Healthcare News & Blog

In 2025, QSEHRAs are surging in popularity among small employers with fewer than 50 employees. These tax-advantaged plans reimburse workers for individual health insurance and medical expenses, offering cost predictability, employee flexibility, and simplified administration.

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 highlights the key features of the Blue Cross NC customer service directory, including how members can find doctors, pay premiums, print ID cards, and access support for Medicare, dental, behavioral health, and more. It also explains the convenience of using the Blue Connect portal for managing health coverage online.

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!

Turning 65 is a pivotal moment, especially if you work for a small company with fewer than 20 employees. Unlike larger firms, small employers face fewer federal mandates under laws like the Affordable Care Act (ACA) or Age Discrimination in Employment Act (ADEA). This means no guaranteed health insurance or job protections based on age, leaving you to navigate coverage and career decisions carefully. Whether you’re staying on the job or eyeing retirement, here’s what you need to know to secure your health and finances, including critical details if you skip Medicare Part B.
Build Your Health Coverage with Medicare

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: 

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.

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

Blue Cross NC offers Teladoc telehealth services to individuals under 65 years old who are ACA members, providing 24/7 access to virtual care for acute conditions, mental health, dermatology, nutrition, and primary care through Primary360. Many plans include $0 telehealth visits.

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.

Complete guide to dependent eligibility for health insurance. Learn who qualifies—spouses, children, domestic partners—and explore coverage options for non-family members, including Medicare, Medicaid, and ACA marketplace plans.

Insurance involves monthly premiums, deductibles, categories, out-of-pocket expenses, out-of-network costs, and premium tax credits. For many people, these terms can cause stress and confusion.
Those searching for the best individual or family plan often encounter these daunting terms. It can be hard to fully understand what it means and how it impacts your bottom line. Plus, you may not know how to compare plans effectively.
In this article, we’ll dive into areas you should consider when looking at healthcare plans and why they matter. You’ll also learn about the best family health insurance plans and how to choose the right one.

Upon turning 65, many seniors opt to enroll in Medicare. Medicare is federal health insurance coverage designed to support individuals over 65, who have eligible disabilities, or who have End Stage Renal Disease. While Medicare offers multiple parts and is considered quality healthcare, it isn’t comprehensive enough for everyone. So what is the best health insurance for seniors on Medicare?
For most Americans, medical insurance can be quite costly. Finding affordable health insurance alongside Medicare that covers basic needs, emergency care, long-term care, prescription drug coverage, and dental can be quite challenging. Some private insurance companies can raise monthly premiums as you age, making it very difficult to pay for the coverage you need.
The purpose of this article is to explore health insurance options for seniors on Medicare, and to help them find the best option available. For more information about health insurance options in the state of North Carolina, explore our website today. 

Health insurance is essential, as individuals should receive comprehensive coverage for various medical procedures and expenses. However, trying to find the right insurance plan at an affordable price can feel overwhelming. Proper information lets you learn more about potential costs and what to look for when choosing a coverage plan. This article will answer the question, “How much is health insurance for a family of 3? We will tell you everything you need to know to make the best decision. 
What is the Average Cost of Health Insurance for a Family of 3
A variety of factors determine the price of health insurance. To begin, you must understand the different expenses you must pay. Every month, you will pay a monthly premium. This is a decided amount you must pay to receive health coverage. Then, there is your deductible, the amount you pay out of pocket before your insurance begins to provide coverage. Once the deductible is met, various cost-sharing methods will be implemented. 

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.

Group health insurance covers employees or organization members at lower premiums through shared risk and employer contributions. It often includes family coverage, dental/vision options, and strong protection against medical costs.

Medigap Plan M is a type of Medicare Supplement Plan offering basic coverage to help cover the gap for costs not covered by Original Medicare Part A and Part B. It provides a low monthly premium, but you must pay for half of your hospital deductible and 100% of your yearly outpatient deductible. 

Medigap Plan D is a mid-level Medicare Supplement plan that covers most out-of-pocket costs except the Part B deductible and Part B excess charges. Here's what you need to know.