Elite Health Plans

06/14/2023

https://share.vidyard.com/watch/bQdZiLM61V6PMHS6amp5ju?

Vidyard video

10/25/2022

The "FAMILY GLITCH" has been FIXED!

Now, the “DEPENDENTS” of employees can get a subsidy if they financially qualify. Go to www.familyhealthfix.com to see if you Qualify!

What is the family glitch?
The “family glitch” refers to the rules that were used from 2014 to 2022 to determine whether a person was eligible for a premium tax credit (subsidy) in the exchange / marketplace if they were also eligible for employer-sponsored coverage.

Under ACA implementation rules that were issued by the IRS in 2013 and in effect through the 2022 plan year, a marketplace subsidy was not available if the person had an offer of employer-sponsored coverage that was considered affordable and that provided minimum value– regardless of whether the employee added family members to the plan or how much that would cost.

As a result of this “glitch,” an estimated 5.1 million Americans did not have access to affordable health coverage. It was too expensive for them to add family members to the employer-sponsored plan, and it was also too expensive for them to pay full price for coverage in the marketplace.

Fortunately, the IRS will fix the family glitch as of the 2023 plan year, with the new rules in effect as of the open enrollment period that begins November 1, 2022. The rule change will allow family members to potentially access premium subsidies in the marketplace if the cost of family coverage under the employer-sponsored plan doesn’t meet the affordability guidelines.

If a family has to pay more than a certain percentage of household income (9.12% in 2023) for the employer-sponsored plan, they will potentially be eligible for premium tax credits in the marketplace.

There will be a separate affordability determination for the employee (based on self-only coverage), and for family members (based on the total cost of family coverage). So depending on how an employer subsidizes the cost of family coverage, it’s possible that coverage could be considered affordable for the employee but not for family members. In that case, the family members would potentially be eligible for a premium tax credit in the marketplace, but the employee would not.
Find out how much the Affordable Care Act expects you to contribute to the cost of your insurance by consulting Table 2.

If you earn Your expected contribution is
Up to 150% of FPL 0% of your income (ie, the benchmark plan will have no premium)
150%-200% of FPL 0%-2% of your income
200%-250% of FPL 2%-4% of your income
250%-300% of FPL 4%-6% of your income
300%-350% of FPL 6%-8.5% of your income
400% of FPL or higher 8.5% of your income
The subsidy will make up the difference between the amount an individual is expected to contribute (based on income) and the actual cost of the area’s second-lowest-cost Silver plan.

3) Determine how much a benchmark Silver plan costs in the area where you live. You can scroll through the available quotes Go to www.familyhealthfix.com and see what the second-lowest-cost Silver plan’s premium would be for you and your family, or you can call Elite Health Plans at 817-277-9000.

10/25/2022

Are you paying too much for family coverage at work? This just in: the Family Glitch is Fixed. Now, “dependents” of employees with high premiums can get a subsidy if they financially qualify. If your insurance coverage at work is too expensive, your family may qualify for as low as a $0 premium plan. Go to www.Familyhealthfix.com to see if you qualify. Open Enrollment has already started. Don't wait! See if you qualify for a low or No Premium Plan today at www.Familyhealthfix.com.

The family health fix is here for an estimated 5.1M Americans. Family members will be eligible for premium subsidies if coverage doesn't meet guidelines.

10/23/2021

Free Enrollment 11/1 for United Healthcare and Zero Premium Plans Available!817-277-9005

10/27/2020

New Group Plans can Cover Dependents who Decline Coverage with No Deductible Less than Individual Rate!

10/12/2020

Is Obamacare necessary for Pre-existing coverage or not? Before this law, there was a State Risk Pool and in most states except CA and NY. Strange? Reply your experience with the ACA effects for you and your family or business. Before and after!

04/22/2020

Thanks to lawmakers, coronavirus tests are now free for all Americans. But if you do test positive for COVID-19 and require treatment, the hospital bills could easily cost Americans tens of thousands of dollars, even if you have insurance.

Those who are hospitalized with coronavirus can expect to pay anywhere from $42,486 to $74,310 if they are uninsured or if they receive care that’s deemed out-of-network by their insurance company, according to recent analysis by independent nonprofit FAIR Health.

For those with insurance who are using in-network providers, out-of-pocket costs will be a portion of $21,936 to $38,755, depending on the cost-sharing provisions of their health plan.

To determine the estimates, FAIR Health drew on its database of over 30 billion private health-care claim records, and on estimates of Medicare and Medicaid costs, to project U.S. costs for COVID-19 patients requiring inpatient stays using diagnosis-related groups associated with pneumonia.

FAIR also ran a slightly different cost analysis of COVID-19 medical care using procedure codes associated with influenza and pneumonia. Using those metrics, FAIR found uninsured Americans with COVID-19 could pay an estimated average of $73,300 for a 6-day hospital stay, while insured patients could expect to pay a portion of the $38,221 average cost billed to insurers.

04/03/2020

New $39-$54 Telemed plan for Covid-19 response!

08/06/2019

We can help you figure out what is best with all the new changes taking place!

A federal district court judge sided with the Trump administration in its defense of a rule expanding short-term, limited duration health insurance plans

07/26/2019

My son Nathan's first creative Ad! He's 11 btw.