Federal Poverty Level (FPL) Guidelines

WHEN APPLYING OR GETTING A QUOTE FOR YOUR BLUE CROSS BLUE SHIELD OF NORTH CAROLINA COVERAGE, SEE THE CHART BELOW TO HELP DETERMINE YOUR STATUS

Household Size – Annual household income

100% FPL                 250% FPL             400% FPL

1                                          $11,490                     $28,725                  $45,960

2                                          $15,510                     $38,775                  $62,040

3                                          $19,530                     $48,825                  $78,120

4                                          $23,550                     $58,875                  $94,200

5                                          $27,570                     $68,925                  $110,280

6                                          $31,590                     $78,975                  $126,360

7                                          $35,610                     $89,025                  $142,440

8                                          $39,630                     $99,075                  $158,520

ADD 4 EACH                 + $4,020                    + $10,050             + $16,080

ADDITIONAL PERSON

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). Call us for details.

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