Major changes have been implemented to lower health insurance costs for people purchasing their coverage through the Health Insurance Marketplace.  Under the American Rescue Plan of 2021, many Americans will become newly eligible for federal government subsidies applied toward monthly Insurance premiums.  This will trigger plans to be much less expensive for many people that have shopped for health insurance through the Marketplace in years past. 

Who is Eligible?

1. People with Higher Income:

Since the introduction of the ACA, individuals and families making over 400% of the Federal Poverty Level (FPL) did not qualify for a subsidy.  After April 1^st, 2021, many people making a higher income or over 400% of the FPL will be eligible for a subsidy.  This federal subsidy will help reduce the cost of the health insurance.  Many Americans will pay significantly lower monthly premiums for Individual market health plans.

2. People currently eligible for a Subsidy:

Many people who are already eligible and already receiving a subsidy will qualify for more subsidy.  Estimates indicate that most people will see health insurance costs decrease and some will pay as little as $0 per month with the new subsidies applied.  This group should see a significant change in the cost of plans.

When Can I Apply or Change My Plan?

The Federal Government has created a Special Enrollment Period which will allow health insurance shoppers to enroll in a plan now.  This Enrollment Period is currently set to end on Aug 15^th, 2021.  Once you apply, coverage can become effective as early as the 1^st of the month following when you apply.

You can View Plans and Apply Online here for a plan through the Health Insurance Marketplace.

• Ambulatory Services
• Emergency Services
• Hospitilization
• Maternity and Newborn Care
• Mental health and substance abuse services (including behavioral health)
• Prescription drugs
• Rehabilitative and habilitative services and devices
• Laboratory services
• Preventive/wellness services and chronic disease management
• Pediatric services, including dental and vision

BCBSNC understands that your health care matters and that these essential services are extremely important and necessary to your overall wellness and peace of mind.  With a variety of health care policies to meet your essential needs, Blue Cross Blue Shield of North Carolina is committed to offering quality health care that more than covers the basics.  To find a BCBSNC health plan you can trust with your essential care, click here.

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). It would be our pleasure to help you navigate through the Health Care Reform changes in accordance with the new regulations of Obamacare. Call us for details.

Open enrollment for health insurance has ended; however you may still qualify for a special enrollment period due to a qualifying event.  Some examples of these qualifying events include:

1. Marriage, having a baby, adopting a child or placing a child for adoption or foster care, moving outside your insurer’s coverage area, gaining citizenship, leaving incarceration.
2. Gaining status as member of an Indian tribe. Members of federally recognized Indian tribes can sign up for or change plans once per month throughout the year.
3. For people already enrolled in Marketplace coverage: Having a change in income or household status that affects eligibility for premium tax credits or cost-sharing reductions
4.  Losing other health coverage—due to losing job-based coverage, divorce, the end of an individual policy plan year in 2014, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP, and similar circumstances. Important: Voluntarily ending coverage doesn’t qualify you for a special enrollment period. Neither does losing coverage that doesn’t qualify as minimum essential coverage.

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). It would be our pleasure to help you navigate through the Health Care Reform changes in accordance with the new regulations of Obama care. Call us for details.

]]> https://www.nchealthplans.com/news/2014/02/obamacaremarketplace-let-us-guide-you-and-make-this-process-easy-for-you/ Thu, 20 Feb 2014 00:56:55 +0000 http://www.nchealthplans.com/news/?p=4476 Enrolling in a Blue Cross Blue Shield of North Carolina plan is simple and easy. You can enroll online 24/7.

When you get your free, no-obligation rate quote, we will help you estimate any advance premium tax credit (subsidy) or cost-sharing reduction you may be eligible for through the government.  Your quote will outline the estimated subsidy so you can see the reduced rate.

Next Step: Register through your free rate quote, click the link in your quote to start your healthcare.gov application process.  We will help you select a plan and guide you through the entire process.  Once your subsidy application is completed, we will guide you through the payment process and provide you the payment coupon so you can mail your payment to Blue Cross Blue Shield of North Carolina to guarantee your coverage starts on the effective date you requested.

NOT APPLYING FOR A SUBSIDY.  Apply today and start coverage immediately.  YOU DO NOT HAVE TO GO TO THE MARKETPLACE and we can walk you through these very simple and easy steps.

You only have a limited time to enroll. The annual enrollment period ends 3/31/2014.   As of today, you will have the option for an April 1st or May 1st effective date.  Unless special circumstances apply, you will not have the opportunity to enroll again until  the next Open Enrollment starting Nov 2014 for coverage that starts 1/1/2015. That means you cannot wait for a medical need to enroll.

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). It would be our pleasure to help you navigate through the Health Care Reform changes in accordance with the new regulations of Obama care. Call us for details.

Blue Select is one of those plan options that provides smart choices and health savings.

Blue Select features a tiered network to help you save money. This plan offers:
+ A large network with two tiers of providers to choose from
+ Prescription drug requirements

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). It would be our pleasure to help you navigate through the Health Care Reform changes in accordance with the new regulations of Obama care. Call us for details.

Information from a BCBSNC publication on 8/12/13.

Blue Value is one of these options.  The coverage you need, the savings you want. Blue Value features the lowest costs of all our plans. This plan offers:

+ Quality, cost-effective coverage
+ A limited network of providers and pharmacies
+ Prescription drug requirement

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). You may qualify for a 15% healthy lifestyle discount if you are in excellent health. Call us for details.

Information from a BCBSNC publication on 8/12/13.

BCBSNC will be sending you your new 2014 rate in September. Starting October 1, you can go to Member Services to link to the Health Insurance Marketplace to confirm subsidies. You can compare your rate from our September rate letter to the rate of a new 2014 plan with subsidies. This side by side comparison will help you decide what is best for you.  Remember, changes to your plan must be made by December 15, 2013 for the plan to be effective January 1, 2014.

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). You may qualify for a 15% healthy lifestyle discount if you are in excellent health. Call us for details.

Information from a BCBSNC publication on 8/12/13.

COST-SHARING REDUCTIONS:

2014 plans will be grouped into four metallic levels: Bronze, Silver, Gold and Platinum. In order to take advantage of Cost-Sharing Reductions, you must choose a Silver plan. They help lower out-of-pocket expenses, such as deductibles, co-pays and coinsurance.

Cost-Sharing Reductions are only available for households with incomes thatare between 100% and 250% of the Federal Poverty Level (FPL).

For example, let’s say you go to the doctor and are charged $100. Normally with a Silver plan you might have a co-pay of $25, but because
you qualify for Cost-Sharing Reductions and you chose a Silver plan, you may have a co-pay as low as $5.

Cost-Sharing Reductions can also lower deductibles. For example, a $3,500 deductible may be lowered to $500.

With Cost-Sharing Reductions, you essentially pay for a Silver plan but receive the richer coverage of higher metallic level plans, thereby reducing your out-of-pocket expenses. If you qualify for Cost-Sharing Reductions, you should take advantage of this cost savings benefit.

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). You may qualify for a 15% healthy lifestyle discount if you are in excellent health. Call us for details.

Information from a BCBSNC publication on 8/12/13.

Date: 08/23/2013

Recently, the North Carolina (NC) legislature passed House Bill 649, which made changes to NC’s Small Employer Group Health Coverage Reform Act in order to align federal and NC definitions related to small employer group health plans – specifically, those definitions included as part of the Affordable Care Act.

Important changes affecting BCBSNC employer groups beginning January 1, 2014 include:

Sole Proprietorship Change

Self-employed individuals (or sole proprietors) with no common-law employees are no longer eligible for non-grandfathered small employer health plan coverage; conversely, a sole proprietor is eligible for group coverage if there is at least one common law employee (e.g., non-family member, etc.) employed.

Under the new law, self-employed individuals who are currently on a small group plan will not be able to renew their small group plan when their current policy period ends. At that point, they can enroll in an individual product rather than a small group health policy. If the individual’s current small group plan renews outside of the Annual Enrollment Period (which begins on October 1, 2013 for plans effective in 2014), they could still enroll in an individual product under a special enrollment period. They can obtain one of these policies either through an appointed agent, the federally-facilitated Exchange or by contacting a BCBSNC representative.

Full-Time Equivalent Employees

House Bill 649 states that “the number of employees shall be determined using the method set forth in section 4980H(c)(2) of the Internal Revenue Code.” (A link to this section of the Internal Revenue Code can be found here.)

In linking the employee count to the method set forth by the IRS, this law clarifies that full-time equivalent employees, which are determined based on the hours of service of employees who are not full-time, are taken into account.

Common Ownership Change

Currently, if a subsidiary company that has a separate tax ID number applies for a group policy and the subsidiary has fewer than 51 full-time employees (FTEs), but the subsidiary combined with the parent company has more than 50 FTEs, then the subsidiary company would be considered a small group even though the total number of FTEs is above the small group threshold.

Under the new NC law, if a subsidiary has fewer than 51 full-time or full-time equivalent employees, but the subsidiary combined with the parent has more than 50 full-time or full-time equivalent employees, then the subsidiary would be considered a large group, even if the subsidiary has a separate tax ID number from the parent company and were to get their own policy separate from the parent company.

Under this new law, BCBSNC must now know if a group is part of a controlled group that qualifies as a single employer and if so, how many full-time or full-time equivalent employees are employed by the consolidated group. The size of the controlled group will determine the market segment for the group.

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). You may qualify for a 15% healthy lifestyle discount if you are in excellent health. Call us for details.

None of the information contained herein should be construed as legal advice. All information is for educational purposes only. The requirements of the Affordable Care Act (ACA) may be different for everyone. Please consult your legal counsel or tax advisor for further details.  All the information contained in this article is from a Published Producer News Article by BCBSNC on 8/23/2013.

http://www.youtube.com/watch?v=o84Xz3_BQjc&feature=youtu.be

For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). You may qualify for a 15% healthy lifestyle discount if you are in excellent health. Call us for details.