Healthcare News & Stories

Medicare drug price negotiations are now in effect! Learn which 10 drugs have lower prices in 2026, how much you'll save, and what North Carolina Medicare beneficiaries need to know.

Complete guide to changing your health insurance agent. Learn the simple process, understand timing considerations, and discover what qualities to look for in your new agent.

Individual health insurance offers personalized coverage outside of employer or government plans. ACA-compliant plans cover essential benefits such as preventive care, maternity care, and prescription drugs. Enjoy flexibility to choose between tiers (Bronze–Platinum) and types (HMO, PPO), plus subsidies to improve affordability.

Clear up the confusion between Medicare and Medicaid with this comprehensive guide explaining how these two essential health programs differ. Learn who qualifies for each program, how they're funded and administered, and what services they cover. Discover how dual-eligible individuals can benefit from both programs simultaneously, understand North Carolina's Medicaid expansion and transformation to managed care, and explore special coverage options like Dual-Eligible Special Needs Plans (D-SNPs). This guide breaks down complex health insurance concepts into easy-to-understand information, helping North Carolinians access the quality, affordable health care they need while addressing health disparities in underserved communities.

Explore comprehensive information about non-Medicare health insurance options, including employer-sponsored plans, ACA Marketplace coverage, and private insurance. Learn the key differences between Medicare and non-Medicare insurance, compare plan types (PPO, HMO, EPO, POS, and HDHPs), and understand when each coverage option makes sense for your situation. Discover how to navigate in-network vs. out-of-network care, what to consider when choosing a plan, and important rules about combining coverage types. Whether you're under 65, currently employed, or exploring alternatives to government programs, this guide helps you make informed decisions about your health coverage.

Navigating emergency room, urgent care, or primary care decisions during health crises involves balancing medical urgency, costs, and access. Learn when to seek immediate care and when to wait, with practical frameworks for making informed healthcare choices.

High Point, NC, offers comprehensive healthcare, including emergency and cancer services at High Point Medical Center, as well as specialized clinics such as eye care, dialysis, heart, and diabetes centers, along with mental health support for all residents.

Resistance training boosts brain health, enhancing cognitive function, strengthening neural connections, and slowing brain shrinkage in older adults. Accessible at home or with a trainer, it pairs well with nutrition coaching. Blue Cross NC supports wellness through fitness programs, health coaching, and resources, empowering members to improve body and mind.

Wilmington, NC, a coastal gem, offers robust healthcare through NHRMC, military facilities, and senior care, enhanced by Blue Cross NC’s affordable plans. Its historic charm and vibrant economy attract all.

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.

At Health Plans of North Carolina, we believe that health is influenced by more than doctor visits. Access to basic needs—like food, housing, transportation, and safety—plays a vital role in well-being. We want to highlight a powerful free tool available to everyone in our community: the Resource Navigator from Blue Cross NC.
The Resource Navigator is an easy-to-use online platform that connects individuals and families to free or reduced-cost services across North Carolina. Whether you're facing financial hardship or housing instability or need help finding local support for child care, utilities, or behavioral health, the Resource Navigator makes it simple to find trusted, nearby assistance.
You don’t need to be a Blue Cross NC member to use it—anyone in North Carolina can access this tool. Just enter your ZIP code and select the type of help you seek. The platform will display a tailored list of services in your area, along with descriptions, contact details, and eligibility information.

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 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.

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.

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.

Perhaps more than any other industry, health care represents the collision of humanity and technology—nothing is more personal than our health care. But for many, determining the best option for care is an overwhelming process. Knowing when to seek care can be just as difficult as combing through the volume of medical information offered online. This can lead to people spending more time, more money and using more services across the health care system than necessary.
At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), we are working to provide a more simplified health care experience for our members. By combining technology and human interaction, we’re helping members find the right resources for their care journeys.
High-Tech: Putting the Right Tools in the Hands of Members

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.

Early retirement often disrupts employer health insurance, leaving you to fund coverage via COBRA, spouse plans, Marketplace subsidies, or short-term options until Medicare at 65. Our NC agents help find affordable solutions.

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.

Mental health professionals are in high demand right now. Given that we’re eighteen months into a deadly global pandemic, this is no surprise. Many of us are grieving the loss of loved ones, jobs, plans, and normalcy. And if that’s not hard enough, the stresses of our everyday lives haven’t stopped.
At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), your total health is our top priority, now more than ever, including your mental and emotional health.
If you’re struggling with your mental health and need some extra support, you’re not alone. Studies show that the rate of anxiety and depression has risen significantly among American adults during the pandemic. And our children’s mental health is suffering, too.