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In response to the COVID-19 national emergency, President Biden has signed into law the American Rescue Act of 2021 which includes increasing the number of people eligible for subsidies and offers zero-dollar premiums for people with lower incomes. Starting April 1, more Americans will be able to qualify for a lower monthly premium through Affordable Care Act (ACA) health plans. 

While the COVID-19 pandemic may have brought renewed urgency to the issue, the need for more cost transparency has long been part of the conversation about the future of health care. Beneath the partisan wrangling in Washington lies a serious issue. Not only is health care expensive, but it can be difficult for consumers to know just how much care costs until the final bill arrives.Managing medical costs starts with knowing what they are in the first place. At Blue Cross and Blue Shield of North Carolina, we support the concept of cost transparency. We’re leading the way in making it a reality, not only for our members, but for all North Carolinians.
Cost transparency at your fingertips
It’s hard to believe, but the cost for many common procedures can vary by thousands – in some cases tens of thousands of dollars – within the same city. When consumers don’t have easy access to this information, they are not only in the dark about the total cost of their care, but more importantly how much it will cost them out-of-pocket. A Blue Cross NC analysis showed that some North Carolinians will spend up to 25% of their take-home pay solely on medical expenses. That can be a massive financial burden for families to bear.An early innovator in cost transparency, Blue Cross NC launched a groundbreaking cost comparison tool in 2012 that enables members to compare cost and quality for common procedures before they make important care decisions. Just as consumers can shop for cars or smart phones by doing research before making a purchase, we’re empowering patients to be better informed health care consumers. When patients see that costs for the same surgery in the same area can vary by as much as $19,000, they realize they can choose more affordable options.[1] In 2015, we went a step further and made the tool available to all North Carolinians. Everyone in North Carolina, whether they are a Blue Cross NC member or not, can quickly search for common procedures like MRIs, knee replacements or mammograms and see how the cost compares between nearby providers.

If you’re approaching Medicare eligibility, it’s essential to understand the costs for each of the different parts of Medicare, so you can work out how much to budget. Unfortunately, many people don’t realize the costs associated with certain aspects of Medicare, which can make it difficult to manage your monthly bills.

DURHAM, N.C. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced it is teaming up with Carrot Inc. and Virta Health to help address two of the largest ongoing health issues facing Americans today – smoking and type 2 diabetes. These programs will be available at no additional cost to eligible members beginning November 2020. They support Blue Cross NC’s commitment to make health care better, simpler, and more affordable by providing members easy access to care through digital technology.
“We resolve to make whole person care a priority, and that means we have to think beyond treating conditions, and work to prevent and reverse them,” said Von Nguyen, vice president of clinical operations and innovations at Blue Cross NC. “We are excited to team up with Carrot and Virta and bring their innovative, life-changing programs directly to the homes of our members and address some of North Carolina’s most pressing health issues.”
Virta and Carrot’s programs will be available to individual under-65 members and fully insured group members beginning November 2020.