29 Jun 2020

How to Enroll for Your First Health Coverage When Turning 26?

How to Enroll for Your First Health Coverage When Turning 26?

Enroll in Your Own Job-Based Plan

If your employer currently provides health insurance for its workers, the easiest way to receive coverage immediately is to sign up for that plan. However, if you have a pre-existing condition, or take medication regularly, be sure to read the fine print to fully grasp what’s covered in the plan and what is not. Even if you don’t have pre-existing conditions, it’s good practice to know what you’re signing up for! 

Speak with your human resources representative before your 26th birthday to learn the next steps. It’s important to note that if you do not enroll with your employer’s insurance, you will not qualify for a premium tax credit and other savings based on your income to buy a Marketplace plan. You will likely pay the full price. 

Enroll in your Own Marketplace Insurance Plan

If you choose to enroll in your own marketplace insurance plan, your options vary. It depends on whether the plan you’re currently on through your parents is either through the Health Insurance Marketplace or their job. 

What to Do If You’re Covered Under Your Parent’s Health Insurance Marketplace Plan

If your parent’s coverage is a health insurance marketplace plan, good news, you can still receive coverage and benefits until December 31st, even if you turn 26 mid-year! 

  • If you’re no longer your parent’s tax dependent when coverage ends: Enroll in a Marketplace plan for the next year during Open Enrollment. You’ll most likely be eligible for savings if your income qualifies and if your job does not offer healthcare coverage. Most people who apply qualify for either a subsidized Marketplace health insurance plan or Medicaid coverage.
  • If you are a tax dependent when coverage ends: You can enroll in your Marketplace plan during Open Enrollment, but will not be eligible for any subsidies. You may, however, qualify for Medicaid.

What to Do If You Are Covered by Parent’s Job-Based Plan

If you’re currently receiving coverage from your parent’s employer, you will no longer have health insurance after your 26th birthday. Have your parents check with their Human Resources specialist for the specific date your coverage ends. In this case, you will qualify for a special enrollment period to buy health insurance. 

  • If you enroll before you lose coverage: Your new Marketplace plan can start as soon as the first day of the month after you lose coverage.
  • If you enroll after you lose coverage: Your new Marketplace plan can start the first day of the month after you pick a plan.

When Does My Special Enrollment Period Start?

Your special enrollment period starts 60 days before your coverage ends and ends 60 days after. To learn more about special enrollment and how you enroll in health insurance at 26, read what to do if you missed the open enrollment period.

02 Apr 2020

COVID-19: States is Offering ACA Special Enrollment Periods

COVID-19: States is Offering ACA Special Enrollment Periods

The coronavirus outbreak has now affected over 800,000 worldwide and has claimed close to 50,000 lives, according to the World Health Organisation’s latest reports. 

As COVID-19 continues to spread, the USA is emerging as the new global epicenter. The country now has more cases than any other and the rate of new cases and deaths remains on an upward trajectory. 

The virus that threatens the lives of hundreds of thousands of Americans is quite rightly an alarming problem for the 20-something million Americans currently living without health insurance. Most troubling are the high costs of COVID-19 treatment (over $20,000 per person) – a figure too steep for most individuals without insurance to manage. 

With states on lockdown to battle the spread, millions of businesses have shut their doors and the country’s unemployment rate has subsequently taken a hit. The rise in unemployment – which early predictions suggest could impact 47 million Americans – leaves many without employer-provided coverage, joining the ranks of the already uninsured.

If you are an uninsured individual who has changed your mind about 2020 coverage or has lost access to employment provided coverage, there’s still hope. 

The open enrollment period for health insurance ended months ago on December 15th, 2019, but states who run their own health exchanges can create special enrollment periods to provide uninsured residents with another opportunity to sign up for a 2020 health plan.

Which states have reopened coverage?

In response to the number of Americans who have or may contract COVID-19, certain states have reopened ACA Insurance Enrollment. The states have taken this stance to help ease residents’ concerns and help those who have lost coverage or have decided they need coverage.

The exchanges in California, Colorado, Connecticut, Maryland, Massachusetts, Minnesota, Nevada, New York, Rhode Island, Vermont, and Washington state have reopened under special enrollment periods. 

Deadlines for special enrollment periods

The deadline for the special enrollment periods in the 11 states and the District of Columbia are as follows:

California – June 30
Colorado – April 3
Connecticut – April 2
District of Columbia – June 15
Maryland – April 15
Massachusetts – April 25
Minnesota – April 21
Nevada – April 15
New York – April 15
Rhode Island – April 15
Vermont – April 17
Washington – April 8

Other options available

In addition to accessing private insurance from the health insurance exchange, there is also the possibility of coverage through other avenues such as Medicaid, Medicare, and Children’s Health Insurance Program.

One thing’s for sure, now isn’t the time to place bets on getting through the outbreak without health insurance. By hoping you won’t get sick, you risk putting yourself in an uncomfortable position of owing thousands of dollars. 

Get in touch with HealthQuoteInfo today to check your eligibility for special enrollment periods and other options unique to your situation. Our advisors will help find health coverage that works for you and your family. Call us today on 1-855-881-0430.

04 Jun 2019

Inpatient vs Outpatient Coverage

Inpatient vs Outpatient Coverage

When looking for proper health care plans for your needs, you may have wondered what the difference between inpatient and outpatient care was and how it would concern you as a patient or insurance policyholder. For one, you’ll need to know how the two terms refer to the way your healthcare assistance is being provided to you.

What is Inpatient Care?

What is Outpatient Care?

What is the Difference between Inpatient vs Outpatient Care

Inpatient vs. Outpatient Rehab

How Much Does Inpatient Care Cost?

What is Inpatient Care?

Simply put, inpatient care refers to any type of medical service that a person needs to be admitted to the hospital to receive. Health insurance plans consider inpatient care as a stay due to severe illness or trauma that needs attention for at least one or more nights at the hospital. Policies typically require you to be formally admitted for it to be considered “inpatient care,” which means a doctor has to write a note to admit you. So, for example, if you were in the emergency room and were asked to stay overnight for medical observation, you will not be viewed as an inpatient in the insurer’s eyes.

Though you shouldn’t be discouraged – over half of all inpatient hospital admissions come from the emergency room and health insurance plans have some form of coverage that will help with emergency room vs. inpatient facility care costs. Case in point, some policies have copays for the services received in the emergency room waived if the health insurance policyholder is admitted to the hospital for further care.

Another important thing to note is that inpatient care has two components: the facility fee and those costs associated with the surgeon or physician. Copays for inpatient services are commonly on a per stay or per day basis.

outpatient care

What is Outpatient Care?

Outpatient care is medical assistance that does not need an extended stay at a hospital. This can include services such as checkups, visits to clinics or more complex procedures like same day surgery. There are also many other outpatient care services available, such as rehab therapies and mental health services. Because it is less involved and does not need around the clock medical care, it tends to be less expensive.

Outpatient care is mostly broken down into what type of care you receive; for example,  Primary Care Physician, Specialist, or Mental Health programs would all have different costs. It will then describe your share of cost within that type of procedure.

Outpatient care also has two components: the facility fee and those costs associated with the surgeon or physician. Copays for inpatient services are commonly on a per stay or per day basis.

outpatient care

What is the Difference between Inpatient vs Outpatient Care

Now that you know the primary differences between the two types of care, here’s the reason why it is essential for you as a policyholder.

As you now know, outpatient and inpatient care are determined by a doctor who writes an order to confirm patients in-hospital supervision. This has a significant impact on how much a health insurance policyholder will pay after receiving their medical care.

Most of the time, the doctor’s choice between inpatient and outpatient care comes down to how intense medical care will be and is not a choice you can help decide.

Those who are admitted as inpatients will typically have more severe conditions that need around the clock care and monitoring from medical staff. Because of this, the cost of inpatient care is naturally higher due to the number of medical professionals needed to take care of you. These costs are then incurred by both the insurance company and the policyholder.

Though there are a few exemptions where patients have a choice in whether their care is administered inside or outside of a hospital. Some surgeries may allow you to choose between inpatient vs. outpatient, though it’s rare. For example, some types of knee surgery can be handled either or and can be helpful for those who have time constraints such as work days or not enough coverage to pay for the additional price of overnight facility care.

Inpatient and Outpatient Rehab

Policyholders can choose inpatient or outpatient care when it comes to rehabilitation. This applies to physical therapy as well as drug recovery. This is not restricted to only hospitals; it can include specialized physical rehab facilities too.

All types of rehab services have a separate breakdown of benefits and coverage that vary between insurance plans. The categorization deals with the cost-sharing involved with the services along with the different copays and coinsurances, both inpatient and outpatient rehab has. This is a significant difference to discuss with your family as policyholders who need this type of care as plans with copays can opt to charge on a per admission/stay basis or a per day basis. This could have a major effect on your finances, so be sure you read the small print carefully!

Like other forms of outpatient care, rehab normally to has much cheaper copays since these instances are similar to checkups. Copays and coinsurance for outpatient rehab are like those that you would find for a visit to a primary care physician or a specialist. This cost is roughly around $10-$50 per visit depending on your healthcare plan. On the flip side, inpatient rehab costs can majorly differ depending on the facility and health insurance plan.

How Much Does Inpatient Care Cost?

To give you an idea of how costly inpatient care tends to be for policyholders, here is a breakdown of inpatient costs per day at hospitals in states across America in 2017.

LocationState/Local Government HospitalsNon-Profit HospitalsFor-Profit Hospitals
United States$2,129$2,574$1,996
Alabama$1,455$1,723$1,621
Alaska$1,874$3,042$3,280
Arizona$2,209$2,812$2,225
Arkansas$2,032$1,751$1,619
California$3,217$3,800$2,255
Colorado$2,263$3,319$2,781
Connecticut$3,979$2,655N/A
DelawareN/A$3,039$1,707
District of ColumbiaN/A$3,166$2,433
Florida$2,079$2,358$1,681
Georgia$917$2,005$1,861
Hawaii$1,049$2,706N/A
Idaho$1,662$4,208$2,434
Illinois$2,725$2,557$1,649
Indiana$1,671$2,777$2,500
Iowa$1,547$1,564$1,558
Kansas$1,609$1,872$1,997
Kentucky$1,966$1,954$1,882
Louisiana$1,828$1,981$2,024
Maine$1,585$2,396$1,055
MarylandN/A$2,759$1,207
Massachusetts$1,870$3,221$1,881
Michigan$1,224$2,383$2,227
Minnesota$1,482$2,518$1,771
Mississippi$1,239$1,365$1,762
Missouri$1,686$2,452$1,963
Montana$52$1,627$2,614
Nebraska$906$2,148$3,031
Nevada$2,357$2,194$1,794
New HampshireN/A$2,654$2,059
New JerseyN/A$2,717$1,826
New Mexico$2,617$2,782$2,330
New York$2,775$2,719N/A
North Carolina$2,056$2,157$1,620
North DakotaN/A$1,780$4,701
Ohio$2,884$2,736$2,391
Oklahoma$1,324$2,034$2,262
Oregon$4,062$3,546$2,731
Pennsylvania$787$2,448$1,937
Rhode IslandN/A$2,843$2,028
South CarolinaN/A$2,159$1,729
South Dakota$442$1,519$3,956
Tennessee$1,537$2,193$1,836
Texas$2,926$2,675$2,078
Utah$3,038$3,291$2,478
VermontN/A$2,440N/A
Virginia$2,994$1,888$1,895
Washington$3,312$3,540$2,451
West Virginia$2,461$1,965$1,362
Wisconsin$2,778$2,490$2,830
Wyoming$1,269$2,225$2,219

Via: KFF.org

15 Mar 2019

3 Ways Technology is Improving Healthcare

3 Ways Technology is Improving Healthcare

 

Modern advancements in technology are changing how Americans work and spend their free-time. It’s also hugely transforming the health industry both in the offices of health practitioners and in our homes.

Electronic Health Records (EHRs)

Electronic Health Records (EHR) facilitate countless advances in medical diagnostics and treatments making it easier to share and transfer patient records. The goal of using EHR is to deliver high-quality care for all. Many systems have been connected and data can be transferred quickly. Using data from patient records can also be used to improve quality outcomes through their care management programs.  

Telemedicine / Telehealth

Telemedicine refers to methods of advancing healthcare based on telecommunications technologies. Not only is this advancement incredibly convenient, but it’s also a way for rural areas and those with limited mobility to meet virtually with their doctor. Another added benefit is the cost benefits for both providers and patients. According to the Alliance for Connected Care, telehealth services can save up to $100 per visit.

Wearable Technology & Remote Monitoring Tools

Remote monitoring tools are an incredible advancement for those who suffer from chronic illnesses or heart diseases. These products can help patients monitor their health from home saving them both time and money. Advancements in items like pacemakers also send data to health centers so they can be monitored from a distance. There are also very popular with those who want to take an active role in their health. Huffington Post projects that by 2018 130 million wearable devices will be sent to consumers.

Find out how you can better protect yourself with extended Medicare coverage by contacting the professionals of healthquoteinfo.com at 1-855-881-0430.

3 Ways Technology is Improving Healthcare

04 Dec 2018

Health insurance a key concern for American voters

Health insurance a key concern for American voters

The recent midterm elections have shown that American voters are more concerned with the health care system than ever before. In CNN’s 2018 exit polling, 41% of the population ranked health care as the most important issue, compared with only 25% in 2015 and a mere 18% in 2012. A Kaiser Family Foundation tracking poll further demonstrated that 71% of voters considered health care “very important” in determining which Congressional candidate to vote for in the midterms. Similarly, data from CBS News/YouGov revealed that 70% of voters in Congressional swing districts considered health care to have more of an impact on voting decisions than gun laws, the Supreme Court, immigration and even the economy.

Democratic vs. Republican Campaign Ads

In the run-up to the midterm elections, Democratic candidates seemed to have their fingers more firmly on the pulse of the people. According to the Wesleyan Media Project, Democratic ads were laser-focused on constituents’ highest priority: 44% of ads touched on health insurance with an additional 18% mentioning Medicare. Advertising information compiled by Kantar Media/CMAG found that only 21% of Republican ads mentioned health care at all.

While Republican politicians have generally been on a mission to destroy Obamacare since its inception, prior to the midterm elections they seemed to have changed their tune. Many GOP candidates tried distancing themselves from the repeated GOP attempts to “repeal and replace” Obamacare, a mantra that became further popularized in the Trump administration. But the tide seemed to have turned during the midterms: Democratic candidates urged that a vote for them was a vote to save affordable health care. They began centring their campaigns on the many attempts by their opponents to exclude patients with preexisting conditions from health coverage. And they won.

Nearly all of the votes have been counted in the midterm elections and the Democrats have netted almost 40 seats in the House of Representatives. This has undoubtedly shown just how important health care is for the average American voter and family. In some traditionally red states, like Idaho, Nebraska and Utah, voters opted for some inherently blue policies; namely, the adoption of the ACA’s expansion of the Medicaid program.

In choosing Democratic candidates, American voters have expressed one of their most fundamental concerns: for lower cost, higher quality health coverage that enables everyone to gain access to the health care that they need.

01 Nov 2018

Open Enrollment Changes for 2019

Open Enrollment Changes for 2019

Medicare provides health insurance coverage for most Americans over 65 years old or suffering from a disability.  According to the NCPSSM, over 56 million Americans are currently on Medicare receiving an average benefit of $12,829 each.

The Open Enrollment Period (OEP) gives Americans the chance to purchase or make changes to their health insurance plans.  It’s been happening every year since President Obama passed the Affordable Care Act in 2010.

While President Trump and other government officials have been pushing for changes to the American health insurance system, there is nothing concrete yet for 2019.  But there are still some changes you need to be aware of as a consumer.

What are the changes to Open Enrollment?

Open Enrollment Period start date

The Trump administration shortened the Open Enrollment Period from 90 days to 45 days last year and changes will carry over to this year. Open Enrollment for 2019 takes place between November 1st and December 15th, 2018.

Changes to “Essential Health Benefits” benchmark plans

Previously, the Affordable Care Act required 10 basic coverages that marketplace plans had to have.  But now, states will be able to build their own benchmark plans.  This new rule will give health insurance companies more flexibility and hopefully more choice to consumers.

Be sure to review your plan as it may have changed.

No penalties for those without health insurance

Prior to this change, people who did not have health insurance would have to pay a tax penalty.  This new rule will give exemptions to people living in counties with no health insurance companies or where there is only one insurer offering coverage.

People in counties where the only health insurer covers abortions are also exempt if abortions go against their religious beliefs.

Get help with your 2019 Open Enrollment

There are a lot of changes coming down the pipe for 2019.  You can read the full CMS rules if you’re curious.

And as a bonus tip, you should also update your application with new expected income and household information.  Plans and prices change every year and there will be different plans available in 2019.  You should review your coverage and all of the plans available.  There might be one that better fits your needs.

For more information or help navigating the changes to health insurance, get in touch with the experts at healthquoteinfo.com or call us at 855-881-0430.  Our licensed health insurance advisors would be happy to assist.