Health Insurance Resource Center

10/11/2022

Advocates say current system penalizes some workers with employer-based insurance; critics say the Biden administration is overstepping its authority.

04/06/2022

Do you qualify for with Special Enrollment Period (SEP)?

In September, the Department of Health and Human Services implemented a new special enrollment period, allowing year-round
participation in ACA-compliant healthcare insurance if an applicant's household income does not exceed 150 percent of the federal poverty level (up to $39,750 for a family of four).
These individuals may now join marketplace coverage or switch plans once each month under the new "low-income SEP" proposed.

Contact me today to see if you are eligible for this special enrollment period by calling me today at 832-850-6873 or send us a message!

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

The out-of-pocket maximum is the most a patient will pay for healthcare costs before their health insurance or plan pays 100% of
covered essential health services.

This threshold includes deductibles, co-insurance, co-payments, and similar charges, as well as any other expenditure required of an individual for a covered medical expense. This limit does not include premiums or spending on nonessential health benefits.

The maximum out-of-pocket cost restriction for any person or family plan on the Marketplace in 2014 can be no more than $6,350 for an individual plan and $12,700 for a family plan.
For the most part, health insurance plans with out-of-pocket maximums of less than $5,000 are considered low-end. This is because they might not pay for 100% of essential health benefits like hospitalization or emergency treatment in that price range. Such policies also may charge co-insurance on some services, have high deductibles, or require higher co-payments for certain services.

Learn more about the Affordable Care Act by calling me today at 832-850-6873 or message us!

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

The premium is the amount you must pay for your health insurance or plan. It's not included in your deductible, co-payment, or coinsurance.
You and your employer generally pay monthly, quarterly, or yearly. If you don't pay your premiums on time, you risk losing your coverage.
Unlike your deductible, co-payments, or co-insurance, it's not included in how much you pay. If you do not pay this premium on time, you risk losing your coverage.

Learn more about the Affordable Care Act by calling me today at 832-850-6873 or send us a message!

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

A co-payment, or copay, is a sum you may be required to pay as a percentage of the cost of a medical service or supply, such as a
doctor's visit or an inpatient hospital outpatient procedure.

A co-payment is typically fixed rather than variable. The type and amount of a co-payment for a medical service or supply is usually based on your insurance plan.

Many plans require you to pay copays, co-insurance, deductibles, and other types of cost-sharing before your insurance will pay its share. Your co-payment may be different for
each provider.

Learn more about the Affordable Care Act by calling me today at 832-850-6873 or send us a message!

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

Co-Insurance is a percentage (for example, 20%) of the allowed amount for the service you pay. You must pay co-insurance as well as any deductibles you owe.

For example, if your plan covers 100% of the cost of surgery up to $1,000, you are responsible for 20% of the cost. That is $200.
Once you have paid any co-insurance due on charges within an event, your health insurance pays the rest until you reach your out-of-pocket maximum. At that point, you no longer have to pay co-insurance, but you will still owe any other deductible or coinsurance
that is part of your policy.

Call me today at 832-850-6873 or send us a message!

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

What is the purpose of a deductible in your healthcare plan?

A deductible is an amount you must pay out-of-pocket before your health insurance or plan begins to pay for medical services.

Before the Affordable Care Act (ACA), many Americans had plans with high deductibles or no options to reduce their deductible at all, leaving them on the hook for most or all health care costs until they reached their out-of-pocket maximum.

Learn more about the Affordable Care Act by calling me today at 832-850-6873 or send us a message

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

Understanding your Health Insurance Network can sometimes be an overload of information. Here are 4 points that will give you a
a well-balanced overview of what it means to you.

•A health insurance network is a group of hospitals, doctors, and other providers your policy has contracted to provide medical
services.

• Contact your insurance company to determine which doctors and hospitals are "in-network." These medical professionals can also be
referred to as "preferred providers" or "participating providers."

• If a provider is "out-of-network," you may end up paying more to see them.

•Networks might go down for a time, but it is possible to regularly keep track of them by consulting your internet service provider.

Call me today at 832-850-6873 or send us a message!

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

Life Changes?
That's ok Your Marketplace coverage can adjust, and you can stay covered.
1. Move to a new residence
2. Have a baby or adopt a child
3. Marriage or divorce
4. Turning 26 and leaving your parents' plan
5. Change in income
6. Change in employment.

Learn more about the Affordable Care Act by contacting me at 832-850-6873 or sending us a message.

Provide quality health services to financially vulnerable families and individuals in government programs.

04/06/2022

1. Must be A U.S. Citizen or a Lawful Resident
2. If you've recently become a Lawful Resident, you may qualify for a Special Enrollment Period to get Marketplace coverage with
help for your health care costs.
3. If you're not a U.S. citizen or lawful resident, you may be able to get Medicaid for emergency medical conditions, which
includes labor and delivery.
4. You may be eligible for Medicaid or Children's Health Insurance Program (CHIP) coverage if you're a U.S. citizen or have
"qualified" immigration status.
5. You may need to wait five years after getting "qualified" immigration status to get Medicaid or CHIP.

Contact me today to learn more at 832-850-6873 or send us a message.

Provide quality health services to financially vulnerable families and individuals in government programs.

05/28/2021

Get expertise and knowledge from a skilled financial advisor to achieve your goals.

 Achieve Your Financial Goals  Learn how a financial advisor can help you manage your finances and achieve your goals.Your browser does not support HTML5 video.Download the ArticleTo manage finances and achieve goals, everyone needs a financial advisor and a financial plan. Read this article to le...

05/23/2021

Just like the best athlete needs a coach, even the savviest investor can use insights and advice from a skilled financial advisor.

 Achieve Your Financial Goals  Learn how a financial advisor can help you manage your finances and achieve your goals.Your browser does not support HTML5 video.Download the ArticleTo manage finances and achieve goals, everyone needs a financial advisor and a financial plan. Read this article to le...