Upcoming Event

Dec 11

2014 Healthiest Employer Awards and Showcase

Time: 11:00 am - 1:30 pm

Place: Raleigh Marriott Crabtree Valley

Blue Cross ACA plan premiums to go up 13% next year

Oct 22, 2014, 12:35pm EDT

Send this to a friend

BCBSNC

Blue Cross and Blue Shield of North Carolina premium rates for the individual market, which represents 14 percent of its total customer base and excludes those who buy health insurance through an employer

Staff Writer- Triangle Business Journal
Email  |  Twitter

North Carolinians who buy health insurance on an individual basis – meaning those who don't buy through an employer – from Blue Cross and Blue Shield of North Carolina will see between a 13 percent and 19 percent premium rate increase on average next year.

That applies to roughly 550,000 North Carolina residents who buy health insurance on the individual market from BCBSNC, the state's largest health insurer. Although BCBSNC holds a commanding market share in the individual market, those customers still represent only about 14 percent of the company's overall customer base. Including those who buy health insurance through an employer, BCBSNC covers more than 3.8 million North Carolinians.

Individual plan designs will remain largely the same, says Patrick Getzen, BCBSNC chief actuary, meaning individuals will not see major shifts to health care coverage, co-pays or deductibles.

Average BCBSNC plan premiums by type on the individual market

2015

  • ACA: $421.32
  • Grandfathered: $250.36
  • Transitional: $278.65

2014

  • ACA: $364.39
  • Grandfathered: $223.31
  • Transitional: $239.45

This past year was the first year of the so-called "individual mandate," or the provision in the Affordable Care Act that requires Americans to have health insurance or face a penalty. Although individuals were initially required to by ACA-compliant plans, the Obama Administration allowed for grandfathered and transitional plans.

Grandfathered plans are those which individuals purchased before March 23, 2010, and transitional plans are those purchased between March 23, 2010, and Oct. 1, 2013. BCBSNC has some 239,000 customers in those plans.

  • Page 1
  • 2
|View All
Jason deBruyn covers The Biopharmaceutical and Health Care industries. Follow him on Twitter @jasondebruyn.

Comments

If you are commenting using a Facebook account, your profile information may be displayed with your comment depending on your privacy settings. By leaving the 'Post to Facebook' box selected, your comment will be published to your Facebook profile in addition to the space below.

Inside Triangle Business Journal

Triangle Business Journal's 2014 CIO Awards

Most Popular

  • Slideshows
  • Facebook
  • Twitter
  • Emailed
  • Mobile

Alex Walker Allegood

Progressive Benefit Solutions, a Marsh & McLennan Agency

Amit Sachan, PE, CFM

Alpha & Omega Group

Bryan Pennington

Paragon Bank

Josh Hyatt

S&A Cherokee

Tyler Gray

Coldwell Banker Howard Perry & Walston

Heather Brink

Coldwell Banker Howard Perry & Walston

Post a Job View All Jobs

© 2014 American City Business Journals. All rights reserved. Use of this Site constitutes acceptance of our User Agreement (updated 12/23/13) and Privacy Policy (updated 12/23/13).

Your California Privacy Rights.

The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of American City Business Journals.

Ad Choices.