Long Term Disability:
The Cavenaugh Insurance Agency Offers a full-service approach to their clients for their individual health insurance needs. We work side-by-side with the consumer and directly with all major individual health insurance carriers available in North Carolina which allows us to help you every step of the way while also being able to discuss and offer you all of your available options. At the same time, we do want to note that individual health insurance options are limited in general as residents of North Carolina due to the lack of participating carriers. For instance, BCBSNC is the only carrier that offers an individual plan in all 100 NC counties. There are 5 counties (Wake, Johnston, Orange, Chatham and Nash) that offer Cigna Connect and 2 counties (Wake / Durham) that offer Ambetter by Centene which is a HMO policy strictly contracted with Duke and WakeMed networks. We work directly with the Affordable Care Act ("Obamacare") as well as Short Term medical plans. We walk our clients through the process from the beginning to the end, no matter what the issue or situation is and or/arises all while simplifying things. The client's best interest is always first and foremost to us.
Please call 919-622-1427 or email us at info@cavenaughinsurance.com today for more information or to set an appointment to meet with us.
- Is an affordable health insurance alternative to Obamacare that puts a maximum (deductible/out-of-pocket maximum) on your exposure in the event of a medical bill arising from an accident, emergency or an unexpected illness just like an Obamacare plan would. Plans may also include copays for primary care, urgent care and emergency room visits.
- Requires health questions so underwriting is involved. People who have pre-existing conditions or are overweight can be declined coverage.
- Is typically much less than Obamacare plans.
- Does not typically cover preexisting conditions, preventive care, maternity or mental health benefits.
- Has coverage periods ranging from a minimum of 30 days to a maximum of 360 days that can be bought year-round (no open enrollment periods) with next day available coverage.
- Is not considered minimum essential health coverage under the ACA, but the tax penalty for not having credible coverage has been repealed for 2019.
- Does not comply with tax credits/subsidies.
- Short Term Insurance might be a good fit for some of the following scenarios: One isn't eligible to enroll into the ACA outside of open enrollment, One is in good health and is looking for a more affordable option, One does not qualify for a subsidy on the ACA and is looking for a much more affordable premium, One does not go to the doctor more than a few times a year or takes a lot of prescriptions, One is in between jobs or employer based coverages that needs gap coverage.
- Goes by many names such as "Obamacare", "The ACA" or "Marketplace Insurance"
- Is guaranteed coverage (no underwriting or health questions)
- Has an open enrollment each year from November 1st to December 15th. One must have a qualifying life event and apply within 60 days of the event in order to be eligible for ACA benefits outside of open enrollment. Qualifying life events include: loss of credible coverage elsewhere, change in household (marriage, divorce, newborn), change in residence (moving to a new county or zip code), becoming a US citizen, a change in one's Medicaid or Medicare eligibility or leaving incarceration.
- Guarantees 10 Essential Health Benefits are covered by all plans: Doctor visits and other outpatient care, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drug coverage, rehabilitative and habilitative services, laboratory test and services, preventive and wellness care and basic pediatric (under the age of 19) dental and vision care.
- Are eligible for federal tax credits/subsidies to be applied directly to their premium for those individuals who qualify based on their household size and income (see the chart below to see if your household income meets the criteria based on your household size).
Turning 65 soon? Confused by all the mail you have received? Has your former employer dropped your retiree coverage?
Medicare is an insurance program administered by the United States government providing health insurance for those who are aged 65 or older or for disabled persons who have been approved by Social Security for disability benefits. Medicare pays providers of medical care just a portion of the total charges. Medicare Supplements provide additional payments to health providers beyond what Medicare pays. Depending on which plan you select, there are plans which will leave very little of the bills for you to pay.
Need a routine checkup at the dentist? Lost your group dental benefits? Dental coverage is available 2 ways:
If a health plan includes dental, the premium covers both health and dental coverage.
If you choose a separate dental plan, you'll pay a separate, additional premium.
We offer various dental plans that can be either included with your health coverage or stand-alone. Dental insurance is designed to pay a portion of the costs associated with your dental care. Typically, dental plans at a minimum cover a routine checkup every 6 months.
Vision insurance is a health benefit that at least partially covers vision care like eye exams, contacts, frames and lenses. All plans in the Health Insurance Marketplace include vision coverage for children (under the age of 19). Only some plans include vision coverage for adults.
If adult vision coverage is important to you, check the details of any plan you're considering.
If your plan doesn't include adult vision coverage, you can buy a "stand-alone" vision plan to reduce your vision care expenses. The Marketplace doesn't offer stand-alone vision plans. Let us know if you would like to find out any more information on vision insurance for you and/or your family.
