The Affordable Care Act

The Affordable Care Act

The officially name is Patient Protection and Affordable Care Act (PPACA), also called Affordable Care Act (ACA) Healthcare reform or “Obamacare”, was signed into law on March 23, 2010. It will bring many changes, for individuals, especially individuals, who don’t have health insurance now.

The main reason ACA was created was to increase the quality and reduce the cost of healthcare Insurance for individuals and to help millions of American get Health insurance. If you do not have a health insurance by 2014 you may have to pay a fine. However, you may be able to get help to pay for your health plan or least part of it.

There are four categories of health plans in the marketplace: bronze, silver, gold, and platinum. Insurance companies on the marketplace are required to offer silver and gold plans in the Marketplaces and may offer bronze, and platinum plans.


Individual Health Insurance

Individual Health Insurance  Going forward Individual Health Insurance can only be purchase during opening enrolment. The Exception to this is, if you have a qualifying event. Example of a qualifying event is marriage, change of jobs and a new addition to your family and so on. No one can be turn down for health insurance anymore nor can you be charge more because of preexisting conditions, everyone pays the same price whether they have health challenges or not. Now the price may vary based on, age, zip code, family size and whether you smoke of not, but it will not vary because of health. Based on an Individual income one can receive a tax credit/subsidy to help reduce the Health insurance premium for themselves and their family. You can qualify for subsidy/tax credit based on your income and family size, which is based on your modify adjusted gross income. If your income falls within 100%-400% of the federal poverty level you’ll may qualify for subsidy. It is strongly recommend that you work with and agent or broker to help you pick a plan that fits you and your family needs. Not doing so can cause you to be struck in a plan for one year, that does not fit you or your family needs.


Small Business Health Option Program (SHOP)

Small Business

Small Business Health Options Program (SHOP) is the new process for buying health insurance for your small business online. In 2014, SHOP Marketplace was open to employers with less than 50 full-time-equivalent employees (FTEs). Unlike the individual marketplace, employers can access SHOP Marketplace all year round.

The Small Business Health Options Program (SHOP) Marketplace will help businesses provide health coverage to their employees. Under the Affordable Care Act (ACA) a small business may be eligible for the Small Business HealtCare Tax Credit.                                                                              SB

If you have less than 25 employees, you can qualify for tax credits if you buy insurance through SHOP. Up until 2016 SHOP Marketplace is open to employers with less than 50 employee. SHOP marketplace will be opened to employers with less than 100 employees in 2016. The Affordable Care Act will helps small businesses and small tax-exempt organizations afford healthcare for their employees.

Consult with an agent or broker to ensure you are getting all your question answered and you are in compliance with the law.


Medicare Advantage


Medicare is health insurance for people age sixty five year and older and people under age 65 with certain disabilities, it is also for people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Medicare Advantage Plan

What is a Medicare Advantage plan?

Medicare Advantage Plans, are sometimes referred to as “Part C” or “MA Plans,” are offered by private companies which are approved by Medicare to provide you with all your Part A and Part B benefits

If you decide to get a Medicare Advantage Plan you will still had Medicare.

So if you decide to enroll in a Medicare Advantage Plan, Medicare services are covered through the plan and aren’t paid for under Original Medicare. It’s paid through which ever company you chose such as BlueCross BlueShield. You can find Medicare Advantage Plans that also offer prescription drug coverage. There are different plans so speak with and agent to help you understand the different plans.

 Medicare Supplement Insurance (Medigap)

What is Medicare Supplement Insurance (Medigap)?

First you must be enrolled in Medicare Part A and Part B to purchase Medicare Supplement Insurance (also known as Medigap). Original Medicare covers about 80% of your healthcare cost, so there is 20% of your costs that is not covered and there is no cap as to how much you will pay. Medicare Supplement, or Medigap, is sold by private insurance companies to fill some or all that gaps that Original Medicare does not coverage. Medicare Supplement policies pay some or all your share of coinsurance, co-payments and or deductibles) of the costs. Speak with an agent to understand the different.



Disability Coverage

Disability Coverage

Disability insurance policies are intended to pay part of your earnings should you be become hurt in an accident or are not capable of working due to an illness. There are two particular policies that are accessible: long and short-term disability.

Short term disability pays a part of your wages should you become incapacitated due to injury, for up to one year. Some employers pay this benefit on their employees’ behalf or others offer it for employees to purchase.

If you have a pre-existing medical condition, the time to enroll is at the initial time of enrollment when a medical examination is usually not required.

Replacement of wages is only fractional; insurance underwriters, as well as your employer, want you back at work as soon as is humanly possible. Usually there is a waiting period of about 14 days in which one will not obtain a payment.

Long term disability policies are purchased to replace what your probable earnings would be from the time you become incapacitated until age 65 when Medicare would be obtainable.  For instance, if you are 55 and earn $40,000 per year, it is recommended you purchase a policy for at least $400,000.

You are not entitled to long term disability if:

(1)  You are or are soon to be pregnant

(2)  Earn under $18,000 per year

(3) are unemployed or,

(4)  You are required to carry a firearm for your job.

On an average, the waiting time for long-term insurance to commence is at least 60 days and can go up to as far as a year.

Disability insurance is a significant part of your overall insurance coverage therefore if your employer offers it, it would be highly advantageous and you should without a doubt regard it as it as an astute investment.



Getting the Most Benefit Out of Your Health Policy

Getting the Most Benefit Out of Your Health Policy

The key to getting the most benefit from your health insurance policy is being familiar about your policy’s coverage. Numerous individuals don’t actually examine the policy, they may not even be aware that the policy may pay 100% of specific procedures, like yearly physicals, mammograms, flu shots or other beneficial lab tests.

The policy will summarize for you what procedures are not subject to the deductible or co-pay (your out-of-pocket expense).  Some insurance companies have shifted their emphasis from health insurance to health improvement and self preservation and will even compensate the cost of gym membership, nutritional counseling or plans to end smoking.

If you were trying to drop weight and knew that you could help doing so for free, wouldn’t you take advantage of them?  If it was your aim to stop smoking, wouldn’t it be helpful to know that you could get the patch at no cost?  It is very judicious to know what services are available to you through your insurance company, and you will only know if you take the time to thoroughly read your policy.

Health insurance is a costly item; take advantage of every facet of it that you can, not only for yourself but for the members of your family.  You should take full advantage of your health insurance policy. Your agent should go over the summary with you.


Whу Invest Іn Medical Health Insurance

Why Invest Time In Reading Health Insurance Policy

We can all concur on one thing; having proper health insurance coverage is very important. It is a fact that uninsured people are given less medical care and less timely care which can later result in poorer physical conditions. Ensuring that you have access to preventive screenings and medical screenings on a regular basis is important to know while choosing the right medical insurance coverage. Sometimes doctors select remedial treatment based on their best guesses; especially when people are not sufficiently covered in order to have relevant tests done. Having sufficient and proper health insurance can take the guesswork out of treatments, as these tests can be had thus giving doctors an insight on what is going on with each patient.

Reading an insurance policy can be tedious at times to say the least, but it is in your best interest to read your policy thoroughly. If you have questions ask a licensed professional. No one plans to get ill or injured but in the case that it happens, you are going to need medical insurance coverage.  Be surе thе preferred doctors аnd healthcare establishments уоu consistently usе understand thе insurance plan уоu аrе interested іn prior tо signing wіth thе blueprint. You аrе аblе tо nоrmаllу gеt thіs іnfоrmаtіоn аbоut thе insurance plan уоu аrе lооkіng at.


When looking for medical health insurance, be sure to answer questions asked honestly. Ensure that the physician’s and medical centers accept уоur choice оf medical health insurance. Yоu аrе аblе tо typically find а list оf medical facilities and medical doctors’ who take the insurance plan on the company’s website.

There may come a time when you may have to change medical insurance coverage, bе surе tо hаvе аll оf thе details аbоut уоur brand nеw policy. It is in your best interest to know уоur premium portions, whаt deductible уоu mау hаvе аnd whісh health-related bills аrе tаkеn care.

If you find yourself with questions rеgаrdіng your medical insurance, this can be answered by one phone call.  Customer care staff саn offer уоu specific info thаt саn save уоu time, frustration аnd money. Use аll thе resources аt уоur disposal fоr gеttіng the most competitive rates оn wellness policies. Thіs allows уоu tо find thе best policy аt mоst cost-effective cost fоr уоur personal scenario.


Past Issues With Healthcare

Past Issues With Healthcare

Most of us are very aware of the varying problems the healthcare system had or still have as some of you may say. The urgent need of access to affordable health insurance and the ever escalating healthcare costs is of a huge concern to every American. Almost all working families worry about the possibility of getting ill or injured and bot having health Insurance,because of the affordability of health insurance coverage or even basic healthcare.

In very recent past, many people were turned away because of pre-existing conditions or sicknesses. Others stay on jobs and work under almost inhumane conditions solely because the job offered some amount of insurance benefits. Not to mention that thousands of deaths each year are attributed to the lack of proper or no health coverage.

Healthcare Reform, is trying to change that. Yes the system is not prefect, but what system is? For the first time in US history, no American will be turn down because of health issues.





Important Benefits of Having a Life Insurance

Important Benefits of Having a Life Insurance

If you are someone who does not think you need life insurance, think again. There are very clear benefits for having a life insurance policy, bear in mind that the money generated by your life insurance policy when you finally pass away can address a number of essential needs of your surviving relatives.

It can easily provide income while the family is making the necessary adjustments. If the person who dies was the bread winner for the family, can you imagine the enormous impact this could have on the surviving family going forward? Having life insurance can provide the family with some financial support. Grief is more than enough to deal with without adding the stress of having to cope financially added.

Lets take a moment to reflect

Apart from providing family members with an alternate source of income, a life insurance policy can provide additional funds in order for families to achieve goals that the insured may have mapped out for his or her surviving family. Portions of the death benefits from having a life insurance policy can be put aside for future use, while the family adjusts to a new income level.

It is very likely that if in the case of someone who was ill for an extended period of time before passing; would have racked up huge hospital and other expenses. A life insurance policy can cover those medical and funeral expenses. Funeral services, even the most basic ones is nothing to cough at, but having adequate life insurance coverage will certainly allay those costs and put the family at some level of ease.



What if the insured leaves debts that needs to be settled? If that individual amassed a large amount of expenses the taxes etc., could be quite a headache. Before any assets from the deceased person can be distributed to anyone, property taxes, inheritance taxes must be paid first. A life insurance policy can provide a cash settlement in these cases. Having adequate life insurance will ensure that ones estate is preserved and remain within the family there after.

Having a life insurance policy makes a remarkable difference in ones quality of life after losing a loved one.  Not only should it be considered a necessity but it should be a priority. Term Life insurance is very inexpensive for someone that is healthy.