Because the health Insurance industry is regulated partially at the state level, living in North Carolina can directly affect the health insurance that is available to you, and how and when you can apply. Whether you have deep roots or have just become a resident of “The Old North State”, these are some things that all North Carolinians should know about North Carolina Health Insurance:

What Types of Coverage are available to me in NC?
Residents of North Carolina have two major types of individual/family insurance available to them, Affordable Care Act (ACA) compliant, also referred to as “Obamacare”, and other alternatives like Short Term coverage. ACA-compliant plans are required to cover the same set of essential health benefits under the Affordable Care Act laws. Blue Cross Blue Shield of North Carolina offers the broad majority of these plans across the entire state. Short Term plans are not ACA compliant, but allow individuals and families to enroll outside of Open Enrollment Periods without a Qualifying Event. These plans do not cover pre-existing conditions, but are often more affordable than ACA compliant plans.

When Can I Apply?
The Open Enrollment Period is a yearly period when individuals and families can enroll in health insurance. Open enrollment for 2018 will begin on November 1st and last until December 15th. Open Enrollment is a very important time period because all individuals are eligible to enroll. If you miss Open Enrollment, you must qualify for a Special Enrollment Period. To qualify for Special Enrollment, you have to experience a Qualifying Life Event. Qualifiers such as getting married, having a baby or losing coverage provided by an employer could make you eligible to enroll during Special Enrollment, as long as you enroll within 60 days of the life altering event.

Is it Affordable?
One of the amenities of the Affordable Care Act is federal tax credits, also known as subsidies. Subsidies are designed to lower the cost of health insurance for low and middle income individuals or families. If you are eligible for a subsidy, it could greatly reduce the cost of your monthly premium. Generate a Blue Cross Blue Shield of NC health insurance quote to find out more about whether you are eligible for a subsidy.

At NC Health Plans/Jerry Ballard & Associates Inc., we love living in North Carolina and take pride in serving North Carolinians statewide. Our website allows you to generate quotes, shop for plans, and apply online at your convenience. If we can assist you in selecting a health insurance plan, please call us at 888-765-5400. We are North Carolinians serving North Carolinians!

For more information on North Carolina insurance coverage, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our experienced and professional agents.

“Obamacare” is a popular term used to describe the Affordable Care Act.  As insurance advisors, one question customers frequently ask is “Do you offer anything other than Obamacare?”  Understanding this question is most important before answering it.

First, Affordable Care Act compliant plans are not only health insurance plans offered through the Health Insurance Marketplace or “Exchange.”  They are also health plans offered “Off Exchange” or directly through insurance companies, as long as they meet all requirements under the Affordable Care Act.  In North Carolina, Blue Cross Blue Shield of North Carolina offers the vast majority of the ACA compliant health plans both on and off the Exchange.  Blue Cross offers plans in all 100 counties and in 2017 was the only company offering “On Exchange” plans in 94 of the 100 North Carolina counties.  When considering alternatives to ACA compliant plans, the most common is Short Term, also known as Temporary Health Insurance.

Temporary health insurance plans are not compliant with the ACA regulations which allows customers to enroll outside the Open Enrollment Period without the requirement of a Qualifying Life Event.  In the past, these plans were created and structured to bridge gaps in coverage.  However, recently their attraction has grown and individuals and families have begun enrolling in Short Term plans for extended policy periods as an alternative to the ACA compliant options.  The ACA compliant plans lack the flexible plan structure and low premiums that are attractive aspects of Short Term health insurance.  Short Term plans exclude coverage for pre-existing conditions which is a requirement under Obamacare.  Additionally, you must answer health questions on a Short Term application in order to be eligible to enroll.  For these reasons, the plans are usually significantly less expensive than ACA compliant plans.  These factors and others drive the premium prices down and often surprise shoppers when making a price comparison.

Furthermore, the Short Term health insurance regulations are expected to change on April 1, 2017.  The policy periods will be limited to 3 months.  For applicants that enroll prior to April 1, the policy period can last until Dec. 31, 2017 with certain carriers like United HealthOne.

For more information on North Carolina insurance coverage, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our experienced and professional agents.

Whereas in the past, temporary health insurance was something people typically purchased in order to fill small coverage gaps, it has become a form of primary insurance for many individuals and families.  Although these plans are not ACA-approved and will not keep you from incurring a tax penalty, private health insurance plans are a great option for many individuals and families.

While non-compliant private health insurance plans are not designed for everyone as they do not cover pre-existing conditions, some people are finding they are the perfect solution to their health insurance needs.  If you qualify, private insurance plans can provide the peace of mind of knowing you are covered should you have an accident or face an unexpected illness and they can save you from the financial devastation of facing burdensome health care costs if uninsured.

For more information on North Carolina insurance coverage, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our experienced and professional agents.

You can get a quote, apply for a federal subsidy and enroll a 2017 BCBNSC health insurance plan in a matter of minutes by visiting our website at www.nchealthplans.com or by calling 888-765-5400.  You can do your application online or over the phone with one of our authorized representatives and have the peace of mind that comes from knowing you and your family are covered.

Don’t miss this important deadline!  Apply and enroll your 2017 coverage by midnight, December 15th.  For more information on North Carolina insurance coverage, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our experienced and professional agents.

Brad Wilson, President and Chief Executive Officer of Blue Cross Blue Shield NC explains.

In an op-ed article for the News and Observer on October 1, 2016, Brad Wilson called Blue Cross Blue Shield NC’s decision to stay in the game an “important commitment” to the residents of North Carolina.  He explained that had BCBSNC pulled out of the ACA market for 2017, over 600,000 NC residents would have been left without an option for health insurance.  The BCBSNC CEO went on to say that although he believes the decision was the right one, it also presents new challenges for an already troubled market.

Because ACA customers tend to be unhealthier and tend to use health care at a higher rate than non-ACA customers, the company is forced to reevaluate their ability to sustain an influx of possibly 260,000 new ACA clients. Not only must BCBSNC face the challenge of yet another rate increase to support the ACA business, but are also facing the reality of trying to prepare at the last minute for a customer service department that can handle an extraordinarily high volume of calls and customer needs.

Brad Wilson assures that Blue Cross Blue Shield of North Carolina has “been working around the clock to prepare for these new customers… and are better prepared to manage expectations throughout this enrollment period.”   Some of the ways Blue Cross Blue Shield NC is preparing is by developing additional online resources and increasing the number of customer service personnel and phone lines available to consumers. That being said, Mr. Wilson also recognizes the fact that there will undoubtedly be a strain on the company both financially and in terms of service capabilities.  Having already lost upwards of $4 million dollars in 2014 and 2015, Brad Wilson reminds North Carolinians that the “commitment to serve the state cannot subordinate our obligation to our customers to be financially stable for the long term – which cannot occur if large financial losses continue despite having raised premiums.”

As Blue Cross Blue Shield of North Carolina prepares for Open Enrollment 2017, we at NC Health Plans are likewise committed to assisting all of our customers through the enrollment process.  We offer the most up-to-date enrollment tools available and want to help our clients enroll in the best health plan available with the least amount of stress involved.  For more information on North Carolina insurance coverage, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our experienced and professional agents.

]]> https://www.nchealthplans.com/news/2016/09/what-is-a-health-insurance-marketplace-and-how-does-it-affect-me/ Fri, 16 Sep 2016 14:55:23 +0000 http://www.nchealthplans.com/news/?p=8119 With Open Enrollment 2017 just around the corner, you may be hearing a lot of talk about the Health Insurance Marketplace.  You also may be wondering exactly what a Health Insurance Marketplace is and how it will affect you and your ability to enroll in a health plan. Basically, a Health Insurance Marketplace, also called a Health Exchange, is an organization set up to facilitate the purchase of health insurance in each state under the Patient Protection and Affordable Care Act (ACA), also known as Obamacare.  Some states have elected to run their own Marketplace or Exchange, while other states are a part of the federal Exchange.  North Carolina is a part of the federal Marketplace.

For North Carolina residents who do not have access to employer based insurance, the Marketplace (Exchange) provides access to individual health plans offered by private insurance companies.  As of September 1, 2016, the only company in North Carolina considering continuing offering health plans on the Marketplace in 2017 is Blue Cross Blue Shield of NC.  If you are applying for a federal subsidy or premium tax credit you are required to enroll a Marketplace plan.  All Marketplace plans offer ten essential benefits, including preventive care, and ask no health questions regarding preexisting conditions.

The federal Marketplace has experienced very high amounts of traffic over the last few years, causing long hold times and difficulties with online applications.  In response, some private companies  have contracted with the federal government to offer shorter, more user-friendly Marketplace applications that can be accessed by contacting an agent.  Your agent can help you compare plans offered on the Exchange and assist you with submitting an application.

Keep in mind, that under the Affordable Care Act, you are required by law to be enrolled in a health insurance plan or pay a federal tax penalty.  For Marketplace plans and pricing, visit nchealthplans.com or contact one of our licensed agents at 888-765-5400.  At NC Health Plans we are committed to helping you navigate Open Enrollment 2017 and all of your NC health insurance needs.