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The Cost of Health Insurance in North Carolina



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North Carolina residents are offered a variety health insurance plans. Whether you don't currently have coverage or you are unemployed, there are many options available to you. There is no reason to go without coverage. You can avoid being left with huge medical bills by having health insurance.

North Carolina Health Insurance Costs

North Carolina has a low cost for health insurance, but there are variations from one county to another. North Carolina's average cost for health insurance is $6,352 per individual and $25,408 per household. This is $629 more than the national standard. 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. Check out the table below to see how insurance rates in North Carolina compare.

North Carolina's individual health insurance market is dominated by Blue Cross Blue Shield, which controls nearly ninety-seven percent of the state's individual market. According to federal data, North Carolinians paid a lower premium in 2021 compared to 2019. Furthermore, North Carolina is home to one of the highest percentages of enrollees who received premium tax credits and subsidies. 93% of North Carolina residents were eligible for some type of subsidy to lower their insurance costs. North Carolinians also received higher average monthly subsidies than the rest of the nation. Compared to the national average of $491, the average amount of subsidies in North Carolina was $568.

Exclusions from pre-existing conditions

North Carolina's individual health insurance policies have exclusions that apply to pre-existing medical conditions. These exclusions could be lessened if policyholders have prior creditable medical coverage. If coverage was in place within six months prior to the date of the policy starting, it is considered creditable.


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Prior to the Affordable Care Act, insurers could deny coverage or charge higher premiums for people with certain health conditions. In all cases, however, this was not the situation. A survey showed that almost a quarter of all individuals who had pre-existing conditions were denied insurance coverage or charged more. In addition, 54 percent of people with individual market insurance were concerned about dropping coverage due to pre-existing conditions.

Premiums

The 2018 average premium for a North Carolina family insurance plan was $18,211 compared to less than $12,000 in 2008 Premiums are not evenly distributed across counties, though. North Carolinians who had employer-sponsored health insurance spent nearly 14 percent of their state’s median income. This is compared to just under eleven percent in 2008. The average American spent 8 per cent of their income on healthcare in 2008 and 11.5 per cent in 2018.


Americans now have access to affordable health insurance through the Affordable Care act. The Affordable Care Act's Health Insurance Marketplace allows individuals to purchase health insurance in North Carolina for less than $600 per month. A private insurer, or the Marketplace, can sell health insurance plans. The North Carolina Marketplace offers health insurance plans. However, enrollment is only open between November 1 and January 15. A qualifying event must be present before an Exchange plan can be enrolled.

Short-term plans

A great way to bridge between regular and short-term health insurance is through short-term health insurance plans. These plans can be beneficial to people who have recently divorced or are looking to add to their existing coverage. Short-term plans are typically less restrictive than standard health insurance. This is why it's so important to compare features between each plan. To make the best choice, compare premiums.

North Carolina residents can access short-term, temporary health insurance plans if they need it. These policies replace individual insurance policies and can last up 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.


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Medicare coverage

You may be eligible for Medicare coverage if you are a senior citizen in North Carolina. There are many options available. Most plans are tiered with different levels and coverage. There are many options for supplemental coverage, and some plans even provide prescription drug coverage. Original Medicare provides the most basic coverage, and you can choose any provider in 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 provide coverage for prescription drugs. Prescription drug coverage can be obtained through Medicare Part D. Some of these plans even include vision and hearing coverage, fitness programs, and more.



 



The Cost of Health Insurance in North Carolina