Health Care Benefits: North Carolina

Federal law and guidance on this subject should be reviewed together with this section.

Author: Patricia A. Morley, Research and Writing Associates

Summary

• North Carolina chose not to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Group health plans in North Carolina must include coverage for certain maternity and dependent coverage. See Maternity and Dependent Coverage.
• Certain health plans in North Carolina must include coverage for mental health and chemical dependency treatments and provide mental health and substance abuse parity. See Mental Health and Chemical Dependency Coverage.
• Group health plans must provide coverage for certain specified providers. See Coverage for Specified Providers.
• Health plans that cover mastectomies must also cover reconstructive breast surgery. See Reconstructive Breast Surgery.
• Group health plans must provide coverage for certain illnesses, diseases, services, and medical and surgical procedures. See Diabetes; Contraceptive Services; Emergency Services; Procedures for Bones and Joints.
• Certain coverage with regard to children and dependents is mandatory. See Coverage for Children and Dependents.
• Group health plans in North Carolina must cover certain forms of cancer screening and provide coverage for new cancer treatments under investigation. See Cancer Screening and Cancer Treatments.