special enrollment – NCHealthPlans.com Health News

New and Improved NC Health Insurance Marketplace Application

Savannah Clark — Thu, 21 Feb 2019 16:43:49 +0000

The Health Insurance Marketplace has recently approved a brand new, quick and simplified application process that will benefit all Marketplace customers, old and new. As we are in the Special Enrollment Period, existing Marketplace members often find themselves needing to make updates or changes within their application. On the other hand, new members who qualify for a Special Enrollment Period need to apply on the Marketplace within 60 days of their Qualifying Life Event. This new and improved application process was designed to help simplify the process and make your marketplace application easier to navigate. If you are in the market for an affordable Health Insurance plan, or are currently enrolled through the Health Insurance Marketplace, look no further to make your editing or enrollment process much easier during the Special Enrollment Period. The process can be started by generating a quote and clicking “Enroll.”

Do you need to get enrolled in an affordable health plan?

If you qualify for Special Enrollment Period and have experienced a qualifying life event within 60 days, you may be eligible to enroll in an Affordable Care Act health plan. In order to apply for savings on the cost of these health insurance plans, one must apply for a federal tax credit or subsidy through the Health Insurance Marketplace. Subsidies can greatly reduce the cost of your monthly premiums, allowing you to save money on the cost of health insurance. In the past, the application has been lengthy and repetitive. However, the new and improved application process can simplify this experience, making it easier to navigate your application. This more user-friendly application helps guide you through the questions and makes them easy to understand. Generate a quote to discover if you are eligible for savings during the Special Enrollment Period and get started on your application!

Already enrolled through the Health Insurance Marketplace?

If you are already enrolled through the Health Insurance Marketplace and receive savings on your Health Insurance premium, there are several topics to consider during the Special Enrollment Period. These topics may trigger you to make changes to your application throughout the year. If you experience income changes, you must submit these changes to the marketplace. It is very important to keep your income up to date to ensure you are receiving the correct amount of federal tax credit, or savings on your premium. Other updates may include adding or removing household members from your application or reporting a move from your primary place of living. Utilizing this updated application platform will allow you to make these changes quickly and easily when needed. If you are enrolled through the Marketplace and need to make updates or changes, CLICK HERE to access your application or give us a call. We are happy to discuss these changes with you and ensure that you are taking the correct steps to update your application during the Special Enrollment Period.

For more information on North Carolina Health 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.

Short Term Health Insurance in North Carolina

Savannah Clark — Fri, 15 Feb 2019 21:03:56 +0000

Now that Open Enrollment Period has ended, it is important to know what Health Insurance options are available to you during the Special Enrollment Period. During Special Enrollment Period, you must have experienced a Qualifying Life Event in the past 60 days in order to enroll in an ACA-Compliant plan, also referred to as “Obamacare”. If you have missed Open Enrollment for 2019 health coverage, and do not have a qualifying life event, Short Term health insurance may be a great option for you!

What is Short Term Health Insurance?

Short Term, or Temporary Health Insurance, is a type of health plan that is considered Non ACA or Non Affordable Care Act Compliant. Because the plans are not compliant with the federal guidelines that are in place under the Affordable Care Act, there is not an Open Enrollment or Special Enrollment Period for these plans. This means that you can apply for the plans any time of year. You can also apply for coverage to start as early as the next day.

If comparing Short Term plans vs. ACA compliant plans, it’s important to understand that Short Term plans exclude coverage for pre-existing conditions, which is a requirement under Obamacare.

How Long Can You be Enrolled in a Short Term Plan?

Although these plans are labeled as “Short Term”, you can now enroll in a plan for up to 360 days a year under one application. This allows beneficiaries to bridge the gap until the following year’s Open Enrollment Period. Another benefit of Short term plans is the simple application process. It takes only minutes to complete the online application! CLICK HERE to see Short Term plans and/or get started on your application.

Is it Affordable?

Short Term health coverage was originally designed to bridge gaps in coverage. However, their attraction has grown as some individuals and families began to enroll in these plans as a more affordable alternative. People are often shocked at the cost of ACA compliant health plans in today’s market, especially those who don’t qualify for government provided premium tax credits or subsidies. When filling out a Short Term Health Insurance application, one must answer a few health questions in order to be eligible to enroll. These factors allow Short Term premiums to be significantly less expensive than ACA plans and are therefore, often utilized by individuals and families to save on monthly premiums! Generate a Short Term Quote to view the rates and plan options.

If you have missed the Open Enrollment Period, don’t have coverage, need to bridge a gap in coverage, or are simply trying to save money on your health insurance, don’t go at this alone! Give us a call to speak with one of our professional agents and see if a Short Term Health insurance plan could benefit you and your family. We look forward to hearing from you!

NC Health Plans Designated to 2019 Marketplace Elite Plus Circle of Champions

Savannah Clark — Fri, 11 Jan 2019 15:18:41 +0000

At NC Health Plans, we want wish you a very Happy New Year. We hope that 2019 brings you health and happiness! As the New Year begins, we would like to proudly announce that we have been designated to the Health Insurance Marketplace Elite Plus Circle of Champions for enrolling 500+ North Carolinians in coverage beginning January 2019. This is the highest achievement attainable for helping customers enroll in affordable health insurance through the Marketplace and we look forward to assisting more North Carolinians as we move into the Special Enrollment Period for 2019.

The health insurance Marketplace, or healthcare.gov is where individuals and families can apply for government subsidies to assist with the cost of health insurance. Subsidies can greatly reduce the cost of health insurance for those who qualify based on their yearly income. Now that we are outside of Open Enrollment for 2019, Special Enrollment Period has begun. You can still apply for Qualified Health Insurance if you have a qualifying life event. The most common Qualifying Life Events include losing coverage, getting married, having a child, or moving. Generate a quote to discover if you may be eligible for a subsidy during Special Enrollment Period.

Navigating the Health Insurance market can be confusing, and we are happy to assist you with every step of the way. We take pride in helping fellow North Carolinians apply for affordable health care through Blue Cross Blue Shield of North Carolina. Thank you for a great year, and we hope to continue serving many of you in 2019.

Five Reasons to Talk with an NC Health Insurance Agent

Savannah Clark — Fri, 24 Aug 2018 14:22:04 +0000

Navigating the insurance market as a first-time buyer can be overwhelming. Customers often call us lost and confused after they have attempted to understand the process of applying for health insurance, especially if it is their first attempt doing so. At NC Health Plans/Jerry Ballard & Associates Inc., we know that this process can seem daunting and stressful, but we are here to help! Our professional agents are not only helpful guides to choosing your best plan, but are also here to assist you with the entire application process. Lastly, they can provide you with important information regarding the details of your coverage. Here are five reasons why you should talk with an agent when applying for NC health insurance:

Find Out When You Can Apply: An agent will be able to determine the time frame in which you are able to apply for insurance. These times frames include Open Enrollment Period and Special Enrollment Period. During the Special Enrollment Period, you must have had a Qualifying Life Event occur within the last 60 days to enroll in an ACA-compliant plan. Talking with our agents can verify that you meet the requirements to enroll during special enrollment.

Determine Your Eligibility for Savings: Federal tax credits, also known as subsidies, are an amenity of the Affordable Care Act that are designed to lower the cost of health coverage. Talking with an agent can help determine if you are subsidy-eligible and meet the requirements set by the federal government. GENERATE YOUR QUOTE to determine if you are eligible for a subsidy, that could significantly reduce your monthly premium!

Get Help when Applying Online: Applying for coverage through the Health Insurance Marketplace can be tricky. Having an agent help you submit your application can avoid confusion during this process and ensure that your application is complete and submitted correctly. Our agents can help you submit your application right over the phone, it could take as little as 15-20 minutes!

Gain Knowledge About Your Coverage: Not only can agents provide insight about your plan’s benefits, they can also help you understand the details of your coverage. With so many options, such as Gold, Silver, and Bronze plans it can be confusing to determine which BCBSNC plan is best for you. It is also very important to know if your healthcare provider is “in-network.” Since it can be more costly to seek “out-of-network” coverage, knowing which doctors and hospitals accept your plan is one of the best ways you can manage your healthcare costs.

Ensure You Get Coverage When Needed: While applying for health insurance, customers may find that they have a lapse in coverage before they are able to enroll in a Blue Cross Blue Shield of North Carolina plan. It is important to avoid any gaps when you may go without coverage! Speaking with an agent can ensure that you are enrolled in the correct effective date so you won’t go without the protection and quality coverage that you need to maintain your health. We can’t wait to hear from you!

Learning about North Carolina Health Insurance

Savannah Clark — Thu, 16 Aug 2018 21:28:43 +0000

North Carolinians already know that we live in a wonderful and special place. It is not often that you can make a trip from the most beautiful mountain tops to the crystal clear waters of our coast in just a day. With North Carolina having so much to offer, it is not surprising that our population is growing, and more and more people are choosing North Carolina to call home.

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.

North Carolina Health Insurance when Turning 26

Kristen Baily — Wed, 01 Aug 2018 16:02:17 +0000

If you were born in ‘92, we want to wish you a happy 26^th birthday! Another trip around the sun is always something to celebrate and be thankful for, and we hope that this upcoming year is your best one yet! Adults in their mid-twenties find themselves in many different walks of life. Whether you have gotten married, had children, graduated, or simply having fun, there is something all 26 year-olds have in common. That is, that you’re aging out of your parents’ insurance plan!

Health Insurance shoppers at this age often call us with concern, saying, “I have never shopped for insurance before and don’t know what to do or where to start!” We realize that navigating this transition and the insurance market can be stressful and overwhelming. However, it is not something to put on the back burner or avoid! Here are some helpful things you should know about applying for insurance:

You have 60 days!

Turning 26 and aging out of your parent’s health insurance plan is considered a Qualifying Life Event. This qualifying event will provide you a 60 day window outside the Open Enrollment Period to enroll in a new plan. Make sure you know when this starts and stops in order to avoid any lapse in coverage.

You can save money!

Based on your household income, you may be eligible for a federal subsidy which can greatly reduce the cost of your monthly premiums. Generate a Blue Cross Blue Shield of NC health insurance quote to find out more about whether you are eligible for a subsidy.

Don’t go uninsured!

Did you know that under the health care law, you must have qualifying health coverage? Without it, you may face a penalty on your next tax return. In addition, it is important to have protection and quality coverage to maintain your health, or in case of sickness or an accident!

Don’t stress! It’s easier than you think!

This process can seem overwhelming. However, it is easier than you think. We are here to help you through the entire application process right over the phone, and it only takes about 25 minutes to apply for health insurance!

As you are thinking about your 26^th birthday celebration, remember your health insurance – and don’t let those 60 days slip away! Here’s to many more years of health and happiness!

NC Health Insurance – Fill Coverage Gaps and Add Value to Your Existing Plan

Kristen Baily — Mon, 18 Jul 2016 18:26:38 +0000

Open Enrollment 2017 will not begin until November, but you still have options available to help fill gaps in coverage and add value to your existing coverage. At NC Health Plans, we offer Critical Illness, Accident and Hospital Indemnity plans that can significantly reduce the out of pocket expense you could potentially incur because of high deductibles and coinsurance. Because of the nature of the ACA and the rising cost in health insurance, many people chose health plans with high deductibles in order to reduce monthly premiums. Although providing some relief on a monthly basis, these plans can create enormous financial stress should something unexpected happen.

Having an Accident, Critical Illness or Hospital Indemnity plan that pays directly to you a flat sum of money should you face one of these unexpected events can save you from potentially catastrophic health costs. In addition, none of these plans are connected to any specific network of providers so they will complement any traditional health insurance plan and you can receive care from any doctor or hospital you choose.

The application process is simple and each of these plans offer great benefits at a low price to help reduce your financial risk should you be faced with an unexpected illness, accident or hospitalization. Traditional health insurance is a must, both in terms of the law and in order to ensure you are properly covered for illnesses, preventive care and other medical procedures, but traditional health insurance is not always enough. At NC Health Plans, we offer a wide variety of insurance products to help fill the gaps left by traditional insurance and add value to your current health plan.

Can I Enroll in Health Insurance? – Understanding Special Enrollment

Kristen Baily — Thu, 10 Sep 2015 15:50:53 +0000

By now, most of us have heard the terminology, but what exactly is a Special Enrollment and what constitutes a Qualifying Life Event?

Under the Affordable Care Act, there are two different periods in which an individual may apply for health insurance. The first is referred to as Open Enrollment and during this time any person may apply for health coverage for any reason, as well as make changes to any existing health insurance policy. During Special Enrollment, however, there are more restrictions and a person is required to have what is referred to as a Qualifying Life Event (QLE) in order to acquire health insurance. If you do not have one of these Qualifying Life Events, you may not purchase health insurance during Special Enrollment and must wait until the Open Enrollment Period, which begins November 1, 2015 and runs through January 31, 2016. If you enroll during Open Enrollment, your health plan will not become effective until January 1, 2015 or later depending on the date of your application. Keep in mind, this is not a Blue Cross Blue Shield of North Carolina policy, but rather a policy of the federal government under the Affordable Care Act with which BCBSNC must comply. For uninsured individuals without a QLE, temporary insurance is a smart option while you wait.

For others, a Qualifying Life Event may have occurred in which case you may be eligible to enroll in health insurance now. A Qualifying Life Event is a specific circumstance that has altered your life and created an opportunity for you to enroll in health coverage—and there are strict guidelines to determine exactly what qualifies. For example, a recent marriage, adoption, or birth of a child are all events that would make you eligible to enroll in health coverage during a Special Enrollment period, so long as you enroll within 60 days of that life altering event. Losing previously held health insurance involuntarily is another example of a Qualifying Life Event, as is a move to North Carolina or a move to a different county within North Carolina. If your income increases so that you are no longer eligible for Medicaid, you are also able to enroll in new coverage during a Special Enrollment Period. Because the list of Qualifying Life Events is so varied, however, it is worth investigating whether you qualify to enroll during a Special Enrollment period.

It is important for you to understand what constitutes a Qualifying Life Event because it can have a huge impact on your ability to purchase health insurance or make changes to your existing policy. In addition, the effective date of your coverage will depend on your QLE and the date of your application.

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.

Want to Opt out of Group Insurance? – Now you Can!

Kristen Baily — Mon, 03 Aug 2015 18:00:35 +0000

One of the major concerns for Americans with the initiation of the Affordable Care Act was whether or not individuals would be able to stay with their employer’s group plan if they so desired. The answer is yes. The ACA did not mandate individual coverage versus group coverage, but simply mandated minimum essential coverage for every individual. Oftentimes, that coverage can be obtained through an employer or a group health plan.

However, with the rise in the cost of insurance, many Americans are now asking the opposite question: must I continue with my group coverage or can I pursue a more affordable individual option for either myself or my family members? Again, the answer is yes. Having access to group coverage does not disqualify you from pursuing other insurance options. In fact, enrollment in any non-calendar year group health plan is now a Qualifying Life Event.

Recently the Healthcare Marketplace extended the list of Qualifying Life Events (QLE’s), allowing more individuals to enroll in health coverage outside of Open Enrollment. Under the ACA, a person must have experienced one of these QLE’s within the last 60 days in order to be qualified for a Special Enrollment Period, and now that list includes the enrollment periods for certain group health plans. For instance, if your company or business offers you health insurance, during your company’s open enrollment period you will have a valid Qualifying Life Event and can at that time decide to either stay with group coverage or enroll in an individual health plan. Keep in mind, however, you only have 60 days to complete the enrollment process if you are opting out of group coverage.

Also, be aware that although you will have a Qualifying Life Event, you may not qualify for a federal subsidy. Having access to affordable group coverage as defined by the Healthcare Marketplace can disqualify you from receiving a premium tax credit to help you pay for your health insurance. Keep in mind, however, that although you may not receive a federal subsidy oftentimes individual health plans are still more affordable, especially for family members. If your company has an open enrollment period, it may be a good time to explore other options. An individual Blue Cross Blue Shield of NC health plan could be the perfect fit!

For you or your dependents under the age of 30, for example, you can save money with a Blue Cross Blue Shield of NC Catastrophic plan. Or, you may be able to get more coverage for your dollar simply because every BCBSNC health plan includes pediatric dental and vision as an added benefit. For these and other reasons, an individual health plan could be a wiser investment than group coverage and with the expansion of the list of QLE’s, it pays to do the research.

For more information on Blue Cross Blue Shield of North Carolina health insurance coverage, the Marketplace and healthcare gov to apply for your subsidy, 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. Let us help you navigate through the Health Care Reform changes in accordance with the new regulations of The Affordable Care Act, also known as Obama care.

A Baby Changes Everything – BCBSNC Coverage for new Dependents

Kristen Baily — Fri, 24 Jul 2015 14:26:39 +0000

For anyone who’s ever had a baby or anyone who is expecting to have a baby, you know all too well. A baby changes everything! There are so many new things to think about and determining the proper amount of health coverage for your new bundle of joy is one of the most important. The good news is that welcoming a new child into your family through either birth or adoption qualifies you for a Special Enrollment Period, meaning you do not have to wait until Open Enrollment begins in November to enroll your new dependent in a health plan.

In fact, you have 60 days from the day your baby is born or the day of your adoption to sign up for health insurance.If you are currently enrolled in a health plan, having a baby allows you the opportunity to add your baby to your current plan and make any other necessary changes to your coverage. Keep in mind, that all ACA approved health plans now include maternity and newborn care as part of the 10 Essential Health Benefits and that newborn care can make a big difference in your baby’s overall health and wellness.

In fact, pediatricians now recommend getting your new baby onto a wellness program as soon as he or she is born and keeping your child on that program throughout their young lives. This will ensure that your baby’s immunizations, growth, and developmental milestones are all right on track.

If you know you are expecting a baby, start your research now. You can generate a quote to purchase your new baby a Blue Cross Blue Shield of NC individual health plan or see what it will cost to add your newborn to your existing health plan. Keep in mind that when you enroll your new dependent in a BCBSNC health plan, your baby’s insurance coverage will be retroactive to the date of birth.

Having a baby is a wonderful and exciting experience, but also full of big life changes. Make sure your baby’s health care needs are fully covered so that you can give your child the best start possible.