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We recommend using our tool to estimate your subsidy amount. Blue Cross NC offers several decision support tools, such as Find a Doctor and Find Medical Cost, to aid members in making decisions around their health care experience. These tools are offered for member convenience and should be used only as reference tools.
This is a huge benefit, especially if you’re living with a chronic condition and regularly receive services from multiple providers. Members with select plans can receive their first three PCP visits at no charge. You can also get your first three behavioral health or substance use doctor visits at no charge. Did you know that your Blue Cross NC medical plan includes dental coverage for dependents up to age 19? It covers a range of dental services including evaluations, cleanings, fillings, extractions, surgeries, crowns and more. It also covers orthodontic services if necessary, under certain conditions.
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As a member of BlueCross BlueShield of North Carolina, you can reap the following benefits. It’s focus is to deliver high-quality, accessible patient care through collaboration and the sharing of best practices. The Blue Cross NC Health Survey asks you to answer a few questions about yourself to find out what you're doing well and what you can improve for your overall health. You can access the survey through your Wellness Portal. Primary Care Provider – If it’s not an emergency, always try your regular doctor first, whether in person or virtually.
Plan design, coverage, and rates are similar and both sets of plans must adhere to federal government regulations. In fact, there are many plans which are available as both Obamacare plans and as Off-Exchange plans. You can enroll in an Off-Exchange plan through a broker, agent, web broker, or by contacting the insurance company directly. Online tools like forms, documents, payment options, health discounts, and reward programs. It’s important to note that doctors outside of the UNC Health Alliance networks are considered out-of-network. Therefore, if you’d like to see providers at Cone Health, Duke Health, or WakeMed, this plan may not be the right fit.
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Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website. Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. For example, if someone did not have access to a health insurance plan through work, they may have purchased an Off-Exchange plan offered on the Individual Market. Blue Cross NC has collaborated with UNC Health to bring you Blue Home with UNC Health Alliance. Blue Home with UNC Health Alliance is a health insurance plan offered by Blue Cross NC that provides access to a limited network of providers.
The Mair Agency is an independent authorized producer/agency licensed to sell and promote products from Blue Cross and Blue Shield of North Carolina . The content contained in this site is maintained by The Mair Agency. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Our data is directly sourced from Healthcare.gov, the U.S. federal government's Health Insurance Marketplace®, created under the Affordable Care Act.
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To see a specialist, you will need a referral from your primary care doctor. Information and figures shown on Healthplanradar.com are based on publicly available information from healthcare.gov and medicare.gov. By using Healthplanradar.com you agree to our Terms of Service and Privacy Policy. Off-Exchange plans may provide you with additional options compared to available Obamacare plans. If you are not eligible for a subsidy, or only eligible for a small subsidy amount, Off-Exchange plans may still be an affordable option for you.
UNC Health is an independent company that is solely responsible for the physicians and medical facilities it owns and operates. UNC Health does not offer Blue Cross or Blue Shield products or services. The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit . Your chance to earn Blue Rewards may be available for a limited time only. Please note that it may take time for activities to show as completed in the Blue Connect℠ Activity Center and for you to receive the certificate to redeem your gift card.
Explanation of Benefits (EOB)
This program is offered to Blue Cross NC members ages 18 and older. Sign up today to build a healthier mind for a stronger you. To avoid extra costs, ask your doctor if any tests or treatments you’re getting won’t be covered as preventive care. Your first three in-network PCP visits are on us with select plans.
Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. In addition, broker, agents, and web brokers are required to sell plans at the same market price. However, keep in mind that only Obamacare plans are eligible for a subsidy to reduce the monthly premium price. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed.
Receive electronic instead of paper communications for less clutter and anywhere access to your plan-related documents.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you. The fastest, easiest way to access your health plan is through Blue Connect or the Blue Connect MobileSM app. Blue Cross NC created it just for you, so you can easily connect to tools and information about your health plan.
The longer you wait through open enrollment, the more stress you are going to be under as the deadline approaches. UNC Health Alliance boasts a large network of hospitals and providers, including over 860 primary care providers. Now you can get help – at no additional cost through our Nurse Support Program. Our highly trained nurses can suggest support programs, help you navigate the health care system and more. We’re excited to share with you myStrength, a new health benefit offered at no cost to you. MyStrength is a flexible and comprehensive digital program with proven tools and dedicated support for stress, depression, sleep and more—all tailored to your unique needs.
Think of your primary care provider as your medical “home” – or the quarterback of your entire health care team. The premium is the amount you pay for health insurance each month. This does not include other healthcare costs such as your deductible, copayments, and coinsurance. Due to the fact that most of the providers in this plan are in the same network, it’s easier for them to collaborate on your care plan.
Your premium depends on who is covered by the insurance and their ages. Generally, premiums increase if there are more people covered or if people covered are older. Medicare plans are available to all Medicare beneficiaries. Use of the word “senior” or the number “65” does not imply that Medicare plans are only available to seniors. People under 65 with certain disabilities may be eligible for Medicare and are considered Medicare beneficiaries. A wide variety of plans to meet virtually any budget and health needs.
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