What 'private health insurance' means in North Carolina
Major-medical plans sold outside HealthCare.gov by carriers that lease national PPO networks — in North Carolina, Cigna, Aetna and PHCS PPO. They cover doctor visits, hospitalization, surgery, prescriptions and preventive care, with deductibles and an out-of-pocket maximum. Because they're medically underwritten, healthy applicants are priced lower than a guaranteed-issue pool.
Who qualifies
Generally healthy applicants, ages 18–64, with no major pre-existing conditions. There's a short health questionnaire and a prescription-history check; no exam. Serious conditions can be declined or excluded — if that's your situation, the marketplace is the right answer and we'll say so.
What they cost in North Carolina
Individuals roughly $290–$600 a month by age and deductible; families roughly $800–$1,300. Enroll any month; apply by the 20th for the 1st. See live prices on our quoting tool.
Medicaid expansion in late 2023 moved hundreds of thousands of lower-income North Carolinians onto Medicaid — which means the people still shopping are mostly above the subsidy range.