Find Your Most Affordable Health Insurance Plan in Hyde County

in North Carolina
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Blue Advantage

Nationwide (BlueCard®)

Nationwide
NetworkAnywhere in the U.S. and abroad; 95%+ of NC doctors
Out-of-area careCovered (lower benefit level)
Best forFrequent travelers, dual-state families, anyone wanting the most choice
Plan details & availability ▾

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.

Highlights

  • PPO plan — see any provider, no referrals needed
  • 95%+ of NC doctors and 98% of NC hospitals in-network
  • Nationwide in-network access through BlueCard®
  • Out-of-network care is covered at a lower benefit level
  • Emergency care covered at the in-network rate worldwide
  • Available in all 100 NC counties
  • Offered in Bronze, Silver, and Gold tiers

A good fit if

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.

Not a good fit if

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.

Network type
Nationwide PPO
Out-of-network care
Covered at a lower benefit level
Out-of-state care
Covered nationwide

Network

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

  1. Blue Cross NC Provider Internal Data; percentages indicated represent the Blue Cross NC PPO Network as of April 7, 2025.

  2. 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.

Availability

Blue Advantage Availability Map

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.

More about Blue Advantage

How Blue Advantage works

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.

Coverage that travels with you

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®.

What it costs, and why

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.

Enrolling in Blue Advantage

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 questions (4)
Is Blue Advantage a PPO or an HMO?

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.

Does Blue Advantage cover me if I travel out of state?

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.

Is Blue Advantage available in every NC county?

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.

How is Blue Advantage different from Blue Care?

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.

See the full Blue Advantage page →

Blue Care

Statewide NC network

Statewide
NetworkNorth Carolina only; 95%+ of NC doctors and 98% of NC hospitals
Out-of-area careEmergency / urgent only
Best forNC residents who rarely travel and want broad in-state choice for less
Plan details & availability ▾

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.

Highlights

  • HMO plan with Blue Cross NC's largest statewide NC network
  • 95%+ of NC doctors and 98% of NC hospitals in-network
  • Lower premium than the Blue Advantage PPO
  • No out-of-network coverage except urgent and emergency care
  • No coverage for non-emergency care outside North Carolina
  • Offered in Bronze, Silver, and Gold tiers

A good fit if

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.

Not a good fit if

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.

Network type
Statewide HMO
Out-of-network care
Emergency and urgent care only
Out-of-state care
Emergency and urgent care only

Network

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.

Availability

Blue Care Availability Map

Blue Care is available in all North Carolina counties, except: Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, and Wake.

More about Blue Care

How Blue Care works

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.

Staying in-network across North Carolina

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.

What it costs, and why

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.

Enrolling in Blue Care

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.

Blue Care questions (3)
Is Blue Care an HMO?

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.

Does Blue Care cover me if I need care while traveling?

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.

Which counties is Blue Care not available in?

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.

See the full Blue Care page →

Common questions about these plans (5)
What do the Bronze, Silver, and Gold plan tiers mean?

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.

How do I know if my doctors and hospitals are in-network?

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.

Will I qualify for financial help to lower my premium?

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.

When can I enroll in a Blue Cross NC individual plan?

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.

How much does it cost to use a Health Plans of NC agent?

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.

Available Plans From All Carriers

2026 ACA Marketplace Carriers in Hyde County

2026 ACA Marketplace Carriers in Hyde County
CarrierDistinct plans
Blue Cross and Blue Shield of NC18
Cigna Healthcare10
Total28

Source: CMS QHP Landscape PY2026, Individual Market Medical, updated August 26, 2026 (data.healthcare.gov). Counts distinct Plan IDs offered on the Marketplace in Hyde County, once per carrier.

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Hyde County

in North Carolina

Find affordable health insurance in Hyde County, NC with Health Plans of NC. Health Plans of NC helps Hyde County residents find affordable health insurance coverage through licensed agents who understand the local community, including major employers like Rose Acre Farms and Hyde County Schools. Whether you are looking for an individual plan, family coverage, or help understanding your options, Health Plans of NC provides free guidance every step of the way.

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


What health insurance options are available in Hyde County?

Hyde County is home to approximately 4,625 residents, a population that has grown 0.8% since 2020, with 2.0% of residents being foreign-born, reflecting a community with diverse coverage needs. Major employers such as Rose Acre Farms, Hyde County, Hyde County Schools, the NC Department of Adult Corrections, and the NC Department of Transportation provide a foundation for employer-sponsored coverage, while health systems including Vidant Pungo Hospital and ECU Health serve the county's medical needs. Hyde County residents have access to a full range of coverage options, from ACA Marketplace plans to Medicaid, CHIP, employer-sponsored insurance, COBRA, short-term plans, and small business SHOP coverage.

  • ACA Marketplace plans through Blue Cross NC are available to Hyde County residents who do not receive coverage through employers like Hyde County Schools or Rose Acre Farms.

  • Medicaid coverage through North Carolina's expanded program is available to qualifying Hyde County residents, including those connected to the community through ECU Health and Vidant Pungo Hospital services.

  • Employer-sponsored insurance is a common coverage source for Hyde County workers employed by major local employers such as Hyde County, the NC Department of Transportation, and the NC Department of Adult Corrections.

  • Short-term health plans may serve as a temporary bridge for Hyde County residents between jobs or waiting for open enrollment, though they do not offer the same protections as ACA Marketplace coverage.

  • COBRA continuation coverage allows Hyde County workers who leave employment with local employers like Rose Acre Farms to maintain their existing health benefits for a limited period after job separation.

  • Small business SHOP plans are available to eligible Hyde County small employers who want to offer group health coverage to their employees through the ACA Marketplace.


What health insurance plans are available in Hyde County for 2026?

For 2026, Hyde County residents can choose from 18 Blue Cross NC plans available across two distinct plan networks, Blue Advantage (a PPO) and Blue Care (an HMO), both of which give members broad access to providers without referrals. Blue Advantage operates as a PPO with the largest nationwide network, covering 95% or more of North Carolina doctors in-network, while Blue Care operates as an HMO with a broad statewide network covering 95% or more of NC doctors in-network. Both networks connect Hyde County residents to regional healthcare resources including Outer Banks Hospital in Nags Head and Washington Regional Medical Center in Plymouth.

  • Blue Advantage, a PPO network, provides Hyde County residents access to the largest nationwide provider network, with 95% or more of North Carolina doctors participating in-network.

  • Blue Care, an HMO network, offers Hyde County residents a broad statewide network with 95% or more of North Carolina doctors in-network, covering regional facilities close to the county.

  • Both the Blue Advantage and Blue Care networks include access to Outer Banks Hospital in Nags Head, one of the closest hospital resources available to Hyde County residents.

  • Washington Regional Medical Center in Plymouth is accessible to Hyde County enrollees through both the Blue Advantage and Blue Care plan networks offered for 2026.

  • Plan structures available through both Blue Advantage and Blue Care allow Hyde County residents to see specialists and out-of-area providers with greater flexibility than restrictive network types.

  • Health Plans of NC agents can review both Blue Advantage and Blue Care network options side-by-side to help Hyde County residents confirm that their preferred local doctors and facilities are in-network before enrolling.


How much does health insurance cost in Hyde County?

Bronze plans in Hyde County start at approximately $602.31/month before subsidies. With a median household income of $47,338, many residents qualify for premium tax credits. Subsidies may reduce your monthly premium significantly based on income.

  • Bronze plans in Hyde County start at $602.31 per month for a 35-year-old before premium tax credits are applied, making them the lowest-premium tier available for 2026.

  • Silver plans start at $789.34 per month for a 35-year-old before subsidies, and Silver-tier plans are the only tier eligible for cost-sharing reductions that lower deductibles and out-of-pocket costs.

  • Gold plans start at $828.33 per month for a 35-year-old before subsidies, offering lower out-of-pocket costs at the point of care in exchange for higher monthly premiums.

  • Hyde County's median household income of $47,338 places many residents within the income range that qualifies for advance premium tax credits, potentially reducing monthly plan costs by hundreds of dollars.

  • Households earning between 100% and 400% of the federal poverty level qualify for premium tax credits, and those earning just above Medicaid eligibility thresholds may qualify for very low or zero-dollar Silver plan premiums.

  • Health Plans of NC provides free personalized quotes for Hyde County residents that include exact subsidy calculations so enrollees can see their true out-of-pocket monthly costs before choosing a plan.


Which health insurance companies offer ACA Marketplace plans in Hyde County for 2026?

Blue Cross NC is one of two ACA Marketplace carriers offering plans in Hyde County for 2026, with 18 total plans available to individuals and families across the county. These plans are offered through two network options, Blue Advantage and Blue Care, giving Hyde County residents a choice between the largest nationwide network and a broad statewide network. Blue Advantage connects Hyde County enrollees to an extensive nationwide provider network, while Blue Care provides strong statewide coverage including access to regional hospitals and health systems serving the area. The network a Hyde County resident selects directly determines which local doctors, specialists, and hospitals they can visit at in-network rates, making it important to confirm provider participation before enrolling. Health Plans of NC agents compare every available Blue Cross NC plan side-by-side at no cost, helping Hyde County residents find the right combination of network, premium, and benefits for their situation.

  • Blue Cross NC: one of two ACA Marketplace carriers in Hyde County for 2026, offering 18 plans across the Blue Advantage and Blue Care networks, spanning Bronze, Silver, Gold, and Catastrophic coverage tiers.


Who qualifies for Medicaid and CHIP in Hyde County, North Carolina?

North Carolina expanded Medicaid in December 2023, extending free or low-cost coverage to adults earning up to 138% of the federal poverty level, and many Hyde County residents may now qualify who were previously ineligible. Hyde County currently has an uninsured rate of 11.5%, representing approximately 1,000 residents without coverage, many of whom may be eligible for Medicaid or subsidized Marketplace plans and are not yet enrolled. Children in Hyde County households earning up to 210% of the federal poverty level may qualify for NC Health Choice, the state's CHIP program, which provides low-cost coverage for qualifying minors. Health Plans of NC offers free eligibility checks to help Hyde County families determine whether they qualify for Medicaid, CHIP, or a subsidized Marketplace plan.

  • Working adults in Hyde County who earn at or below 138% of the federal poverty level may now qualify for North Carolina Medicaid expansion coverage at little to no monthly cost.

  • Children in Hyde County families with incomes up to 210% of the federal poverty level may be eligible for NC Health Choice, the state CHIP program, which covers doctor visits, dental, and preventive care.

  • Pregnant women in Hyde County may qualify for Medicaid coverage that includes prenatal care, delivery, and postpartum services, with eligibility extending to higher income levels than standard adult Medicaid.

  • With a poverty rate of 22.4%, a significant share of Hyde County's population may qualify for Medicaid or cost-sharing reductions, making an eligibility check with Health Plans of NC an important first step.

  • Hyde County residents with disabilities or low fixed incomes, including seniors who do not qualify for Medicare alone, may be eligible for dual coverage through both Medicaid and Medicare programs.


Get free help choosing a health plan in Hyde County

Health Plans of NC licensed agents serve Hyde County residents at no cost, comparing every available Blue Cross NC plan side-by-side and guiding each client through enrollment from start to finish. Call Health Plans of NC today at 800-797-0327 to get personalized plan recommendations and find the coverage that fits your needs and budget.


What hospitals are in Hyde County?

Hospital

Address

Phone

ECU Health Bertie Hospital

1403 S King St, Windsor, NC 27983

(252) 794-6600

ECU Health Chowan Hospital

211 Virginia Rd, Edenton, NC 27932

(252) 482-8451

ECU Health Edgecombe Hospital

111 Hospital Dr, Tarboro, NC 27886

(252) 641-7700

ECU Health North Hospital

250 Smith Church Rd, Roanoke Rapids, NC 27870

(252) 535-8011

ECU Health Roanoke-Chowan Hosp

500 Academy St S, Ahoskie, NC 27910

(252) 209-3000

Martin General Hospital

310 S Mccaskey Rd, Williamston, NC 27892

(252) 809-6300

Outer Banks Hospital

4800 S Croatan Hwy, Nags Head, NC 27959

(252) 449-4500

Sentara Albemarle Medical Ctr

1144 N Road St, Elizabeth City, NC 27909

(252) 335-0531

Washington Regional Med Ctr

958 US Highway 64 E, Plymouth, NC 27962

(252) 793-4135


What clinics are in Hyde County?

Clinic

Address

Phone

ECU Health Endocrinology-Ahsk

226 Academy St S, Ahoskie, NC 27910

(252) 209-3991

ECU Health Family Medicine

1124 Harvey Point Rd, Hertford, NC 27944

(252) 426-2946

ECU Health Family Medicine

1385 Medical Center Dr # 4942, Roanoke Rapids, NC 27870

(252) 537-9176

ECU Health Heart-Vascular Care

220 Smith Church Rd, Roanoke Rapids, NC 27870

(252) 537-9268

ECU Health Internal Medicine

104 Mark Dr, Edenton, NC 27932

(252) 482-5171

ECU Health Multispecialty

113 Virginia Rd, Edenton, NC 27932

(252) 482-3047

ECU Health Neurology-Edenton

203 Earnhart Dr # B, Edenton, NC 27932

(252) 482-5868

ECU Health Orthopedics-Roanoke

171 N Carolina 125, Roanoke Rapids, NC 27870

(252) 537-5631

ECU Health Pulmonology-Ahoskie

222 Academy St S, Ahoskie, NC 27910

(252) 209-3440

ECU Health Sleep Medicine

240 Smith Church Rd # A, Roanoke Rapids, NC 27870

(252) 535-1082

Halifax Regional Med Ctr Inc

250 Smith Church Rd, Roanoke Rapids, NC, 27870, Not AvailableIsland Medical Ctr, 715 US Highway 64, Manteo, NC 27954

(252) 473-2500

Sentara Vascular Specialists

5200 N Croatan Hwy # 6, Kitty Hawk, NC 27949

(252) 255-6125

Signature Healthcare

305 E 14th St, Roanoke Rapids, NC 27870

(252) 537-6181

Vidant Sleep Medicine-Roanoke

240 Smith Church Rd, Roanoke Rapids, NC 27870

(252) 535-1082


Hyde County — FAQ Under 65

Individual/Family Common Questions

North Carolina Healthcare News & Blog

Individual & Family Plans

Hyde County ZIP Codes include: 27824, 27826, 27875, 27885, and 27960

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