Find Your Most Affordable Health Insurance Plan in Goldsboro, North Carolina
in North Carolina
Nationwide (BlueCard®)
Blue Advantage is a PPO health plan from Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offering the company's largest nationwide network of doctors, specialists, and hospitals. More than 95% of North Carolina doctors and 98% of North Carolina hospitals are in-network, and coverage travels with you nationwide through the BlueCard® program, which is accepted in nearly 200 countries and territories worldwide.
Because it's a PPO, Blue Advantage gives you the fewest restrictions on which doctors you can see: no referrals to see a specialist, and out-of-network care is still covered (at a lower benefit level). It typically carries a higher premium than Blue Cross NC's in-state-only plans, so it's the plan we recommend when provider choice and nationwide access matter more than getting the lowest possible premium.
Blue Advantage is built for people who want the fewest restrictions on which doctors they can see. It's a strong fit if you travel frequently for work or split time between two states, have an established specialist relationship you don't want to disrupt, want emergency care covered at the in-network rate anywhere in the world, or simply value provider choice over the lowest possible monthly premium.
It's a weaker fit if you rarely leave North Carolina and don't need nationwide access. In that case, Blue Care offers nearly identical in-state provider access at a lower premium, and one of the regional Blue Home plans may lower your premium even further if your doctors belong to a single health system.
Nationwide network – Nationwide (BlueCard®)
Network: Anywhere in the U.S. and abroad2; 95%+ of NC doctors.1
Out-of-area care: Covered (lower benefit level).
Offered in Bronze, Silver, and Gold tiers.
Notes
Blue Cross NC Provider Internal Data; percentages indicated represent the Blue Cross NC PPO Network as of April 7, 2025.
Covered in nearly 200 countries and territories worldwide through the Blue Cross and Blue Shield Association BlueCard program. www.geo-blue.com/ (Accessed March 2025). BlueCard coverage varies for each Blue Cross and Blue Shield plan. For more complete details, including benefits, limitations, and exclusions, please refer to your certificate of coverage.
Blue Advantage is available on and off Marketplace in all North Carolina counties, except the following where it is available only off Marketplace: Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, and Wake.
Blue Advantage is a PPO, which means you don't need a referral to see a specialist, and you're never limited to a single network — you're just paying more if you step outside it. If you see an in-network provider, you get the plan's full benefit level. If you see someone out-of-network, the plan still pays, just at a reduced benefit level, and you're responsible for the difference.
Because Blue Cross NC has more than 95% of North Carolina doctors and 98% of North Carolina hospitals in-network, most members rarely need to use that out-of-network benefit — but it's there if your situation calls for it.
Blue Advantage is the only Blue Cross NC individual plan built for people who leave the state. Through the BlueCard® program, your in-network benefits travel with you anywhere in the U.S. — so if you split time between two states, have kids away at college, or travel for work, you're not stuck finding a new plan or a new doctor.
Emergency care is covered at the in-network rate worldwide, including in nearly 200 countries and territories through BlueCard Worldwide®.
Blue Advantage typically carries a higher premium than Blue Cross NC's in-state-only plans like Blue Care or the regional Blue Home plans. That's the trade-off for the broadest network and out-of-network safety net Blue Cross NC offers. Like every Blue Cross NC ACA plan, it's available in Bronze, Silver, and Gold tiers, and most applicants qualify for a premium tax credit that lowers the monthly cost based on income and household size.
If nationwide access isn't something you need, it's worth comparing Blue Advantage against Blue Care or a Blue Home plan first — you may get nearly identical in-state coverage for meaningfully less.
You can enroll during the annual Open Enrollment Period (November 1 – January 15) or during a Special Enrollment Period if you've had a qualifying life event — a job change, a move, a new dependent, or losing other coverage.
A licensed Health Plans of NC agent can confirm your specific doctors are in-network, check what subsidy you qualify for, and compare Blue Advantage against the other six Blue Cross NC plans with you — at no cost. Call 800-797-0327.
Blue Advantage is a PPO (Preferred Provider Organization) plan. That means you can see out-of-network providers — you’ll just pay more — and you generally don’t need a referral to see a specialist. It’s the most flexible network Blue Cross NC offers.
Yes. Blue Advantage includes nationwide in-network access through the BlueCard® program, and emergency care is always covered at the in-network benefit level no matter where you are — including in nearly 200 countries and territories worldwide.
Yes, Blue Advantage is available in all 100 North Carolina counties. In 25 of them it’s available off-Marketplace only, meaning you’d enroll directly (through an agent or Blue Cross NC) rather than through HealthCare.gov. A Health Plans of NC agent can handle either path for you.
Both give you nearly the same broad in-state network (about 95% of NC doctors), but Blue Advantage is a PPO that adds nationwide out-of-network coverage, while Blue Care is an HMO limited to North Carolina with no out-of-network benefit except emergencies. Blue Advantage costs a bit more for that added flexibility.
Our recommendation: choose Blue Advantage if you travel, split time between states, or want maximum provider choice; choose Blue Care if you stay in NC and want to save on premium.
Statewide NC network
Blue Care is an HMO health plan from Blue Cross NC that offers the company's largest in-state network — more than 95% of North Carolina doctors and 98% of NC hospitals in-network — at a lower monthly premium than the nationwide Blue Advantage PPO.
The trade-off for that lower premium is that Blue Care keeps your care inside North Carolina: outside of urgent and emergency situations, only in-network NC providers are covered, and there's no out-of-network benefit. For NC residents who rarely travel, Blue Care delivers almost the same broad provider choice as Blue Advantage for less money — which is why we often recommend it as the best-value option for people who stay in-state.
Blue Care fits residents who live and receive their care entirely within North Carolina, want broad in-state provider choice without paying for nationwide coverage they won't use, and are comfortable with no out-of-network benefit outside of emergencies.
It's a poor fit if you split time between states, have kids at out-of-state college, or travel frequently for work — non-emergency care outside North Carolina isn't covered. If that's you, Blue Advantage is the better choice.
Statewide network – Statewide NC network
Network: North Carolina only. A large network, with more than 95% of North Carolina doctors and 98% of North Carolina hospitals in-network.
Out-of-area care: Emergency / urgent only.
Offered in Bronze, Silver, and Gold tiers.
Blue Care is available in all North Carolina counties, except: Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, and Wake.
Blue Care is an HMO built on Blue Cross NC's largest in-state network — more than 95% of North Carolina doctors and 98% of NC hospitals in-network. It's priced lower than the nationwide Blue Advantage PPO because it trades nationwide access for coverage that stays inside North Carolina.
Outside of emergency and urgent care, only in-network NC providers are covered — there's no out-of-network benefit to fall back on, so it's worth confirming your specific doctors participate before you enroll.
Blue Care is sold in every NC county except Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, and Wake — those counties fall inside the Triangle-area service area for the Blue Home with UNC Health Alliance plan instead. If you live in one of the excluded counties, Blue Care isn't available to you regardless of which providers you use.
Because the in-state network is nearly as broad as Blue Advantage's, most Blue Care members never notice a difference in provider choice day to day — the difference only shows up if you need care outside North Carolina.
Blue Care's premium runs lower than Blue Advantage's specifically because it removes the nationwide and out-of-network safety net. It's offered in Bronze, Silver, and Gold tiers, and most applicants qualify for a premium tax credit that lowers the monthly cost based on income and household size.
You can enroll during the annual Open Enrollment Period (November 1 – January 15) or during a Special Enrollment Period if you've had a qualifying life event — a job change, a move, a new dependent, or losing other coverage.
A licensed Health Plans of NC agent can confirm your doctors are in-network, check your subsidy, and compare Blue Care against Blue Advantage and the regional plans — at no cost. Call 800-797-0327.
Yes. Blue Care is structured as an HMO with a statewide North Carolina network. Outside of urgent and emergency situations, care is only covered when you use in-network NC providers.
Only urgent and emergency care is covered outside your Blue Care network. Routine or non-emergency care while traveling out of state is not covered, so Blue Care is best for people who receive their care in North Carolina.
Blue Care isn’t offered in Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, or Wake counties. In several of those counties, Blue Home with UNC Health Alliance is offered instead.
Every Blue Cross NC individual plan comes in three “metal” tiers that describe how you and the plan split covered costs. Bronze plans have the lowest monthly premium but pay about 60% of covered costs, so you pay roughly 40% when you use care. Silver plans pay about 70% (you pay ~30%), and Gold plans pay about 80% (you pay ~20%) in exchange for a higher premium.
As a rule of thumb: Bronze suits people who rarely use care and want the lowest premium, Gold suits people who use regular or ongoing care, and Silver is the middle ground. Silver is also the only tier that unlocks Cost-Sharing Reductions (CSRs) — extra savings on deductibles and copays if your income qualifies — so many subsidy-eligible shoppers get the best overall value from a Silver plan. A licensed Health Plans of NC agent can run the numbers for your situation at no cost.
The most important step before choosing any plan is confirming your doctors, specialists, and preferred hospitals are in that plan’s network. Networks differ a lot between Blue Cross NC plans — a doctor who is in-network on one plan may be out-of-network, and far more expensive, on another.
You can check each plan’s provider directory on bcbsnc.com, or — the easier route — call a Health Plans of NC agent at 800-797-0327 and we’ll verify your specific providers before you enroll, at no charge.
Most North Carolinians who buy their own coverage qualify for a premium tax credit — a subsidy based on your income and household size that lowers what you pay each month. Subsidy amounts and eligibility rules can change from year to year, so the only way to know your real price is to run a personalized quote.
Health Plans of NC can check your subsidy eligibility and show you the after-subsidy premium for any of these plans for free. Call 800-797-0327 or request a quote online.
You can enroll during the annual Open Enrollment Period, which runs each fall (generally starting November 1) for coverage that begins the following year. Outside that window, you can still enroll if you have a qualifying life event — such as losing other coverage, moving, marriage, or having a baby — which opens a 60-day Special Enrollment Period.
Because enrollment dates and rules can change, it’s worth confirming the current deadline. A Health Plans of NC agent can tell you whether you’re eligible to enroll right now — call 800-797-0327.
Nothing. Health Plans of North Carolina is an independent, authorized agency licensed to sell Blue Cross NC plans, and our help — comparing plans, checking your doctors, estimating subsidies, and enrolling — is completely free to you. Agents are paid by the insurance company, and the plan price is the same whether you enroll with us or on your own.
Call 800-797-0327 to talk with a licensed local agent.
| Carrier | Distinct plans |
|---|---|
| Blue Cross and Blue Shield of NC | 18 |
| Cigna Healthcare | 10 |
| Total | 28 |
Source: CMS QHP Landscape PY2026, Individual Market Medical, updated August 26, 2026 (data.healthcare.gov). Counts distinct Plan IDs offered on the Marketplace in Wayne County, once per carrier.
in Wayne County
Find affordable health insurance in Goldsboro, North Carolina, NC with Health Plans of NC. Health Plans of NC helps Goldsboro, North Carolina residents find the right health insurance coverage for 2026, connecting families and individuals with plans that work alongside local providers like UNC Health Wayne and major community employers such as Seymour Johnson Air Force Base.
Plan Network | Type | Network Coverage |
|---|---|---|
Blue Advantage | PPO | Largest nationwide network, 95%+ of NC doctors in-network |
Blue Care | HMO | Broad statewide network, 95%+ of NC doctors in-network |
Goldsboro, North Carolina is home to 33,448 residents and has experienced stable, flat population growth of 0.0 percent since 2020, with foreign-born residents making up 4.0 percent of the community. Major employers including Wayne County Schools, Wayne Memorial Hospital, Seymour Johnson Air Force Base, Walmart, and Mount Olive Pickle Company provide some residents with employer-sponsored coverage, while others rely on ACA Marketplace plans, Medicaid, or Medicare for their healthcare needs. UNC Health Wayne and Wayne Memorial Hospital serve as the primary health systems in the area, making network compatibility a key factor when Goldsboro residents choose a plan.
ACA Marketplace coverage through Blue Cross NC is available to Goldsboro residents who do not receive benefits through employers like Wayne County Schools or Seymour Johnson Air Force Base.
Medicaid coverage is available to qualifying low-income Goldsboro adults and families, including those who may work part-time or seasonally at local employers like Walmart or Mount Olive Pickle Company.
Employer-sponsored plans are offered by major Goldsboro employers such as Wayne County Schools, Wayne Memorial Hospital, and Seymour Johnson Air Force Base, covering a significant portion of the local workforce.
Short-term health plans may serve Goldsboro residents in transition between jobs at local employers or awaiting open enrollment, though they do not meet ACA standards for comprehensive coverage.
COBRA continuation coverage allows Goldsboro residents who recently left positions at Wayne Memorial Hospital, Walmart, or other local employers to temporarily maintain their existing group health benefits.
Small business SHOP Marketplace plans are available to Goldsboro small business owners who want to offer group coverage to employees, particularly those in sectors not served by large employers like Seymour Johnson Air Force Base or Wayne County Schools.
For 2026, Goldsboro residents can choose from plans offered under two Blue Cross NC networks, Blue Advantage and Blue Care, both of which provide access to local providers including UNC Health Wayne and Wayne Memorial Hospital. Blue Advantage operates as a PPO with the largest nationwide network, giving Goldsboro residents broad flexibility when accessing specialists both locally and across the country. Blue Care is an HMO with a broad statewide network, keeping most North Carolina doctors and facilities in-network for Goldsboro households who primarily seek care close to home.
Blue Advantage, a PPO network, connects Goldsboro residents to the largest nationwide provider network, with more than 95 percent of North Carolina doctors considered in-network, including those at UNC Health Wayne.
Blue Care, an HMO network, offers broad statewide coverage with more than 95 percent of North Carolina doctors in-network, making it a strong option for Goldsboro residents who use Wayne Memorial Hospital and local primary care providers.
Both Blue Advantage and Blue Care plans allow Goldsboro residents to see specialists without requiring a referral, which is especially useful for those managing ongoing care at UNC Health Wayne.
Blue Advantage plan members in Goldsboro benefit from out-of-state network access, ideal for residents near Seymour Johnson Air Force Base who may travel or require specialized care outside North Carolina.
Blue Care plan members in Goldsboro receive comprehensive in-network access to Wayne Memorial Hospital and surrounding Wayne County providers, keeping local care both accessible and cost-effective.
Health Plans of NC agents can compare Blue Advantage and Blue Care side by side for Goldsboro residents to identify which network best fits their preferred local providers and care patterns.
Bronze plans in Goldsboro, North Carolina start at approximately $401.70/month before subsidies. Silver plans start at $516.45/month. Gold plans start at $533.89/month. With a median household income of $47,005, many residents qualify for premium tax credits. Subsidies may reduce your monthly premium significantly based on income.
Bronze plans in Goldsboro start at $401.70 per month for a 35-year-old before subsidies, offering the lowest monthly premiums with higher out-of-pocket costs when care is needed.
Silver plans begin at $516.45 per month and are the only tier eligible for cost-sharing reductions, making them a strong value for Goldsboro residents with moderate healthcare use.
Gold plans start at $533.89 per month and provide lower deductibles and out-of-pocket costs at the point of care, benefiting residents who expect frequent medical visits throughout the year.
Goldsboro residents with household incomes between 100 percent and 400 percent of the federal poverty level qualify for premium tax credits that directly reduce monthly plan costs.
Lower-income Goldsboro households may qualify for a zero-dollar premium Silver plan after enhanced subsidies are applied, making comprehensive coverage available at no monthly cost.
Out-of-pocket maximums for 2026 ACA plans cap annual spending, protecting Goldsboro residents from catastrophic medical bills even when choosing a lower-premium Bronze plan.
Blue Cross NC is one of two ACA Marketplace carriers serving Goldsboro, North Carolina for 2026, offering a total of 18 plans across multiple coverage tiers to meet a wide range of health and budget needs. These plans are available through two networks, Blue Advantage and Blue Care, each designed to connect Goldsboro residents with local and statewide providers at different levels of network breadth. Blue Advantage provides access to the largest nationwide PPO network, while Blue Care focuses on a robust statewide HMO network that keeps most North Carolina providers in-network for Goldsboro households. The choice between these two networks directly affects which doctors, specialists, and facilities are available to Goldsboro residents without out-of-network costs, making network selection a critical step in the enrollment process. Health Plans of NC licensed agents compare every available Blue Cross NC plan side by side at no cost, helping Goldsboro residents choose the right network and tier for their provider preferences and coverage goals.
Blue Cross NC, offering plans through the Blue Advantage and Blue Care networks, with 18 total ACA Marketplace plans available to Goldsboro, North Carolina residents for 2026.
North Carolina expanded Medicaid in December 2023, extending free or low-cost coverage to adults earning up to 138 percent of the federal poverty level, which opened eligibility to thousands of previously uninsured Goldsboro residents. Currently, 7.8 percent of Goldsboro residents, approximately 3,000 people, remain uninsured, and many may now qualify for Medicaid or heavily subsidized Marketplace coverage without being aware of their options. Children in families earning up to 210 percent of the federal poverty level may qualify for NC Health Choice, the state's CHIP program, providing low-cost coverage for kids across Wayne County. Health Plans of NC offers a free eligibility check for Goldsboro residents who want to find out whether they qualify for Medicaid, CHIP, or a subsidized Marketplace plan.
Working adults in Goldsboro earning at or below 138 percent of the federal poverty level now qualify for NC Medicaid expansion coverage with little to no cost.
Children in Goldsboro families with moderate incomes may qualify for NC Health Choice CHIP coverage, which provides comprehensive pediatric benefits at reduced cost.
Pregnant women in Goldsboro may qualify for Medicaid coverage that includes prenatal, delivery, and postpartum care through NC Medicaid, regardless of prior coverage status.
Goldsboro has a poverty rate of 20.8 percent, meaning a significant share of residents may be eligible for Medicaid or CHIP and benefit from a free eligibility review with Health Plans of NC.
Seniors and individuals with disabilities in Goldsboro who have low incomes may qualify for dual eligibility programs that combine Medicare and Medicaid benefits for more comprehensive coverage.
Health Plans of NC licensed agents serve Goldsboro, North Carolina residents at no cost, comparing every available 2026 plan side by side to find the right fit for your providers, prescriptions, and budget. Call 800-797-0327 today to get personalized guidance and complete your enrollment with an agent who knows the Goldsboro market.
Call 800-797-0327 (toll free) to speak with a licensed Health Plans of NC agent serving Goldsboro, North Carolina
Email [email protected] with questions about plans available in your zip code
Find a licensed agent and book directly at healthplansofnc.com/agents
No cost, no pressure. Compare every 2026 plan available in Goldsboro, North Carolina at no charge.
Goldsboro, North Carolina ZIP Codes include: 27530, 27531, 27532, 27533, and 27534
