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What Are the Metallic Tiers of Health Insurance Coverage?
If you're ready to purchase individual health insurance, your first step is understanding the different metal levels of plans. While all marketplace plans cover the ten essential health benefits, each has different ratios of what you'll pay and what your health insurer will pay for healthcare costs.
In this video, I’ll help you understand the metal tiers of health insurance so you can choose the best plan for you and your family.
CHAPTERS:
0:00 - Introduction
0:31 - What are the metal tiers in health insurance?
1:20 - What's the difference between each metal tier?
2:56 - Conclusion
The Affordable Care Act (ACA) requires health insurance plans on the individual market to be classified by four standard levels of coverage. These four levels are called "metallic tiers" or "health coverage tiers."
The metallic tiers only impact how healthcare costs are split between you and your health insurance carrier-not the quality of care you'll receive.
The four metal plans of health insurance from lowest cost to highest premium cost are:
-Bronze
-Silver
-Gold
-Platinum
Read our article to learn more: www.peoplekeep.com/blog/what-are-the-metallic-tiers-of-coverage
#healthinsurance #affordablecareact #healthplans
มุมมอง: 24

วีดีโอ

PeopleKeep Customer Testimonials
มุมมอง 5314 วันที่ผ่านมา
Hear our customers share how PeopleKeep has helped them offer meaningful, personalized health benefits. PeopleKeep, powered by Remodel Health, is the leader in HRA administration software. We enable small and midsize employers across all industries to set up and manage meaningful health benefits with ease. Learn more: www.peoplekeep.com/
How to Become an Employer of Choice
มุมมอง 9921 วันที่ผ่านมา
As an employer, you need to promote your organization as a desirable workplace. After all, recruiting and retaining top talent is essential for growing your business. Becoming an employer of choice means more than offering a competitive salary. It involves creating a positive work environment, building an outstanding brand, and crafting a strong culture. In this video, I’ll share five ways your...
What is the employee life cycle?
มุมมอง 155หลายเดือนก่อน
As an employer, prioritizing the employee experience is more crucial than ever. Organizations that successfully navigate the employee life cycle can enhance employee engagement, boost productivity, and decrease turnover rates. Learn more in our blog: www.peoplekeep.com/blog/what-is-the-employee-life-cycle CHAPTERS: 0:00 - Introduction 0:31 - What is the employee life cycle? 0:52 - What are the ...
Which states require you to have health insurance?
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Which states require you to have health insurance?
Nine reasons for rising healthcare costs
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Nine reasons for rising healthcare costs
How nonprofits can offer health insurance
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How nonprofits can offer health insurance
Employee health benefits for startups
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Employee health benefits for startups
Popular health insurance alternatives for small businesses
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Popular health insurance alternatives for small businesses
What is an HRA?
มุมมอง 6643 หลายเดือนก่อน
What is an HRA?
Pros and cons of group health insurance
มุมมอง 1343 หลายเดือนก่อน
Pros and cons of group health insurance
What is a medical expense reimbursement plan (MERP)?
มุมมอง 3893 หลายเดือนก่อน
What is a medical expense reimbursement plan (MERP)?
Can a business pay for employees' individual health insurance?
มุมมอง 2164 หลายเดือนก่อน
Can a business pay for employees' individual health insurance?
What is a special enrollment period?
มุมมอง 4034 หลายเดือนก่อน
What is a special enrollment period?
Signs of low morale and how you can fight it
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Signs of low morale and how you can fight it
How much do employers pay for health insurance?
มุมมอง 5155 หลายเดือนก่อน
How much do employers pay for health insurance?
How much does a hospital stay cost?
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How much does a hospital stay cost?
Health insurance options for pastors and clergy
มุมมอง 1956 หลายเดือนก่อน
Health insurance options for pastors and clergy
How to calculate FTEs to determine ALE status
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How to calculate FTEs to determine ALE status
What is a copayment?
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What is a copayment?
Small business health insurance options in Florida
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Small business health insurance options in Florida
Health insurance options for franchises
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Health insurance options for franchises
Employee turnover: The real cost of losing an employee
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Employee turnover: The real cost of losing an employee
Why are employers moving to a four-day workweek?
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Why are employers moving to a four-day workweek?
What is healthcare consumerism?
มุมมอง 1618 หลายเดือนก่อน
What is healthcare consumerism?
How to negotiate lower medical bills
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How to negotiate lower medical bills
How does an HRA work?
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How does an HRA work?
What is an SBC?
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What is an SBC?
What is a health benefits navigator?
มุมมอง 2469 หลายเดือนก่อน
What is a health benefits navigator?
What is critical illness insurance?
มุมมอง 3349 หลายเดือนก่อน
What is critical illness insurance?

ความคิดเห็น

  • @organikproductionz9347
    @organikproductionz9347 18 วันที่ผ่านมา

    Does it always have to be approved for reimbursement? My employer gave me the card and supervisor briefly told me that I can use the card to cover any expense up until the deductible is met, for example I went to two doctors offices, copay’s were about 200$ in total, I used the HRA card to pay these, did I do something wrong? I kept the receipts will I be slammed for these charges later on and be in debt?

    • @PeopleKeep
      @PeopleKeep 16 วันที่ผ่านมา

      Some HRA providers an HRA card, which should automatically verify expenses upon purchase. But, you'll want to check with your specific provider. We recommend keeping receipts in case of an IRS audit, but your employer should report any HRA funds as tax-free amounts as long as you meet the participation requirements.

  • @Joker_515
    @Joker_515 2 หลายเดือนก่อน

    Get help.

  • @jalpatel9697
    @jalpatel9697 3 หลายเดือนก่อน

    Hi, i have MRI costing 8000$ on my bill that i didn’t needed l, please guide on how can i negotiate it?

  • @AliShakur_
    @AliShakur_ 3 หลายเดือนก่อน

    Pretty self

  • @AllisonMurphy77
    @AllisonMurphy77 3 หลายเดือนก่อน

    Thank you! This is very helpful and informative!

    • @PeopleKeep
      @PeopleKeep 3 หลายเดือนก่อน

      Glad it was helpful!

  • @andylee9973
    @andylee9973 4 หลายเดือนก่อน

    Hi, Can I deduct my health insurance premiums with Cover California from my corporation payroll taxes?

  • @mlwee6796
    @mlwee6796 5 หลายเดือนก่อน

    Hmmmm..... didnt realise that there are countries which dont provide free health services to their citizens.

  • @janespitfire9884
    @janespitfire9884 5 หลายเดือนก่อน

    Recently went to urgent care and had to put $300 on credit card for current new visit INCASE my insurance not pays it 100%. The urgent care is part of their network. I did it but my copayment was $25. Also I went to see a new doctor and saw him for 15 minute my bill was over $3000. Office visit was $560 bucks and all rest was just blood work. Apparently insurance covered it all except my $500 deductible;. I had 2 payers also. I am basically healthy but need to lose weight. I was also told try on your own to lose weight, then come back in 90 days. No diet program no diet pan ..NOTHING. I never went back...been told that by 2 family doctors over past 2 years!! Just to get extra money for the patient and HC medical center. I did check total on lab work 3 bottle of blood and per law they can charge 90% more on each of these tests per HCFA& CMS.

  • @janespitfire9884
    @janespitfire9884 5 หลายเดือนก่อน

    Recently went to urgent care and had to put $300 on credit card for current new visit INCASE my insurance not pays it 100%. The urgent care is part of their network. I did it but my copayment was $25. Also I went to see a new doctor and saw him for 15 minute my bill was over $3000. Office visit was $560 bucks and all rest was just blood work. Apparently insurance covered it all except my $500 deductible;. I had 2 payers also. I am basically healthy but need to lose weight. I was also told try on your own to lose weight, then come back in 90 days. No diet program no diet pan ..NOTHING. I never went back...been told that by 2 family doctors over past 2 years!! Just to get extra money for the patient and HC medical center. I did check total on lab work 3 bottle of blood and per law they can charge 90% more on each of these tests per HCFA& CMS.

  • @growthychipscom
    @growthychipscom 6 หลายเดือนก่อน

    Great video! It's worth listening to it. Thank you

  • @YourDailyHopeandEncouragement
    @YourDailyHopeandEncouragement 7 หลายเดือนก่อน

    Hey there! Just stumbled upon your video about healthcare consumerism, and I found it incredibly enlightening. The way you delve into the rising trend of people taking control of their healthcare choices resonated with me, especially as I explore similar themes of empowerment and personal responsibility in my own content. While my Christian channel primarily focuses on topics like hope and forgiveness, I believe that understanding healthcare consumerism aligns with the overarching theme of empowerment and taking charge of one's life. Your insights have been invaluable, and I've not only liked the video but also subscribed to your channel for more enlightening discussions. Keep up the fantastic work!

  • @phannoetchhoeurn6535
    @phannoetchhoeurn6535 9 หลายเดือนก่อน

    Thank

  • @Danielle-r9y
    @Danielle-r9y 9 หลายเดือนก่อน

    I got an 1095-b form in the mail. It says the origin is government sponsored. Is someone giving me my insurance?

    • @PeopleKeep
      @PeopleKeep 9 หลายเดือนก่อน

      While we can't speak to your personal situation, Form 1095-B is usually provided to participants by group health insurance providers and other employer-sponsored group health benefits, as well as Medicare, Medicaid, or CHIP. You will usually see government-sponsored on the form if you are employed by the government or participate in a program like Medicare.

  • @texasermd1
    @texasermd1 9 หลายเดือนก่อน

    Can the employer choose to pay a portion of the group health insurance premiums for the employees AND provide a GCHRA to essentially offer limited cost for their employees health care?

    • @PeopleKeep
      @PeopleKeep 9 หลายเดือนก่อน

      Generally, employers pay for a portion of the group health insurance premiums (typically around 60-80%) and deduct the remainder from participants' paychecks. Employers can choose to pay a greater percentage of the premiums. They can also offer a GCHRA to reimburse their employees for out-of-pocket medical expenses. Employers just can't use a GCHRA to reimburse employees' portions of insurance premiums, as employees generally pay for those through pre-tax deductions. This prevents double-dipping.

  • @wilanz
    @wilanz 9 หลายเดือนก่อน

    I like the idea of submitting for monthly insurance premiums. I need to see if they cover life insurance also. I’m paying both of those out-of-pocket.

  • @severaburayag7648
    @severaburayag7648 9 หลายเดือนก่อน

    Thank you

  • @brokenice420
    @brokenice420 9 หลายเดือนก่อน

    Thank you for the info! Also, please get a telleprompter. The looking down is very distracting

  • @billythepuppet4114
    @billythepuppet4114 10 หลายเดือนก่อน

    My shit at 100%

  • @Stardustbasically
    @Stardustbasically 10 หลายเดือนก่อน

    Informative. Thanks

  • @DarthFather_
    @DarthFather_ 11 หลายเดือนก่อน

    How about we get rid of all this unnecessary, expensive nonsense and go with a universal healthcare system like the rest of the goddamn world

  • @OmedyStories
    @OmedyStories 11 หลายเดือนก่อน

    Hey Holly , I just watched your video and I must say that it was really informative and well-made. I was wondering if I could help you edit your videos and also highly engaging thumbnails that helps to grow your channel ?

  • @chrisb833
    @chrisb833 11 หลายเดือนก่อน

    It’s always about why it’s so great for the employer. Hmmmm..

    • @PeopleKeep
      @PeopleKeep 11 หลายเดือนก่อน

      Hello, Chris! Since only employers can offer an ICHRA, we sell directly to employers. There are many benefits of an ICHRA for employees! For example, employees can choose their health coverage instead of being forced to use a group plan that may not fit their needs. For small businesses especially, it provides employees with a health benefit when the organization would have otherwise been unable to do so (whether due to cost or minimum participation requirements). If an employer decides to reimburse employees for their out-of-pocket medical expenses, too, employees can use their ICHRA to buy things like sunscreen, bandages, glasses or contacts, cold and flu medicine, and more. Let us know if you have any questions!

  • @MohdIqbal-pi6gk
    @MohdIqbal-pi6gk ปีที่แล้ว

    stop looking at your notes while cerating videos...its so distracting

  • @CamilaElla-c1b
    @CamilaElla-c1b ปีที่แล้ว

    I am learning so much from watching your videos. Thank you so much for sharing this amazing source of information. This one is quite helpful.

  • @CamilaElla-c1b
    @CamilaElla-c1b ปีที่แล้ว

    This is a fantastic video. It's clear and easy to understand your explanations. Thank you for providing this information.

    • @PeopleKeep
      @PeopleKeep ปีที่แล้ว

      Glad it was helpful!

  • @levosterweil4576
    @levosterweil4576 ปีที่แล้ว

    How does this not expose employers to the $100 per employee per day fine? See: www.irs.gov/affordable-care-act/employer-health-care-arrangements

    • @PeopleKeep
      @PeopleKeep 11 หลายเดือนก่อน

      A stipend is also an after-tax benefit, meaning it doesn't fit the definition of an employer payment plan. Organizations can't require their employees to submit proof of insurance in exchange for a stipend, so the employee could use the money on any healthcare items. The ACA employer mandate only applies to organizations with 50 or more full-time equivalent employees (FTEs). Organizations with fewer than 50 FTEs aren't required to offer any health benefits to their employees under federal law. Stipends can be an excellent option for these organizations or an additional benefit to larger employees already offering a health reimbursement arrangement (HRA) or health insurance. But, we still recommend an HRA over a stipend for smaller organizations. For organizations with 50 or more FTEs, we recommend an ICHRA to comply with the ACA's employer mandate.

  • @785wow
    @785wow ปีที่แล้ว

    Loving the hair

  • @vmholman
    @vmholman ปีที่แล้ว

    Let me know what you come across plz.

  • @vmholman
    @vmholman ปีที่แล้ว

    I’m asking the same question

  • @MustkimKhatik
    @MustkimKhatik ปีที่แล้ว

    Helps!

  • @drsglobalventures2485
    @drsglobalventures2485 ปีที่แล้ว

    Hi can someone please advise whether we can file a case with civil court against employer for refusing to reimburse for a claim due to late submission.

  • @maki9396
    @maki9396 ปีที่แล้ว

    Thank you!

  • @williamdavidson4576
    @williamdavidson4576 ปีที่แล้ว

    Thank you for your informative video. Recently, I received a GFE of $119.00 about a month before a regular doctor visit at the Banner health clinic in Peoria, AZ. I'd been going to this clinic every 6 months for about 10 years and always paid my bill before leaving. 6 MONTHS later, Banner sent me a surprise bill for $56.00, for which nobody in the company - even their office manager could explain why. I asked them if they were aware of the "No Surprises Act" to which they were all clueless. Their answer instead was to send me to a collection agency. And all over $56.00....😳

  • @caonexpeguero9984
    @caonexpeguero9984 ปีที่แล้ว

    ICHRA reimbursements are not taxed to the employee. However, if an employee accepts an ICHRA offer they cannot receive premium tax credits.

  • @AZOVdefense
    @AZOVdefense ปีที่แล้ว

    My wife says her insurance we have from her job won’t let us stop paying and having it until the end of the year. I have her on my insurance now and is it right or even legal to hold someone to a payment and insurance plan?

    • @PeopleKeep
      @PeopleKeep ปีที่แล้ว

      The IRS only allows you drop employer-sponsored insurance mid-year under certain circumstances. According to the IRS, these circumstances are changes in marital status, major changes to your plan's cost or covered services, changes made to your employer's benefits package, loss of coverage, HIPAA special enrollment rights, judgments or orders resulting from divorce or annulment, or your eligibility for Medicare or Medicaid. Individual employers can determine what mid-year changes employees can make. Your wife's health insurance should have a plan document and summary plan description that outlines these details. You can read our blog for more info: www.peoplekeep.com/blog/how-to-get-out-of-your-employers-group-health-plan-mid-year

  • @RebeccaDiaz-qz8rt
    @RebeccaDiaz-qz8rt ปีที่แล้ว

    Does this type of plan apply if I am on my husband's health insurance through his employer (over 500k employees), but my employer wants to reimburse me for the portion we pay that applies to me being on his plan. My employer only has 2 employees. I am on my husbands group plan, and the additional price for me to be on this plan is $x. Can my employer reimburse me $x per month even though my husband's plan is not an individual health plan? Thanks.

  • @jeffhowerton3876
    @jeffhowerton3876 ปีที่แล้ว

    What if your Employee reimbursement is higher than the Premium Tax cedit?

    • @PeopleKeep
      @PeopleKeep ปีที่แล้ว

      Hello, Jeff. This is an excellent question. With a QSEHRA, your employees must subtract their premium tax credit by the amount of their QSEHRA allowance. For example, if their tax credit is $200 and your QSEHRA is $300/month, they would only be eligible for $100 in tax credits. For ICHRA, it depends on whether your ICHRA is considered affordable (see our affordability calculator: www.peoplekeep.com/ichra-affordability-calculator). If your ICHRA allowance is affordable, then employees must opt-in to the ICHRA and opt-out of their tax credits. However, if an ICHRA is not affordable, then employees can opt-out of the ICHRA and claim their tax credits. You can learn more in this article: www.peoplekeep.com/blog/hra-and-premium-tax-credits-how-does-it-work#A2-HowDoPremiumTaxcreditsWorkWithQSEHRA"

  • @sreejith9922
    @sreejith9922 ปีที่แล้ว

    I like your video presentation. It is informative too, at the same time. Thanks a lot for your guidance!

    • @PeopleKeep
      @PeopleKeep ปีที่แล้ว

      Glad it was helpful!

  • @SusanKer
    @SusanKer 2 ปีที่แล้ว

    Excellent information 💎💎💎

    • @PeopleKeep
      @PeopleKeep 2 ปีที่แล้ว

      Thank you! 🌟

  • @hectorramirez9889
    @hectorramirez9889 2 ปีที่แล้ว

    So you're telling me my employer will know my personal health life because I will have to submit receipts of all doctor visits?

    • @PeopleKeep
      @PeopleKeep 2 ปีที่แล้ว

      Hello, Hector. Thanks for your question. If your employer handles a QSEHRA on their own without a third-party service, then whoever is designed as a HIPAA privacy officer for your organization would. However, HIPAA privacy laws apply to all QSEHRA documentation. But, if your employer uses a benefits administration software like PeopleKeep, then our professional reviewers handle the documentation on our end so that your employer doesn't see your personal health information. Please let us know if you have any other questions.

    • @bridgetrogers8657
      @bridgetrogers8657 2 ปีที่แล้ว

      I'm an employer who uses it and I can tell you I see zero information except for the reimbursement amount. Hope that helps!

    • @hectorramirez9889
      @hectorramirez9889 2 ปีที่แล้ว

      @@bridgetrogers8657 I don't trust my employer they want to know everything about me so they can use it to their advantage or own interest. Thanks for your input.

  • @robertlongoria765
    @robertlongoria765 2 ปีที่แล้ว

    Thanks a bunch. This is a bunch of necessary knowledge in a well presented , thoughtful presentation.

    • @PeopleKeep
      @PeopleKeep 2 ปีที่แล้ว

      Glad it was helpful!