Find an Affordable Health Insurance Plan in Matthews, 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.
Piedmont Triad · Charlotte
Blue Home℠ with Novant Health is a Blue Cross NC plan built around Novant Health's network of more than 2,000 physicians and 900+ locations, including Novant's integrated system of 19 medical centers across the Piedmont Triad and Charlotte area.
It's a single-system regional plan — only Novant Health providers are in-network — offered at a lower premium in exchange for that focused network. We recommend it when Novant is already where you and your family get care and you live in one of the eight eligible counties.
Good fit if you already see Novant Health providers for primary or specialty care, live in one of the eight eligible counties, and want a lower premium in exchange for a single coordinated network.
Poor fit if your regular doctors are with Atrium Health, CaroMont Health, or Cone Health — none of those are in-network here.
Regional network – Piedmont Triad · Charlotte
Network: Novant Health only1 (2,000+ physicians).2
Out-of-area care: Emergency / urgent only.
Offered in Bronze, Silver, and Gold tiers.
Notes
Blue Cross NC has collaborated with Novant Health to bring you Blue Home℠ with Novant Health. Blue Home with Novant Health is a health insurance plan offered by Blue Cross NC that provides access to a limited network of providers. Novant Health is an independent company that is solely responsible for the physicians and medical facilities it owns and operates. Novant Health does not offer Blue Cross or Blue Shield products or services.
Novant Health, www.novanthealth.org/home/about-us/company-information.aspx (Accessed August 2024).
Blue Home with Novant Health is available on and off Marketplace to residents of these North Carolina counties: Cabarrus, Davidson, Forsyth, Mecklenburg, Rowan, Stokes, Union, and Yadkin.
This plan is built around a single system, Novant Health, which is what allows the premium to run lower than Blue Cross NC's broad-network plans. Only Novant Health providers are in-network — outside of emergency and urgent care, Atrium Health, CaroMont Health, and Cone Health are not covered, even for members who live close to those systems.
Novant Health's network spans more than 2,000 physicians and 900+ locations, including its integrated system of 19 medical centers across the Piedmont Triad and Charlotte area. For members already established with a Novant primary care provider or specialist, this plan keeps that relationship intact at a lower monthly cost.
The lower premium reflects the narrower, single-system network. It's offered in Bronze, Silver, and Gold tiers, and most applicants qualify for a premium tax credit based on income and household size.
This plan is available in eight counties across the Piedmont Triad and Charlotte area — Cabarrus, Davidson, Forsyth, Mecklenburg, Rowan, Stokes, Union, and Yadkin. If you live outside those counties, it isn't an option regardless of which providers you use.
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 Novant Health providers are in-network, check your subsidy, and compare this plan against Blue Advantage® and Blue Care® — at no cost. Call 800-797-0327.
More than 900 locations, including Novant Health’s 19 integrated medical centers and over 2,000 physicians across the Piedmont Triad and Charlotte area.
Atrium Health is out-of-network on Blue Home℠ with Novant Health. You’d need to either switch providers or choose a plan built around Atrium’s network, like Blue Local℠ with Atrium Health.
No. Novant Health is an independent company solely responsible for the physicians and facilities it owns and operates; it does not offer Blue Cross or Blue Shield products.
Charlotte / Piedmont · NC & SC
Blue Local℠ with Atrium Health is a Blue Cross NC plan built around Atrium Health's network of 20 hospitals and 700+ care locations across North and South Carolina. It includes two children's hospitals — Levine Children's Hospital (nationally ranked in 10 pediatric specialties) and Brenner Children's Hospital — plus the Atrium Health Wake Forest Baptist Comprehensive Cancer Center, one of only three comprehensive cancer centers in North Carolina.
This is a single-system regional plan offered at a lower premium, with only Atrium Health providers in-network. We especially recommend it for families who may need pediatric specialty care or comprehensive cancer care and live in one of the 17 eligible counties across the Charlotte and Piedmont regions.
Good fit if you have a child who needs or may need care at Levine or Brenner Children's Hospital, are managing a cancer diagnosis and want access to a comprehensive cancer center, or live in one of the 17 eligible counties across the Charlotte/Piedmont region.
Poor fit if your regular doctors are with CaroMont Health, Cone Health, or Novant Health — all three are out-of-network.
Regional network – Charlotte / Piedmont · NC & SC6
Network: Atrium Health only1 (incl. Levine Children’s4).
Out-of-area care: Emergency / urgent only.
Offered in Bronze, Silver, and Gold tiers.
Notes
Blue Cross NC has collaborated with Atrium Health to bring you Blue Local with Atrium Health, a health insurance plan offered by Blue Cross NC that provides access to Atrium Health’s comprehensive network of providers. Atrium Health is an independent company and is solely responsible for the physicians and medical facilities it owns/operates. Atrium Health does not offer Blue Cross or Blue Shield products or services.
Atrium Health, atriumhealth.org/about-us/newsroom/news/atrium-health-earns-multiple-us-news-and-world-report-honors (Accessed September 2023).
Atrium Health Wake Forest Baptist, www.wakehealth.edu/about-us (Accessed August 2022).
Atrium Health, www.atriumhealth.org/about-us (Accessed August 2022).
Atrium Health Wake Forest Baptist, www.wakehealth.edu/locations/facilities/comprehensive-cancer-center (Accessed September 2023).
Atrium Health, https://2023yir.advocatehealth.org/ (Within the full report) (Accessed September 2024).
Blue Local with Atrium Health is available on and off Marketplace to residents of these North Carolina counties: Anson, Cabarrus, Cleveland, Davidson, Davie, Forsyth, Gaston, Guilford, Lincoln, Mecklenburg, Randolph, Rowan, Stanly, Stokes, Union, Wilkes and Yadkin.
This plan is built around a single system, Atrium Health, which is what keeps the premium lower than Blue Cross NC's broad-network plans. Only Atrium Health providers are in-network — outside of emergency and urgent care, CaroMont Health, Cone Health, and Novant Health are not covered.
Atrium Health's network spans 20 hospitals and more than 700 care locations across North and South Carolina, including two children's hospitals — Levine Children's Hospital, nationally ranked in 10 pediatric specialties, and Brenner Children's Hospital — plus the Atrium Health Wake Forest Baptist Comprehensive Cancer Center, one of only three comprehensive cancer centers in North Carolina.
This makes it a particularly strong option for families who may need pediatric specialty care or anyone managing a cancer diagnosis, since that care is coordinated within one system rather than requiring referrals across networks.
The lower premium reflects the narrower, single-system network. It's offered in Bronze, Silver, and Gold tiers, and most applicants qualify for a premium tax credit based on income and household size.
This plan is available across 17 counties in the Charlotte and Piedmont regions. If your doctors are with CaroMont, Cone, or Novant instead, this plan won't cover them outside of an emergency.
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 Atrium Health providers are in-network, check your subsidy, and compare this plan against Blue Advantage® and Blue Care® — at no cost. Call 800-797-0327.
Yes — Levine Children’s Hospital, nationally ranked in 10 pediatric specialties, is part of the in-network Atrium Health system on Blue Local℠ with Atrium Health, along with Brenner Children’s Hospital.
Yes — the Atrium Health Wake Forest Baptist Comprehensive Cancer Center is one of only three comprehensive cancer centers in North Carolina and is in-network on this plan.
Those systems are out-of-network on Blue Local℠ with Atrium Health. This plan only covers Atrium Health providers in-network, except for emergency and urgent care.
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 | 30 |
| Ambetter of North Carolina | 14 |
| Oscar Health Plan of North Carolina | 14 |
| UnitedHealthcare | 13 |
| Cigna Healthcare | 10 |
| Total | 81 |
Source: CMS QHP Landscape PY2026, Individual Market Medical, updated August 26, 2026 (data.healthcare.gov). Counts distinct Plan IDs offered on the Marketplace in Mecklenburg County, once per carrier.
in Mecklenburg County
Health Plans of NC is a licensed insurance agency authorized by Blue Cross NC. Our agents help individuals, families and self-employed people in Matthews, North Carolina compare health plans and apply for premium tax credits at no cost to you.
Find affordable health insurance in Matthews, North Carolina with Health Plans of NC. Health Plans of NC helps Matthews, North Carolina residents find affordable, comprehensive health coverage for 2026, working alongside local employers like Atrium Health and major institutions such as Novant Health Presbyterian Medical Center to connect every household with the right plan.
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 |
Blue Local℠ with Atrium Health | EPO | Available in Matthews, North Carolina |
Blue Home℠ with Novant Health | EPO | Available in Matthews, North Carolina |
Matthews, North Carolina is home to 29,959 residents, with a stable community that has seen 0.0% population growth since 2020 and a foreign-born resident share of 13.9%, reflecting a diverse population with varied health coverage needs. Major employers in the area include Atrium Health, Wells Fargo, Charlotte-Mecklenburg Schools, Bank of America, and Amazon, and local health care is anchored by Atrium Health Carolinas Medical Center and Novant Health Presbyterian Medical Center. Health Plans of NC helps Matthews residents navigate every coverage pathway available, from ACA Marketplace plans to employer-sponsored options, ensuring that workers, families, and individuals all find coverage that fits their situation.
ACA Marketplace coverage is available for Matthews residents who are self-employed or work for employers like Amazon or Wells Fargo that do not offer group health benefits.
Medicaid coverage is accessible to eligible low-income Matthews residents, with enrollment support available through Health Plans of NC to connect qualifying individuals to Atrium Health Carolinas Medical Center and other local providers.
Employer-sponsored group health insurance is offered by major Matthews-area employers including Bank of America and Charlotte-Mecklenburg Schools, typically covering a significant portion of employee premiums.
Short-term health plans provide temporary coverage for Matthews residents transitioning between jobs at local employers or waiting for new group benefits to begin.
COBRA continuation coverage allows Matthews residents who lose employer-sponsored benefits, such as those from Wells Fargo or Atrium Health, to maintain their existing plan for a limited period.
Small business SHOP Marketplace plans are available for Matthews-area business owners who want to offer group health coverage to their employees and access group plan structures through the ACA.
For 2026, Matthews, North Carolina residents can choose from four Blue Cross NC plan networks offered through Rating Area 7, a PPO, an HMO and two EPOs, each designed to provide flexibility in accessing care across the region. The available networks include Blue Advantage, Blue Care, Blue Local with Atrium Health, and Blue Home with Novant Health, giving residents meaningful choices depending on which local health systems they prefer. Health Plans of NC agents help Matthews residents compare each network side by side to ensure their preferred providers at Atrium Health Carolinas Medical Center or Novant Health Presbyterian Medical Center are covered before enrollment.
Blue Advantage, a PPO, connects Matthews residents to the largest nationwide network, with more than 95% of North Carolina doctors listed as in-network providers.
Blue Care, an HMO, offers broad statewide network coverage with more than 95% of North Carolina doctors in-network, giving Matthews residents strong access to regional specialists.
Blue Local with Atrium Health, an EPO, is available in Matthews and provides coordinated access to Atrium Health Carolinas Medical Center and affiliated providers throughout the area.
Blue Home with Novant Health, an EPO, is available in Matthews and centers care around Novant Health Presbyterian Medical Center and the broader Novant Health system.
Each PPO network in Matthews allows residents to see specialists without a referral, providing flexibility for those managing ongoing or complex health conditions.
Health Plans of NC agents compare all four available networks at no cost to help Matthews residents match their plan selection to the doctors and hospitals they already use.
Bronze plans in Matthews, North Carolina start at approximately $403.47/month before subsidies. Silver plans start at $518.72/month. Gold plans start at $536.24/month. With a median household income of $105,579, many residents qualify for premium tax credits. Subsidies may reduce your monthly premium significantly based on income.
Bronze plans start at $403.47 per month in Matthews, offering the lowest available monthly premium with higher deductibles, best suited for residents who are generally healthy and want financial protection against major events.
Silver plans start at $518.72 per month and are the only tier eligible for cost-sharing reductions, which can lower deductibles and copays significantly for qualifying Matthews residents.
Gold plans start at $536.24 per month and provide the lowest out-of-pocket costs per visit, making them a strong choice for Matthews residents who use health care frequently or manage chronic conditions.
Premium tax credits are available to Matthews residents whose household income falls between 100% and 400% of the federal poverty level, and in some cases subsidies extend further up the income scale under current ACA rules.
Matthews residents with incomes just above Medicaid thresholds may qualify for heavily subsidized Silver plans with very low or near-zero monthly premiums after tax credits are applied.
Health Plans of NC agents provide free side-by-side cost comparisons for all three tiers so Matthews residents can evaluate total annual costs, including deductibles and out-of-pocket maximums, not just monthly premiums.
For 2026, Blue Cross NC is one of five ACA Marketplace carriers serving Matthews, North Carolina, offering a total of 30 individual and family plans through Rating Area 7. These plans are structured across four distinct networks: Blue Advantage, Blue Care, Blue Local with Atrium Health, and Blue Home with Novant Health, giving residents a range of provider access models to choose from. Blue Local with Atrium Health and Blue Home with Novant Health are both available in Matthews and connect residents directly to the local health systems most central to the community. The network a Matthews resident selects determines which doctors, hospitals, and specialists are considered in-network, making the choice between Blue Advantage, Blue Care, Blue Local with Atrium Health, and Blue Home with Novant Health a critical decision that affects both access and cost. Health Plans of NC compares every Blue Cross NC plan side by side at no cost to Matthews residents, ensuring each family or individual selects the right network and tier for their needs.
Blue Cross NC, plans across four networks including Blue Advantage, Blue Care, Blue Local with Atrium Health, and Blue Home with Novant Health, offering 30 total ACA Marketplace plans available to Matthews, North Carolina residents for 2026.
North Carolina expanded Medicaid in December 2023, allowing adults in Matthews and across the state to qualify for free or low-cost coverage if their household income is at or below 138% of the federal poverty level. In Matthews, North Carolina, an estimated 6.3% of residents, approximately 2,000 people, are currently uninsured, and many of them may now qualify for Medicaid or heavily subsidized coverage they have not yet enrolled in. Children in Matthews households that earn too much for Medicaid but cannot afford full marketplace premiums may qualify for NC Health Choice, the state's CHIP program, which covers children in families earning up to 210% of the federal poverty level. Health Plans of NC offers free eligibility checks for Matthews residents who are unsure whether they qualify for Medicaid, CHIP, or another low-cost coverage option.
Working adults in Matthews who are employed part-time or in lower-wage positions may qualify for Medicaid under the December 2023 expansion if their income falls at or below 138% of the federal poverty level.
Children in Matthews households may be eligible for NC Health Choice CHIP coverage, which provides low-cost or no-cost insurance for kids in families that earn above Medicaid limits but cannot afford full marketplace premiums.
Pregnant women in Matthews may qualify for expanded Medicaid coverage that includes prenatal care, labor and delivery services, and postpartum care through local providers.
Matthews residents with disabilities or very low incomes, including seniors who do not qualify for Medicare, may be eligible for Medicaid programs covering long-term care and specialty services.
With a poverty rate of 4.0% in Matthews, North Carolina, a meaningful share of residents may qualify for Medicaid or near-zero-premium marketplace plans, and Health Plans of NC can confirm eligibility at no cost.
Health Plans of NC licensed agents serve Matthews, North Carolina residents at no cost, comparing every available 2026 plan side by side and guiding each client through enrollment from start to finish. Call 800-797-0327 today to speak with a local agent who can help you find the right coverage for your family, your budget, and your preferred doctors.
Call 800-797-0327 (toll free) to speak with a licensed Health Plans of NC agent serving Matthews, 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 Matthews, North Carolina at no charge.
Matthews, North Carolina ZIP Codes include: 28104, 28105, and 28106
