Healthcare News & Blog

Medicare Advantage Special Needs Plans (SNPs) provide tailored coverage for specific needs: Chronic Condition SNPs for illnesses like diabetes or cancer, Institutional SNPs for nursing home residents, and Dual Eligible SNPs for those with both Medicare and Medicaid. They include Part D, care coordination, and extras like transportation.

Medicare Advantage PPO plans offer flexibility to see in-network providers for lower copays (no PCP or referrals needed) or out-of-network doctors at higher costs. They include Part D drug coverage, extra benefits like dental/vision, and a 2025 annual out-of-pocket maximum of up to $9,200.

Medicare eligibility starts at age 65 for most U.S. citizens or qualified residents. Under 65? You may qualify early if disabled (after 24 months of SSDI), with ESRD requiring dialysis/transplant, or diagnosed with ALS. Our North Carolina agents help clarify your eligibility and enrollment options.

Medicare can feel overwhelming for newcomers, with four parts offering different coverage types. Understanding what each part covers helps you choose the right plan for your health needs.

Medicare Part D provides optional prescription drug coverage for Medicare enrollees, helping reduce high medication costs through private plans with monthly premiums. In 2025, the benefit simplifies to three stages: a maximum $590 deductible, initial coverage with 25% coinsurance until $2,000 out-of-pocket, then catastrophic coverage with $0 cost for covered drugs. The coverage gap is eliminated, capping annual out-of-pocket at $2,000. Enroll on time to avoid penalties. Contact our NC brokers for personalized help.

Medigap Plan N in North Carolina offers comprehensive coverage with lower premiums than Plan G. Learn about costs, copays, benefits, and whether Plan N is right for you. Free quotes available.

How much does Medicare cost in North Carolina? Learn about Part A, B, and D costs, income-based premiums, and total monthly expenses. Free quotes available.

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.

Can You Have Private Insurance and Medicare at the Same Time? Discover how Medicare and private insurance can work together to provide comprehensive healthcare coverage. This guide explains coordination of benefits, which insurance pays first in different scenarios (employer coverage, COBRA, TRICARE), and important considerations including costs and coverage rules. Learn why you cannot have both Medicare and an ACA Marketplace plan, and find out if dual coverage is right for your situation. Get expert insights on premiums, networks, and out-of-pocket costs to make informed decisions about your healthcare coverage.

Navigate the complex decision between Medicare and private health insurance with this comprehensive comparison guide. Understand eligibility requirements, coverage differences, cost structures, and provider networks for both options. Learn when Medicare makes sense (typically age 65+), when private insurance is necessary (families, under 65, employer coverage), and whether you can have both simultaneously. Explore detailed breakdowns of Medicare Parts A, B, C, and D, plus private plan types including PPO, HMO, EPO, and POS options. Discover how coordination of benefits works, compare actual costs including premiums and deductibles, and get practical guidance on choosing the right coverage for your age, family situation, and healthcare needs.

Employer Guide to ICHRA explains how employers can reimburse employees for individual health insurance premiums and expenses, offering cost savings, budget control, flexibility, and tax benefits over traditional group plans.

Medicare members: Discover how SilverSneakers becomes your 2026 fitness benefit provider, offering thousands of gym locations, live virtual classes, on-demand workouts, and community programs—all at no extra cost.

Blue Cross NC's Blue to Blue rule lets current Medicare Supplement members switch plans twice a year without health questions during the May or October-December enrollment periods.

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.

Nestled in the Blue Ridge Mountains, Asheville, NC, thrives in 2025 as a resilient hub of arts, craft beer, and outdoor adventures. From Biltmore Estate's grandeur to the Blue Ridge Parkway's vistas, its vibrant economy and top-tier healthcare—bolstered by Blue Cross NC—make it a haven for families and seniors alike.

Fayetteville, NC, a vibrant city with a rich military and historical legacy, offers comprehensive healthcare through Cape Fear Valley Medical Center, Womack Army Medical Center, and specialized clinics. With robust senior care, primary care, and community programs, it ensures accessible, quality healthcare for all residents.

Durham, NC, the City of Medicine, boasts top facilities like Duke University Hospital and UNC Medical Center for advanced cardiology, oncology, and pediatric care. Medicare supports specialized clinics and retirement communities. Blue Cross NC offers affordable plans with preventive services, drug cost caps, and extras like dental and fitness benefits.

Greensboro, North Carolina, boasts comprehensive healthcare with hospitals like Moses H. Cone Memorial, primary care clinics such as Eagle Physicians and Guilford Medical Associates, specialized centers for cancer, heart, and orthopedics, mental health services, and senior facilities including Friends Homes at Guilford. Medicare support features tailored clinics and retirement communities. Blue Cross NC offers extensive coverage, preventive care, member perks, nationwide access, and cost savings.

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.

Turning 65 is a pivotal moment for healthcare planning, as it marks eligibility for Medicare, including Part B, which covers outpatient medical services like doctor visits, preventive care, and diagnostic tests. Deciding whether to enroll in Part B, especially with group health coverage through a large or small employer, requires careful consideration. Missing enrollment deadlines can result in penalties, and for high-income earners, premium surcharges further complicate the decision-making process. This article outlines a safe strategy for approaching Medicare Part B at 65, addressing penalties for not enrolling, the wisdom of enrolling despite group coverage, and key factors for high-income earners to consider.
Understanding Medicare Part B
Medicare Part B is a cornerstone of healthcare for individuals 65 and older, covering services such as outpatient care, laboratory tests, physical therapy, and durable medical equipment. In 2025, the standard Part B premium is projected at approximately $185 per month, with an annual deductible of $250. Part B covers 80% of approved services, leaving you responsible for the remaining 20% unless you have supplemental coverage like Medigap or a Medicare Advantage plan. For high-income earners, the Income-Related Monthly Adjustment Amount (IRMAA) can significantly increase premiums, with surcharges starting for individuals with a modified adjusted gross income (MAGI) above $103,000 (or $206,000 for married couples) based on tax returns from two years prior.

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.

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.