Descriptive Statistics

Blue Cross Blue Shield of North Carolina (BCBSNC) Data

Average Member Months
 Year
 1: Insured & Multiple Employer Welfare Arrangements (INS)
 2: Administrative Services Only (ASO) 3: Individual Market and  Affordable Care Act Plans (after 1/1/14) (IND)
2006 623,486 512,170 325,732
2007 657,484 585,934 344,201
2008 673,342 693,674 354,169
2009 639,661 737,749 350,110
2010 618,601 768,984 353,124
2011 573,002 728,962 367,039
2012 581,048 703,800 386,823
2013 632,816 701,256 397,809
2014 614,624 682,465 536,193
2015 572,176 704,291 571,320
2016 529,627 712,257 437,181
2017 464,531 674,455 595,221
2018 459,537 618,922 537,051
2019 476,800 649,775 535,415
2020 469,033 717,402 524,920

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North Carolina Medicaid Data

NC Medicaid – Average Member Months per Year
Year Aged, blind, disabled Children & Families Medicare Savings Program NC Health Choice Other Medicaid Total
2011 402,816 1,063,798 66,420 149,930 62,725 1,745,689
2012 418,738 1,133,461 73,082 156,416 59,959 1,841,655
2013 426,593 1,148,883 74,403 158,662 54,624 1,863,165
2014 433,108 1,310,940 73,392 86,296 59,188 1,962,923
2015 448,786 1,378,461 76,680 86,642 79,038 2,069,606
2016 458,761 1,406,616 78,562 97,019 115,954 2,156,912
2017 462,856 1,419,927 77,061 101,341 165,935 2,227,119
2018 462,037 1,384,411 79,622 108,256 256,300 2,290,627
2019 453,108 1,325,786 81,755 118,196 317,471 2,296,315
2020 451,262 1,378,551 83,074 117,661 347,410 2,377,959

 

 

 

 

 

 

 

 

 

 

Aged, blind, and disabled. This category includes Medicaid recipients who are older adults (age 65 or older), blind, or those considered disabled (under the Social Security disability standards).  This category includes some dual eligibles (those who receive both Medicare and Medicaid), as well as individuals who are aged, blind or disabled who only receive Medicaid.  These individuals are entitled to full Medicaid benefits.

Children and Families. This category includes Medicaid recipients who are children under age 19, young adults ages 20-21, and the parents or other caretaker relatives of children who are taking care of the children under age 19. It also includes pregnant women who qualify on the basis of their pregnancy.

Medicare Savings Programs (sometimes referred to as Medicaid for Medicare Qualified Beneficiaries (MQB)). This category includes aged (65 or older), blind, or disabled adults who receive Medicare. There are different types of Medicare Savings programs. Individuals enrolled in the different Medicare Savings programs have incomes too high to qualify for full Medicaid services. These individuals get help paying some of the Medicare cost sharing (such as the Part B premium, or deductible, depending on the type of Medicare Savings program). They do not get full Medicaid coverage.  Thus, unlike the regular aged, blind, and disabled category, the Medicare Savings individuals are not eligible for coverage of Medicaid-covered services that Medicare does not cover (such as dental services or hearing aids).

Other Medicaid. This includes other groups, not included in the other categories. For example, this includes people enrolled in Medicaid through the Family Planning program, Breast and Cervical Cancer program, or emergency Medicaid.

NC Health Choice. This program covers children who are enrolled in North Carolina’s Child Health Insurance Program (CHIP). This includes children ages 6-18 whose income is too high to qualify for Medicaid, but no more than 210% of the federal poverty guidelines.