What is the Marketplace / Exchange / Individual Health Insurance Marketplace / "Obamacare" / Affordable Care Act (ACA) Health Insurance?
The Individual Health Insurance Marketplace, sometimes called the “Federal Marketplace” or “Federal Exchange,” is a resource for individuals and families to shop for and enroll in a health insurance plan. It also provides information on programs that can help people pay for coverage.
What is a premium?
A premium is the amount you pay each month to keep your health insurance plan active.
What are out-of-pocket costs?
Out-of-pocket costs are your total expenses for medical care that are not paid by your health insurance plan.
What is a network?
A “network” is a group of doctors and hospitals that participate in a health insurance plan. Typically, you pay lower out-of-pocket costs if you go to doctors and hospitals that belong to your health insurance plan's network.
When is Open Enrollment for the Individual Health Insurance Marketplace?
“Open Enrollment” is a federally mandated period of time where consumers can sign up via healthcare.gov for health insurance on what is known as the Individual Health Insurance Marketplace. Open Enrollment for 2017 ended on January 31.
You may qualify for a Special Enrollment Period, which allows you to sign up for a health insurance plan in 2017 if you have certain life events like getting married, having a baby, or losing your health insurance coverage.
Find out if you qualify for a Special Enrollment Period.
Why should I pick a plan that includes Carolinas HealthCare System doctors and hospitals in network?
Choosing a plan that includes Carolinas HealthCare System doctors and hospitals gives you in-network rates with:
- Access to top rated doctors;
- Innovative care from specialty centers like Levine Cancer Institute, Levine Children’s Hospital, and Sanger Heart and Vascular Institute;
- Plus, access to the largest primary care and urgent care network in the region.
Which plans are my prescriptions covered in?
You can use Healthcare.gov to find available plans in your area and look up your medications to determine your out-of-pocket cost and coverage amounts.
How much will a particular visit or service cost with the plan I choose?
If you need exact details about a particular plan and its coverage, please contact the insurance company.
- To reach BCBSNC, call 1-800-894-2880.
- To reach BCBSSC, call 1-877-313-2583.
Why do I need health insurance?
The purpose of health insurance is to help you pay for care. It protects you and your family financially in the event of an unexpected serious illness or injury that could be very expensive. You need health insurance because you cannot predict what your medical bills will be. In some years, your costs may be low. In other years, you may have very high medical expenses. If you have health insurance, you will have peace of mind in knowing that you are protected from most of these costs.
What happens if I don’t buy health insurance?
Under the Affordable Care Act, if you can afford health insurance, but choose not to get it, you may be required to pay a fee – sometimes called a "penalty," "fine," or "individual mandate" – when you file your federal income taxes.
What if I can’t afford insurance?
Affordable coverage through the Individual Health Insurance Marketplace is available. After a tax credit, the cost of most plans premiums is cut by 76%.
How do I buy a health insurance plan on the Marketplace?
The annual sign-up period to buy a 2017 health insurance plan on the Individual Health Insurance Marketplace has ended. But, you may qualify for a Special Enrollment Period, which allows you to sign up for a health insurance plan in 2017 if you have certain life events like getting married, having a baby, or losing your health insurance coverage. Find out if you qualify for a Special Enrollment Period.
To buy a plan:
- Consider the healthcare needs of yourself and your family, including the medicines you take and the doctors you see.
- Be sure your preferred doctors and hospitals are included in the health insurance plan you buy.
- Check to see if you qualify for savings on health insurance you buy through the Individual Health Insurance Marketplace.
- Learn about your health insurance options. The information on this page can help you.
- If you qualify for a Special Enrollment Period and are ready to enroll in a health insurance plan, you can visit Healthcare.gov to complete your enrollment. Once you have enrolled, you will receive information from your insurer on how to pay your bill.
- If you need help enrolling, you can call and speak to one of our experienced insurance specialists by calling 866-271-0546.