ACA issuer profile

Oscar Health Plan of North Carolina, Inc. health insurance company overview

Use this dashboard to audit every marketplace plan offered by Oscar Health Plan of North Carolina, Inc., track CMS import health, and link into each canonical HealthPorta plan profile.

Plans tracked: 112 State: North Carolina Import errors: 118

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Issuer import metrics

Marketplace coverage snapshot

Plans tracked 112
State served

North Carolina

Last import date Tue, 02 Dec 2025 06:13 GMT
Import errors 118

Drug coverage overview

283,751 drugs tracked across 112 formularies

Prior authorization requirements
Status Drugs
Required 61,939
Not Required 221,812

Plan roster

Health insurance plans from Oscar Health Plan of North Carolina, Inc.

Plan ID Plan name Year Network Last update
69803NC0010074 AIAN Cost Share 2026 PREFERRED Oct 10, 2025
69803NC0010075 AIAN Cost Share | with Atrium Health 2026 PREFERRED Oct 10, 2025
69803NC0010024 Bronze Classic 4700 2026 PREFERRED Oct 28, 2025
69803NC0010061 Bronze Classic 4700 | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010050 Bronze Classic Standard 2026 PREFERRED Oct 28, 2025
69803NC0010055 Bronze Classic Standard | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010005 Bronze Elite + PCP Saver Plus 2026 PREFERRED Oct 28, 2025
69803NC0010062 Bronze Elite + PCP Saver Plus | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010058 Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010059 Bronze Simple Chronic Care CKM | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010067 Bronze Simple Diabetes | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010053 Gold Classic Standard 2026 PREFERRED Oct 28, 2025
69803NC0010057 Gold Classic Standard | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010006 Silver Classic 2026 PREFERRED Oct 28, 2025
69803NC0010052 Silver Classic Standard 2026 PREFERRED Oct 28, 2025
69803NC0010056 Silver Classic Standard | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010063 Silver Classic | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010070 Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010071 Silver Simple Chronic Care CKM | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010045 Silver Simple Diabetes 2026 PREFERRED Oct 28, 2025
69803NC0010064 Silver Simple Diabetes | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010025 Silver Simple PCP Saver 2026 PREFERRED Oct 28, 2025
69803NC0010065 Silver Simple PCP Saver | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010072 Silver Simple Women's Health with Menopause Benefits | with Atrium Health 2026 PREFERRED Oct 28, 2025
69803NC0010024 Bronze Classic 4700 2025 PREFERRED Jan 10, 2025
69803NC0010061 Bronze Classic 4700 | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010050 Bronze Classic Standard 2025 PREFERRED Jan 10, 2025
69803NC0010055 Bronze Classic Standard | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010005 Bronze Elite + PCP Saver Plus 2025 PREFERRED Jan 10, 2025
69803NC0010062 Bronze Elite + PCP Saver Plus | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010053 Gold Classic Standard 2025 PREFERRED Jan 10, 2025
69803NC0010057 Gold Classic Standard | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010035 Gold Elite Saver Plus 2025 PREFERRED Jan 10, 2025
69803NC0010066 Gold Elite Saver Plus | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010011 Secure 2025 PREFERRED Jan 10, 2025
69803NC0010060 Secure | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010006 Silver Classic 2025 PREFERRED Jan 10, 2025
69803NC0010052 Silver Classic Standard 2025 PREFERRED Jan 10, 2025
69803NC0010056 Silver Classic Standard | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010063 Silver Classic | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010045 Silver Simple Diabetes 2025 PREFERRED Jan 10, 2025
69803NC0010064 Silver Simple Diabetes | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010025 Silver Simple PCP Saver 2025 PREFERRED Jan 10, 2025
69803NC0010065 Silver Simple PCP Saver | with Atrium Health 2025 PREFERRED Jan 10, 2025
69803NC0010024 Bronze Classic 4700 2024 PREFERRED Oct 10, 2025
69803NC0010002 Bronze Classic PCP Saver 2024 PREFERRED Oct 10, 2025
69803NC0010050 Bronze Classic Standard 2024 PREFERRED Oct 10, 2025
69803NC0010005 Bronze Elite + PCP Saver Plus 2024 PREFERRED Oct 10, 2025
69803NC0010014 Bronze Simple HSA 2024 PREFERRED Oct 10, 2025
69803NC0010053 Gold Classic Standard 2024 PREFERRED Oct 10, 2025
69803NC0010035 Gold Elite Saver Plus 2024 PREFERRED Oct 10, 2025
69803NC0010011 Secure 2024 PREFERRED Oct 10, 2025
69803NC0010006 Silver Classic 2024 PREFERRED Oct 10, 2025
69803NC0010052 Silver Classic Standard 2024 PREFERRED Oct 10, 2025
69803NC0010030 Silver Elite Saver Plus 2024 PREFERRED Oct 10, 2025
69803NC0010045 Silver Simple Diabetes 2024 PREFERRED Oct 10, 2025
69803NC0010025 Silver Simple PCP Saver 2024 PREFERRED Oct 10, 2025
69803NC0010003 Bronze Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 10, 2025
69803NC0010024 Bronze Classic 4700 2023 PREFERRED Oct 10, 2025
69803NC0010002 Bronze Classic PCP Saver 2023 PREFERRED Oct 10, 2025
69803NC0010050 Bronze Classic Standard 2023 PREFERRED Oct 10, 2025
69803NC0010043 Bronze Elite- Deductible Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 10, 2025
69803NC0010012 Bronze Elite- Deductible+Specialist Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 10, 2025
69803NC0010005 Bronze Elite + PCP Saver Plus 2023 PREFERRED Oct 10, 2025
69803NC0010014 Bronze Simple HSA 2023 PREFERRED Oct 10, 2025
69803NC0010051 Bronze Simple- Standard 2023 PREFERRED Oct 10, 2025
69803NC0010013 Gold Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 10, 2025
69803NC0010053 Gold Classic Standard 2023 PREFERRED Oct 10, 2025
69803NC0010036 Gold Elite ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 10, 2025
69803NC0010035 Gold Elite Saver Plus 2023 PREFERRED Oct 10, 2025
69803NC0010011 Secure 2023 PREFERRED Oct 10, 2025
69803NC0010006 Silver Classic 2023 PREFERRED Oct 10, 2025
69803NC0010017 Silver Classic- Deductible Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 10, 2025
69803NC0010052 Silver Classic Standard 2023 PREFERRED Oct 10, 2025
69803NC0010030 Silver Elite Saver Plus 2023 PREFERRED Oct 10, 2025
69803NC0010045 Silver Simple Diabetes 2023 PREFERRED Oct 10, 2025
69803NC0010025 Silver Simple PCP Saver 2023 PREFERRED Oct 10, 2025
69803NC0010015 Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 10, 2025
69803NC0010021 Bronze Classic- $0 PCP ($0 Primary Care + $3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010023 Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010003 Bronze Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 10, 2025
69803NC0010040 Bronze Classic- $5000 Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010024 Bronze Classic 4700 2022 PREFERRED Oct 10, 2025
69803NC0010002 Bronze Classic PCP Saver 2022 PREFERRED Oct 10, 2025
69803NC0010022 Bronze Classic- Specialist Saver ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010042 Bronze Elite- $1000 Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010041 Bronze Elite ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010043 Bronze Elite- Deductible Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 10, 2025
69803NC0010012 Bronze Elite- Deductible+Specialist Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 10, 2025
69803NC0010005 Bronze Elite + PCP Saver Plus 2022 PREFERRED Oct 10, 2025
69803NC0010001 Bronze Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010014 Bronze Simple HSA 2022 PREFERRED Oct 10, 2025
69803NC0010038 Bronze Super Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010013 Gold Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 10, 2025
69803NC0010037 Gold Classic- HSA 2022 PREFERRED Oct 10, 2025
69803NC0010020 Gold Classic- Low Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010036 Gold Elite ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 10, 2025
69803NC0010035 Gold Elite Saver Plus 2022 PREFERRED Oct 10, 2025
69803NC0010033 Gold Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010011 Secure 2022 PREFERRED Oct 10, 2025
69803NC0010006 Silver Classic 2022 PREFERRED Oct 10, 2025
69803NC0010017 Silver Classic- Deductible Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 10, 2025
69803NC0010027 Silver Classic- Low Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010028 Silver Elite- $0 PCP ($0 Primary Care + $0 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010030 Silver Elite Saver Plus 2022 PREFERRED Oct 10, 2025
69803NC0010026 Silver Elite- Specialist Saver ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010008 Silver Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010045 Silver Simple Diabetes 2022 PREFERRED Oct 10, 2025
69803NC0010044 Silver Simple- High Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 10, 2025
69803NC0010029 Silver Simple- HSA 2022 PREFERRED Oct 10, 2025
69803NC0010025 Silver Simple PCP Saver 2022 PREFERRED Oct 10, 2025
69803NC0010015 Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 10, 2025

Data notes

Disclaimer & references

Disclaimer: This dashboard reflects nightly imports from Marketplace machine-readable files. Numbers may lag issuer submissions or be affected by upstream errors.

Source: CMS.gov and the HealthPorta Healthcare MRF API.