Ncdoi.gov

Health Insurance NC DOI

Choosing health insurance is one of the most important choices you can make to protect you and your family. We know that health insurance can be complicated …

Actived: 8 days ago

URL: https://www.ncdoi.gov/consumers/health-insurance

Life and Health NC DOI

(6 days ago) Life and Health | NC DOI. Bulletin 21-B-09 - COVID-19 - Health benefit plans urged to waive prior authorization NCDOI is encouraging insurers that offer health

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Health Insurance Basics NC DOI

(2 days ago) Health Insurance Basics. Health insurance is a general term used to describe many kinds of insurance coverage that cover medical expenses as a result of sickness or …

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Using Health Insurance NC DOI

(1 days ago) Using Health Insurance. Health insurance helps pay for doctor visits, hospital services and medications. After enrolling in health insurance, you will receive a …

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Life and Health Licensing NC DOI

(7 days ago) Life and Health Licensing | NC DOI. Bulletin - 21-B-08 - Extra Prescriptions During a State of Emergency or Disaster To remind health benefit plans of compliance …

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Assistance or File a Complaint NC DOI

(Just Now) Assistance or File a Complaint | NC DOI. Bulletin 21-B-09 - COVID-19 - Health benefit plans urged to waive prior authorization NCDOI is encouraging insurers that …

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Request an External Review NC DOI

(2 days ago) Request an External Review of a Denied Health Claim What is an External Review? External Review is a free service to help you if your insurance company has …

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Industry Information-External Review NC DOI

(5 days ago) Industry Information-External Review | NC DOI. Bulletin - 21-B-08 - Extra Prescriptions During a State of Emergency or Disaster To remind health benefit plans of …

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Renew Your Agent or Adjuster License NC DOI

(7 days ago) License Renewal. Insurance Agent Licenses do not renew and are valid until surrendered, canceled or revoked in respect to the following: Life, Accident & Health or …

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HMO Licensure and Modification Filings NC DOI

(6 days ago) N.C.G.S. § 58-67-50 defines a Health Maintenance Organization (HMO). The North Carolina Department of Insurance is the only agency in North Carolina responsible for …

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Health Plans We Do Not Regulate NC DOI

(Just Now) North Carolina Division of Medical Assistance. 1985 Umstead Drive. Raleigh, NC 27603-2001. Phone 919-733-4261. Toll-free phone: 800-367-2229. TTY: 877-452-2514.

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Rate Information for North Carolina Consumers NC DOI

(6 days ago) As an "Effective Rate Review State" under federal health care reform, the North Carolina Department of Insurance must make public the information contained in Parts I …

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Medical Appeals NC DOI

(4 days ago) Please contact the Smart NC program at 855-408-1212 or you can complete and submit a Request for Assistance form along with the items on the Medical Appeal Checklist. We …

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Health Claim Denied

(8 days ago) Health Claim Denied? | NC DOI. Bulletin 21-B-09 - COVID-19 - Health benefit plans urged to waive prior authorization NCDOI is encouraging insurers that offer …

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Provider Complaints Against Health Plans NC DOI

(9 days ago) Call the Consumer Services Division at 855-408-1212 prior to submitting written complaint. Discuss your concerns regarding multiple instances of the same issue and …

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Shopping for Health Insurance NC DOI

(4 days ago) How does the plan work? You may need to meet a deductible before the plan begins paying claims. Most plans have a network of hospitals, doctors and other health care …

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Alternate Plans NC DOI

(4 days ago) Health Care Sharing Ministries. Health Care Sharing Ministry (HCSM) plans are NOT insurance. HCSMs have been in existence for more than a century but have had …

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Medicare and the State Health Plan for Teachers and State

(7 days ago) Currently the State Health Plan policy is that if a retiree’s Medicare -eligible spouse is dropped, they can be added back to the State Health Plan during any State …

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Group Health Insurance NC DOI

(1 days ago) Fully insured group health insurance policies are offered by licensed insurance companies. The insurance company collects premiums and uses the money collected to pay …

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Prelicensing NC DOI

(8 days ago) Prelicensing Education Requirements. All North Carolina applicants for an insurance license must obtain an Insurance Licensing Examination Candidate Guide (free of …

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Market Regulation NC DOI

(8 days ago) The Market Regulation Division monitors market conduct activity of domestic and foreign Property and Casualty (P&C) insurance companies, Life and Health (L&H) …

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Contact Seniorsʼ Health Insurance Information Program

(Just Now) The Seniors' Health Insurance Information Program (SHIIP) counsels Medicare beneficiaries and caregivers about Medicare, Medicare supplements, Medicare Advantage …

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Checklists for Managed Care

(6 days ago) The Life and Health Division reviews the proposed PPO product application. The review may include the provider and intermediary contracts, provider credentialing …

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Supplemental & Other Types of Health Insurance NC DOI

(Just Now) A Medicare Supplement policy may be purchased to help pay for certain expenses such as deductibles, co-payments and other non-covered expenses. For information and …

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Assistance or File a Complaint NC DOI

(9 days ago) If your situation involves a health plan's noncertification decision (denial based on lack of medical necessity), refer you to the Department of Insurance's Healthcare …

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Annual Reporting Formats for Life and Health NC DOI

(9 days ago) The Annual Reporting Formats for Life and Health Section contains information on instructions, deadlines and forms used to report data for a specific product line or …

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FAQs about Health Insurance NC DOI

(6 days ago) The Federal Health Insurance Marketplace Consumer Call Center contact number is 1-800-318-2596. If you do not qualify for a subsidy, there are several private …

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Name Change and Company Merger Procedures NC DOI

(9 days ago) The Life and Health Division permits companies to submit a list of the forms that will be modified to reflect the new/merged company name in lieu of re-filing …

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Long-Term Care Information NC DOI

(2 days ago) Unlike traditional health insurance, long-term care insurance is designed to cover long-term services and supports, including personal and custodial care in a variety …

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Medicare Advantage-Medicare Health Plans (Part C) NC DOI

(3 days ago) In most cases, you’ll need to use health care providers who participate in the plan’s network. However, many plans offer out-of-network coverage, but sometimes at a …

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Medicare Prescription Drug Plan (Part D) NC DOI

(4 days ago) Medicare Advantage Plans or other Medicare health plans that offer Medicare prescription drug coverage. You get all of your Part A, Part B, and prescription drug …

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Information for Insurers NC DOI

(5 days ago) Contact Information: For questions or comments, please contact us at L&[email protected]ncdoi.gov or 919-807-6055, and ask to speak to someone regarding federal health care …

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Form and Rate Filing Instructions NC DOI

(2 days ago) S ystem For Electronic Rates and Forms Filing (SERFF) is the preferred method of form/rate submission. SERFF is the most efficient way to submit rate and form filings to …

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NORTH CAROLINA DEPARTMENT OF INSURANCE MHPAEA …

(7 days ago) HEALTH & SUBSTANCE USE DISORDER SERVICES (MH/SUD) The MHPAEA requirements below apply to any group health plan that had more than 50 total employees, for plan years …

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Mental Health Parity NC DOI

(9 days ago) Mental health parity means that your insurance benefits for mental health or substance use disorders are treated equally to your other health benefits. When an …

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Life and Health Hot Topics NC DOI

(5 days ago) The North Carolina Department of Health and Human Services (NC DHHS) reports that as of August 25, 2021, 3,552 people are currently hospitalized due to COVID-19. NC …

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Health Maintenance Organizations NC DOI

(9 days ago) Health Maintenance Organizations. The North Carolina Department of Insurance is the North Carolina agency responsible for the licensing and regulation of a Health

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Health Insurance

(4 days ago) Health Insurance - Industry | NC DOI. Bulletin 21-B-09 - COVID-19 - Health benefit plans urged to waive prior authorization NCDOI is encouraging insurers that offer …

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Basics of Medicare

(3 days ago) Home health care: Medicare covers services in your home if you are homebound and need skilled care. You are covered for up to 100 days of daily care or an unlimited …

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Prompt Pay Requirement NC DOI

(1 days ago) The Prompt Pay Law states that insurers’ recoveries of underpayments or nonpayments shall be made within the two years after the date of the original claim adjudication …

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Senior Medicare Patrol Program (NCSMP) NC DOI

(2 days ago) The North Carolina Senior Medicare Patrol (NCSMP) Program is housed within the Seniors’ Health Insurance Information Program (SHIIP) at the North Carolina Department …

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All Insurers of Student Health Insurance Plans in North

(7 days ago) 1 As defined in 45 CFR § 147.145(a) To: All Insurers of Student Health Insurance Plans1 in North Carolina From: Life & Health Division Date: May 7, 2021 Subject: …

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Medicare Supplement Plans NC DOI

(1 days ago) What is a Medicare Supplement (or Medigap) Plan? Medicare supplement plans are one health insurance option for people with Original Medicare. There are standardized …

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Become a SHIIP Volunteer NC DOI

(8 days ago) » Medicare and Seniors' Health Insurance Information Program (SHIIP) » Become a SHIIP Volunteer Become a SHIIP Volunteer. Become a SHIIP Volunteer. SHIIP is …

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Employer Group Health Plan Insurance NC DOI

(2 days ago) If your retiree employer group health insurance plan (EGHP) coverage includes prescription drug coverage that is as good as or better than Medicare Part D plan, you …

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About Captive Insurance Companies NC DOI

(2 days ago) About Captive Insurance Companies. A captive insurance company is an insurance company that insures or reinsures the risks of its parent, affiliates or certain …

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