Market place insurance, well most insurance is just not affordable. You pay them 5-600 bucks a month and still pretty much pay for your own medical needs for up to 6000 dollars. F that.
Sounds like you need a high deductible insurance plan. I’ve paid for all of my health care all of my life in cash so all I would want is a high deductible plan for catastrophic problems.
When the plan mentioned the doctor visit is $30 /visit , deductible does not apply. What is it mean by that? Is it mean the copayment is not count towards to deductible? Thank you!
We'd need to look at the plan terms to give you an answer with 100% certainty, but based on what's you've described, this copay would apply prior to meeting the deductible meaning you wouldn't have to pay 100% of the cost prior to meeting your deductible, you would simply pay a copay of $30. Thanks for your question!
Unfortunately, you can really only change if you qualify for a special enrollment period usually through a qualifying life event. You can leave a plan at any time, but you may not be able to sign up for a new one (at least not on the marketplace). If your plan really isn't cutting it, you could also look into STM. Feel free to call us at 888-410-0344 and we can see if there are any ways to get you out of your current plan and into a better one. It may not be possible, but we can explore all the options.
What's the point when it's impossible to get a tax credit if you're not employed and not filing taxes? If you're working you can get insurance through your job but the unemployed need insurance even more but can rarely get the discount. Makes no sense. If you're a student you can get a discount but you have to be 26 and under.
Absolutely! However, you won't be able to switch to another marketplace plan unless you qualify for a special enrollment period. Thanks for your question!
Thanks for the great information. Quick question, what if I require insurance after the Open Enrollment period. What are the stipulations for that ? if any
If you miss open enrollment, then you would only be eligible if you were to experience certain qualifying life events. Basically, it boils down to a change in insurance (losing insurance), change in household size (adoption, birth of a child, death, divorce) or a change in location (moving). You can learn more here: www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/ Thanks for your question!
what counts as the deductible? you mentioned that "there are many services available before you meet your deductible". What kind of services would I have to meet the deductible for before the insurance kicks in?
Did you have any additional wages prior to June? They will ask you to estimate your income for the entire year because your premium tax credit is based on your income when you file taxes. Great question!
@@iHealthBrokers Yes I worked at a utility company from 4/6 -6/16 of this year and started my new job on the 19th of June. So I would get the total i made at the previous job and the amount i would make from the remainder of this year with new job right?
@@StevenGregoryJayy Correct! Your eligibility for premium tax credits is based on your total MAGI for the year. Feel free to call with any questions and we can walk you through the enrollment process to make sure there are no surprises. 888-410-0344
I'm having trouble comparing co-pay vs coinsurance. One plan may charge $20 for generic prescriptions or a service and another might charge 20%. How do I find out which is cheaper? Do I call the agency? I can probably use GoodRX to see how much a prescription might cost, right?
That is a hard one especially because often times lists of prescription drug prices may not be 100% accurate. I would say ***usually copays are less expensive. That is not a hard and fast rule, but it is often the case. There are just so many fewer unknowns with copays. It makes it much easier to budget.
Copays are ALWAYS better. You pay a flat fee and you are done! Coinsurance on other hand is percentage based and mostly applied after meeting your deductible. Anything percentage based is mostly/always bad as it can spiral out quickly!
I have a question. My spouse used my income to have obamacare. Last year when we went fill our taxes. We didn't get the refund back. We don't have no kids. We gonna pay IRS like $1000. Do you know why? Another question is . If we have a kids. Can we claim the kids, then do we gonna have the money back for taxes ?
I wish I could help, but that seems more like a question for an accountant. My only theory is that perhaps you underestimated your income when you applied for your marketplace plan (Obamacare). Perhaps that affected your refund?
Thieves like you will never have health care and when you get hurt you will not have hospital nor doctors because you try to steal our hard earned money to pay for doctor
Good day. I have a question regarding my parent's insurance plan this year. They estimated their income around $26,000; however, they have not been making any money so far. They are using the Ambetter Silver Plan via the Marketplace now. So are they or are they not eligible for the plan since they are making no income now ? If they are not eligible, do they have to pay any penalty fees and repay the APTC money (around $21k)? Thank you.
Sorry I missed this one, but I saw your question in the other video! There is no penalty for making less than estimated. They may even receive a larger tax refund. But they will NOT have to pay back the premium tax credit if they make LESS than anticipated. Thanks for your question!
I fell into the category of not adjusting my income for various reasons & required to be back over $1000 but now when I go to the website & try to modify income I receive the message "You dont qualify for a Special Enrollement Period at this time". Are you able to provide suggestions for adjusting the income. It is a strange website & not user friendly - Appreciate your videos
When adjusting your income do you account for the time that your insurance was paid for by your employer or is it counted only on the post employee income. Husband had a job was covered under insurance then laid off, needed healthcare because we are now both retired at an early age.
When adjusting your income do you account for the time that your insurance was paid for by your employer or is it counted only on the post employee income. Husband had a job was covered under insurance then laid off, needed healthcare because we are now both retired at an early age.
You estimate your total yearly income (employer included). This is because your premium tax credit is determined by your income when you file your taxes. Thanks for your question!
Market place insurance, well most insurance is just not affordable. You pay them 5-600 bucks a month and still pretty much pay for your own medical needs for up to 6000 dollars. F that.
They can certainly be very expensive if you don't qualify for a premium tax credit.
Sounds like you need a high deductible insurance plan. I’ve paid for all of my health care all of my life in cash so all I would want is a high deductible plan for catastrophic problems.
Thank you for running this channel. I've learned a lot!
So glad to be of help!
I really hate being an American sometimes
Sorry :(
Thank you so much this is so helpful ❤
Glad we could help Michi!
Thanks.
Glad to be of help!
Provide your info on the Market place and watch how many dozens of phone calls you will get!
Should be released soon!
When the plan mentioned the doctor visit is $30 /visit , deductible does not apply.
What is it mean by that? Is it mean the copayment is not count towards to deductible? Thank you!
We'd need to look at the plan terms to give you an answer with 100% certainty, but based on what's you've described, this copay would apply prior to meeting the deductible meaning you wouldn't have to pay 100% of the cost prior to meeting your deductible, you would simply pay a copay of $30. Thanks for your question!
@@iHealthBrokers thank you so much!
How do I change medical plan after open enrollment, if I’m not happy with the plan?
Unfortunately, you can really only change if you qualify for a special enrollment period usually through a qualifying life event. You can leave a plan at any time, but you may not be able to sign up for a new one (at least not on the marketplace). If your plan really isn't cutting it, you could also look into STM. Feel free to call us at 888-410-0344 and we can see if there are any ways to get you out of your current plan and into a better one. It may not be possible, but we can explore all the options.
What's the point when it's impossible to get a tax credit if you're not employed and not filing taxes? If you're working you can get insurance through your job but the unemployed need insurance even more but can rarely get the discount. Makes no sense. If you're a student you can get a discount but you have to be 26 and under.
You can file your taxes to ensure you are eligible.
Is it possible to cancel health insurance anytime during the year?
Absolutely! However, you won't be able to switch to another marketplace plan unless you qualify for a special enrollment period. Thanks for your question!
Thanks for the great information. Quick question, what if I require insurance after the Open Enrollment period. What are the stipulations for that ? if any
If you miss open enrollment, then you would only be eligible if you were to experience certain qualifying life events. Basically, it boils down to a change in insurance (losing insurance), change in household size (adoption, birth of a child, death, divorce) or a change in location (moving). You can learn more here: www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/ Thanks for your question!
what counts as the deductible? you mentioned that "there are many services available before you meet your deductible". What kind of services would I have to meet the deductible for before the insurance kicks in?
Usually basic and preventative care. For example, your yearly checkup.
I just landed a salary position this June. Would I estimate what I would make from June until December?
Did you have any additional wages prior to June? They will ask you to estimate your income for the entire year because your premium tax credit is based on your income when you file taxes. Great question!
@@iHealthBrokers Yes I worked at a utility company from 4/6 -6/16 of this year and started my new job on the 19th of June. So I would get the total i made at the previous job and the amount i would make from the remainder of this year with new job right?
@@StevenGregoryJayy Correct! Your eligibility for premium tax credits is based on your total MAGI for the year. Feel free to call with any questions and we can walk you through the enrollment process to make sure there are no surprises. 888-410-0344
I'm having trouble comparing co-pay vs coinsurance. One plan may charge $20 for generic prescriptions or a service and another might charge 20%. How do I find out which is cheaper? Do I call the agency? I can probably use GoodRX to see how much a prescription might cost, right?
Good RX has a great way to compare prices on their website.
That is a hard one especially because often times lists of prescription drug prices may not be 100% accurate. I would say ***usually copays are less expensive. That is not a hard and fast rule, but it is often the case. There are just so many fewer unknowns with copays. It makes it much easier to budget.
Thief
Copays are ALWAYS better. You pay a flat fee and you are done! Coinsurance on other hand is percentage based and mostly applied after meeting your deductible. Anything percentage based is mostly/always bad as it can spiral out quickly!
I have a question. My spouse used my income to have obamacare. Last year when we went fill our taxes. We didn't get the refund back. We don't have no kids. We gonna pay IRS like $1000. Do you know why?
Another question is . If we have a kids. Can we claim the kids, then do we gonna have the money back for taxes ?
I wish I could help, but that seems more like a question for an accountant. My only theory is that perhaps you underestimated your income when you applied for your marketplace plan (Obamacare). Perhaps that affected your refund?
Thieves like you will never have health care and when you get hurt you will not have hospital nor doctors because you try to steal our hard earned money to pay for doctor
@@iHealthBrokers . Yep
Good day. I have a question regarding my parent's insurance plan this year. They estimated their income around $26,000; however, they have not been making any money so far. They are using the Ambetter Silver Plan via the Marketplace now. So are they or are they not eligible for the plan since they are making no income now ? If they are not eligible, do they have to pay any penalty fees and repay the APTC money (around $21k)? Thank you.
Sorry I missed this one, but I saw your question in the other video! There is no penalty for making less than estimated. They may even receive a larger tax refund. But they will NOT have to pay back the premium tax credit if they make LESS than anticipated. Thanks for your question!
I fell into the category of not adjusting my income for various reasons & required to be back over $1000 but now when I go to the website & try to modify income I receive the message "You dont qualify for a Special Enrollement Period at this time". Are you able to provide suggestions for adjusting the income. It is a strange website & not user friendly - Appreciate your videos
Oh, I'm so sorry! Are you logged into your account or are you just on the home screen?
When adjusting your income do you account for the time that your insurance was paid for by your employer or is it counted only on the post employee income. Husband had a job was covered under insurance then laid off, needed healthcare because we are now both retired at an early age.
Called the number...no answer, no voicemail...forever ringing
When adjusting your income do you account for the time that your insurance was paid for by your employer or is it counted only on the post employee income. Husband had a job was covered under insurance then laid off, needed healthcare because we are now both retired at an early age.
You estimate your total yearly income (employer included). This is because your premium tax credit is determined by your income when you file your taxes. Thanks for your question!