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Counselors Health Insurance in North Carolina

Benchmark $660/mo · ranked 8 of 23 · median wage $56,470

Licensed Independent Agent · NPN #22052447 · 23 States

The benchmark premium for a 40-year-old in North Carolina is $660 a month for 2027, ranking 8 of 23 states published here. BLS reports a median annual wage of $56,470 for Substance Abuse, Behavioral Disorder, and Mental Health Counselors in North Carolina.

Wage benchmark and the 2027 subsidy cliff

$56,470median annual wage, Counselors in North Carolina
354%of the federal poverty level
$63,8402027 subsidy cliff, single-person household

Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2027.

This occupation sits above the cliff in 2 of the 23 states reported and below it in the other 21, so the answer changes with the state.

Median annual wage by state, Substance Abuse, Behavioral Disorder, and Mental Health Counselors400% FPL — $63,840Utah$65,920Nebraska$64,410Wisconsin$62,470Texas$60,630Illinois$59,570Michigan$59,530Nevada$59,470Colorado$59,190Oklahoma$58,610Virginia$58,410Maryland$57,820Kansas$57,760Ohio$56,990Florida$56,830North Carolina$56,470Georgia$55,320South Dakota$53,400South Carolina$50,720Arkansas$49,990Indiana$49,280Alabama$48,880Tennessee$48,170Mississippi$46,810

What this figure is. It is the median annual wage BLS reports for Substance Abuse, Behavioral Disorder, and Mental Health Counselors (SOC 21-1018) in North Carolina. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed counselor. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.

Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2027 the 400% FPL limit applies again, so household income above $63,840 ends premium tax credit eligibility outright.

Sources
  1. U.S. Bureau of Labor Statistics. Occupational Employment and Wage Statistics, May 2024. State-level annual median wage (A_MEDIAN), detailed occupation. https://www.bls.gov/oes/. Retrieved 2026-08-03. Figures used unmodified; suppressed cells are omitted, not estimated.
  2. U.S. Department of Health and Human Services. Annual Update of the HHS Poverty Guidelines. 91 FR 1797, 15 January 2026. https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines. Retrieved 2026-09-27. The 2026 guidelines govern premium tax credit eligibility for plan year 2027 coverage. The 2027 guidelines apply to 2028 coverage.
  3. Full dataset for all occupations and states: CSV · JSON (CC BY 4.0).

All 23 states

Benchmark premium and median wage for this occupation, ranked by premium.

#StateBenchmark @40Median wagevs cliff
1Maryland$491$57,820below
2Indiana$537$49,280below
3Virginia$549$58,410below
4Nevada$565$59,470below
5Michigan$595$59,530below
6Ohio$603$56,990below
7Colorado$615$59,190below
8North Carolina$660$56,470below
9Oklahoma$686$58,610below
10South Carolina$702$50,720below
11South Dakota$704$53,400below
12Illinois$707$59,570below
13Alabama$712$48,880below
14Utah$716$65,920above
15Wisconsin$720$62,470below
16Georgia$733$55,320below
17Texas$737$60,630below
18Florida$738$56,830below
19Kansas$748$57,760below
20Arkansas$757$49,990below
21Nebraska$780$64,410above
22Tennessee$796$48,170below
23Mississippi$814$46,810below

Questions

How much does a counselor make in North Carolina?
The BLS median wage for Substance Abuse, Behavioral Disorder, and Mental Health Counselors in North Carolina is $56,470 a year (May 2024). Starting pay — the 10th percentile — is about $38,440. The middle half earn $47,460 to $68,470, and the top 10% more than $83,790. BLS counts about 8,930 people doing this work for an employer in North Carolina. The self-employed are not in the BLS survey, so this is the going rate for the work, not your own number.
Does being a counselor change what health insurance costs in North Carolina?
No. Under the ACA carriers may not rate, decline, or exclude based on occupation or health history. Premiums vary only by age, ZIP code, tobacco use and household size, so the benchmark of $660 a month applies regardless of trade.
Do counselors qualify for a subsidy in North Carolina in 2027?
Premium tax credit eligibility depends on household modified adjusted gross income and household size, not occupation. For reference, the BLS median wage for Substance Abuse, Behavioral Disorder, and Mental Health Counselors in North Carolina is $56,470, which is below the 2027 cliff of $63,840 for a single-person household. Your own income and household size decide the answer.
What is the benchmark premium in North Carolina for 2027?
$660 a month for a 40-year-old, ranking 8 of 23 states published here. That is full price before any premium tax credit.
Where do these numbers come from?
Premiums come from the CMS Plan Year 2027 Qualified Health Plan Landscape file and published state rate approvals. Wages come from the U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024. Both are reproduced unmodified; the full wage dataset is downloadable as CSV or JSON.

Going deeper on North Carolina

This page compares states. For North Carolina specifically — county-by-county carriers, plan data and enrollment help — that is published on Coverage by County. To check whether a plan actually covers your hospital, see Plans By City.

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How North Carolina compares with every other state →

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Counselors in North Carolina: choosing a 2027 plan

North Carolina has 5 carriers selling 2027 plans over 100 counties, down from 6 in 2026. The list is set county by county, so start with the carriers in yours.

Price, in one number: $694 a month for the median county’s benchmark Silver at 40 in 2027, up from $686 in 2026.

Open Enrollment runs from November 1. December 15 is the date that matters: choose by then and cover starts January 1 in North Carolina and every other state.

PPOs are sold in 90 of North Carolina’s 100 counties for 2027. Whether yours has one decides how much out-of-network care a plan will pay toward.

Worth settling before December 15

The 2027 plans are posted and the deadline for a January 1 start is December 15. Ten minutes with your ZIP code settles which plan still fits.

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See what you would really pay as one of North Carolina’s Counselors

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“I run my own business and my time is valuable. Daniel handled everything — compared the private options, explained what I was actually getting, and had me covered fast. Way better experience than trying to navigate it myself.”
Mark T., client