When is open enrollment in North Carolina for 2027?
In North Carolina, you sign up for 2027 coverage at HealthCare.gov, the federal Marketplace.
| Date | What happens |
|---|---|
| Nov. 1, 2026 | 2027 open enrollment starts |
| Dec. 15, 2026 | Last day to pick a plan that starts Jan. 1, 2027 |
| Jan. 15, 2027 | Open enrollment ends |
Plans picked from Dec. 16 to Jan. 15 start Feb. 1, 2027. Coverage Decider checked these dates against HealthCare.gov and CMS on Oct. 15, 2026. 2027 open enrollment dates lists every state’s deadlines.
Who qualifies for Medicaid in North Carolina?
North Carolina expanded Medicaid. Adults 19 to 64 qualify with income up to 138% of the federal poverty level: $22,025 a year for one person or $45,540 for a family of four, using the 2026 guidelines.
| Group | Income limit, share of the poverty line (KFF, January 2026) |
|---|---|
| Adults 19 to 64 | 138% |
| Children, through Medicaid or CHIP | 216% |
| Pregnancy | 201% |
- After a birth: North Carolina’s Medicaid covers 12 months of postpartum care.
- Every state’s limits: Medicaid income limits by state.
- In dollars for your household size: the 2027 federal poverty level chart.
Does North Carolina have Medicaid work requirements in 2027?
Yes. Starting Jan. 1, 2027, adults 19 to 64 covered through North Carolina’s Medicaid expansion must show 80 hours a month of work, school, job training or volunteering, or show they’re exempt, under the 2025 federal budget law (P.L. 119-21).
Medicaid work requirements in 2027 covers who’s exempt and how reporting works.
What will 2027 plans cost in North Carolina?
Coverage Decider’s calculator estimates your 2027 tax credit and ranks North Carolina’s HealthCare.gov plans by your likely yearly cost. Until CMS posts 2027 prices, it shows what you qualify for and the most you’d pay for a benchmark plan.
Where can you get free help enrolling in North Carolina?
Trained assisters and Navigators help North Carolina residents apply for free. Find one near you on HealthCare.gov’s local help page.