North Carolina Health Insurance

Updated on: August 28th, 2020

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North Carolina’s health insurance rates for Obamacare have declined for the past few years. You may qualify to enroll in a 2020 plan and save money.

North Carolina Health Insurance Overview

North Carolina has one of the highest enrollments for private health insurance under the Affordable Care Act (ACA), also called Obamacare. Most of the state’s ACA enrollees qualify for financial assistance. Many uninsured, childless adults choose Obamacare because North Carolina has not expanded Medicaid to this demographic.

The 2020 Obamacare open enrollment for North Carolina health insurance ended on December 18, 2019. But if you experience a qualifying life event, such as getting married or having a child, you could still get coverage. If you qualify for Medicaid based on income, you can enroll at any time.

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North Carolina and the Affordable Care Act (ACA)

ACA regulations gave states access to federal funding to expand Medicaid programs from 2014. But North Carolina is among the 14 states that have not adopted Medicaid expansion.

North Carolina’s Medicaid population has not grown much proportionally to the total state population. About 17% of residents had Medicaid when the ACA passed in 2010. That went up to 18% in 2014 and has stayed that way through 2018. That’s about 1.8 million Medicaid enrollees out of a population of around 10 million residents in 2018.1

North Carolina Marketplace Enrollment 

North Carolina had the fourth-highest number of Marketplace enrollees in 2019 with a half-million enrollments. Only Florida, California, and Texas (all much larger states) had more people sign.

North Carolina residents use the federal Marketplace (or exchange) to apply for individual and family coverage under the ACA. You can apply during the annual open enrollment period from November 1 to December 15 or at any time if you have a qualifying life event.

Your application will reveal if you qualify for financial assistance, such as premium tax credits. If your income is low enough, you may instead qualify for low-cost or free coverage through North Carolina’s Medicaid or Children’s Health Insurance Program (CHIP).

North Carolina Health Insurance Companies 

North Carolina has experienced major carriers leaving its Marketplace in the past few years. In 2016, Aetna exited the Marketplace, and UnitedHealthcare stopped offering plans in 77 of North Carolina’s 100 counties.

However, new carriers later joined the Marketplace offering residents in certain areas more choices. Cigna joined North Carolina’s Health Insurance Marketplace in 2017,2 and Ambetter followed for the 2019 plan year.3 A new insurer, Bright Health, joined the exchange for 2020.4

Four carriers offer individual and family plans on North Carolina’s health insurance exchange for 2020.5 Blue Cross Blue Shield services most of the state and control 96 % of North Carolina’s individual health insurance market.

  1. Ambetter 
  2. Blue Cross Blue Shield 
  3. Bright Health
  4. Cigna 

North Carolina Health Insurance Premiums

Residents in North Carolina paid less for 2020 Marketplace coverage than in 2019. Monthly premiums for bronze, silver, and gold plans declined every year since 2018. 

Here’s a look at the average Marketplace premium in North Carolina:

Average Premium for North Carolina Marketplace Plans 2018 Plan Year2019 Plan Year2020 Plan Year
Average Lowest Cost Bronze Premium$464$417$365
Average Lowest Cost Silver Premium$609$570$518
Average Lowest Cost Gold Premium$656$605$553

North Carolina Marketplace Subsidies

North Carolina has one of the highest percentages of Marketplace enrollees who receive subsidies or premium tax credits. In 2019, 94%of enrollees received help to lower their monthly costs.

North Carolinians also receive larger average monthly subsidies than the rest of the country. They received an average of $677 in 2019; the national average was $514.

Below are examples of the monthly cost for a Marketplace plan after subsidies:

A couple in Raleigh, NC earning $40,000 a year could pay $260 for a silver plan with subsidies. This policy would cost $683 without subsidies, so that’s a $422 cost savings.

A family of four in Charlotte, NC earning $55,000 a year could get a silver plan for $320 per month after subsidies or $1,202 a month before subsidies—a cost savings of $882.

Medicaid and CHIP for Low-Income North Carolinians

Eighteen percent of North Carolina’s residents (or almost 1.8 million as of Oct. 2019) enrolled in the state’s Medicaid and the Children’s Health Insurance Program (CHIP). About 7 out of 10 are adults and children with Medicaid. The rest are elderly and individuals with disabilities, according to Kaiser Family Foundation.6


As mentioned earlier, North Carolina has not expanded its Medicaid program. Kaiser reported that this has left 215,000 residents in the coverage gap, namely adults without dependent children whom the expansion would have reached. 

You qualify for Medicaid in North Carolina if you meet income limits and you’re:

  • Age 0 to 21 (18 and under for children in your household).
  • A caretaker of a dependent child.
  • Pregnant. 
  • Blind or have a disability. 
  • Age 65 or older. 

For example, Kaiser listed that seniors and people with disabilities must earn no more than 100% of the federal poverty level to qualify (this amounts to $12,490 for an individual).


Children 18 and under who cannot get Medicaid may qualify for North Carolina Health Choice, which is the state’s CHIP program. Eligible household incomes cannot exceed $2,974 a month for a family of two. This increases by $777 for each additional household member.

North Carolina Medicare Enrollment

North Carolina has nearly 2 million Medicare enrollees.7 More than four out of five qualify based on turning 65. The remaining beneficiaries are younger but have disabilities.8

Most North Carolinians have Original Medicare, which is run by the federal government. This is the traditional program for Part A hospital and Part B medical insurance. You can also choose to get these benefits through a private Medicare Advantage plan.

Other private insurance options include Medicare Part D prescription drug coverage, which is often paired with Original Medicare. More than 800,000 North Carolinians have an individual Part D plan as of 2018.9 Original Medicare enrollees can also add Medicare Supplement, also known as Medigap.  Medigap helps pay for some or all of your covered out-of-pocket expenses.

Short-Term Health Coverage in North Carolina

Many situations in life can leave you with a temporary coverage gap. For instance, you may be in between jobs, waiting for coverage to start at a new job, or have aged off your parent’s health plan because you turned 26.

A short-term health insurance plan in North Carolina can fill these gaps in coverage for up to 1 year or 364 days. If you need a longer period, North Carolina allows you to renew coverage for up to 36 months.

Short-term health plans generally have cheaper monthly premiums than ACA plans because they don’t offer comprehensive benefits. Since they aren’t designed for ongoing health problems or pre-existing conditions, you could face high costs if you need treatment for a recurring issue.

Also, keep in mind that unlike ACA plans, short-term plans can deny you coverage based on your health status. But if you get approved, you could get a policy by the next day.

We’ve analyzed some of the main topics about buying health insurance in North Carolina. This should help you decide which type of coverage best fits your needs. 

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Article Sources
  1. Kaiser Family Fountain. “Health Insurance Coverage of the Total Population.” (accessed December 28, 2019).

  2. Henderson, Jennifer. “95 percent of N.C. counties expected to have just one ACA insurer next year, report says.” Triangle Business Journal, June 28, 2017. (accessed December 28, 2019).

  3. Murawski, John. “NC’s newest ACA health insurer serves the neediest, but faces fines and lawsuits.” The News & Observer, July 30, 2018. (accessed December 28, 2019).

  4. PR Newswire. “Bright Health brings its groundbreaking Health Plan Care Partner Model to 13 new markets for 2020.”, July 24, 2019 (accessed December 28, 2019).

  5. North Carolina Department of Insurance. “2020 Plan Year Licensed Insurers Marketing Individual Health Insurance Coverage in North Carolina NC Department of Insurance.” (accessed December 28, 2019).

  6. Kaiser Family Foundation. “Medicaid in North Carolina.” (accessed December 28, 2019).

  7. Kaiser Family Foundation. “Total Number of Medicare Beneficiaries.” (accessed December 29, 2019).

  8. Kaiser Family Foundation. “Distribution of Medicare Beneficiaries by Eligibility Category.” (accessed December 29, 2019).

  9. Kaiser Family Foundation. “Medicare Prescription Drug Plans: Stand Alone PDP Enrollment.” (accessed December 29, 2019).