Get the Facts on Health Insurance Companies NC and Their Plans

In North Carolina, you have several health insurance companies to choose from, each offering a range of plans to fit your needs and budget.

Blue Cross and Blue Shield of North Carolina is one of the largest health insurance companies in the state, offering a wide range of plans for individuals, families, and small businesses.

Some health insurance companies in NC, such as Ambetter, offer low-cost plans that may be a good option for those on a tight budget.

These plans often have lower premiums but higher out-of-pocket costs, so it's essential to carefully review the details before enrolling.

Blue Cross and Blue Shield of North Carolina is the largest health insurance company in the state, with over 3.8 million members.

The company offers a range of health insurance plans, including individual and family plans, as well as group plans for businesses and organizations.

UnitedHealthcare is another major health insurance company in North Carolina, with a significant presence in the state's individual and group markets.

CareFirst BlueCross BlueShield is a smaller health insurance company in North Carolina, but it still offers a range of health insurance plans to individuals and small businesses.

Aetna is a national health insurance company that also offers health insurance plans in North Carolina, including individual and group plans.

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North Carolina is one of 19 states that chose not to expand Medicaid under the Affordable Care Act.

North Carolina Health Choice for Children is available to families who make too much money to qualify for Medicaid but not enough for federal aid. This program offers free or reduced-price health care for children.

If you're looking for Medicaid managed care health plans, you have several options. AmeriHealth Caritas North Carolina, Inc., Healthy Blue of North Carolina, UnitedHealthcare of North Carolina, Inc., and WellCare of North Carolina, Inc. are all prepaid health plans that cover the entire state. Carolina Complete Health, Inc. is a prepaid health plan that covers regions 3, 4, and 5.

Here are the contact details for these Medicaid managed care health plans:

NC Health Plans/Jerry Ballard & Associates Inc. is also available to help you navigate the individual health insurance market and find affordable health insurance in North Carolina. You can call them at 888-765-5400 for assistance.

To be eligible for Medicaid, you must be a U.S. citizen or a qualifying noncitizen.

Medicaid eligibility is based on income, family size, and disability status.

You must be under 65 years old to qualify for Medicaid, unless you have a disability or are pregnant.

Children under 19 years old may be eligible for Medicaid, even if their parents are not.

A family of four with an annual income of $33,534 or less may qualify for Medicaid in some states.

Pregnant women and parents or caregivers of children under 19 may be eligible for Medicaid, regardless of income.

You can apply for Medicaid at any time, but the best time is usually during open enrollment periods.

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There are several Medicaid managed care plans available in North Carolina. AmeriHealth Caritas North Carolina, Inc. is one such plan, which operates statewide as a prepaid health plan.

You can contact AmeriHealth Caritas North Carolina, Inc. via email at [email protected] or by phone at 844-399-0474.

Healthy Blue of North Carolina is another Medicaid managed care plan, also operating statewide as a prepaid health plan.

You can reach Healthy Blue of North Carolina via email at [email protected] or by phone at 844-594-5072.

UnitedHealthcare of North Carolina, Inc. is a prepaid health plan that operates statewide, providing Medicaid managed care services.

You can contact UnitedHealthcare of North Carolina, Inc. via email at [email protected] or by phone at 800-638-3302.

WellCare of North Carolina, Inc. is a prepaid health plan that operates statewide, offering Medicaid managed care services.

You can reach WellCare of North Carolina, Inc. via email at [email protected] or by phone at 855-599-3814.

Carolina Complete Health, Inc. is a prepaid health plan that operates in Regions 3, 4, and 5.

You can contact Carolina Complete Health, Inc. via email at [email protected] or by phone at 833-552-3876.

If you're interested in learning more about the contracts for these Medicaid managed care plans, you can find information on the following:

California has not expanded Medicaid under the Affordable Care Act, but it does offer other programs for low-income families.

Some families in California may qualify for free or reduced-price health care through Health Choice, which is available to those who make too much money for Medicaid but not enough for federal aid.

California's individual health insurance market is not as well-represented as North Carolina's, but there are still resources available for consumers seeking affordable health insurance.

If you're a California resident looking for health insurance, consider reaching out to a local advisor who can help you navigate the options.

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If you're looking for health insurance options in North Carolina, you have two main types to consider.

In North Carolina, there are two main types of health insurance available to individuals and families that don't purchase coverage through an employer: Affordable Care Act compliant plans and Short Term Health Insurance.

Affordable Care Act compliant plans cover the same essential health benefits and meet regulations set forth by the Affordable Care Act laws. Blue Cross Blue Shield of North Carolina offers the majority of these plans across the state.

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Short Term Health Insurance plans, on the other hand, do not cover pre-existing conditions and are not Affordable Care Act compliant. This allows individuals and families to enroll outside the Open Enrollment Periods without a Qualifying Event in plans that are often less expensive than ACA compliant plans.

Here's a quick comparison of the two options:

If you're looking for specialized plans in North Carolina, you've got a few options. Alliance HealthPlan offers a Behavioral Health I/DD Tailored Plan, which seems to be tailored to meet specific needs.

This plan includes Tailored Care Management, which is a service that's been requested through a Request for Applications process. For more information, you can email [email protected] or call 919-651-8500.

Alliance HealthPlan also has a directory of Local Management Entities/Managed Care Organizations (LME/MCOs) that you can check out. If you're interested in partnering with them, you can reach out to Partners at [email protected] or call 877-864-1454, option 4, option 2.

Here are some key contacts to keep in mind: