Country Guide
Best Health Insurance in North Carolina (2026)
North Carolina expanded Medicaid in 2023. Compare ACA marketplace plans for the best NC coverage.
By Itai Varochik | Updated February 20, 2026
Top Exchanges in North Carolina
| # | Exchange | Best For | Fees | Type |
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield NC | Widest NC network | $5,040/yr | — |
| 2 | Cigna North Carolina | National network | $4,800/yr | — |
| 3 | UnitedHealthcare NC | Plan variety | $5,400/yr | — |
| 4 | Ambetter NC | Budget plans | $4,080/yr | — |
| 5 | Oscar Health NC | Digital tools | $4,440/yr | — |