Recent studies show that only 6.1% of Maryland residents don’t have health insurance. But many people in Maryland seem to have forgotten that the Affordable Care Act is still in effect. So if you’re an uninsured Maryland resident, you don’t just risk going without financial assistance when you need to pay for medical services, you also risk having to pay tax penalties if you don’t have Maryland health insurance coverage.
Maryland Health Connection
If you’re unable to find proper health insurance, we at HealthQuoteInfo can undoubtedly help. We can direct you to several health insurance companies that are available in your area through our search bar. You only need to enter your zip code and you can get the options you can choose from. These plans can come from the Maryland Health Connection, which is the state’s official health insurance marketplace. It’s also the portal which can provide you with financial assistance so that you’re able to obtain the basic coverage you need at a price you can afford.
Workplace Insurance, SHOP & Small Business Health Insurance Maryland
As an employee, you can get health insurance from your workplace. These can be PPO (Preferred Provider Organization), HMO (Health Maintenance Organization), HSA-Qualified (Health Insurance Accounts), and Indemnity health insurance plans.
One reason why this is an excellent option for many employees is that it enables them to afford high-quality health insurance at more reasonable rates. That’s because in Maryland the employer typically pays for most of the premium expenses.
For single individuals, employees only pay for an average of 24% of the premium costs, and this translates to paying just $1,237 a year. The state average premium per person with private health insurance (in 2010) is $219 per month or $2,628 a year. Family and “Plus One” plans have employees paying for 29% of the premiums, which is still reasonable.
If ever you lose your job or lose your eligibility for the health insurance, you can still extend the coverage through the COBRA program. This can allow you to extend the coverage for up to 18 months
If you own a small business, you may be qualified to get help from the Maryland Small Business Health Options Program (SHOP). This provides assistance to small business owners and even non-profit organizations to provide health coverage for their employees.
To qualify, you need to have a principal business address in Maryland. Your employees should number 50 or less, and these include part-time employees. You must have another business employee besides you as the sole proprietor or a spouse. You also have to offer coverage for all your full-time employees.
SHOP makes sure that you get various plans from different insurance carriers, and the plans you pick provide essential health benefits. If you qualify, you also receive tax credits to help compensate your payments towards the premiums of your employees. This tax credit may cover up to 50% of your premium contributions.
Medicaid & Low Income Health Insurance Maryland
While Medicare offers health coverage for people over the age of 65, Medicaid is for adults under 65 who qualify by meeting various eligibility requirements. Foremost among these requirements is having a low income, and in Maryland, the ceiling is generally set at 138% of the federal poverty level. However, children and pregnant women can also qualify for Medicaid, and their income ceiling requirements may be higher.
For most people who qualify for Medicaid (about 75%), the health care they receive comes from HealthChoice, which the statewide mandatory managed care program. As part of this program, you need to pick and enroll in a Managed Care Organization (MCO) and then pick a primary care provider (PCP) to manage and oversee to your medical care.
This acronym stands for the Maryland Children’s Health Program. It provides qualified children up to the age of 19 to receive full health benefits. The eligible children are those under the age of 19 who are uninsured, and whose families have a total household income that does not exceed 211% of the federal poverty level. For a family of four in 2018, this means that the income does not exceed $52,961.
The benefits for children include doctor visits including for checkups, immunizations, hospital care, and lab work and tests. The costs of prescription medicines are also covered. It provides dental and vision care, along with services for mental health and substance abuse. These benefits come with no premium or copayment requirements.
If you wish to enroll your child in the MCHP, but your income exceeds the standard income ceilings, you may want to consider joining them in the MCHP Premium program instead. This offers more lenient income requirements, as the limit is set higher at 322% of the FPL. For a family of four, this means that your child can qualify for the benefits if your earnings do not exceed $80,822 per year.
The Premium version of MCHP does come with premium requirements, though they’re more affordable than what you have to pay for private insurance. The monthly premium per family can be either $54 or $67 depending on how much you earn.
Family Planning Program
While this doesn’t qualify as a full health insurance plan, it does offer numerous benefits. These include birth control guidance, screenings and exams for STDs and breast conditions, and even permanent sterilization for patients over the age of 21. To qualify, you need to be a woman under the age of 51, and you’ve lost your Medicare coverage after being covered during your pregnancy.
Maryland Open Enrollment 2021 & Maryland Obamacare Insurance
The Maryland Open Enrollment period for health insurance in 2019 will run from November 1st, 2020 to December 15th, 2021.
For all your other questions regarding health insurance in Maryland, please do not hesitate to give us a call at 1-855-881-0430. We stand ready to guide you so that you can get the health & medical insurance coverage you need and deserve.