Find Your Most Affordable Health Insurance Plan in Columbus County
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.
Limited statewide network
Blue Value is a Blue Cross NC plan offering a limited statewide network at a lower monthly premium than broader-network options. The network includes Atrium Health Wake Forest Baptist, CaroMont Health, Duke Health Lake Norman Regional Medical Center, Duke LifePoint Healthcare, Novant Health, and UNC Health Alliance — but it does not include the rest of Atrium Health, the rest of Duke Health, or WakeMed Health.
Unlike the single-system Blue Home plans, Blue Value spans several regional systems, but it's still a limited network built to keep premiums low. We recommend it for generally healthy individuals and families who prioritize the lowest premium and are flexible about which specific doctors and hospitals they use — as long as you confirm your providers are in the Blue Value network first.
Good fit if you're generally healthy and rarely need specialist care, prioritize the lowest possible premium over provider choice, and are flexible about which specific doctors and hospitals you use.
Poor fit if you're managing an ongoing condition and want a stable relationship with one large hospital system, or if your regular doctors are with the excluded parts of Atrium Health, Duke Health, or WakeMed.
Limited network – Limited statewide network
Network: A limited multi-system NC network.
Out-of-area care: Emergency services and urgent care outside of NC are covered at the in-network benefit level. All other non-emergency covered services are covered at the out-of-network benefit level.
Offered in Bronze, Silver, and Gold tiers.
Blue Value is available on and off Marketplace to residents of these North Carolina counties: Alexander, Brunswick, Burke, Caldwell, Catawba, Cleveland, Columbus, Duplin, Gaston, Iredell, Lincoln, New Hanover, Onslow, Pender, and Surry.
Blue Value trades network breadth for the lowest premium among Blue Cross NC's individual plans. Unlike the single-system Blue Home and Blue Local plans, it spans several regional health systems rather than just one — but the network is still limited. Care from providers outside the Blue Value network is covered only at the higher-cost out-of-network benefit level, so you pay the least by staying with the specific systems in the network.
The Blue Value network includes Atrium Health Wake Forest Baptist, CaroMont Health, Duke LifePoint Healthcare (including Lake Norman Regional Medical Center), Novant Health, and UNC Health Alliance. It does not include the rest of Atrium Health, the rest of Duke Health, or WakeMed Health — so a provider being “Atrium” or “Duke” isn't enough to confirm coverage; the specific facility matters.
Because the network mixes several systems rather than centering on one, this plan works best for people who don't have an established relationship with a specific health system and are comfortable confirming coverage facility-by-facility.
Blue Value is generally the lowest-premium option Blue Cross NC offers, which makes it attractive if you're healthy and expect to use care infrequently. 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 15 counties, mostly in the western Piedmont and southeastern coastal areas of the state.
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 providers are in the Blue Value network, check your subsidy, and compare this plan against the others — at no cost. Call 800-797-0327.
Blue Value is positioned as a lower-premium option because it uses a limited network. Whether it’s actually the cheapest for you depends on your age, county, and subsidy eligibility, so get a personalized quote to confirm.
The Blue Value network includes Atrium Health Wake Forest Baptist, CaroMont Health, Duke Health Lake Norman Regional Medical Center, Duke LifePoint Healthcare, Novant Health, and UNC Health Alliance. It does not include the rest of Atrium Health, the rest of Duke Health, or WakeMed Health.
Emergency and urgent care are covered at the in-network rate anywhere. All other care outside North Carolina is covered only at the higher out-of-network benefit level, so Blue Value is best for people who get their care in NC.
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 | 27 |
| Ambetter of North Carolina | 15 |
| UnitedHealthcare | 13 |
| Cigna Healthcare | 10 |
| Total | 65 |
Source: CMS QHP Landscape PY2026, Individual Market Medical, updated August 26, 2026 (data.healthcare.gov). Counts distinct Plan IDs offered on the Marketplace in Columbus County, once per carrier.
in North Carolina
Find affordable health insurance in Columbus County, NC with Health Plans of NC. Health Plans of NC helps Columbus County residents find and compare affordable health insurance options, with local licensed agents ready to guide individuals, families, and employees of Columbus Regional Healthcare System through every available plan at no cost.
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 Value | POS | Value-focused HMO with lower premiums |
Columbus County is home to 50,453 residents, with a population that has shifted by -0.3% since 2020 and a foreign-born resident share of 2.2%, reflecting a community with diverse coverage needs across employment situations and life stages. Major employers including Columbus County Schools, Columbus Regional Healthcare System, the NC Department of Adult Corrections, Columbus County government, and GCF US Holdings shape the landscape of employer-sponsored and marketplace coverage available to local workers and their families. Whether a resident works for one of these major employers, is self-employed, or is between jobs, there is a coverage pathway available through the ACA Marketplace, Medicaid, or other programs.
ACA Marketplace plans are available to Columbus County residents who are self-employed, work part-time, or are not offered employer coverage by businesses like GCF US Holdings or other local employers.
Medicaid coverage connects low-income Columbus County adults, children, and families to providers within the Columbus Regional Healthcare System network at little to no cost.
Employer-sponsored group plans are offered by major Columbus County employers such as Columbus County Schools and the NC Department of Adult Corrections, providing workplace health benefits to eligible employees.
Short-term coverage plans serve Columbus County residents who are transitioning between jobs or waiting for employer benefits to begin, providing interim access to local hospitals and clinics.
COBRA continuation coverage allows former employees of Columbus County employers, including those who previously worked for Columbus Regional Healthcare System, to maintain their existing health plan temporarily after leaving a job.
Small business SHOP plans allow Columbus County small business owners to offer group health benefits to their employees, with access to the Columbus Regional Healthcare System network for routine and specialty care.
For 2026, Columbus County residents can choose from plans across three Blue Cross NC networks, including Blue Advantage, Blue Care, and Blue Value, each offering different levels of provider access and plan structure to fit varying healthcare needs. Blue Advantage and Blue Care are plans that provide access to a broad range of in-network providers, while Blue Value is a POS plan designed for residents who prefer a more structured, cost-focused approach to accessing care through Columbus Regional Healthcare System. Health Plans of NC agents help Columbus County residents compare these network options side-by-side to identify which plan connects them to their preferred local providers.
Blue Advantage, a PPO network, offers Columbus County residents access to the largest nationwide provider network, including Columbus Regional Healthcare System and affiliated specialty clinics.
Blue Care, an HMO network, provides broad statewide provider access with 95% or more of NC doctors in-network, covering Columbus Regional Healthcare System and surrounding area facilities.
Blue Value, a POS network, is a value-focused plan with lower premiums that connects Columbus County residents to care through a defined network including Columbus Regional Healthcare System.
Plans such as Blue Advantage and Blue Care give Columbus County residents the flexibility to see specialists, including those at the Columbus Regional Cancer Center and Columbus Regional Cardiology Clinic, without a referral.
Plans such as Blue Value require Columbus County residents to coordinate care through a primary care provider, making them well suited for residents who primarily use Columbus Regional Healthcare System for their healthcare needs.
All three networks, Blue Advantage, Blue Care, and Blue Value, are offered exclusively through Blue Cross NC and are available to individuals, families, and small businesses in Columbus County.
Bronze plans in Columbus County start at approximately $403.47/month before subsidies. With a median household income of $48,184, many residents qualify for premium tax credits. Subsidies may reduce your monthly premium significantly based on income.
Bronze plans in Columbus County start at $403.47 per month before subsidies for a 35-year-old, offering the lowest monthly premiums with higher out-of-pocket costs when care is needed.
Silver plans in Columbus County start at $518.72 per month before subsidies for a 35-year-old, and Silver is the only tier eligible for additional cost-sharing reductions that lower deductibles and copays.
Gold plans in Columbus County start at $536.24 per month before subsidies for a 35-year-old, providing lower out-of-pocket costs in exchange for a higher monthly premium.
Columbus County residents with household incomes between 100% and 400% of the federal poverty level qualify for premium tax credits that can substantially reduce monthly plan costs.
Residents near the lower end of the federal poverty level income scale may qualify for $0 or near-zero premium Silver plans after enhanced subsidies are calculated for their household.
Out-of-pocket maximums, deductibles, and copays vary across all 27 available plans, so comparing total annual cost rather than monthly premium alone gives Columbus County residents the most accurate picture of coverage value.
Blue Cross NC is one of four ACA Marketplace carriers offering plans in Columbus County for 2026, with a total of 27 plans available to individuals, families, and small businesses across the county. These 27 plans span three distinct networks, Blue Advantage, Blue Care, and Blue Value, each with a different plan type and provider access structure including PPO, HMO and POS options. The Blue Advantage and Blue Care networks connect Columbus County residents to broad statewide and nationwide provider access, while the Blue Value POS network is designed for residents who prioritize lower premiums and are comfortable coordinating care within a defined local network. Network selection directly affects whether Columbus County residents can access Columbus Regional Healthcare System, the Columbus Regional Cancer Center, and the Columbus Regional Cardiology Clinic as in-network providers, making the choice of network as important as the choice of tier. Health Plans of NC agents compare all 27 Blue Cross NC plans side-by-side at no cost, helping every Columbus County resident identify the right combination of network, tier, and price.
Blue Cross NC, offering plans through Blue Advantage and Blue Care networks and a plan through the Blue Value network, with 27 total plans available in Columbus County for 2026.
North Carolina expanded Medicaid in December 2023, making Columbus County adults earning up to 138% of the federal poverty level eligible for full Medicaid coverage at little to no cost. Columbus County currently has an uninsured rate of 13.6%, representing approximately 7,000 residents without coverage, many of whom may now qualify for Medicaid or a subsidized Marketplace plan. Children in Columbus County families earning up to 210% of the federal poverty level may qualify for NC Health Choice, the state's CHIP program, which provides comprehensive pediatric coverage at low or no cost. Health Plans of NC offers free eligibility checks to help Columbus County residents determine whether they qualify for Medicaid, CHIP, or another coverage program.
Working adults in Columbus County earning up to 138% of the federal poverty level may now qualify for full Medicaid coverage following North Carolina's December 2023 expansion.
Children in Columbus County households qualify for NC Health Choice, also known as CHIP, when family income is at or below 210% of the federal poverty level.
Pregnant women in Columbus County are eligible for Medicaid coverage that includes prenatal care, labor and delivery services, and postpartum care through local providers.
Columbus County residents with disabilities or serious health conditions may qualify for Medicaid regardless of age if they meet income and functional eligibility requirements.
With a poverty rate of 18.8% in Columbus County, a significant share of residents may be eligible for Medicaid or CHIP and can receive a free eligibility check through Health Plans of NC.
Health Plans of NC licensed agents serve Columbus County residents at no cost, comparing every available plan side-by-side and providing personalized guidance through the enrollment process from start to finish. Call 800-797-0327 to speak with a local agent who can help you find the right coverage for your household.
Call 800-797-0327 (toll free) or 704-303-8256 to speak with a licensed agent and schedule a free appointment
Email [email protected] with questions about plans available in Columbus County
Find a licensed agent and book directly at healthplansofnc.com/agents
No cost, no pressure. Health Plans of NC agents work for you, not the carrier.
Hospital | Address | Phone |
|---|---|---|
Brynn Marr Hospital | 192 Village Dr, Jacksonville, NC 28546 | (910) 577-1400 |
Cape Fear Vly Bladen County | 501 S Poplar St, Elizabethtown, NC 28337 | (910) 862-5100 |
Columbus Regional Healthcare | 500 Jefferson St, Whiteville, NC 28472 | (910) 642-8011 |
Dosher Memorial Hospital | 924 N Howe St, Southport, NC 28461 | (910) 457-3800 |
ECU Health Duplin Hospital | 401 N Main St, Kenansville, NC 28349 | (910) 296-0941 |
Naval Medical Ctr Camp Lejeune | 100 Brewster Blvd, Camp Lejeune, NC 28547 | (910) 450-4357 |
New Hanover Regional Med Ctr | 2131 S 17th St, Wilmington, NC 28401 | (910) 667-7000 |
New Hanover Regl Med Ctr-Rehab | 2131 S 17th St, Wilmington, NC 28401 | (910) 667-7835 |
NHRMC Betty H Cameron Women's | 2131 S 17th St, Wilmington, NC 28401 | (910) 667-7360 |
Novant Health Brunswick Med | 240 Hospital Dr NE, Bolivia, NC 28422 | (910) 721-1000 |
Novant Health New Hanover | 5301 Wrightsville Ave, Wilmington, NC 28403 | (910) 667-8100 |
Onslow Memorial Hospital | 317 Western Blvd, Jacksonville, NC 28546 | (910) 577-2345 |
Pender Memorial Hospital | 507 E Fremont St, Burgaw, NC 28425 | (910) 259-5451 |
Sampson Regional Medical Ctr | 607 Beaman St, Clinton, NC 28328 | (910) 592-8511 |
Southeastern Regional Med Ctr | 300 W 27th St, Lumberton, NC 28358 | (910) 671-5000 |
UNC Health Southeastern | 4300 Fayetteville Rd, Lumberton, NC 28358 | (910) 608-3078 |
Columbus County ZIP Codes include: 28423, 28424, 28430, 28431, 28432, 28436, 28438, 28439, 28442, 28450, 28455, 28456, 28463, and 28472
