Answers to your Membership Questions

You have several payment options to choose from. Visit the Ways to Pay page for more information.

You can request a new card through your Online Member Account or by calling member services at 1-833-863-1310 (Relay 711).

  • RX: Pharmacy 
  • Copay: The set amount of money you pay at the time of service.
  • PCP: Primary Care Provider
  • ER: Emergency Room
  • COIN: Coinsurance - The portion of your medical bill you pay, for certain services, after you meet your deductible.
  • Cost Shares: The sharing of costs under your insurance plan that you pay out of your pocket.
  • DED: Deductible - The amount you are responsible for paying before your insurance starts to pay.
  • INN: In-Network - A provider who is contracted with your health plan.
  • OON: Out-of-Network - A provider who does not have a contract with your health plan.
  • Ind: Individual
  • Fam: Family
  • MOOP: Max Out-of-Pocket - The total amount you’ll spend for healthcare, after which the insurance company pays for all medical care until the year ends. This does not include monthly premiums.

“In network” means the doctor, pharmacy, or facility is included in the Ambetter Health network. You should always try to use in-network services and providers.

“Out-of-network” means the doctor, pharmacy or facility is not included in the Ambetter Health network. You’ll likely pay more for those out-of-network services and providers.

Always have your Member ID Card with you when you receive medical care to verify if you are in network.

Need Help? We’re with you.

Get Answers to Your Questions.

Talk to our team: 1-833-863-1310 (Relay 711)
Or call your broker.

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Ambetter of North Carolina Inc. is underwritten by Ambetter of North Carolina Inc. which is a Qualified Health Plan issuer in the North Carolina Health Insurance Marketplace. This is a solicitation for insurance. ©2026 Ambetter of North Carolina Inc., AmbetterHealth.com/en/nc. If you, or someone you’re helping, have questions about Ambetter of North Carolina Inc., and are not proficient in English, you have the right to get help and information in your language at no cost and in a timely manner. If you, or someone you’re helping, have an auditory and/or visual condition that impedes communication, you have the right to receive auxiliary aids and services at no cost and in a timely manner. To receive translation or auxiliary services, please contact Member Services at 1-833-863-1310 (Relay 711). For more information on your right to receive an Ambetter of North Carolina Inc. plan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit AmbetterHealth.com and scroll to the bottom of the page.