Best Health Insurance Agencies in Wilmington

Frequently Asked Questions

• Introduction

  If you're looking for health insurance for yourself or your family, an agent can help you save time, understand your options, and manage your costs. Insurance agents must be licensed in the state where they operate. They can provide information about on- and off-exchange plans to help you weigh all of your options, and they can see if you qualify for tax credits that can lower your monthly premiums. There's no cost to work with an agent, and they can help you save quite a bit by recommending the best plan for your needs. Here's what you should know before you get started.
  

• Does Wilmington mandate health insurance for its residents?

  There is no federal insurance requirement in existence and no explicit statute forcing residents of Wilmington or the rest of North Carolina to carry health insurance. However, health insurance might help people avoid astronomical medical expenses. For major medical plans, the least expensive health insurance in Wilmington starts at about $178 per person.

• How does Wilmington's health insurance market operate?

  For the purpose of enrolling in North Carolina health insurance plans, comparing coverage, and determining eligibility for subsidies and cost-share reductions, Wilmington makes use of the federally facilitated health insurance marketplace. The prices put out by insurers seeking to offer medical insurance through the federal marketplace are reviewed by the North Carolina Department of Insurance.

• Is it possible to enroll in a major medical coverage in Wilmington outside of the open enrollment period?

  In Wilmington, most companies do not provide significant medical insurance outside of the open enrollment. However, a special enrollment period will be available if a qualified life event occurs, such as marriage, the birth of a child, or the loss of coverage. There may be some short-term plans offered by companies in the interim, but you must also obtain specific information to ensure they meet your needs and comply with the ACA.

• What happens if you don't require all the features offered by a Wilmington health insurance plan?

  Most medical health insurance plans in Wilmington must offer specific services known as Essential Health Benefits following the Affordable Care Act. This implies that regardless of your gender, maternity and newborn care should be covered by the plan as it is seen as a crucial health benefit. The same goes for all the identified essential health services.

• In Wilmington, does Medicare Part A require you to pay a premium?

  You won't be required to pay a Part A premium in Wilmington if you are at least 65 years old and you or your spouse have paid Medicare taxes for at least 10 years. If you are receiving Social Security or Railroad Retirement benefits or are eligible for them but have not yet applied, you may also take advantage of premium-free Medicare.

• How can you find affordable health insurance? 

  Affordable insurance is available through employers, Medicare, Medicaid, and the federal Health Insurance Marketplace, which offers subsidies in the form of tax credits. You can also purchase coverage through private insurance companies and independent agents. Nearly half of all Americans have employer-sponsored health insurance, and about 10% of the population is uninsured.