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What insurance does FirstHealth of the Carolinas accept?

FirstHealth of the Carolinas serves Pinehurst, Troy in North Carolina. Which insurers file plans there, what the plan data actually shows, and how to verify your own plan.

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How the check works: a licensed agent checks FirstHealth of the Carolinas, and any doctors you name, against every 2026 marketplace plan filed in your county, then sends you the plans that include them and the date it was checked. It costs nothing, and you only get a call if you ask for one.

  1. Your ZIP code
  2. Who to check — FirstHealth of the Carolinas is filled in
  3. Your answer, usually the same day

Open Enrollment for 2027 runs November 1 to January 15: choose by December 15 for coverage from January 1. CareSource is leaving Ohio’s marketplace for 2027. If your plan is from CareSource, it ends December 31, and the plan that replaces it may not include FirstHealth of the Carolinas. A licensed agent will check the 2027 plans for you before you choose.

FirstHealth of the Carolinas runs 2 hospitals in North Carolina, in Pinehurst, Troy. Whether a marketplace plan covers any one of them depends on the individual plan, not on the carrier's name, and it can change during the year. Here is what is actually knowable, and how to settle it for your own plan.

Insurance at FirstHealth of the Carolinas: the short answer

These 2 insurers sell 2027 marketplace plans in Montgomery and Moore counties: Ambetter of North Carolina and Blue Cross and Blue Shield of NC.

That is not a list of plans FirstHealth of the Carolinas accepts. Hospitals contract with individual plans, not whole insurers, so the same insurer can sell one plan that includes FirstHealth of the Carolinas and another that doesn’t. The answer that counts is a check of your exact plan, dated. Get my free hospital check ↑

Searching for MetLife, Delta Dental or Renaissance? Those are dental insurers: dental plans cover teeth, not hospital care. If you want dental coverage too, see dental insurance for individuals.

Where FirstHealth of the Carolinas is

2 facilities, taken from the CMS Hospital General Information file, updated 22 July 2026. Listing a hospital is not a statement about which plans contract with it — that is decided plan by plan.

HospitalCityCountyEmergency roomCMS star ratingTypeOwnership
Firsthealth Montgomery Memorial HospTroyMontgomery CountyYesNot ratedCritical accessNon-profit
Firsthealth Moore Regional HospitalPinehurstMoore CountyYes4 of 5Acute careNon-profit

CMS star rating is the federal overall hospital quality rating, 1 to 5, from the same July 2026 CMS file. Small rural (critical access) hospitals often have too few reported measures to be rated.

Why no page can promise your plan covers FirstHealth of the Carolinas

Hospital networks are set plan by plan and renegotiated during the year. Two plans from the same insurer, at similar prices, can differ on whether a hospital is in network. Nothing in the public CMS files records hospital contracts, so any page listing "insurers FirstHealth of the Carolinas accepts" is describing one plan on one day, and not saying which.

What is knowable is the shape of the market: 2 insurers file 78 plans across the 2 counties below, and some plans in Montgomery County are PPOs, which pay something out of network; the rest (HMO) generally do not.

Three checks settle it for your own plan: the insurer’s own provider directory for the exact plan name, the hospital’s billing office (ask about the plan, not the carrier), and the date you checked, because the answer can change mid-year.

The 2027 marketplace where FirstHealth of the Carolinas sits

Filed rates for plan year 2027, before any premium tax credit. Benchmark Silver is the second-lowest-cost Silver plan for a 40-year-old, the plan credits are calculated against.

CountyInsurers filingPlans filedPPO soldBenchmark Silver, age 40Family of 4, per month
Montgomery County239Yes$726$2,320
Moore County239Yes$726$2,320

In Montgomery County the insurers filing are Ambetter of North Carolina, Blue Cross and Blue Shield of NC. 2 of these counties have a PPO on the exchange.

How many providers each insurer lists in Montgomery County

Every insurer selling marketplace plans has to publish its provider directory as a data file. The figures count the doctors, clinics and hospitals each one lists at an address in Montgomery County, across the 2026 plans it filed there. Ambetter of North Carolina lists the most, 249. Cigna Healthcare lists the fewest, 168.

InsurerProviders listed in Montgomery CountyPlans filed
Ambetter of North Carolina24915
Cigna Healthcare (leaving this marketplace for 2027)16810
Blue Cross and Blue Shield of NCnot counted: its directory file blocks automated downloads

From each insurer’s own CMS machine-readable provider directory, downloaded September 25, 2026. A bigger number is not a promise about FirstHealth of the Carolinas. These files are self-reported, they go stale, and one insurer’s plans do not all use the same network — which is why a licensed agent checks the exact plan against FirstHealth of the Carolinas by hand above.

Open Enrollment 2027

Cigna is leaving North Carolina's marketplace for 2027, and Open Enrollment runs 1 November 2026 to 15 January 2027. If your 2026 plan is from Cigna, the plan that replaces it is a different plan with its own network. A licensed agent can check FirstHealth of the Carolinas, and any doctors you name, against the plans filed in your county and send you the ones that include them, with the date it was checked.

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Emergency care is treated differently

2 of these locations run an emergency room. Federal law requires marketplace plans to cover emergency care at in-network cost sharing even when the hospital is out of network, so an emergency visit is not the case to worry about. Planned surgery, imaging, maternity and specialist follow-up are where the network matters.

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