Health Insurance Plans in Raleigh, North Carolina
Compare ACA marketplace plans, short-term coverage, dental, vision, and ancillary products available to Raleigh residents in Wake County. Get a free quote from a licensed advisor.
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Health Insurance in Raleigh at a Glance
Key coverage details for Raleigh, Wake County, North Carolina.
ZIP Codes in Raleigh
We cover health insurance information for these Raleigh ZIP codes:
ACA Marketplace Plans in Raleigh
ACA plans offer comprehensive coverage with protections for pre-existing conditions and potential subsidies.
How the Marketplace Works in Raleigh
Raleigh residents enroll through Federal (HealthCare.gov). Plans are available in four metal tiers โ Bronze, Silver, Gold, and Platinum โ each with different premium and out-of-pocket cost structures.
- No denial for pre-existing conditions
- 10 essential health benefits covered by law
- Subsidies available based on income
- Children covered up to age 26 on a parentโs plan
- Free preventive care (screenings, vaccines, wellness visits)
Top Carriers in Raleigh
These insurance companies offer ACA marketplace plans in Wake County:
- Blue Cross Blue Shield of NC
- Ambetter
- AmeriHealth Caritas
- Cigna Healthcare
- Oscar Health
- UnitedHealthcare
Carrier availability varies by county. A licensed advisor can tell you exactly which plans are available in your ZIP code.
Medicaid in Raleigh
North Carolina has expanded Medicaid under the ACA.
Raleigh residents may qualify for Medicaid if they meet income requirements. North Carolina expanded Medicaid under the ACA, providing coverage to adults with incomes up to 138% of the Federal Poverty Level.
Check Your Eligibility โShort-Term Health Insurance in Raleigh
Need coverage fast? Short-term plans can start in as little as 24 hours.
Short-Term Plan Rules in North Carolina
- Maximum duration: 12 months, renewable up to 36 months
- Coverage can begin within 24โ72 hours of enrollment
- Lower premiums than ACA plans (but fewer benefits)
- Best for: between jobs, waiting for employer coverage, aging off a parentโs plan
Short-term plans are not ACA-compliant โ they do not cover pre-existing conditions and may have limited benefits. But for healthy individuals in Raleigh who need temporary protection, they offer an affordable safety net.
Learn More About Short-Term Plans โWho Should Consider Short-Term in Raleigh?
- Recently lost employer-sponsored coverage
- Waiting for new job benefits to start
- Recent college graduates
- Early retirees not yet eligible for Medicare
- Missed ACA Open Enrollment
Major Hospitals in Raleigh
Access quality healthcare at these facilities near you.
Duke Raleigh Hospital
Raleigh, NC
Rex Hospital
Raleigh, NC
Ancillary Plans in Raleigh
Fill the gaps in your health coverage with affordable supplemental plans.
Dental Insurance
Preventive cleanings, fillings, crowns, and more. PPO and HMO options available.
Learn More โHospital Indemnity
Get paid a fixed cash benefit for every day you spend in the hospital.
Learn More โCritical Illness
Lump-sum cash payment upon diagnosis of cancer, heart attack, stroke, or other covered conditions.
Learn More โAccident Insurance
Cash benefits for ER visits, fractures, dislocations, and other covered injuries.
Learn More โTravel Insurance
Trip cancellation, emergency medical care abroad, and evacuation coverage.
Learn More โ