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.

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.

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.

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.

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. 

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.

Medigap Plan A is the most basic Medicare Supplement plan, covering core benefits at typically the lowest premium. While it helps with Part A and Part B coinsurance, it leaves you responsible for deductibles and other costs. Here's what you need to know.

When you're a part of an employer-sponsored high-deductible plan or health savings account plan, you might want to consider purchasing a High-Deductible Plan G supplement also known as a Medigap plan. This plan is similar to the High Deductible Plan F, but it doesn’t provide coverage for your Medicare Part B deductible. 

The Medicare Annual Enrollment Period (AEP) is your yearly opportunity to review and change your Medicare coverage. With significant new benefits for 2026—including negotiated drug prices on 10 medications and a $2,100 out-of-pocket cap—this year's review is more important than ever.

Over 2.2 million North Carolinians are enrolled in Medicare. Whether you're newly eligible or looking to review your coverage, these frequently asked questions cover what you need to know about Medicare costs, enrollment, and coverage options in 2025-2026.

Medicare late enrollment penalties can add lifelong extra costs to Parts A, B, and D if you miss your Initial Enrollment Period without creditable coverage. Enroll on time, verify employer plans, and keep proof to avoid fees.

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.

The year was 1953 and Dwight D. Eisenhower was inaugurated as the 34th President of the US.
The world was introduced to “007” as the first James Bond novel was published, and Walt Disney’s animated film Peter Pan premiered in theatres.
In 1953, the coronation of Queen Elizabeth II occurred in Westminster Abbey, London, England. That same year, “TV Guide” published its 1st issue, featuring actors Desi Arnaz and Lucille Ball’s newborn son, Desi Arnaz Jr.

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: