Does North Carolina Have a State-run Exchange?

No, but you can visit the federal health exchange, or compare rates from one of the insurance companies listed below.

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North Carolina Health Exchange

With more than 1.5 million North Carolina residents under the age of 65 without health insurance, North Carolina was quick to take action towards the option of a state-run partnership and a federally operated health insurance marketplace.

North Carolina

Good Intentions

In June 2011, North Carolina created a law stating that the state has the intention to create, develop and run a state health insurance exchange. At one point, it looked like an entirely state run health exchange was going to be a reality. However, in November 2012, it was announced that North Carolina would partner with the federal government by outgoing North Carolina Governor, Bev Perdue. When new Governor, Pat McCrory, took office, it was then announced that North Carolina would be working with a federally run health marketplace.

Currently, North Carolina is not working on any marketing or community outreach to help North Carolina residents better understand the healthcare marketplace. The federal government has been fully inc-harge of the community outreach and marketing that is involved with running the marketplace.

North Carolina Exchange Info Graphic

Limited Healthcare Options

Currently, Blue Cross and Blue Shield of North Carolina has been the most popular selection for North Carolina residents who are seeking medical coverage. This is largely because Blue Cross and Blue Shield have taken the initiative to promote the marketplace. This health insurance company has been operating retail stores, visiting health fairs and making their presence known at a large number of community events across the state of North Carolina.

For many years, health insurance options in North Carolina have been limited and this will not change with the creation of the healthcare exchange. Aside from Blue Cross and Blue Shield, Coventry Health Care of the Carolinas (which is available in a limited number of counties) will be the only other health insurance carrier participating in the exchange.