DentalAmbetter of North Carolina · Deductible $9,350 · Out-of-pocket max $11,000

Compare 4 plans Browse all Bronze plans in NC

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Standard Bronze Off Exchange Plan Zero Cost Sharing Plan Variation

More AmeriHealth Caritas Next plans in NC

AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals

Monthly premiums by age

Rating Area 6 — the lowest-priced of the 8 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$293	$293
21	$383	$460
30	$435	$522
40	$490	$588
50	$684	$821
60	$1,040	$1,248
64 and over	$1,149	$1,379

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	No Charge after deductible

Specialist

Benefit	In-network
Specialist Visit	No Charge after deductible

Hospital

Benefit	In-network
Emergency Room Services	No Charge after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	No Charge after deductible
Outpatient Surgery Physician/Surgical Services	No Charge after deductible
Urgent Care Centers or Facilities	No Charge after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$25.00
Non-Preferred Brand Drugs	No Charge after deductible
Non-Preferred Generic Drugs	$25.00
Non-Preferred Specialty Drugs	No Charge after deductible
Preferred Brand Drugs	No Charge after deductible
Specialty Drugs	No Charge after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	No Charge after deductible
Mental/Behavioral Health Outpatient Services	No Charge after deductible

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	No Charge after deductible
Acupuncture	Not covered
Allergy Testing	No Charge after deductible
Anesthetics	No Charge after deductible
Bariatric Surgery	No Charge after deductible
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Blood and Blood Services	No Charge after deductible
Cardiac Rehabilitation	No Charge after deductible
Chemotherapy	No Charge after deductible
Chiropractic Care	No Charge after deductible
Clinical Trials	No Charge after deductible
Congenital Anomaly, including Cleft Lip/Palate	No Charge after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	No Charge after deductible
Dental Anesthesia	No Charge after deductible
Dental Check-Up for Children	Not covered
Diabetes Care Management	No Charge after deductible
Diabetes Education	No charge
Diagnosis and Treatment of Lymphedema	No Charge after deductible
Dialysis	No Charge after deductible
Doula	No Charge after deductible
Durable Medical Equipment	No Charge after deductible
Emergency Transportation/Ambulance	No Charge after deductible
Eye Glasses for Children	No charge
Habilitation Services	No Charge after deductible
Hearing Aids	No Charge after deductible
Home Health Care Services	No Charge after deductible
Hospice Services	No Charge after deductible
Imaging (CT/PET Scans, MRIs)	No Charge after deductible
Infertility Treatment	No Charge after deductible
Infusion Therapy	No Charge after deductible
Inpatient Physician and Surgical Services	No Charge after deductible
Laboratory Outpatient and Professional Services	No Charge after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	No charge
Organ Donor Search	No Charge after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Orthotic Dervices for Positional Plagiocephaly	No Charge after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	No Charge after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	No Charge after deductible
Outpatient Rehabilitation Services	No Charge after deductible
Prenatal and Postnatal Care	No charge
Private-Duty Nursing	No Charge after deductible
Prosthetic Devices	No Charge after deductible
Pulmonary Rehabilitation	No Charge after deductible
Radiation	No Charge after deductible
Reconstructive Surgery	No Charge after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	No Charge after deductible
Rehabilitative Speech Therapy	No Charge after deductible
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	No charge
Routine Foot Care	No Charge after deductible
Sexual Dysfunction	No Charge after deductible
Skilled Nursing Facility	No Charge after deductible
Sterilization	No Charge after deductible
Substance Abuse Disorder Inpatient Services	No Charge after deductible
Substance Abuse Disorder Outpatient Services	No Charge after deductible
Transplant	No Charge after deductible
Treatment for Temporomandibular Joint Disorders	No Charge after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	No Charge after deductible