× Insurance Archives
Terms of use Privacy Policy

North Carolina Health Insurance Costs



health market

North Carolina residents have many options when it comes to health insurance. There are many options for you, regardless of whether you do not have insurance or are unemployed. There is no reason to go without coverage. The ability to have health insurance can help prevent you from being left without cover and incurring huge medical bills.

North Carolina's cost of health insurance

North Carolina has a low cost for health insurance, but there are variations from one county to another. North Carolina's health insurance costs average $6,352 per person, and $25.408 per family. This is $629 less than the national average. The cost of North Carolina health insurance is just as variable as anywhere else. It varies based on what type of insurance and who you insure. The table below shows you how to compare North Carolina's insurance prices.

Blue Cross Blue Shield dominates North Carolina's individual insurance market. It controls almost ninety-seven per cent of the state's market. According to the federal data, North Carolinians paid more in 2021 that they did in 2019. North Carolina has one of the highest proportions of enrollees that received subsidies and premium tax credits. In fact, 93% of North Carolina residents received some form of subsidy to help lower the cost of their coverage. North Carolinians received a higher average monthly subsidy than other Americans. Compared to the national average of $491, the average amount of subsidies in North Carolina was $568.

Exclusions of pre-existing medical conditions

North Carolina individual health insurance policies are subject to exclusions for pre-existing conditions. These exclusions could be lessened if policyholders have prior creditable medical coverage. Prior coverage is considered creditable if it covers a pre-existing condition within six months of the time of the policy start date.


insurance policy

Before the Affordable Care Act, insurance companies could refuse coverage or charge higher premiums to people with certain medical conditions. In all cases, however, this was not the situation. A national survey revealed that almost a third were declined for or charged more to insure due to preexisting conditions. 54 percent of individuals who have individual insurance were worried about losing coverage due to pre-existing condition.

Premiums

The average premium for a family health insurance plan in North Carolina was $18,211 in 2018 compared to just under $12,000 in 2008. The premiums paid vary by county. North Carolinians covered by employer-sponsored medical insurance paid nearly 14 percent of the median income for their state, as compared to just over 11 percent in 2008. In comparison, the average American spent 8% of their income in 2008 on health care, and 11.5% in 2018.


Americans have made it easier to get insurance. Individuals can purchase North Carolina health insurance through the Affordable Care Act's Health Insurance Marketplace for as low as $600 per month. A private insurer, or the Marketplace, can sell health insurance plans. North Carolina has open enrollment for health insurance plans between November 1st and January 15th. However, a qualifying event must take place before an individual can enroll into an Exchange plan.

Plan for the short-term

Short-term health insurance plans are a great way to bridge the gap between regular health insurance and short-term coverage. These plans are beneficial for those who are new parents, early retirees, or simply looking to increase their coverage. Short-term plans usually have fewer requirements that standard health insurance. Therefore, it is important to compare the features and benefits of each plan. Make sure to compare premiums, deductibles, copays, maximum benefits, and plan start dates to make the best choice.

North Carolina residents can get short-term coverage through their health insurance plan. These policies are aimed at replacing individual health insurance policies, and can last up to 36 months. In certain cases, these plans are able to be renewed for extended periods of time. These plans are very affordable, especially if your employer doesn't offer coverage.


affordable.health insurance

Medicare coverage

Medicare coverage is available for seniors living in North Carolina. There are many different plans that you can choose from. These plans tend to be tiered with different levels, which means they offer different levels. There are many supplemental options available, some even offering prescription drug coverage. Original Medicare offers the most basic coverage. You can select any provider within the U.S.

Original Medicare is Medicare's most basic form. It covers doctor visits and medical equipment as well as mental health services and ambulance services. Original Medicare does not cover prescription drugs, but you can get prescription drug coverage through Medicare Part D. Alternatively, you can opt for one of the Medicare Advantage Plans, which include HMOs, PPOs, Private Fee-For-Service plans, and Special Needs Plans. These plans may include vision and hearing coverage and fitness programs.



 



North Carolina Health Insurance Costs