Marketplace issuer snapshot

Oscar Health Plan of North Carolina, Inc. coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for Oscar Health Plan of North Carolina, Inc..

Plans tracked: 138 State: North Carolina Coverage exceptions: 132
Plans tracked 138
Formularies 138
Latest refresh Tue, 03 Nov 2026 06:08 GMT
HealthPorta issuer coverage analytics

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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 138
State served

North Carolina

Latest source refresh Tue, 03 Nov 2026 06:08 GMT
Coverage exceptions 132

Drug coverage overview

365,124 drugs tracked across 138 formularies

Prior authorization requirements
Status Drugs
Required 85,420
Not Required 279,704

Plan roster

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

Plan ID Plan name Year Network Last update
69803NC0010024 Bronze Classic 4700 2027 PREFERRED Oct 08, 2026
69803NC0010061 Bronze Classic 4700 | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010050 Bronze Classic Standard 2027 PREFERRED Oct 08, 2026
69803NC0010055 Bronze Classic Standard | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010005 Bronze Elite + PCP Saver Plus 2027 PREFERRED Oct 08, 2026
69803NC0010086 Bronze Elite + PCP Saver Plus with Adult Dental & Vision 2027 PREFERRED Oct 08, 2026
69803NC0010069 Bronze Elite + PCP Saver Plus with Adult Dental & Vision | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010062 Bronze Elite + PCP Saver Plus | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010058 Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010059 Bronze Simple Chronic Care CKM | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010098 Bronze Simple Diabetes 2027 PREFERRED Oct 08, 2026
69803NC0010120 Bronze Simple Diabetes with Adult Dental & Vision | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010067 Bronze Simple Diabetes | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010053 Gold Classic Standard 2027 PREFERRED Oct 08, 2026
69803NC0010057 Gold Classic Standard | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010052 Silver Classic Standard 2027 PREFERRED Oct 08, 2026
69803NC0010056 Silver Classic Standard | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010099 Silver Core Plan 2027 PREFERRED Oct 08, 2026
69803NC0010100 Silver Core Plan | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010070 Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010071 Silver Simple Chronic Care CKM | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010045 Silver Simple Diabetes 2027 PREFERRED Oct 08, 2026
69803NC0010107 Silver Simple Diabetes with Adult Dental & Vision 2027 PREFERRED Oct 08, 2026
69803NC0010122 Silver Simple Diabetes with Adult Dental & Vision | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010064 Silver Simple Diabetes | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010025 Silver Simple PCP Saver 2027 PREFERRED Oct 08, 2026
69803NC0010065 Silver Simple PCP Saver | with Atrium Health 2027 PREFERRED Oct 08, 2026
69803NC0010072 Silver Simple Women's Health with Menopause Benefits | with Atrium Health 2027 PREFERRED Oct 08, 2026
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 NCN001 Jan 10, 2025
69803NC0010061 Bronze Classic 4700 | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010050 Bronze Classic Standard 2025 NCN001 Jan 10, 2025
69803NC0010055 Bronze Classic Standard | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010005 Bronze Elite + PCP Saver Plus 2025 NCN001 Jan 10, 2025
69803NC0010062 Bronze Elite + PCP Saver Plus | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010053 Gold Classic Standard 2025 NCN001 Jan 10, 2025
69803NC0010057 Gold Classic Standard | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010035 Gold Elite Saver Plus 2025 NCN001 Jan 10, 2025
69803NC0010066 Gold Elite Saver Plus | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010011 Secure 2025 NCN001 Jan 10, 2025
69803NC0010060 Secure | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010006 Silver Classic 2025 NCN001 Jan 10, 2025
69803NC0010052 Silver Classic Standard 2025 NCN001 Jan 10, 2025
69803NC0010056 Silver Classic Standard | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010063 Silver Classic | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010045 Silver Simple Diabetes 2025 NCN001 Jan 10, 2025
69803NC0010064 Silver Simple Diabetes | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010025 Silver Simple PCP Saver 2025 NCN001 Jan 10, 2025
69803NC0010065 Silver Simple PCP Saver | with Atrium Health 2025 NCN001 Jan 10, 2025
69803NC0010024 Bronze Classic 4700 2024 PREFERRED Oct 08, 2026
69803NC0010002 Bronze Classic PCP Saver 2024 PREFERRED Oct 08, 2026
69803NC0010050 Bronze Classic Standard 2024 PREFERRED Oct 08, 2026
69803NC0010005 Bronze Elite + PCP Saver Plus 2024 PREFERRED Oct 08, 2026
69803NC0010014 Bronze Simple HSA 2024 PREFERRED Oct 08, 2026
69803NC0010053 Gold Classic Standard 2024 PREFERRED Oct 08, 2026
69803NC0010035 Gold Elite Saver Plus 2024 PREFERRED Oct 08, 2026
69803NC0010011 Secure 2024 PREFERRED Oct 08, 2026
69803NC0010006 Silver Classic 2024 PREFERRED Oct 08, 2026
69803NC0010052 Silver Classic Standard 2024 PREFERRED Oct 08, 2026
69803NC0010030 Silver Elite Saver Plus 2024 PREFERRED Oct 08, 2026
69803NC0010045 Silver Simple Diabetes 2024 PREFERRED Oct 08, 2026
69803NC0010025 Silver Simple PCP Saver 2024 PREFERRED Oct 08, 2026
69803NC0010003 Bronze Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 08, 2026
69803NC0010024 Bronze Classic 4700 2023 PREFERRED Oct 08, 2026
69803NC0010002 Bronze Classic PCP Saver 2023 PREFERRED Oct 08, 2026
69803NC0010050 Bronze Classic Standard 2023 PREFERRED Oct 08, 2026
69803NC0010043 Bronze Elite- Deductible Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 08, 2026
69803NC0010012 Bronze Elite- Deductible+Specialist Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 08, 2026
69803NC0010005 Bronze Elite + PCP Saver Plus 2023 PREFERRED Oct 08, 2026
69803NC0010014 Bronze Simple HSA 2023 PREFERRED Oct 08, 2026
69803NC0010051 Bronze Simple- Standard 2023 PREFERRED Oct 08, 2026
69803NC0010013 Gold Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 08, 2026
69803NC0010053 Gold Classic Standard 2023 PREFERRED Oct 08, 2026
69803NC0010036 Gold Elite ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 08, 2026
69803NC0010035 Gold Elite Saver Plus 2023 PREFERRED Oct 08, 2026
69803NC0010011 Secure 2023 PREFERRED Oct 08, 2026
69803NC0010006 Silver Classic 2023 PREFERRED Oct 08, 2026
69803NC0010017 Silver Classic- Deductible Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 08, 2026
69803NC0010052 Silver Classic Standard 2023 PREFERRED Oct 08, 2026
69803NC0010030 Silver Elite Saver Plus 2023 PREFERRED Oct 08, 2026
69803NC0010045 Silver Simple Diabetes 2023 PREFERRED Oct 08, 2026
69803NC0010025 Silver Simple PCP Saver 2023 PREFERRED Oct 08, 2026
69803NC0010015 Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2023 PREFERRED Oct 08, 2026
69803NC0010021 Bronze Classic- $0 PCP ($0 Primary Care + $3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010023 Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010003 Bronze Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 08, 2026
69803NC0010040 Bronze Classic- $5000 Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010024 Bronze Classic 4700 2022 PREFERRED Oct 08, 2026
69803NC0010002 Bronze Classic PCP Saver 2022 PREFERRED Oct 08, 2026
69803NC0010022 Bronze Classic- Specialist Saver ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010042 Bronze Elite- $1000 Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010041 Bronze Elite ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010043 Bronze Elite- Deductible Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 08, 2026
69803NC0010012 Bronze Elite- Deductible+Specialist Saver Plus ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 08, 2026
69803NC0010005 Bronze Elite + PCP Saver Plus 2022 PREFERRED Oct 08, 2026
69803NC0010001 Bronze Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010014 Bronze Simple HSA 2022 PREFERRED Oct 08, 2026
69803NC0010038 Bronze Super Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010013 Gold Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 08, 2026
69803NC0010037 Gold Classic- HSA 2022 PREFERRED Oct 08, 2026
69803NC0010020 Gold Classic- Low Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010036 Gold Elite ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 08, 2026
69803NC0010035 Gold Elite Saver Plus 2022 PREFERRED Oct 08, 2026
69803NC0010033 Gold Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010011 Secure 2022 PREFERRED Oct 08, 2026
69803NC0010006 Silver Classic 2022 PREFERRED Oct 08, 2026
69803NC0010017 Silver Classic- Deductible Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 08, 2026
69803NC0010027 Silver Classic- Low Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010028 Silver Elite- $0 PCP ($0 Primary Care + $0 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010030 Silver Elite Saver Plus 2022 PREFERRED Oct 08, 2026
69803NC0010026 Silver Elite- Specialist Saver ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010008 Silver Simple ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010045 Silver Simple Diabetes 2022 PREFERRED Oct 08, 2026
69803NC0010044 Silver Simple- High Ded ($3 Drugs + $0 Virtual Care) 2022 PREFERRED Oct 08, 2026
69803NC0010029 Silver Simple- HSA 2022 PREFERRED Oct 08, 2026
69803NC0010025 Silver Simple PCP Saver 2022 PREFERRED Oct 08, 2026
69803NC0010015 Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) 2022 PREFERRED Oct 08, 2026

Data notes

Source notes and references

Note: This dashboard reflects recurring imports from CMS marketplace source files. Figures may lag issuer submissions or change when upstream source files are revised.

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