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North Carolina Health Insurance

 

All health insurance policies in North Carolina are considered guaranteed renewable as long as your premiums are paid up to date.  So this means your health insurance can not be canceled because you become sick.

 

North Carolina mandates that health insurance companies cover newborns and adopted children for the first 31 days, on their parent’s policy.  But inversely pregnancy is, and can be considered a pre-existing condition, except on group health policies.  Pregnancy is a pre-existing condition but not on group health insurance.

 

Health Insurance Companies in North Carolina must also cover mammograms, pap smears and diabetic testing and supplies.

 

The North Carolina Department of Insurance, Health Insurance Division, has put together a website designed to inform North Carolina Residents about their rights relative to health insurance.  Click here to visit that site.

 

                              Request a North Carolina Health Insurance Quote

 

 

North Carolina Small Business Health Insurance

 

 

 

 

Cities in North Carolina

 

Charlotte NC

Raleigh NC

Greensboro NC

Durham NC

Winston-Salem NC

Fayetteville NC

High Point NC

Wilmington NC

Asheville NC

 

 

 

 

 

Commonly Searched Terms

 

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NC Self Employed Health Insurance

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NC Individual Health Insurance

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Health Insurance Companies in NC

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NC Health Insurance Policies

 

In North Carolina, a group health plan, can not base your health insurance premiums on your health.  This is called non discrimination.  Large Businesses can be turned down for coverage due to health, but Small Business Health Insurance in North Carolina is guaranteed issue, meaning that you can not be turn down for

coverage.

 

Pre-existing exclusions are limited on the amount of time they can exclude coverage.  Also if you have current coverage, without lapses, that will be credited against your pre-existing period.  Pregnancy is not considered a pre-existing condition on a group health plan.

 

North Carolina health insurance companies are only allowed to look back over the last 6 months, to decide what to consider pre-existing.  The maximum pre-existing waiting period, in North Carolina, is 12 months for any employee.   Any pre-existing periods must be applied only after written notice.

 

North Carolina does limit the amount of variation between premiums of different group health plans.  Each Small Business Plan will have certain enrollment periods in which employees can sign on to get coverage.

 

All North Carolina Small Businesses must be offered a choice of 2 standardized policies: standard and basic.  By standardizing health insurance policies, the state of North Carolina is making it easier for consumers to purchase health insurance.

 

For additional information about Small Business Health Insurance in North Carolina click here.

 

                              Request a North Carolina Small Business Health Insurance Quote

 

 

North Carolina Individual Health Insurance

 

All North Carolina Health Insurance Policies have to cover disabled children on their parent’s policy into their adulthood.

 

In North Carolina, insurance companies are able to decide if they want to insure you or not.  They can either rate you up or just refuse coverage.  There is one exception to this, and it is that Blue Cross Blue Shield of North Carolina must offer policies to individuals on a guaranteed issue basis.  Even though the insurers must accept your application, they can charge you quite a bit of money for coverage.

 

HIPAA eligible North Carolina residents must be offered a choice of two plans by private NC insurance companies.  There also can not be any pre-existing condition clauses.

 

North Carolina allows health insurance companies to include pre-existing conditions and these are the two ways they can do it:

-         With an Elimination Rider which basically changes the policy to deny coverage of anything to do with the pre-existing condition.

-         With a Pre-Existing period, this can not be more than 12 months.

 

Relative to Pre-Existing Conditions, Insurance companies in North Carolina must give credit to prior credible coverage as long as there was not more than a 90 day lapse in coverage.

 

The rates that an individual pays for a North Carolina Health Insurance Plan are based on age, location, health history, family size, sex etc.  Sadly there is no limit on how much an insurance company can charge and individual for coverage.

 

North Carolina has a great program for children called Health Choice for Children.  It is designed to provide affordable health insurance to North Carolina's uninsured children.  For more information visit their site.

 

For additional information about Individual Health Insurance in North Carolina click here.

 

                              Request a North Carolina Individual Health Insurance Quote

 

 

North Carolina Self Employed Health Insurance

 

In North Carolina, self employed people are able to buy health insurance like any other small business.  This means when you are buying a North Carolina Self Employed Health Insurance Policy, you can not be turned down from attaining one of two standard policies all insurance companies must offer.  Keep in mind you can be turned down for other policies they offer though.

 

Insurers have the right to ask self employed business owners for proof that they are self employed before they will offer them a policy.  This proof can be in the form of taxes or and or a letter from an attorney.

 

Another option for affordable North Carolina Self Employed Health Insurance is often associations or self employed groups.  Just keep in mind that not all of these groups or associations are regulated by the state.

 

One benefit for Self Employed people is that they are able to deduct 100% of their health insurance premiums from their taxes!

 

For additional information about Self Employed Health Insurance in North Carolina click here.

 

                               Request a North Carolina Self Employed Health Insurance Quote

 

 

Temporary North Carolina Health Insurance

 

Many situations may arise where you find yourself without health insurance, or about to be without health insurance.  These reasons could range from graduating college to being in-between jobs.  Instead of going without health insurance you should look into getting a North Carolina Temporary Health Insurance Policy.  These policies will be cheap, with high deductibles and low coverage, but getting a North Carolina Temporary Health Insurance Policy is much better than going with out health insurance. 

 

Please keep in mind that Temporary Health Insurance Policies in North Carolina are not guaranteed renewable, and if you reapply for coverage the insurance company has the right to deny coverage.

 

For additional information about Temporary Health Insurance in North Carolina click here.

 

                               Request a North Carolina Temporary Health Insurance Quote

 

 

What types of North Carolina Health Insurance are there?

 

HMO- Health Maintenance Organization.  This type of insurance is called managed care.  This means you have certain network of doctors and hospitals in North Carolina that you have to go to for care.  Most North Carolina HMO’s have office visit co-payments that range from $10 to $35, and hospital deductibles that range from $250 to $1,500.  Often the most affordable health insurance plans are HMO’s due to the fact they are managed care.

 

PPO-Preferred Provider Organization.  This type of insurance is also called managed care but it gives the consumer much more freedom; they allow you to visit any doctor or hospital in or out of network.  Most North Carolina PPO’s have an in network and an out of network charge.  If the in network co-insurance is 100% then the out of network co-insurance would be 80%.  If the in network co-insurance is 90% then the out of network co-insurance would be 70%   Typically North Carolina PPO’s offer co-payments for doctor visits as well as hospitalization.

 

Indemnity Plan - In North Carolina, as health insurance rates continue to rise, many people are finding it more affordable to drop their health insurance and buy a North Carolina Major Medical Health Insurance Plan.  An Indemnity plan can also be called a major medical plan or catastrophic health insurance.  Whatever you call it, typically a North Carolina Indemnity Plan would cover more “major” claims.  An Indemnity plan has an annual deductible and will usually allow you to pick different co-insurance options.  Indemnity plans allow you access to any doctor or hospital, and for this reason they are typically very expensive.

 

Discount Medical Plans – In recent years many Discount Medical Plans have started to surface.  These plans have relatively inexpensive, but consumers must realize that this is not insurance.  All these companies do is to get their customers discounted rates (20-50% off) on certain procedures at certain physicians and hospitals. 

 

Federal Mandated Health Insurance Laws

 

HIPAA

Along with North Carolina Health Insurance Laws, there are Federal Laws that regulate Health Insurance companies.   HIPAA (Health Insurance Portability and Accountability Act of 1996). This act mandated federal standards for individual and group health insurance plans.  Some of the standards that it established were relative to guaranteed renew ability, crediting for prior health coverage and pre-existing condition waiting periods.

 

ERISA

Large corporations do not have health insurance policies.  Typically they are self funded, meaning the corporation pays for all of their employee’s medical bills instead of buying health insurance.  Most of these “self funded” companies are regulated by the federal government under ERISA (Employee Retirement Income Security Act)

 

COBRA

In North Carolina it is mandated, by the state, that all companies that offer a North Carolina Group Health Insurance Policy must also enable their employees to extend their health coverage temporarily; called Cobra.  A North Carolina Cobra Insurance is typically available for a time period of 18-36 months.   In North Carolina you are given 45 days to decide if you are going to take North Carolina Cobra Insurance or not.  Once you have passed on the opportunity to take Cobra, you are not eligible to receive it.

 

Cobra Insurance was introduced in 1985.  Cobra stands for Consolidated Omnibus Budget Reconciliation Act.  If you would like more information about your Cobra Insurance options please contact your companies HR department.

 

Often employees are surprised at the cost of a North Carolina Cobra Insurance.  The reason for this is that they are now responsible for 103% (100% of the premium plus a 3% administration fee) of a monthly health insurance premium when they probably only paid 20% while employed. 

 

Whether nor not to take Cobra is an important question, and you should realize there are alternatives to a North Carolina Cobra Insurance Policy.  One should realize what they plan to do in the future.  If you are looking for another job, and it will be a few months before you get a job, it might make sense to look for a North Carolina Temporary Health Insurance Plan.  If you are contemplating working at a consultant, it would be in your best interest to look into a North Carolina Self Employed Health Insurance Policy.   

 

QuicklyQuoteMe’s Opinion on Health Insurance

On most health insurance policies you have the option of taking a higher deductible, which can save you on your monthly premiums.  For these people who are generally healthy and do not use their medical policy it makes sense to take a risk to lower a monthly bill.

 

QuicklyQuoteMe recommends you consider your risk and talk with our licensed professionals about which deductible is right for your policy.  At QuicklyQuoteMe.com we have the highest quality insurance professionals working with us.  Fill out an online form and speak to one of them directly, they all come highly recommended!

 

                           Request a Health Insurance Quote from one of QuicklyQuoteMe’s Agents

 

 

If you are a health insurance agent looking for North Carolina Health Insurance Leads click here

 

 

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