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Affordable Health Insurance In Raleigh, North Carolina



If you live in the Raleigh, North Carolina region and are in need of health insurance, you may have a bit of a challenge ahead of you.  Finding health insurance in Raleigh, in 2024, is not as simple as it may seem.  As with other large bustling cities, it can be really difficult to find an insurance professional that is willing to take the time to help you sort through the myriad of health plans out there.  And without professional assistance, things can get really confusing - fast.

Article: Faith Based Healthcare Sharing Plans in Raleigh.

There are a number of factors that you will want to consider when attempting to purchase the ideal health care plan for you or your family.   The first item on your list should be which type of health plan should you consider - HMO, PPO, POS, EPO, etc.?  Are you looking for an Affordable Care Act plan, or are you looking for a wider range of options?

Good to know:  When making an appointment, always double-check that the doctor is still in your insurance plan's network.  Ask to see in-network providers when you go to the hospital or an urgent care center.  Just because a facility participates in your plan doesn't mean every professional (the nurse-practitioner or radiologist, for instance) does.  Also, if you need to see a doctor when you're out of town, call your insurance provider's toll-free phone number to find out the best way to get services that will be covered.
courtesy of Parents.com


Short Term Health Insurance

You may want to add short-term insurance to your list of options.  Short-term insurance is not so short anymore.  Thanks to new government guidelines, you can keep a short-term health insurance plan a lot longer than what was previously allowed.  In addition, the benefits of many short term plan options have been significantly improved.  While short term health insurance plans do not offer the comprehensive level of insurance coverage of an Affordable Care Act Health Insurance plan, the features and benefits are now comparable.  And the monthly premium tends to be more affordable.  In some cases, a short term health plan may be the ideal health plan fit.  Get an instant short term health insurance plan rate quote

Healthcare Sharing Plans

There are also healthcare sharing plans.  Consumers are choosing healthcare sharing plans, (also known as faith-based health plans), over traditional health insurance in ever increasing numbers.  A Healthcare sharing plan is not a health insurance plan - at least not in the legal sense of the word.  These plans are designed to meet the same needs as traditional health insurance.  The difference is, faith-based health plans are not governed by the ACA (Affordable Care Act) rules and regulations.  The result is an umbrella of health plan options that can offer a benefit structure that is different than what is available via an Affordable Care Act plan.  These plans are noted by their flexibility and affordability.  Get an instant Healthcare sharing plan rate quote

All of the above options are available in Raleigh.  You need only to choose which health plan option will best suit your needs.  Because health insurance is such an important necessity, you should seek the assistance of a licensed insurance professional.

Good to know:  Take advantage of free screenings.  Every community has health fairs that offer free screenings for diabetes, HIV, high blood pressure and other maladies.  By law, ACA-compliant insurance plans offer a number of screenings with no copays.  These screenings can save you hundreds of dollars.


Healthcare.gov

One of the simplest means of acquiring a health plan, is to purchase a plan on Healthcare.gov.  To purchase a plan via Healthcare.gov, you will need to apply during the open enrollment period.  This period is normally about a month and a half long, and occurs during the fall of every year.  This is the only time you may enroll unless you qualify for enrollment due to special circumstances.  If you fall within a certain specific income bracket, you may qualify for subsides, which are income-based discounts on the monthly premiums.

There are several health plan options that are available to you, that are not part of the Affordable Care Act portfolio.  They include short-term health plans, (which are not so short anymore) and healthcare sharing plans, (Sometimes referred to as faith-based health plans).

After deciding on where you plan to purchase your health insurance, the next step is to decide which type of plan is best for you. These plan types include: Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Exclusive Provider Organization, or a Point of Service Plan (POS), and more.  The structures of the various plans are quite different.  Be sure to seek assistance from a licensed insurance agent, if you are not intimately aware of unique health plan differences.  The impact of purchasing the wrong plan can be emotionally and financially significant.

Good to know:  Each insurance provider has a formulary or list of medicines covered by the plan.  If a medicine is not on the formulary it may not be covered and you may have to endure a potential nightmare attempting to find an alternative medication.  The list of covered medicines is also often divided into tiers, which determines how much of a copay or coinsurance you may have to pay.  Make a list of your current medicines and compare it to the plan's formulary to make sure your medicines are covered and you understand the out-of-pocket costs that may be associated with them.



UNC REX Hospital
UNC REX Hospital
4420 Lake Boone Trail
Raleigh, NC 27607
Phone: (919) 784-3100
Plus Code: R78W+XR Raleigh, North Carolina
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Once you have selected a plan type you desire, you should look at the size of the health care network and estimated out-of-pocket costs.  Any insurance plan summary will lay out how much you may likely pay out of pocket, for deductibles, copayments, and co-insurance, should you encounter a medical circumstance.  Generally, the lower the premium the higher your out-of-pocket-costs.

The final step is to compare the offered benefits with your family's specific medical needs.  This consists of making sure that the plan provides for any needed medications, coverage during travel, and any reoccurring care required.

Other articles:
Finding Short-Term Health Insurance.
Short-Term Health Insurance In Raleigh, North Carolina.
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