Health insurance advice for all those trying to “navigate” Obamacare

For all who are trying to deal with the health insurance side of Obamacare, most especially the millions who have lost their plans because of this law. I will be including in this post a 50 state private health insurance quote engine which will allow you to receive real time quotes from all carriers without entering all of your personal information and without linking to the IRS, unless and until you qualify for a subsidy and wish to actually purchase a plan.

Below are instructions to find an alternative plan for those who do and do not qualify for an APTX – “Advance Premium Tax Credit” – a.k.a. taxpayer provided subsidy to lower premiums inside the new HIX – ‘Health Insurance Exchange Marketplace” under the PPACA – “Patient Protection and Affordable Care Act” a.k.a. “Obamacare”.

Please note: The only reason to purchase health insurance inside the HIX is if you qualify for an APTX . If you do not, you should purchase health insurance outside of the HIX. The application process will be much faster and secure for those who purchase health insurance outside of the HIX. All major medical health insurance products purchased inside and outside the HIX will be guarantee issue (no preexisting conditions) during the two national “Open Enrollment” periods in 2014. Those time periods are:

Open Enrollment Period One: 1/1/14 – 3/31/14

Open Enrollment Period Two: 11/15/14 – 2/15/15

Open Enrollment Application Timeline: December 23, 2013 was the last day to purchase health insurance inside the HIX and receive a 1/1/14 effective date. During the rest of open enrollment, if you enroll between the 1st and 15th day of the month and pay your premium, your coverage begins the first day of the next month. So if you enroll on February 10, 2014, your coverage begins March 1, 2014.

If you enroll between the 16th and the last day of the month and pay your premium, your effective date of coverage will be the first day of the second following month. So if you enroll on March 16, 2014, your coverage starts on May 1, 2014. At that point you will be assessed an IRS ‘fine’ (TAX) for not having ‘qualified’ health insurance in place for at least 90 days in the year 2014.

Guidance pertaining to the second national “Open Enrollment” period which is currently 11/15/14 to 2/15/15 is forthcoming.

For those who do qualify for an APTX:

If your 2014 total household MAGI – Modified Adjust Gross Income (after deductions and retirement contributions) will be lower than:

$46,960 for an individual
$62,040 for a couple
$78,120 for a family of three
$94,200 for a family of four
$110,280 for a family of five
$126,360 for a family of six

you will be better off financially buying a new health insurance plan inside the HIX. By doing so, you will qualify for an APTX to reduce the cost of the Bronze, Silver, Gold or Platinum health insurance plans.

PLEASE NOTE: The cheapest plan inside the HIX – the “Bronze” plan equivalent – will expose a couple or a family to $12,700 in out of pocket risk each year. For single applicants, that risk will be $6,350. So you are better of purchasing the Silver, Gold or Platinum plans if they are within your affordable range after your APTX is granted to artificially lower the actual premium.

To shop for all plans on and off the “Health Insurance Exchange Marketplace” in all 50 states click the banner below:

https://i0.wp.com/www.smedleyinsurancegroup.com/images/health-care-reform-quick-quotes.jpg

For those who do not qualify for an APTX:

If your 2014 total household MAGI will be higher than:

$46,960 for an individual
$62,040 for a couple
$78,120 for a family of three
$94,200 for a family of four
$110,280 for a family of five
$126,360 for a family of six

you will be much better off buying a new plan from a carrier that is staying out of the new PPACA “Health Insurance Exchange Marketplace”. The two carriers with the best priced and best designed plans that are offering plans outside of the new “Health Insurance Exchange Marketplace” in most states are two of the largest health insurers in the nation. Namely, United HealthOne (Golden Rule), Assurant Health (Time Insurance company) and Aetna (in most states). By doing so you will receive fast, efficient service without dealing with Healthcare.gov or any branch of the federal government and your privacy will be protected.

To shop for and purchase an unsubsidized plan from United Health One or Assurant Health, Aetna (in some states) and all carriers off the “Health Insurance Exchange Marketplace” in all 50 states click the banner below:

https://i0.wp.com/www.smedleyinsurancegroup.com/images/health-care-reform-quick-quotes.jpg

3.) If you do not have any serious preexisting conditions, you can save a lot of money if you purchase a Temporary health insurance policy for a period of one year. These health insurance policies do not cover preexisting conditions nor do they include all of the federally mandated “Essential Health Benefits” such as Maternity, Drug Rehab coverage and Pediatric Dental. This also means that they are not considered ‘Qualified Health Plans’ meaning that you will be subject to the 1% of your MAGI penalty in 2014 if you purchase one of these plans. That stated the premium difference between these plans and ‘Qualified Health Plans’ is significant. Far outweighing the additional fine you would pay to the IRS in most cases.

To run quotes for a Temporary health insurance plan off the exchange click the banner below:

https://i0.wp.com/www.smedleyinsurancegroup.com/images/health-care-reform-quick-quotes.jpg

Very Important Note: Since the PPACA mandates that all health insurance policies cover preexisting conditions during the first national “Open Enrollment” period from 1/1/14 – 3/31/14 and the second national “Open Enrollment” period from 11/15/14 – 02/15/15. You can now safely purchase Temporary health insurance knowing that when your one year Temporary policy ends you will qualify by Federal law for any ‘Qualified Health Plan’ regardless of preexisting conditions during the second annual “Open Enrollment” period in 2014. Outside of those two aforementioned “Open Enrollment” periods you will not be able to obtain coverage for a preexisting condition. For this reason you must not purchase the 6 month Temporary health insurance option.

Only the 12 month Temporary insurance option is acceptable at this juncture. If you purchase a 6 month Temporary policy your coverage will end in between the two aforementioned “Open Enrollment” periods and you will not be able to obtain another policy that will cover a preexisting condition that you may develop during the first 6 months of Temporary policy ownership. HHS may yet provide us with further guidance as to whether or not the loss of a Temporary health plan outside of “Open Enrollment” periods will qualify as a “Special Enrollment” period in 2014 so that one could obtain a “Qualified Health Plan” on a guaranteed issue basis outside of “Open Enrollment” periods. As of the date of this writing no such guidance has been received.

Lastly, if you have lost your health insurance policy because of Obamacare you can fight back and win. Find out how at www.TruthAboutPreexistingConditions.com

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5 Comments

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5 responses to “Health insurance advice for all those trying to “navigate” Obamacare

  1. Pingback: Champion News | Health insurance advice for all those trying to “navigate” Obamacare

  2. Pingback: Health insurance advice for all those trying to “navigate” Obamacare | Illinois Tea Party

  3. Obamacare critics fearful of the federal government controlling one-sixth of the nation’s economy and the resulting loss of freedom have missed both the most serious threat to freedom and its likeliest victims. Obamacare stands to turn millions of our neighbors into criminals. That’s because seeking a subsidy in order to obey the mandate of — never mind afford — the Affordable Care Act (“ACA,” but referred universally as Obamacare)1 can easily put our most economically and educationally vulnerable fellow citizens on a path to jail. If this be compassion, it is true only in the same sense that euthanasia fulfills the definition.

  4. I’m totally confused by Ziad’s comment. However, I appreciate the cost breakdown and can’t wait to see the doc. Steven.

  5. Obamacare critics are afraid of the federal Government in control of one-sixth of the national economy and resulted in loss of freedom lost the most serious threat to the freedom and the most likely victims. Obamacare stands to change millions of our neighbors become criminals.

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