Healthcare News & Stories

The Centers for Medicare and Medicaid Services (CMS) has introduced changes this year to protect your information and reinforce consumer rights. The new requirements, which help ensure greater transparency when working with health insurance agents and brokers, are part of the 2024 Notice of Benefit and Payment Parameters (NBPP). What does this mean for you?

For United States citizens, having access to quality healthcare coverage is absolutely crucial. Without it, you may be liable for massive medical bills when an unforeseen health concern arises. Many people experience difficulties finding an affordable and comprehensive plan that suits all their needs. Open enrollment scheduling and confusing health insurance jargon can make the process seem more challenging than it needs to be. 
This article will focus on offering the reader tips and insights about open enrollment for health insurance in 2024.
What Is the Annual Open Enrollment Period?

Up until age 26, you can remain on your parent's health insurance plan. But turning 26 means it's finally time to sort out your own health insurance coverage. It’s important to make sure that you find a plan that meets your health needs, and that's within your budget. In this article, we'll help you find a plan that meets your lifestyle and give you plenty of information so you can make an informed choice.  At Health Plans of NC, we specialize in helping anyone from North Carolina find the right health insurance coverage. If you’re about to turn 26, here are our top recommendations for finding the right health insurance for you. 

The Centers for Medicare and Medicaid Services (CMS) have introduced new requirements that aim to protect consumer interests. The requirements, which help ensure greater transparency when working with health insurance agents and brokers, are part of the 2024 Notice of Benefit and Payment Parameters (NBPP). These enhanced consumer protections were introduced in response to various complaints and disputes about who can act on an individual’s behalf. The rules apply to all enrollments by agents, brokers, and web-brokers, regardless of which platform they use.

The U.S. Centers for Medicare and Medicaid Services (CMS) has recently released changes to how health insurance agents and brokers can market to customers. These changes aim to improve your experience when sourcing Medicare Advantage and Part D plans.  Ensuring agents and plan providers follow the new guidelines helps you to make a more informed decision about your coverage.

No matter what stage of life you’re at, having the right level of health insurance can be crucial. The right coverage gives you (and your loved ones) financial protection and peace of mind that you can access quality healthcare services - when you need them most.  Whether you live in North Carolina or any state in the U.S., you can purchase the right level of health insurance coverage through the Health Insurance Marketplace. Usually, you’re only eligible to purchase during what’s known as the annual Open Enrollment Period. But, for certain life events and special circumstances, known as Special Enrollment Periods (SEPs), you can enroll or change your health insurance plans outside of the regular enrollment period. 

What is a Complex Case?
A complex case refers to specific healthcare needs for you or your family based on your circumstances. 
Here are some examples where seeking advice from a health insurance agent can be beneficial:

Life can be full of planned events and some that are a little more unexpected. If you're changing jobs or facing unemployment, and need to reconsider your health plan, our local North Carolina health insurance agents are here to help.  Our agents work hard every day to find clients a better deal than COBRA. So before you use COBRA, call us to see how we can help. 

As a parent, the right health insurance can provide peace of mind if your child becomes ill, experiences an injury, or requires urgent medical attention. Our agents at Health Plans of NC regularly help families find the right health insurance for their entire family, including recommendations for child-only health insurance.

When finding the right health insurance for you and your family, there are many benefits of using a health insurance agent or broker.

Did you know that over 50% of online shoppers in the US find customer reviews helpful when searching for products or services online? Using reviews in this way can apply to a range of products and services, with more and more Americans turning to various review sites, including Google, to help make purchase decisions.

The Marketplace Circle of Champions is a yearly program that recognizes all Marketplace-registered brokers and agents' work, service and expertise. These brokers partner with the Centers for Medicare & Medicaid Services (CMS) to help Americans find the best health insurance plans to support their short and long-term health needs.

Using a local agent or broker can offer plenty of benefits if you're in the market for a new health insurance plan. Not only can you access quotes for plans that support your future medical needs, but getting advice from someone nearby can mean they understand the nuances of different plans specific to North Carolina. At Health Plans of NC, our experienced agents know how to find the best health insurance plans for North Carolina residents. 

Google Reviews are considered reliable and credible. Google verifies the accuracy of each customer review before it’s published on Google.

In April 2022, the Biden-Harris Administration proposed a rule to strengthen the Affordable Care Act (ACA) by fixing the ‘family glitch’ that could save families across America hundreds of dollars each month. The goal of this proposed rule is to revise the existing interpretation of eligibility relating to premium tax credits for families. If finalized, the rule will extend the ACA Marketplace health insurance subsidies to millions more people throughout America, including many North Carolina residents.

In March 2022, Medicaid launched the Healthy Opportunities Pilot, a program to support up to 20,000 low-income North Carolina residents. The program, a $650 million initiative, aims to test whether Medicaid funding should be used differently to better support the social problems that affect people’s health.

Open enrollment 2022 for Affordable Care Act (ACA) health insurance has ended. However, it’s still possible to get health insurance if you meet specific criteria. Read on to find out more about how you can access health insurance, or contact one of our local NC Health Insurance agents to find out how we can help. Our team can explain when is open enrollment for health insurance and what it means for your coverage.

It’s only natural that you’ll have questions if you’re considering enrolling in a health insurance plan. The good news is that the Affordable Care Act means you can get assistance when selecting your plan. You can either work with an experienced, licensed health insurance agent or an authorized individual Marketplace representative called a Navigator to help answer your questions. Although a licensed agent and a Navigator do share some similarities, there are some differences. It can be more beneficial to use a licensed agent over an unlicensed, government-trained representative. Here are our three top benefits of why you should choose a licensed agent.

In the United States, approximately 16 million workers identify as being self-employed. Self-employment can offer many benefits, including greater flexibility and being your own boss. It also provides an entryway to entrepreneurship and small business ownership.

In 2021, around 59 million Americans worked freelance, representing over one-third of the entire US workforce. Although many people take freelance gigs to supplement their primary employment, about 28% of Americans who worked in freelancing in 2020 did freelance work as their full-time occupation. And Upwork, an online freelancing platform, believes that these numbers will continue to grow as more people turn to freelance. Regardless of whether this trend is a part of an overarching lifestyle choice, as many social pundits suggest, this shift does have significant implications for areas like health care coverage.

Selecting the right health insurance can be time-consuming and often overwhelming. There is a vast range of medical health insurance available via the Health Insurance Marketplace and private insurance agencies.

Getting help finding the right plan for your budget and health needs is possible by using a health insurance agent or a government navigator.

In the United States approximately 16 million workers are self-employed. Self – employment can provide an entryway to entrepreneurship and small business ownership as well serving as a preferred option for those wanting more flexible schedules than corporate life can typically provide.
In 2020 it was estimated that approximately 41% of the American workforce worked in a freelance position as a self-employed person. Although many people take on freelance gigs to supplement their primary employment with a single company, about 28% of Americans who worked in freelancing in 2020 did freelance work as their full-time occupation. Regardless of whether this trend is a part of an overarching lifestyle choice as many social pundits suggest, this shift does have significant implications for areas like health care coverage.
In recent US history, most of those in the paid workforce have relied upon employer-sponsored health care plans to help them meet their health insurance needs. As the US experiences this shift from more traditional forms of work into this evolving freelance, or gig, economy there is an increased need for individual health care plans that are not attached to a specific employer.

Fall has arrived, and with it, the Open Enrollment period for your health insurance plan. Here are important tips to keep in mind as you select your coverage. The Annual Open Enrollment starts November 1, 2022. 
What Is Open Enrollment?
Open Enrollment is a specially designated period of time that you have to enroll yourself and any family members in a health insurance plan. During the open enrollment period, you have the ability to: