Health Insurance Marketplace will launch October 1st

JeffBaderHealth Insurance Marketplace will launch October 1st. California’s is called Covered California, and some important pieces of healthcare reform, the Affordability and Accountability Act (ACA), will take effect January 1st.   Many people are questioning the impact ACA has on the senior health marketplace as there are parts of the new law that affect Medicare coverage.

Donut Hole Changes

One of the biggest changes under healthcare reform will be prescription costs in the coverage gap, often called the “donut hole,” which occurs in some Medicare Prescription Drug Plans. Once the cost for your prescriptions reaches a certain amount (based on $2970 in 2013 retail cost – not the portion you paid), then you enter the coverage gap where your share of cost becomes considerably higher until you reach the “catastrophic coverage” threshold.

Aetna Canceling CA Health Plans, What About My Health Plan?

Kelley-Jensen2Aetna Canceling CA Health Plans and leaving California. I heard that Aetna is leaving California, and that people with Aetna plans have received cancellation notices.  What about my health plan with a different insurance carrier, will it be cancelled too?People with Aetna plans have received cancellation notices.  I’m with another carrier, will that happen to me? I know that health insurance reform is set to start in 2014, but I already have my own health insurance plan, not through any employer.  Can I keep the plan I have, or do I have to buy another one.  I do not really want to buy a new one because I like my doctor. 

In-Network, Out-Of-Network, and Preferred Providers – Read This Before Buying a Health Plan

Kelley-Jensen2In-Network, Out-Of-Network, and Preferred Providers – Read This Before Buying a Health Plan:  One of the benefits of a health plan is decreased rates for services with certain doctors and health care providers.  The terms for these relationships are:

Preferred Provider Organization  – Insurance carriers establish a list of contracted health care providers that have agreed to a discounted fee schedule for their health plan members.  This PPO list is referred to as a provider directory of participating doctors and health care providers.

Health Care Subsidies and Premium Assistance Tax Credits, what are they?

 
Kelley-Jensen, writes about health care subsidiesHealth care subsidies – What is the difference between, subsidies, premium assistance, tax credits:  which apply to me and how do I get them?
Health care subsidies, subsidy, premium assistance, premium assistance credit, premium assistance tax credit, tax credit are all terms that are used interchangeably to describe money available to assist with the payment of monthly health insurance premiums for people that qualify for help.

What is a health insurance premium? 

A health insurance premium is an amount payable to an insurance company, usually monthly, for health care coverage to remain available.  Watch these great tutorials about health insurance by Humana.

Insurance Rates for Covered CA Health Are Here!

Kelley-Jensen2Covered CA has released Insurance Rates for the new health insurance plans.

What are Covered CA Insurance Rates?. Are they final, what information do I need before I start shopping for health insurance, and when can I start shopping?

Yes there are now average figures to give you an idea of what health insurance premiums will cost you every month, starting 2014. VERY rough average price ranges for an individual health plan are:

21 year old, with subsidy 21 year old, without subsidy 40 year old, with subsidy 40 year old, without subsidy

Health Care Reform: What do I Absolutely Need To Know?

Kelley-Jensen2Author: Kelley Filice Jensen

There is so much information circling around the internet and media outlets about Obamacare, health care reform and the new law.   I feel very overwhelmed by it, and I only care how it affects me.  What do I absolutely need to know?

1)       If you have health insurance through an employer with more than 50 employees, you will probably not be affected by health care reform.

2)      If you have health insurance through an employer with less than 50 employees,    your employer MAY change the way he provides health insurance to take advantage of subsidies available to employees.  If so, the health insurance broker he works with will help you with your health insurance.

What Is Affordable Coverage?

Kelley-Jensen2Author: Kelley Filice Jensen

I keep hearing that my employer needs to provide affordable health coverage, and if not, I am eligible to buy an individual health insurance plan and apply for subsidy (premium assistance credit).  How is affordability determined and who determines it?

Is my employer required to offer me health insurance or not?  I have heard conflicting information and I do not know where to look for health insurance or if I am eligible to apply for subsidy (premium assistance credit).  How is affordability determined and who determines it?

Health Insurance: Should I Ask My Boss About It?

Kelley-Jensen2Author: Kelley Filice Jensen

I have a friend that got a notice from her work about the new health care law, but I have not gotten one from my employer.  Should I ask about it?  What does the notice say, and will it help me get health insurance?  Right now I do not have any health insurance, it is not offered at work, but I know that I am supposed to get some in 2014.  Will my boss start providing it, is that what this notice is about?

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