Healthcare News & Stories

In North Carolina, employees of small businesses often face a critical decision: accept a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) or purchase health insurance through the Health Insurance Marketplace (Healthcare.gov). Both options aim to provide affordable access to healthcare, but they differ in terms of structure, cost, flexibility, and their impact on financial assistance. This 800-word article compares QSEHRAs and the Marketplace in North Carolina for 2025, with a focus on employees with significant medical needs, such as pregnancy, to help individuals make informed choices.
What is a QSEHRA?
A QSEHRA is a tax-advantaged arrangement that enables small employers (with fewer than 50 full-time employees) to reimburse workers for individual health insurance premiums and eligible medical expenses, including copays, deductibles, and prescription medications. In 2025, the IRS sets maximum annual contributions at $6,250 for single employees (approximately $520.83 per month) and $12,600 for family coverage (roughly $1,050 per month). These limits are prorated for partial-year coverage.

As technology reshapes industries, many wonder how artificial intelligence (AI) will impact the enrollment process for health insurance. At Health Plans of NC, we understand the concerns some agents and clients have about AI-driven tools potentially replacing the personalized service our team provides. However, we believe the future is bright for both our clients and our dedicated agents in North Carolina. Here’s why human expertise remains irreplaceable, even as AI enhances the enrollment process.
AI: A Tool, Not a Replacement
AI is making waves in the health insurance industry, streamlining tasks such as answering basic questions, comparing plan options, and processing applications. For example, chatbots can quickly explain deductibles, and algorithms can suggest plans based on a client’s budget and health needs. These tools are efficient, available 24/7, and appealing to tech-savvy consumers who value speed.

This article explores the extensive provider access available through Blue Cross NC in Charlotte, North Carolina. It highlights the robust network of doctors, specialists, and hospitals available to members enrolled in ACA, Medicare HMO, and PPO plans. The article also explains how to find in-network providers, the benefits of telehealth, and tools like Blue Connect that help members manage their care. Whether you're new to the area or comparing plan options, Blue Cross NC offers comprehensive healthcare coverage for individuals and families across Charlotte.

Health Savings Accounts (HSAs) are valuable tools for managing healthcare costs, offering tax advantages and flexibility. The Internal Revenue Service (IRS) has set the 2025 HSA contribution limits, critical for North Carolinians planning their benefits to maximize savings while staying compliant.
 2025 HSA Contribution Limits
For 2025, the IRS has established the following annual HSA contribution limits:

IRS announces 2026 HSA limits: $4,400 for self-only (+$100) and $8,750 for family (+$200). Minimum deductibles rise to $1,700 (self) and $3,400 (family), with out-of-pocket caps at $8,500 and $17,000. North Carolinians, maximize tax-free savings with Health Plans of NC. Contact us for HSA guidance!

Residents in certain counties impacted by Hurricane Helene now have an extended opportunity to apply for or adjust their Blue Cross NC individual health insurance plans. The Special Enrollment Period (SEP) has been extended for these counties, offering a chance to secure health coverage or switch to a plan that better suits your needs.
Who Is Eligible?
Residents in the affected counties can use this SEP to enroll in a new plan and apply for coverage with Blue Cross NC or another carrier. They can also switch plans, updating their coverage to align with their current healthcare needs.

For Medicare, the Annual Enrollment Period for 2025 runs from October 15 to Dec 7, 2024. For individual and family plans, Open Enrollment starts November 1, 2024 and ends January 15, 2025. For more details about enrollment periods for 2025, feel free to reach out to one of our agents.

Complete guide to child-only health insurance in NC for 2026. Compare NC Health Choice, Medicaid, and ACA marketplace options. Understand income limits, coverage benefits, and enrollment requirements.

Understand the key differences between licensed health insurance agents and Marketplace Navigators to make an informed decision about who can best help you enroll in health coverage. This comprehensive comparison explores qualifications, training, services, and scope of support from each option. Learn when a licensed agent's personalized recommendations and ongoing support might be valuable, and when a Navigator's specialized Marketplace expertise and community-based assistance could be the right fit. Discover what services each can provide—from subsidy calculations and plan comparisons to post-enrollment support—and get practical guidance on choosing the assistance that matches your needs, preferences, and insurance goals. Both options are completely free to consumers.