Find Your Most Affordable Health Insurance Plan in Nash County
in North Carolina
Nash County residents can compare 16 health insurance options for 2026.
Blue Home with UNC Health Alliance is a good option if you wish to get care from UNC Health and its affiliated doctors and hospitals. Since the majority of doctors in this plan are in the same network, it’s easier for them to work together on your behalf.
UNC Health’s network of hospitals and providers including more than 1,800 primary care providers.2
A provider network that includes UNC Medical Center, nationally ranked in one adult and nine pediatric specialties by U.S. News;3 along with UNC Rex Hospital, rated by U.S. News as high performing in 16 adult procedures and conditions.4
All doctors outside the UNC Health Alliance provider network are considered out-of-network and not covered for Blue Home with UNC Health Alliance, including: Cone Health, Duke Health and WakeMed. Out-of-network benefit coverage is not available except for emergency services, urgent care and for medically necessary covered services when an in-network provider is not reasonably available per the access to care standards of Blue Cross and Blue Shield of North Carolina (Blue Cross NC).
Out-of-state providers are also out-of-network and not covered. When traveling outside of North Carolina or the United States, only emergency services and urgent care will be covered at the in-network benefit level. All other non-emergency services will be out-of-network and not covered.
Notes
Blue Cross NC has collaborated with UNC Health to bring you Blue Home with UNC Health Alliance. Blue Home with UNC Health Alliance is a health insurance plan offered by Blue Cross NC that provides access to a limited network of providers. UNC Health is an independent company that is solely responsible for the physicians and medical facilities it owns and operates. UNC Health does not offer Blue Cross or Blue Shield products or services.
UNC Health, www.unchealthcare.org/health-alliance/ (Accessed August 2024).
U.S. News and World Report, www.usnews.com/best-hospitals/area/nc/university-of-north-carolina-hospitals-6360260 (Accessed August 2024).
U.S. News and World Report, www.usnews.com/best-hospitals/area/nc/rex-healthcare-6361210 (Accessed August 2024).
Blue Home with UNC Health Alliance is available on and off Marketplace to residents of these North Carolina counties: Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Nash, Orange, Person, and Wake.
Blue Advantage gives you access to our largest nationwide network. This is a good option if you want a broad choice of in-network doctors, specialists and hospitals.
More in-network providers in North Carolina, with over 95% of doctors and 98% of hospitals in-network1
Fewer restrictions on which providers you can see
Nationwide access to in-network providers through BlueCard®2
Emergency services covered at the in-network benefit level regardless of where you go for care
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 to residents in all North Carolina counties EXCEPT the following, where it is available only off Marketplace: Alamance, Anson, Cabarrus, Caswell, Chatham, Cleveland, Davidson, Davie, Durham, Forsyth, Franklin, Gaston, Johnston, Lee, Lincoln, Mecklenburg, Orange, Person, Rowan, Stanly, Stokes, Surry, Union, Wake, and Yadkin.
Blue Care gives you access to our largest statewide network. This is a good option if you want a broad choice of in-network doctors, specialists and hospitals.
More than 92% of doctors and 97% of hospitals in North Carolina are in-network.1
All doctors outside the Blue Care provider network are considered out-of-network and not covered. Out-of-network benefit coverage is not available except for emergency services, urgent care and for medically necessary covered services when an in-network provider is not reasonably available per the access to care standards of Blue Cross and Blue Shield of North Carolina (Blue Cross NC).
Out-of-state providers are also out-of-network and not covered. When traveling outside of North Carolina or the United States, only emergency services and urgent care will be covered at the in-network benefit level. All other non-emergency services will be out-of-network and not covered.
Blue Care is available in all North Carolina counties, except: Alamance, Caswell, Chatham, Durham, Franklin, Johnston, Lee, Orange, Person, and Wake.
in North Carolina
Find affordable health insurance in Nash County, NC with Health Plans of NC. Health Plans of NC helps Nash County residents find and enroll in the right health insurance plan for 2026, connecting families and individuals with coverage that works alongside local providers like Nash UNC Health Care and major employers such as Pfizer and Consolidated Diesel Company.
Plan Network | Type | Network Coverage |
|---|---|---|
Blue Advantage | PPO | Largest nationwide network, 95%+ of NC doctors in-network |
Blue Care | PPO | Broad statewide network, 92%+ of NC doctors in-network |
Blue Home with UNC Health Alliance | HMO | UNC Health hospitals and affiliated providers |
Nash County's 95,451 residents have access to a full range of health coverage options, from ACA Marketplace plans to employer-sponsored benefits through major local employers like Pfizer, Nash County Schools, Consolidated Diesel Company, the County of Nash, and Nash UNC Health Care. The county has grown 0.5 percent since 2020, and approximately 4.0 percent of residents are foreign-born, reflecting a diverse community with varying coverage needs. Health Plans of NC helps every resident navigate these options at no cost, whether they work for a large local employer or are shopping for individual coverage on their own.
ACA Marketplace coverage through Blue Cross NC connects Nash County residents to local providers including Nash UNC Health Care for comprehensive individual and family plans.
Medicaid coverage serves income-qualifying Nash County adults and children, with enrollment support available through Health Plans of NC at no cost.
Employer-sponsored health insurance is available to employees of major Nash County employers such as Pfizer, Consolidated Diesel Company, Nash County Schools, and the County of Nash.
Short-term health coverage provides temporary protection for Nash County residents between jobs or transitioning away from an employer-sponsored plan at a major local company.
COBRA continuation coverage allows eligible Nash County workers who leave employers like Nash UNC Health Care or Pfizer to temporarily extend their existing group health benefits.
Small business SHOP Marketplace plans give Nash County small employers a structured way to offer competitive health benefits and attract talent in the local workforce.
For 2026, Nash County residents can choose from 16 plans offered by Blue Cross NC across three distinct provider networks, each designed to connect enrollees with different combinations of local and statewide providers. The available networks include Blue Advantage, a PPO with the broadest nationwide reach, Blue Care, a PPO with strong statewide coverage, and Blue Home with UNC Health Alliance, an HMO centered on UNC Health hospitals and affiliated providers including Nash UNC Health Care. Selecting the right network is essential for Nash County families who rely on specific local facilities, and Health Plans of NC agents review every option side by side at no cost.
Blue Advantage, a PPO network, offers the largest nationwide provider access with more than 95 percent of North Carolina doctors in-network, including Nash UNC Health Care specialists.
Blue Care, a PPO network, provides broad statewide coverage with more than 92 percent of North Carolina doctors in-network, connecting Nash County residents to regional and local providers.
Blue Home with UNC Health Alliance, an HMO network, is built around UNC Health hospitals and affiliated providers, making it a natural fit for Nash County residents who rely on Nash UNC Health Care.
PPO plan networks like Blue Advantage and Blue Care give Nash County enrollees the flexibility to see specialists and out-of-area providers without requiring a primary care referral.
The Blue Home with UNC Health Alliance HMO network coordinates care through UNC Health affiliated facilities, which may lower out-of-pocket costs for Nash County members using in-network services.
All three networks are available through Blue Cross NC's 16 plans in Nash County, spanning Bronze, Silver, Gold, and catastrophic coverage tiers to fit a wide range of household needs.
Bronze plans in Nash County start at approximately $443.10/month before subsidies. With a median household income of $60,704, many residents qualify for premium tax credits. Subsidies may reduce your monthly premium significantly based on income.
Bronze plans in Nash County start at $443.10 per month for a 35-year-old, offering the lowest premiums available with higher deductibles for those who rarely need routine care.
Silver plans start at $569.49 per month and are the only tier eligible for cost-sharing reductions, which lower deductibles and copays for qualifying Nash County households.
Gold plans start at $588.91 per month and provide lower out-of-pocket costs at the point of care, making them valuable for residents who use Nash UNC Health Care services frequently.
Households earning between 100 and 400 percent of the federal poverty level qualify for advance premium tax credits that reduce monthly Silver and Bronze plan costs well below the listed starting prices.
Some Nash County residents with incomes between 100 and 150 percent of the federal poverty level may qualify for a zero-dollar-premium Silver plan after tax credits are applied.
Out-of-pocket maximums vary by plan tier, and Gold plans typically offer the lowest annual caps, reducing financial risk for Nash County families managing ongoing or complex health needs.
Blue Cross NC is the carrier offering ACA Marketplace individual and family health insurance plans in Nash County for 2026, with a total of 16 plans available to county residents. These plans are structured across three provider networks, Blue Advantage, Blue Care, and Blue Home with UNC Health Alliance, giving shoppers a choice between PPO flexibility and HMO coordination. Blue Advantage and Blue Care are PPO networks that give Nash County enrollees access to a wide range of in-network doctors and hospitals across North Carolina and the nation, while Blue Home with UNC Health Alliance is an HMO that centers care around UNC Health hospitals and affiliated facilities including Nash UNC Health Care. The network type a resident selects directly affects which local providers, specialists, and facilities are accessible without referral requirements or out-of-network cost penalties, making network review a critical step before enrollment. Health Plans of NC licensed agents compare every Blue Cross NC plan in Nash County side by side at no cost, ensuring residents find the plan that best fits their provider relationships and coverage needs.
Blue Cross NC: PPO and HMO plans across three networks, offering 16 individual and family health insurance plans in Nash County 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 has opened eligibility to many Nash County residents who previously had no affordable coverage option. Currently, 11.8 percent of Nash County's population, roughly 11,000 people, remain uninsured, and a significant portion of those individuals may now qualify for Medicaid or subsidized Marketplace coverage. 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 pediatric care. Health Plans of NC conducts free eligibility checks for Nash County residents who want to find out whether they qualify for Medicaid, CHIP, or a subsidized Marketplace plan.
Working adults in Nash County earning up to 138 percent of the federal poverty level may qualify for full Medicaid coverage at little to no monthly cost following North Carolina's expansion.
Children in Nash County households earning up to 210 percent of the federal poverty level are eligible for NC Health Choice, the state CHIP program, which covers pediatric visits and preventive care.
Pregnant women in Nash County may qualify for Medicaid coverage that includes prenatal care, delivery services, and postpartum support through the Nash County Health Department and affiliated providers.
Nash County residents with disabilities or seniors with low incomes may qualify for Medicaid programs that cover long-term services, home health, and specialized medical care.
With a poverty rate of 14.0 percent in Nash County, a meaningful share of households falls at or near eligibility thresholds, making a free eligibility check with Health Plans of NC an important first step.
Health Plans of NC licensed agents serve Nash County residents at no cost, comparing every available 2026 plan side by side and guiding enrollees through the full application and enrollment process. Call 800-797-0327 today to get personalized plan recommendations and find out exactly what you will pay after any subsidies or Medicaid benefits are applied.
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 Nash 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 |
|---|---|---|
Central Regional Hospital | 300 Veazey Dr, Butner, NC 27509 | (919) 764-2000 |
Duke Raleigh Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609 | (919) 954-3000 |
Granville Health System | 1010 College St, Oxford, NC 27565 | (919) 690-3000 |
Holly Hill Hospital | 3019 Falstaff Rd, Raleigh, NC 27610 | (919) 250-7000 |
Nash General Hospital | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804 | (252) 962-8000 |
PAM Specialty Hosp Of Rocky Mt | 1051 Noell Ln, Rocky Mount, NC 27804 | (252) 451-2300 |
Rex Hospital | 4420 Lake Boone Trl, Raleigh, NC 27607 | (919) 784-3100 |
Strategic Behavioral Ctr Rlgh | 3200 Waterfield Dr, Garner, NC 27529 | (919) 800-4400 |
UNC Health Johnston | 509 N Brightleaf Blvd, Smithfield, NC 27577 | (919) 934-8171 |
UNC Hospitals At Wakebrook | 111 Sunnybrook Rd, Raleigh, NC 27610 | (984) 974-4800 |
WakeMed Cary Hospital | 1900 Kildaire Farm Rd, Cary, NC 27518 | (919) 350-8000 |
WakeMed North Hospital | 10000 Falls Of Neuse Rd, Raleigh, NC 27614 | (919) 350-8000 |
WakeMed Raleigh Campus | 3000 New Bern Ave, Raleigh, NC 27610 | (919) 350-8000 |
Wilson Medical Ctr | 1705 Tarboro St SW, Wilson, NC 27893 | (252) 399-8040 |
Clinic | Address | Phone |
|---|---|---|
Angier Pediatric & Adult Med | 441 Lakestone Commons Ave, Fuquay Varina, NC 27526 | (919) 577-0481 |
Benson Area Medical Ctr Inc | 11801 Vogel St, Raleigh, NC 27617 | (919) 207-4403 |
Beverly Medical Ctr | 6008 Creedmoor Rd, Raleigh, NC 27612 | (919) 844-4552 |
Brier Creek Medical Pavilion | 10207 Cerny St, Raleigh, NC 27617 | (919) 634-6269 |
Carolina Neuropsychology Svc | 3900 Barrett Dr # 102, Raleigh, NC 27609 | (919) 859-9040 |
Carolinas Center For Med | 3600 Glenwood Ave # 120, Raleigh, NC 27612 | (919) 461-5500 |
Clayton Dialysis Ctr | 86 Healthpark Way, Clayton, NC 27520 | (919) 550-7456 |
Clinton Dialysis Unit | 545 E Market St, Smithfield, NC 27577 | (919) 934-2826 |
Duke Raleigh Hosp Palliative | 3404 Wake Forest Rd, Raleigh, NC 27609 | (919) 862-5400 |
Duke Raleigh Hosp Pre | 3300 Executive Dr, Raleigh, NC 27609 | (919) 954-3940 |
Duke Raleigh Hosp | 3404 Wake Forest Rd, Raleigh, NC 27609 | (919) 862-5718 |
Duke Rheumatology Raleigh | 3480 Wake Forest Rd # 414, Raleigh, NC 27609 | (919) 613-2243 |
Duke Spine-Pain Mgmt-Raleigh | 3480 Wake Forest Rd, Raleigh, NC 27609 | (919) 862-5367 |
Duke Women's Health Heritage | 3000 Rogers Rd, Wake Forest, NC 27587 | (919) 385-2940 |
Eastern Carolina Pathology | 2693 Forest Hills Rd SW # B, Wilson, NC 27893 | (252) 234-2841 |
ECU Health Family Medicine | 1704 Glendale Dr. SW, Wilson, NC 27893 | (252) 246-8960 |
Fastmed Family Medicine | 11491 US 70 Business Hwy W, Clayton, NC 27520 | (919) 550-2484 |
Fastmed Family Medicine | 5156 N Carolina 42, Garner, NC 27529 | (919) 329-5000 |
Goshen Medical Ctr Inc | 1624 White Oak Church Rd, Apex, NC 27523 | (941) 267-2042 |
Granville Medical Ctr | 1010 College St, Oxford, NC 27565 | (919) 690-3000 |
Karissa Binkley | 1021 W Williams St # 105, Apex, NC 27502 | (919) 961-9885 |
Meso & Beyond Medical Ctr | 1000 N Main St # 100, Fuquay Varina, NC 27526 | (919) 285-4373 |
Pai Wellness Group | 9380 Falls Of Neuse Rd # 101, Raleigh, NC 27615 | (919) 529-3355 |
Rocky Mt Medical Park | 901 N Winstead Ave, Rocky Mount, NC 27804 | (252) 937-8507 |
Siemens Medical Solutions | 209 Gregson Dr, Cary, NC 27511 | (919) 461-0132 |
Smithfield Pulmonology | 706 Wilkins St # A, Smithfield, NC 27577 | (919) 989-1800 |
Southern Wake Medical Ctr | 415 Wake Chapel Rd, Fuquay Varina, NC 27526 | (919) 552-9143 |
Synchrony Energetics Incl | 3201 Nash St NW # A, Wilson, NC 27896 | (252) 373-4722 |
UNC Fertility | 7920 Acc Blvd # 300, Raleigh, NC 27617 | (919) 908-0000 |
Voyage Anesthesia PC | 101 Forest Dr # D, Knightdale, NC 27545 | (919) 341-0188 |
Wake Health Svc | , Franklinton, NC 27525 | (919) 494-5246 |
WakeMed Brier Creek Healthplex | 8001 T W Alexander Dr, Raleigh, NC 27617 | (919) 350-8000 |
Nash County ZIP Codes include: 27557, 27802, 27803, 27804, 27807, 27809, 27815, 27816, 27856, 27868, 27878, 27882, and 27891
