North Carolina Health Insurance Plans | Ambetter of North Carolina

Ambetter Health Premier

Available for 2025 coverage, Ambetter Health Premier insurance plans make it easy to find the right fit. Premier plans cover essential health services and give you access to the broadest network of care providers. You won’t even need referrals to see specialists.

Our Premier plans are available in bronze, silver and gold levels. Each metal level provides a balance of monthly premium payment and out-of-pocket expenses. Your total costs will depend on your specific plan and financial situation, but the information below represents the way plans work at each level.

 

The information above represents the way typical plans at each level work. How much you will pay will depend on your specific plan.

Comprehensive Diabetes Care Plans

We understand the unique challenges individuals face in managing diabetes. That's why we’re proud to introduce our specialized Clear Silver plan tailored specifically for diabetes care.

Clear Silver with $0 Insulin Options

On the Clear Silver plan, members can pay as little as $0 for some insulins, plus you can get a free glucometer. Select mental health medications may also be available for $0. Learn which specific drugs and supplies are covered by checking your plan’s formulary.

   

Find the affordable plan that's right for you. 
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Ambetter Health Virtual Access

Our Virtual Access plans, available only through the end of 2024, provide a virtual primary care experience. With this plan, you can enjoy the convenience of a primary care provider (PCP) no matter where you are. To see a specialist, members will simply request a referral from their Virtual Access PCP.

*Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care. Virtual 24/7 Care cost share does not apply to HSA plans until the deductible is met and is only applicable when used through the Virtual 24/7 Care program. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.


Essential Health Benefits

With an Ambetter Health Marketplace health insurance plan, you have access to coverage on these essential medical and wellness services:

  • Emergency Care
  • Hospitalization
  • Outpatient or Ambulatory Care
  • Pregnancy, Maternity and Newborn Care
  • Pediatric Care

  • Mental Health and Substance Use Care
  • Laboratory Services
  • Prescription Drugs
  • Rehabilitative Therapy Services and Devices
  • Preventive and Wellness Care

 

Ambetter Health Member Exclusive Programs

As an Ambetter Health member, you have access to additional services to manage your health, no matter which plan you choose.*

 

 

 

 

 

*Programs and perks vary by market. Check your market’s availability to better understand the options in your area.

   

  

Choosing a health insurance plan that has balanced out-of-pocket costs and monthly premium payments, like a silver Premier plan, can help you save.

Watch this short video to learn more.