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This is the only exception to the Open Enrollment rule. If you have a QLE, you have a 60 day SEP to buy new individual health insurance or make changes to your existing plan. Examples of QLE’s include marriage, divorce, birth of a child, moving to a new state, recent immigration to the US, loss… Continue reading QLE/SEP (Qualifying Life Event / Special Enrollment Period)
Under the guidelines of the Affordable Care Act (ObamaCare), this is the ONLY time of the year people can buy new individual health insurance or make changes to their existing plan. Right now, those dates are November 1st through January 31st of every year, but for plans starting January 1st and later.
This is a universal health insurance model in which the federal Medicare program expands to cover everyone, but still allows for the purchase of private insurance to help supplement the coverage.
Line 37 on your 1040 tax form. This is the income that determines whether or not you’re eligible for a federal subsidy to help pay for your individual health insurance. In short, it’s your income after expenses but before taxes. Simple.
Exclusive Provider Organization. An EPO network is a PPO-HMO mash-up. Benefits are available only IN the EPO network. Like a PPO network, you can pick and choose your own doctors at any time. But there are NO benefits OUT of the network, except for emergencies.
Part of the health care reform law, Covered California is the state’s health insurance Exchange/Marketplace where individuals and small businesses can compare and buy health insurance. The Insurance Mom is here to help you make the right decision!
Small Business Health Option Plans. SHOP is part of your state’s Exchange/Marketplace (in CA it’s Covered California), where small businesses (with under 50 employees) can shop for group health insurance for their employees. However, there is no requirement for small employers to provide any insurance at all.
The name of the health care reform law President Barack Obama signed on March 23, 2010.
Starting 1/1/14, guaranteed issue means health insurance companies have to issue health insurance to nearly anyone — no matter what their health or health history. In other words, coverage is guaranteed to nearly anyone.
As of 1/1/14, under the Affordable Care Act (ACA) there will be 10 Essential Health Benefits that every health insurance plan must include: 1. Ambulatory patient services 2. Emergency services 3. Hospitalization 4. Maternity and newborn care 5. Mental health and substance use disorder services, including behavior health treatment 6. Prescription drugs 7. Rehabilitative and… Continue reading Essential Health Benefits