Calculate NC ACA health plan premiums by zip, income, family size

The Kaiser Family Foundation has a great calculator out today that takes data available from the states on health plan premiums and allows you to put in local zip, income, age and family size. It then spits out an estimate what the annual cost will be to buy a health plan on NC’s federal health marketplace on October 1. This manages to cut through much of the last-ditch alarmism out there from opponents of the Affordable Care Act.  For example, a 25 year old single person in Raleigh with an income of $18,000 a year is estimated to pay $64 a month for a comprehensive health plan that covers everything from maternity care to hospitalization.

Remember – October 1 go to healthcare.gov to see the NC plans available here in the federal marketplace and get direct quotes from NC Blue Cross and Coventry Health Plans on comprehensive coverage.



  1. LayintheSmakDown

    September 25, 2013 at 4:08 pm

    Wow, those premiums are pretty steep. It would be interesting to be able to put in a comparison to the previous model what the person woudl be paying. Also, the amount the government is spending on these premiums is ENORMOUS. I see this thing crashing and burning within 5 years.

  2. LayintheSmakDown

    September 25, 2013 at 4:13 pm

    Oh, and put in the average for a family of two teachers two kids on this “poverty level” average pay you guys (TM) are always grumbling about around here. That $45,000×2 turns them into the rich pretty quick. That would be quite devastating to be sure.

  3. david esmay

    September 25, 2013 at 4:46 pm

    Those premiums are much less than if you were paying for a family of four through Blue Cross, it runs about $14,000 a year. LSD, your ignorance is ENORMOUS.

  4. Single Payer Action

    September 25, 2013 at 6:39 pm

    FAIRLY SUBSTANTIAL INCREASES PREDICTED BY BC/BS CHIEF ACTUARY…..The ACA will make coverage available to many who have never had it and will enhance benefits for most consumers. These are good things, but they come at a cost,” said Patrick Getzen, BCBSNC vice president and chief actuary. “After the impact of subsidies, we expect about two-thirds of our individual customers will see the amount they pay for coverage increase similar to previous years – or they may pay less. The remaining one-third of our customers will see fairly substantial increases due to the requirements of the ACA.”

  5. Alan

    September 25, 2013 at 6:43 pm


    What on earth are you talking about? “Those premiums are pretty steep”, compared to what? Before employer contribution, my family insurance runs ~$13500/year.

    I think you just crashed and burned….

  6. Alex

    September 25, 2013 at 7:41 pm

    Just so LSD will be more informed …and by the way smak, there aren’t all that many 2 teacher families around.

    For teachers:
    Medical insurance coverage on the State Health Plan at the 70/30 level (lowest option available) for a teacher only is paid for by the state as a benefit. For a teacher w/child(ren) $2461.44, for teacher + spouse $6342.24, teacher + family = $6755.28 this year -Jan.2014-2015. Annual deductibile for a family is $2799 in network.

    If you want the 80/20 plan, the premiums are more – teacher-$762.72 additional, teacher w/children= $4036.32, teacher + spouse =$8305.20, teacher + family = $8759.28. Annual deductibile for a family is $4200 in network.

    Rates are the same for a teacher with no experience as a teacher with over 30 years experience.

    A beginning teacher with a Bachelor’s degree makes $30,110, 5 years experience $31,220, 10 years $37,110, 15 years experience $40,150. A teacher would have to have 24 years experience to make $45,150.

    All numbers taken directly from state pay scale and health plan brochure.

  7. gregflynn

    September 25, 2013 at 7:58 pm

    Family of 4 earning $90K, Silver Plan estimate: $8,290 annual premium.

  8. LayintheSmakDown

    September 26, 2013 at 9:25 am

    And we cannot discount the fact that NC is one of the worst hit for this Obamanation. It will really hit the older generation on fixed incomes that are being shoved to these high priced schemes…kinda like your progresso buddies at McClatchey that were just informed they are getting kicked off of insurance.


    And really be worried of all these tax increases the democrats have hit you with


    And you guys (TM) are grumbling about all the good the NCGA is doing while ignoring the devastation of our country by the DC dems. I guess you guys (TM) are content to fiddle while Rome burns.

  9. LayintheSmakDown

    September 26, 2013 at 9:26 am

    Yeah greggy….$700 per month is pretty darn steep especially for all these working families.

  10. LayintheSmakDown

    September 26, 2013 at 9:38 am

    I am using that example because there has been quite a bit of claim to “poverty” for that level of income and it is the well accepted average used on this site and others. I then extrapolate that to a family who is not on an insurance plan from an employer…which is what this whole Obamacare law is all about. I obviously know teachers have insurance as when my mother was one while I was growing up I was on their healthcare.

    And by the way…my aunt and uncle were both teachers in Guilford County for years so it does happen.

  11. Jim Wiseman

    September 26, 2013 at 9:45 am

    In this case, the “employer contribution” is tax money. Your insurance cost is one thing; the taxes to subsidize healthcare for everyone is on top of it. Even if you keep your employer health plan, the subsidies have to come from somewhere.

  12. […] the national average.  Unfortunately, there’s little analysis about why this is the case. [See my post from yesterday to see that despite this, with subsidies premiums for many will be under $100 a […]

  13. LayintheSmakDown

    September 27, 2013 at 12:48 pm

    Somewhat right in concept. But where is the subsidy for those who have employer healthcare, that may be subsidized to a point, but still expensive. This scheme only encourages the employer to dump their healthcare and pay the relatively small fine while their employees suffer on the state controlled health plan.

  14. Ed

    October 3, 2013 at 4:09 pm

    What is the definition of “income?” Gross? AGI? Makes a difference

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