Healthcare News & Stories

Blue365 is a free health and wellness discount program available to Blue Cross NC members with active health plan coverage (e.g., commercial plans, Medicare Advantage, or Federal Employee Program plans). It’s not insurance but an added perk designed to help members save money on products and services that promote a healthy lifestyle, many of which aren’t typically covered by standard health plans.
- Categories of Deals:
- Exclusive Discounts: Members can access savings from national and local retailers on health-related items and services.

General Coverage for Hearing Testing:
Hearing testing coverage with Blue Cross NC  depends on the specific plan you’re enrolled in.
  -  Routine Hearing Exams: 

Purpose: The Blue FlexCard comes preloaded with a set allowance (the amount varies by plan) that members can use to cover out-of-pocket costs for eligible healthcare services and products.
- Eligible Expenses: Depending on the specific Medicare Advantage plan, the card can be used for:
- Over-the-counter (OTC) items like medications, bandages, or health-related products.

Blue Connect is Blue Cross NC’s online member portal that provides easy access to important health plan information. Here are the top 10 features members use:
1. View & Manage Your Claims
Track the status of recent medical, dental, and vision claims.

Blue Cross NC’s Pay as a Guest feature allows one-time premium payments for medical, dental, and vision plans without logging into Blue Connect. Available to Medicare and individual members, payments can be made via bank draft, credit/debit card, Apple Pay, Google Pay, PayPal, or Venmo. Payments reflect within 24-48 hours.

A Special Enrollment Period (SEP) for Medicare products in North Carolina, including Blue Cross NC, is available for those impacted by Hurricane Helene. Eligible individuals can enroll from September 25, 2024 – May 31, 2025. Proof or verbal attestation is required.

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.

Blue Cross NC members can now enjoy the convenience of home delivery for prescriptions through Amazon Pharmacy, simplifying medication management while maintaining trusted benefits.

Starting January 1, 2025, Blue Cross NC members can join FitOn Health for access to over 13,000 gyms and studios.

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers Healthy Blue + Medicare (HMO-POS D-SNP), a plan for individuals eligible for both Medicare and Medicaid. It combines medical, hospital, and prescription drug benefits with over $10,000 in extra services at no cost.

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is updating Teladoc services for individuals under 65 ACA members in 2025, enhancing telehealth accessibility and affordability. Telehealth services will now be free for Blue Local, Blue Home, and Blue Value plans, while Bronze HSA plan members will pay 0% after meeting their deductible. Virtual dermatology services are being added to the Primary360 package at no cost, alongside existing $0 services for acute care, behavioral health, nutrition, and primary care. These updates simplify billing, expand virtual care options, and improve access to healthcare, reflecting Blue Cross NC's commitment to providing high-quality, cost-effective care.

Blue Cross NC has introduced new enhancements for members registered for Blue Connect,

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is taking steps to keep health care more affordable for North Carolinians with a modest rate increase for 2025 Affordable Care Act (ACA) plans. The North Carolina Department of Insurance (NCDOI) has approved a 3% average rate increase for individual customers and families enrolled in ACA plans through Blue Cross NC. This increase is less than half of the estimated national average rate increase of 7% for ACA Marketplace plans. “The average rate increase of 3% on our ACA plans is less than half the national average. We have worked hard to keep our ACA plans as affordable as possible, but we know any increase is too much for many families,” said Dr. Tunde Sotunde, President and CEO of Blue Cross NC. “The cost of health care – including prescription drugs – is still too high. It will take all of us, including health systems and pharmaceutical companies, to make health care more affordable.”

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.

If your senior parent, relative or friend asks for your help in choosing health insurance coverage, there are several things you can do to support them.
How can I help a senior parent, relative or friend find health coverage?
Whether Medicare or other coverage, there are things to consider when trying to help your senior parent, relative or friend find health insurance. It’s not an easy subject to discuss, and it involves talking about sensitive topics like personal health and finances. It will take time and research to select the best plan. Here are four things to consider.

Are you a senior enrolled in Medicare? Are you considering additional coverage options to help with your healthcare costs?  Recent research shows that more and more seniors are turning to Medicare supplement plans.  Also known as Medigap plans, these plans are specifically designed to help you fill in the gaps often left by traditional Medicare coverage.

A new concerning health insurance trend has emerged: unauthorized plan switching.  KFF Health News reports that this switching is happening with surprising ease in the 32 states that serve the Federal Marketplace. Customers find themselves enrolled in new plans without their knowledge or consent. The result? Profound implications for their financial well-being and;  Not being enrolled in the right plan to meet their healthcare needs.  

If you’re a senior entering the world of Medicare Advantage (MA) plans for the first time, it can be overwhelming due to the many options available.  With an average of 43 plans on offer, knowing where to start and how to navigate the complexity of these plans to make an informed decision can seem impossible. That’s where Medicare Advantage agents come in.  In this article, we’ll explain the crucial role agents play in helping you sift through the myriad options to help you you choose the most suitable plan. Let’s get started.

Medicare is undergoing a significant shift, bringing hope to millions of beneficiaries grappling with the high costs of prescription drugs.  The Inflation Reduction Act of 2022 has led to major changes in the Medicare Part D program, including a new prescription drug cap of $2,000. The Act focuses on reducing out-of-pocket patient expenses to curb Medicare's spending on prescription drugs. Let’s examine the changes, who will benefit, and when the new rules will take effect.

As you may be aware, a State of Emergency has been declared in North Carolina due to the severe weather affecting much of the state. The emergency is effective January 8 until February 7 (unless the governor rescinds the order earlier).  For anyone living in North Carolina, a Special Enrollment Period is now available for Medicare until April 7, 2024.

If you’ve just started researching health insurance coverage options, you’ll know that the industry can be complex. There are countless coverage options available at multiple price points.  Unfortunately, the confusion surrounding health insurance can sometimes lead to exploitation. We’ve seen operators selling inadequate health insurance products to customers throughout North Carolina that don’t deliver the benefits clients are promised.

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. 

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.

In today's digital age, many Americans use technology to manage various aspects of their everyday lives, from buying groceries to sourcing financial advice.  With the rise of computer-generated assistants and helpful chatbots, saving time and using automated tools for the more complex things in life can be tempting - like finding the right health insurance coverage. But while you can enroll in a health insurance plan online, it's essential that you first understand your coverage options before choosing a plan.  When searching for the right health insurance for your health and budget, nothing beats getting advice from an experienced and knowledgeable health insurance agent. Particularly, one who specializes in understanding the needs of people like you who live in North Carolina.