Healthcare News & Blog

A fiduciary health insurance agent prioritizes your best interests, offering transparent, tailored advice on ACA, Medicare, or group plans. Legally bound to disclose conflicts and recommend optimal coverage, they ensure cost-effective, comprehensive solutions, distinguishing them from agents who may push suitable but not ideal plans.

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!

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 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.

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.

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.

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.

Getting married, moving to a new home, and adopting children are exciting events in your life. When these changes happen the last thing, you may think about is letting your health insurer know.  It’s important to let us know of these exciting events or other unexpected changes so we can make sure you have the right coverage and we’re able to send important communications to you.
Examples of changes you should report
A Change in Name: