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Locally and Family Owned Health Insurance Agency in Raleigh, NC for over 40 years
You do not pay a single penny more working with an agency like us. There is no fee for our services. We take pride in providing a personal experience with our service to you.
 
ELITE Circle of Champions
COMPANIES WE WORK WITH:
Medical:
BCBSNC
United Healthcare
Aetna
Cigna
 
Dental:
BCBSNC
United Healthcare
Aetna
Cigna
Companion Life
Guardian
Kansas City Life
Sun Life
Unum
 
Vision:
BCBSNC
United Healthcare
Companion Life
Guardian
Kansas City Life
Sun Life
Unum
 
Short Term &
Long Term Disability:
United Healthcare
Companion Life
Guardian
Kansas City Life
Sun Life
Unum
 
We can help find you the provider that best fits your needs! CALL (919) 622-1427
Individual Insurance

The Cavenaugh Insurance Agency Offers a full-service approach to their clients for their individual health insurance needs. By working side-by-side with the consumer and directly with all major individual health insurance carriers available in North Carolina this allows us to help you every step of the way while being able to discuss and offer you all available options. We do want to note that individual health insurance options are limited in general as residents of North Carolina based on the lack of participating carriers. For instance, BCBSNC is the only carrier that offers an individual plan in all 100 NC counties. 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.

+ Short Term Medical Insurance
  • 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.
+ Major Medical Insurance (Affordable Care Act Compliance)
  • 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).
+ Medicare Supplements

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.

+ Medicare Part D
Medicare Part D provides prescription drug coverage for eligible Medicare recipients. This coverage provides different benefits for prescription drug coverage. You can select from different co-pays for generic prescriptions, as well as brand name prescriptions. Your pharmacist can assist you in selecting which insurance company would cover most of the prescriptions you currently take. This coverage can be changed annually. What more should you know?
+ Dental

Need a routine checkup at the dentist? Lost your group dental benefits? Dental coverage is available 2 ways:

  • Health plans that include dental coverage. Dental coverage is included in some Marketplace health plans. You can see which plans include dental coverage when you compare them.
    If a health plan includes dental, the premium covers both health and dental coverage.
  • Separate, stand-alone dental plans. In some cases separate, stand-alone plans are offered. You can see them when you shop for plans in the Marketplace.
    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

    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.

    + Life
    Life insurance is most often purchased to take care of the financial needs of the surviving family and other loved ones. There are formulas to help you decide just how much life insurance you and your family need. There are many questions that only a professional can help you answer. What type of life insurance should I buy? How much do I need? Who should own the policy? Who should be named the beneficiary? These are all questions that we are here to answer for you. Life insurance is also purchased for deferred compensation plans, Key Man, and funding for buy/sell agreements.
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    What is a tax credit/subsidy?
    Think of this term like a coupon or discount received when checking out at your local grocery store. The amount of discount you receive for health insurance is based on one's household size and income. If you qualify based on one's household size and income (see the chart below), you use this tax credit to directly reduce your monthly payment/premium. This reduction can be applied to any of the metal levels (Bronze, Silver, Gold, and Platinum), but it cannot be applied toward the purchase of catastrophic health insurance coverage (only applicable to those under 30 years old).
    The second form of ACA subsidies is cost-sharing reductions (CSR's), which work by reducing an individual or family's out-of-pocket costs for healthcare services. These costs include deductibles, copayments, coinsurance, and more. They can reduce deductibles to as low as a few hundred dollars in some cases. One of the main differences between cost-sharing reductions and a tax credit is that the cost-sharing reductions may only be applied toward a silver level plan.
    Eligibility for a cost-sharing reduction (CSR) subsidy requires that consumers:
    Are eligible to receive a premium tax credit household income is between 100% to 250% of the Federal Poverty Level. The cost sharing reductions are only available to ACA Marketplace enrollees who satisfy all other criteria for the premium tax credit.