What is Catastrophic Health Insurance Plan in NC

INDEX
What is Catastrophic Health Insurance?
• What is Hardship Exemptions?
• What Are The Essential Health Benefits
Is a Catastrophic Health Insurance Plan Right For Me?
What are Free Preventive Services?
Contact us

WHAT IS CATASTROPHIC HEALTH INSURANCE?
Catastrophic health insurance is a type of medical coverage under
the Affordable Care Act. This is a type of high-deductible health
plan for NC residents who are under the age of 30 or have
hardship exemptions may purchase catastrophic health
insurance plans in NC
Under a catastrophic plan, you will generally be required to pay all
of your medical costs up to a certain amount. Typically, this amount
will be several thousand dollars. Any costs for essential health
benefits over that amount are generally paid by the insurance
company.

WHAT IS HARDSHIP EXEMPTIONS?
Hardships are financial situations and other circumstances that
keep you from getting health insurance. If you qualify for a
hardship exemption, you don’t have to pay a fee for the months
you were uncovered.
Below Are The Common Hardship Exemptions
1) Homelessness, 2) Bankruptcy, 3) Domestic violence, 4) Death
of a close relative, 5) Utility services being shut off, 6) Eviction, 7)
Home foreclosure, 8) A fire or a natural- or human-caused disaster
that results in substantial property damage, More….

WHAT ARE THE ESSENTIAL HEALTH BENEFITS
1. Ambulatory Patient Services
2. Emergency Services
3. Hospitalization
4. Maternity, Prenatal & Postnatal Care
5. Mental Health & Substance Use Disorder Services
6. Prescription Drugs
7. Rehabilitative & Habilitative Services & Devices
8. Laboratory Services
9. Preventive & Wellness Services
10.Pediatric Services

CATASTROPHIC INSURANCE PLAN RIGHT FOR ME?
A catastrophic plan may be right for you if:
1. You want lower premiums or can't afford more expensive
coverage.
2. You are generally healthy and rarely see the doctor.
3. You don't mind having high out-of-pocket costs.
4. You want to be prepared against high medical bills in a
"worst-case scenario."
5. You don't qualify for Medicaid.
6. You don't qualify for a subsidy based on your income. Or, you
do qualify, but don't mind forgoing your right to those savings.

WHAT ARE FREE PREVENTIVE SERVICES?
All plans purchased through the NC Health Insurance Marketplace,
and many other plans, must cover the following preventive
services without charging a copayment or coinsurance, even if you
haven’t met your yearly deductible:
1. Abdominal Aortic Aneurysm One-Time Screening (for men of
specified ages who have ever smoked)
2. Alcohol Misuse Screening and Counseling
3. Aspirin Use (to prevent cardiovascular disease for men and
women of certain ages)
4. Blood Pressure Screening (for all adults)

5. Cholesterol Screening (for adults of certain age)
6. Colorectal Cancer Screening (for adults over 50)
7. Depression Screening (for adults)
8. Diabetes (Type 2) Screening (for adults high blood pressure)
9. Diet Counseling (for adults at higher risk for chronic disease)
10.HIV Screening (for everyone ages 15 to 65, and other ages at
increased risk)
11.Immunization Vaccines
12.Obesity Screening and Counseling (for all adults)
13.Sexually Transmitted Infection (STI) Prevention Counseling
14.Syphilis Screening (for all adults at higher risk)
15.Tobacco Use Screening

The Independent Benefit Advisors
Address: 1121 Pemberton Hill Rd,
Apex, NC 27502
Phone: (919) 303-9690
Toll Free: (888) 303-9690
Fax: (919) 303-9691
ID: john@thebenefitadvisors.com
Website : Thebenefitadvisors.com

(919) 303-9690
(888) 303-9690