Brief overview of Medical Insurance in North Carolina

Although a number of political leaders are openly opposed to Obamacare, North Carolina is widely regarded as a success story for HHS (Department of Health and Human Services) run insurance exchanges. State and federally operated insurance exchanges were introduced to deal with applications for medical insurance across the U.S.A. and are designed to be accessible to as many people as possible as they operate mainly through the internet.

With the introduction of the Affordable Care Act, or Obamacare, in 2010 it became a legal requirement for U.S. citizens to have at least minimal medical insurance and failure to comply is punishable by a fine of $325 per individual adult and up to $975 for a family. However, despite the threat of a fine, Obamacare has generally been accepted as a good thing and more and more people continue to register from companies like as they realize that there are significant benefits attached to having adequate medical insurance in North Carolina.

Big Increase in Numbers

Obamacare introduced medical insurance coverage at a reasonable price for millions of previously uninsured people. In the first two enrollment periods, almost five hundred thousand North Carolina residents signed up for Obamacare policies as the number of people without medical insurance in North Carolina dropped to a record low. Compulsory, but also more affordable than ever, and with tax benefits in some cases, having medical insurance coverage is now the rule rather than the exception.

Poor History

Back in 2013, North Carolina had a poor record in terms of medical insurance coverage per head of population. Over one fifth of the state’s residents had absolutely no insurance before the introduction of the ACA in early 2014. However, there were a significant number of enrollees to Obamacare and the percentage quickly dropped to 16% of the population. The percentage of those without medical insurance in North Carolina continued to drop during the year and by mid-2015 it had dipped to just under 15%.


Insurance Exchange and Medicaid

Although the North Carolina government is not the biggest supporter of Obamacare, the state’s insurance exchange is the fifth busiest in the U.S.A. Promoted by health workers and volunteers, the North Carolina insurance exchange is there to take enrollment applications for Obamacare and other private medical insurance policies as well as assist in selecting the best plans for individuals.

In 2012, North Carolina opted out of a planned Medicaid expansion due to fraudulent accounting in the Medicaid system. However, an expansion has not been totally ruled out as the state is unlikely to refuse funding from the federal government. Because of the state’s refusal, almost 250,000 residents who qualify are without Medicaid assistance and have no access to a subsidy. This is an ongoing and serious problem which will be hopefully addressed sooner rather than later.