Urban Call ACA Expansion (BCBSNC)

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North Carolina has expanded health care coverage to more people

NC Medicaid now covers people ages 19 through 64 years within certain income levels. You may be able to get health care coverage through Medicaid even if you did not qualify before. NC Medicaid pays for doctor visits, yearly check-ups, emergency care, dental care, mental health and more – at little or no cost to you. People with higher incomes can still get help with healthcare coverage through the Affordable Care Act (ACA). More details on ACA are provided in this Urban Call.

Quick Facts about North Carolina’s Medicaid Expansion

North Carolina expanded who can get Medicaid.

Adults ages 19 through 64 earning up to 138% of the federal poverty line (e.g., singles earning about $20,000/year or families of three earning about $34,000/year) may be eligible.

The best way to apply is online through ePASS or HealthCare.gov; you can also apply in-person, by phone or mailed applications. The processing time for applications can be

up to 45 days. Applications submitted online may be processed faster.

The coverage is comprehensive, including services like primary care, hospital stays, maternity care, vision and hearing, dental/ oral health care and more. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health and more –at little or no cost to you. Current beneficiaries with full Medicaid coverage will not see any changes. The number to call to get more information is 1-888-245-0179.

Note that you could qualify now even if you didn’t before, ensuring greater access to essential medical services.

AHBAI

As a part of the Affordable Care Act (ACA), North Carolina has finally expanded Medicaid to nearly 600,000 people with more limited incomes. If your income is too high to get Medicaid, ACA may still help pay for your health insurance costs. Our company’s mission is to help as many people as possible to get this important coverage. Call us if we can help you or someone that you care about to get covered, 336759-7477.

Vol.24 Issue 2
2 Sandra Miller Jones
SMSi Healthy Living Solutions, Inc. Founder & CEO
Dr. Lafayette Jones
Founder & Chairman Emeritus
Health & Beauty Institute Publisher-Urban Call
D r . C h a r l i e K e n n e d y D r L a r r y H o p k i n s
2 Wake Forest Medical School Mentors
URBAN CALL - HEALTHY LIVING EVERY DAY! PAGE 2

Meet the SMSi ACA Licensed and Certified Agent Team

Here is the team of experienced Agent Ambassadors who are available at no cost to help you get health insurance now and to be your agent year round. All team members are fully licensed by the state and certified by the federal government to provide expert assistance.

Marketplace health insurance plan benefits

• All plans offered in the Marketplace cover these 10 essential health benefits:

• Ambulatory patient services (outpatient care you get without being admitted to a hospital)

• Emergency services

• Hospitalization (like surgery and overnight stays)

• Pregnancy, maternity, and newborn care(both before and after birth) Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy) Prescription drugs

• Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)

• Laboratory services

• Preventive and wellness services and chronic disease management

• Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)

• Additional benefits

Plans must also include the following benefits:

• Birth control coverage

• Breastfeeding coverage

• Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements. Plans may offer additional benefits, including:

• Dental coverage

• Vision coverage

• Medical management programs (for specific needs like weight management, back pain, and diabetes)

URBAN CALL - HEALTHY LIVING EVERY DAY! PAGE 3

Say YES! to a large network of doctors.* Always choose Blue.

U44201a, 11/23
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