North Carolina Marketplace Health Insurance Plans
Qualified Plans on Health Insurance Marketplace
Beginning October 1, 2013, each state was required by law to have a new online marketplace where residents can buy health insurance. In these marketplaces, most states will offer five tiers of Obamacare Health Exchange Plans: platinum, gold, silver, bronze and catastrophic. Platinum plans will offer the highest level of coverage but tend to cost more in monthly premiums. Bronze plans will cover only a bare minimum of health care expenses but tend to have low premiums. If you are relatively healthy and want to pay less up front, consider a lower-tier plan such as bronze or silver.
You should also look at a Health Insurance Marketplace plan if you are lower-income, because the government will give financial help on a sliding scale to pay for premiums, and better benefits if you select a silver-tier plan. If you have not already done so, we can tell you if a Health Insurance Marketplace plan makes sense given your income on the State Overview tab, under the heading, "Do I Qualify For a Tax Break?"
Read ACA and Health Insurance: Which "Metal" Tier is Right for You? for more advice on choosing between metal tiers.
In North Carolina, of the two insurers offering Obamacare exchange plans, Blue Cross Blue Shield is the only one operating statewide. CoventryOne offers exchange plans in 39 of North Carolina’s 100 counties, reports the News Observer. The companies offer a combined total of 51 exchange plans for residents to choose from, reports the Charlotte Observer.
Blue Cross and Blue Shield of North Carolina. With more than 3.7 million members, BCBSNC is affiliated with the Blue Cross Blue Shield Association, the oldest U.S. health insurance system. The Blue Cross Blue Shield Association offers coverage in all 50 states, the District of Columbia and Puerto Rico and has 37 Blue Cross and Blue Shield companies that serve over 100 million members (one third of all Americans), according to the company. Nationally, Blue Cross Blue Shield companies have contracts with over 96 percent of hospitals and 91 percent of providers. North Carolina residents who buy a Blue Cross Blue Shield exchange plan may not have access to the entire network of doctors and hospitals. BCBSNC offers PPO and PoS exchange plans in Bronze through Platinum tiers as well as a Catastrophic PPO exchange plan.
CoventryOne. CoventryOne is supported by Coventry Health Care, a subsidiary of Aetna, with over 5 million members in all 50 states. In North Carolina, CoventryOne serves 39 counties, including, Raleigh, Charlotte, Greensboro, Asheville and Fayetteville, according to Citizen-Times. The company offers HMO and PoS exchange plans.
Last updated by Heilbrunn, Evi | November 26, 2013