New Options for NC Obamacare in 2015

The annual enrollment period for 2015 coverage for NC Obamacare will be here before we know it…enrollment starts on November 15 and goes through February 15. In 2014 there were only two health insurance carriers that participated on the marketplace for subsidized premiums in North Carolina. In 2015, United HealthCare (UHC) will also offer a range of plan options to compete with these other two options. Since plans and rates for these three carriers have yet to be released to the public we don’t know a whole lot of information. We do know that the current two carriers plans will be very similar to what they were in 2014. We have heard that the plan options with UHC will be Health Maintenance Organization (HMO) based and will have plan options ranging from Bronze to Platinum. If you have used us in the past you will know that we strongly encourage a Preferred Provider Organization (PPO) based network over an HMO based network. A lot of times when people are looking over plans without a professionals assistance this may be overlooked because they are only looking at price. Some of the pitfalls of an HMO based product is as follows:

  • Primary care physician (PCP) coordinates all care
  • Referrals needed from PCP to see specialists
  • No out of network coverage….must remain within the HMO.  This is a high risk
  • Limited choice of doctors in network

This is just a few of the issues that we have with the HMO product.  You really have to evaluate your risk vs reward in choosing these plans and this is where we can assist you the most.  We give you an unbiased opinion on the plan options and ensure that you fully understand you benefits.  Best of all there is absolutely zero cost to you for our services!

Special Enrollment Period – Losing Health Coverage

In follow up to our last blog post regarding Special Enrollment Periods (SEP) we wanted to look further into some specific ones that are most common. The most common SEP qualification we are seeing is for individuals that have lost or will lose their health coverage from their employer. Since we are outside of theContinue Reading

Enrolling in Obamacare in NC outside of Enrollment Period

We are still getting a lot of inquiries for people looking for coverage. Times have changed with the Affordable Care Act (aka “Obamacare”) in that you now can’t just buy coverage whenever you want. The initial Enrollment Period for coverage starting in 2014 was from October 1, 2013 – March 31, 2014. If you missedContinue Reading

Obamacare – Who will it help, who will it hurt?

With Healthcare reform, also known as Obamacare, quickly approaching (less than 48 days), our goal is to help you understand the impact the law with have on you.  The law will change how you access insurance in the near future.  Whether you are for or against the law, it’s important to understand how it willContinue Reading

Obamacare Explained in Video

The Patient Protection and Affordable Care Act (PPACA), aka Obamacare, is a very confusing and overwhelming law that has many people up in arms.  While many hate it, some love it, and some are indifferent the fact of the matte is as of today it is here and will be in full swing starting JanuaryContinue Reading

How Do I Buy On The NC Health Care Exchange?

One of the confusing factors with Obamacare starting in 2014 is how do you buy coverage on the NC health care exchange?  The main determining factors are whether or not you have health insurance options from an employer (either through you or a spouse) and what is the modified adjusted gross income (MAGI) for theContinue Reading

Do you qualify for a subsidy with Obamacare?

As we get closer to the start date for enrollment with Obamacare (October 1st), many people are starting to learn the ins and outs of how this will affect them.  Estimates are that 2/3 of North Carolinians will qualify for some form of subsidy under the new law. How do I know if I qualifyContinue Reading

When does Obamacare in NC start?

Open enrollment for plans offered through the NC health insurance exchange starts on October 1, 2013 with coverage starting on January 1, 2014.  This initial open enrollment period will run through March 31, 2014.  After this date enrollment periods for health coverage will coincide with Medicare’s open enrollment period each year which is October 15Continue Reading

More to come!

With healthcare reform (often referred to as “Obamacare” in the media) fast approaching, this site will quickly ramp up to speed to help North Carolinians understand their options.  A tremendous amount of guidance continues to be released from the Health and Humans Services Department (HHS) each week.  This guidance gives us more details on howContinue Reading

Please note....At time of publication, this information is accurate. We are not connected with or endorsed by the US Government or the PPACA. Click our About Us page to learn about why we created this website.


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