Health Insurance – Affordable Care Act & Private Health Insurance

Over the last several months, I wonder how many times you have heard to visit healthcare.gov for your health insurance? In fact, I wouldn’t be surprised if you didn’t realize that you can purchase health insurance through private health insurance companies. And, I’d be willing to bet (if you don’t qualify for a subsidy) you may prefer plans through a Private Health Insurance Exchange.

Our friends at the Kaiser Heath Network published an article last week, outlining some of the “dangers” of the public health insurance plans, specifically in-network vs. out-of-network. The plans offered on the public health insurance exchange generally offer a trade-off… lower premiums for a limited  network of providers. If you go out-of-network you pay.  Here’s the catch. The Affordable Care Act limits how much you pay out-of-pocket for health insurance, but these limits typically only apply to providers in your network, which means if you go out-of-network your limits may not apply. Also, the law dictates that preventative, cancer screenings and annual check ups are covered, but if you go to an out-of-network provider you can be charged.

If you have or are considering signing up for a health care plan under the Affordable Care Act, we urge you to fully understand what you are signing up for. Health insurance is tricky to navigate. There are a lot of tricky industry terms and complex clauses. If you do not qualify for a subsidy, a Private Health Exchange will offer you a variety of plans with a larger network of carriers and providers to choose from.

If you are uninsured, time is running out. Get a free quote today!

Do you qualify for a subsidy? If so, access quotes and apply online through the button below. If you are unsure, explore the calculator below.

healthcare.gov

 If you do not qualify for a subsidy access quotes and apply online here.

Private Health Exchange

 

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Is a Health Savings Account for You?

Health Savings Accounts and You!

First you may asking yourself, what is an HSA? An HSA is a Health Savings Account that works together with high deductible health insurance plans.  An HSA will provide you with opportunities to save for current and future health care. A high deductible health plan will cost less, but can still provide quality coverage for your family.

Is an HSA a solution to help you save money and meet Health Insurance requirements?

  • Generally, an adult who is covered by a high-deductible health plan (and has no other first-dollar coverage) may establish an HSA.
  • HSA’s are beneficial for individuals who are self-employed or those whose employers do not provide health insurance.
  • Money in an HSA is tax-deductible, growth is tax-deferred and as long as the money is used for a qualified health need you will not be taxed on the money.
  • HSA funds are not use it or loose it. Funds rollover year after year.

Health Insurance Solution

In 2014, you can contribute up to $3,300 for an individual or $6,550 for an individual with family coverage.

A high deductible health insurance plan is defined as a health plan with an annual deductible of not less than $1,250 for self coverage or $2,500 for family coverage and must not exceed $6,350 for self-only coverage and $12,700 for family only coverage.

Call us today toll-free at 855-533-1776 to learn if a HSA may be right for you.

 

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Healthcare Anxiety

Are You Experiencing Healthcare Anxiety?

You did as you were told. You signed up for a qualified health insurance plan before the due date, and your check has been cashed. You have been contingently approved by your insurance carrier, but you don’t have an insurance card. Your level of healthcare anxiety may be higher than it was before the Affordable Care Act. You may feel helpless and confused. We, on the broker side, agree that the rollout of the Affordable Care Act doesn’t seem to be working for anyone. Our agents, friends and colleagues have horror stories surrounding call-in wait times, with some placing friendly wagers amongst themselves to see who can get through the quickest. Remember, we are here to help our clients as this process continues to unravel.Healthcare Anxiety

Helpful Tips

  1. Print any and all documentation from your insurance carrier that indicates you have approval even if it is considered contingent approval.
  2. Let your broker help you with communication between your doctors office and your insurance carrier. While we don’t have a secret number to access carriers, we know what to say and how to get your questions answered.
  3. If you don’t have a broker, consider appointing one for assistance with this and other issues you may experience down the road. Call us toll-free at 855-533-1776 for further discussion on how a broker can help you.

The government feels the blame for the current situation falls on the carriers. They knew there would be an influx in customers, so why weren’t they prepared to process the paperwork? And, the carriers like the rest of America simple utter heatlhcare.gov to show where they place the blame.

As we ride this roller coaster together, our advice continues to focus on education and awareness.

 

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What Will 2014 Bring for You?

As we close out 2013, one can’t help but wonder what will 2014 bring for you? At National Affinity Services, we also anticipate the New Year and what exactly will happen with the Affordable Care Act? In our daily readings a few common concerns continue to rise to the top of the list.

  1. Are you covered? Will you be able to pick up your prescriptions tomorrow? The Obama Administration has been working directly with several national pharmacies to create a plan to ensure your coverage isn’t interrupted. At this time Walgreens & CVS have agreed to provide medications to individuals that have signed up for health insurance under the Affordable Care Act plans, but have yet to receive their insurance cards. Your best bet is to call your insurance provider, pharmacy and health care providers to best understand your current situation. Healthcare.gov has a blog post on their site with further 2014, Health Care Reform, Change, Obamacareexplanations as well.
  2. Oops, I haven’t signed up yet? While the law states you must be covered by January 1, 2014 you can still enroll through healthcare.gov through March 31. After March 31, if you do not have health insurance you will be fined up to 1% of your income.
  3. Can I use my doctors? We are hearing a lot of chatter  surrounding which doctors you can visit  on the healthcare.gov site plans. If this is important to you, we urge you to review the providers covered before selecting a plan.

As we’ve mentioned before, you do not have to purchase insurance through healthcare.gov. You can view and purchase health insurance right here through our website. On the site, you can view and purchase plans on both the public and private exchanges. There are several benefits to purchasing health insurance through a private exchange some of which include better coverage with more providers offering more doctors and better plans. Through a private exchange you can purchase health insurance after the Open Enrollment ends through the marketplace plans, but you will be fined if you don’t have insurance by this date.

We will continue to bring you updates and translations as they develop! Above all, we wish you a happy and healthy New Year.

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Affordable Care Act Transition & Expected Challenges

Every week we see media coverage surrounding the real and expected effects of the Affordable Care Act. A fundamental change for the American people, with a disastrous rollout understandably causes anxiety and concern. Current coverage focuses on the upcoming Affordable Care Act transition and expected challenges.

The Affordable Care Act requires individuals to enroll in a qualified health care plan by December 23 for a January 1, 2014 effective date. Originally, this deadline required first month premiums to be paid by the December 23 deadline. Last week, the Obama Administration required insurance providers to relax this payment deadline and now requires insurance carriers cover anyone that has signed up by the December 23 deadline and submitted their first premium payment by December 31, 2013 at 11:59 p.m.

The Obama Administration has requested carriers continue to cover prescriptions and other treatments for covered individuals transitioning to a state or federal plan through the transition period. The consequences could be grave for individuals on diabetes, heart or cancer medications seeking to fill their prescriptions or continue their treatment. Affordable Care Act Transition

We are nowhere near the end of this fundamental change in healthcare for the American people. As the affects of the Affordable Care Act continue to make themselves known, we will continue to process and react to both the good and the bad. We will see changes in our health care experiences. On December 15, USA Today published an article explaining how the Affordable Care Act may provide positive benefits to us as consumers in control of our health care by placing more accountability on health care providers and your satisfaction.

As we navigate this new frontier, it is important to understand how you personally are effected by the changes. We urge you to contact your insurance provider, whether you have been covered with them for years, have recently or will soon enroll with them for coverage and discuss your personal situation.

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