Guilford County, NC · Plan year 2027 at 2026 prices · Updated October 24, 2026

Guilford County, North Carolina: what you'll pay in 2027

A 45-year-old in Guilford County earning $35,000 would pay $76 a month for the cheapest bronze plan or $219 for the benchmark silver plan in 2027, after a premium tax credit of about $400 a month. Those figures use 2026 prices, because CMS had not published 2027 county prices as of this update.

Monthly cost after the 2027 credit

What each household would pay per month for the cheapest plan at each level, and for the benchmark silver plan, after the premium tax credit. Credit percentages are the 2027 IRS figures; premiums are Guilford County's 2026 prices.

HouseholdIncome% of poverty lineCreditBronzeSilverBenchmarkGold
Single, 27 $25,000 157% $353 about $0 $92 $96 $107
Single, 27 $45,000 282% $87 $259 $358 $362 $373
Single, 45 $35,000 219% $400 $76 $213 $219 $233
Single, 45 $60,000 376% $108 $369 $505 $511 $525
Single, 45 $70,000 439% $0 $477 $613 $619 $634
Single, 60 $35,000 219% $945 about $0 $207 $219 $246
Single, 60 $60,000 376% $653 $243 $499 $511 $538
Single, 60 $70,000 439% $0 $896 $1,152 $1,164 $1,191
Couple, 62 and 60 $50,000 231% $2,065 about $0 $307 $331 $387
Couple, 62 and 60 $85,000 393% $1,672 $173 $700 $724 $780
Couple, 62 and 60 $95,000 439% $0 $1,845 $2,372 $2,396 $2,452
Family: 40, 38, kids 10 and 7
children likely on Medicaid
$50,000 152% $900 about $0 $171 $182 $208
Family: 40, 38, kids 10 and 7 $90,000 273% $1,036 $303 $685 $703 $743
Family: 40, 38, kids 10 and 7 $140,000 424% $0 $1,339 $1,721 $1,738 $1,779

Cheapest plan at each level and the benchmark (second-lowest-cost silver) for the people who'd be on a marketplace plan; children who'd likely qualify for Medicaid are left out of the price. Non-smokers. Estimates, not quotes.

The math for one household

The 45-year-old earning $35,000, step by step:

  1. The 2026 poverty guideline for one person, used for 2027 coverage, is $15,960. $35,000 is 219% of it.
  2. At 219%, the 2027 IRS table expects 7.51% of income toward the benchmark plan: $219 a month.
  3. The benchmark silver plan in Guilford County costs a 45-year-old $619 a month at 2026 prices.
  4. The credit is the difference: $619 minus $219, or $400 a month.
  5. Applied to the cheapest bronze plan, it leaves $76; to the cheapest gold, $233.

The 400% line matters most at 60. A 60-year-old earning $70,000 is $6,160 over the $63,840 limit and gets no credit. Under the line, the credit here would be worth about $7,442 a year.

Prices in Guilford County

Guilford County premiums before the credit
Benchmark silver, age 40$548 a month
Cheapest bronze, age 40$422 a month
Cheapest silver, age 40$542 a month
Cheapest gold, age 40$561 a month
Insurers and plans6 insurers, 83 plans
Benchmark rank in North Carolina6 of 100 counties, cheapest first

If your income is low

North Carolina expanded Medicaid, so adults earning up to 138% of the poverty line (about $22,025 a year for one person) usually get Medicaid instead of a credit. Children qualify for Medicaid at higher incomes. Full limits are on the North Carolina page.

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Sources: CMS individual market plan file on data.healthcare.gov, plan year 2026; IRS Rev. Proc. 2026-26; HHS 2026 poverty guidelines; CMS default age curve; U.S. Census Bureau county population estimates, Vintage 2025 (to choose which counties get a page). Methods.

Questions people ask

How much is health insurance in Guilford County for 2027?

It depends mostly on income. At 2026 prices, a 45-year-old earning $35,000 would pay $76 a month for the cheapest bronze plan and $219 for the benchmark silver plan after the 2027 premium tax credit of about $400 a month. Before any credit, the benchmark silver plan costs a 40-year-old $548 a month.

How many insurers sell marketplace plans in Guilford County?

6 insurers offered 83 individual-market plans in 2026, according to CMS plan data.