North Carolina Marketplace intelligence

North Carolina ACA Marketplace coverage, explained with current sources.

North Carolina uses HealthCare.gov for Marketplace enrollment. CMS reports 761,457 cumulative 2026 Open Enrollment plan selections across North Carolina counties in the 2026 County-Level Public Use File.

Source: Centers for Medicare & Medicaid Services · Verified September 17, 2026

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North Carolina

State evidence snapshot

What stands out in North Carolina's 2026 Marketplace data?

Across the 100 counties in this CoveragePath CMS dataset, CMS reports 761,457 Marketplace plan selections. The largest county total is Mecklenburg County with 111,600 selections.

87.1% of selections in counties with unsuppressed APTC counts received advance premium tax credits. The selection-weighted county premium benchmarks are $755 before APTC and $181 after APTC. These are historical county aggregates, not household quotes.

What stands out in North Carolina

Turn statewide totals into local context.

761,457

2026 CMS Marketplace plan selections represented across 100 county records.

Mecklenburg County

111,600 selections, 14.7% of the state total represented in this county dataset.

$755

Selection-weighted county average gross premium where CMS reports the measure.

$658

Selection-weighted county average APTC where CMS reports the measure.

Largest county markets in the file:Mecklenburg · 111,600Wake · 82,129Guilford · 34,557

CoveragePath calculations use 2026 CMS county public-use-file measures. Weighted figures are descriptive historical benchmarks, not 2027 quotes, plan availability or eligibility determinations.

What the North Carolina data can tell you

Enrollment

Use current CMS enrollment data to understand Marketplace participation without treating plan selections as active enrollment or a guarantee of coverage.

Financial assistance

Eligibility for premium tax credits depends on current federal rules and household circumstances. CoveragePath verifies rule changes before publishing numeric guidance.

County intelligence

CoveragePath now publishes verified 2026 CMS Marketplace benchmarks for 100 evidence-ranked North Carolina counties, including enrollment, premium and APTC measures.

2026 ACA Marketplace data by North Carolina county

Choose your county to review its verified CMS Marketplace enrollment, premium and financial-assistance benchmarks. County figures are historical measures, not a quote or guarantee of eligibility or plan availability.

Continue your coverage path

Start with eligibility factors, then review savings and Special Enrollment guidance. Final eligibility and plan availability must be verified through the Marketplace.

Eligibility Savings Special Enrollment