Standard Expanded Bronze with Atrium Health + Vision + Adult Dental

Ambetter of North Carolina · 2026 plan year

Expanded BronzeHSA eligible

Ind. deductible: $7,500
Family deductible: $15,000
Ind. OOP max: $10,000
Family OOP max: $20,000

Compare with other Expanded Bronze plans in NC

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

Connect Bronze RD CMS StandardCigna Healthcare · Deductible $7,500 · Out-of-pocket max $10,000
Blue Value Bronze Standard | Limited Statewide DoctorsBlue Cross and Blue Shield of NC · Deductible $7,500 · Out-of-pocket max $10,000
Blue Care Bronze Standard | Statewide DoctorsBlue Cross and Blue Shield of NC · Deductible $7,500 · Out-of-pocket max $10,000

Compare 4 plans Browse all Expanded 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 Ambetter of North Carolina plans in NC

Complete Gold Enhanced Asthma/COPD Care Silver with $0 Drug Options Elite Bronze Clear Silver with $0 Insulin Options

Monthly premiums by age

Rating Area 6 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$261	$261
21	$341	$392
30	$387	$445
40	$436	$501
50	$609	$701
60	$926	$1,065
64 and over	$1,023	$1,177

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	$50.00

Specialist

Benefit	In-network
Specialist Visit	$100.00

Hospital

Benefit	In-network
Emergency Room Services	50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	50.00% Coinsurance after deductible
Mental/Behavioral Health Emergency Room	50.00% Coinsurance after deductible
Mental/Behavioral Health Urgent Care	$50.00
Outpatient Surgery Physician/Surgical Services	50.00% Coinsurance after deductible
Substance Use Disorder Emergency Room	50.00% Coinsurance after deductible
Substance Use Disorder Urgent Care	$50.00
Urgent Care Centers or Facilities	$75.00

Pharmacy

Benefit	In-network
Generic Drugs	$25.00
Non-Preferred Brand Drugs	$100.00 Copay after deductible
Preferred Brand Drugs	$50.00 Copay after deductible
Specialty Drugs	$500.00 Copay after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Emergency Transportation/Ambulance	50.00% Coinsurance after deductible
Mental/Behavioral Health ER Physician Fee	50.00% Coinsurance after deductible
Mental/Behavioral Health Inpatient Services	50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Other Services	50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$50.00
Substance Use Disorder Emergency Transportation/Ambulance	50.00% Coinsurance after deductible
Substance Use Disorder ER Physician Fee	50.00% Coinsurance after deductible
Substance Use Disorder Outpatient Other Services	50.00% Coinsurance after deductible

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	50.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	$100.00
Bariatric Surgery	50.00% Coinsurance after deductible
Basic Dental Care - Adult	50.00%
Basic Dental Care - Child	Not covered
Chemotherapy	50.00% Coinsurance after deductible
Chiropractic Care	$100.00
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	50.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	$100.00
Dialysis	50.00% Coinsurance after deductible
Durable Medical Equipment	50.00% Coinsurance after deductible
Emergency Transportation/Ambulance	50.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	$50.00
Hearing Aids	50.00% Coinsurance after deductible
Home Health Care Services	50.00% Coinsurance after deductible
Hospice Services	50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	50.00% Coinsurance after deductible
Infertility Treatment	50.00% Coinsurance after deductible
Infusion Therapy	50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	50.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	50.00%
Major Dental Care - Child	Not covered
Nutritional Counseling	$100.00
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	$50.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	50.00% Coinsurance after deductible
Outpatient Rehabilitation Services	$50.00
Prenatal and Postnatal Care	$50.00
Private-Duty Nursing	50.00% Coinsurance after deductible
Prosthetic Devices	50.00% Coinsurance after deductible
Radiation	50.00% Coinsurance after deductible
X-rays and Diagnostic Imaging	50.00% Coinsurance after deductible
Reconstructive Surgery	50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$50.00
Rehabilitative Speech Therapy	$50.00
Routine Dental Services (Adult)	No charge
Routine Eye Exam (Adult)	No charge
Routine Eye Exam for Children	No charge
Routine Foot Care	$100.00
Skilled Nursing Facility	50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$50.00
Transplant	50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	50.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge