Good Neighbor Insurance (dev.gninsurance.com and www.gninsurance.com) is continuing to update our clients on the new health insurance laws. There are six major coverage options for those in the US and even though some of the rules and regulations are similar for all many differences are there and it all depends on how old you are and for whom you work. Many critical details of this new insurance law will be clarified in the months and years to come.
These six major coverage options are:
(1) Individual or family coverage (private health care plans)
(2) Employee/employer group option for small businesses (typically under 50 employees)
(3) Employee/employer group option for large businesses (typically larger than 50 employees)
(4) Exchange options through the state you are residing in (fully integrated 1-1-2014 and are quasi-government and private insurance coverage combined)
(5) Medicare (which include Parts A, B, C, and D) for those 65 years onwards
(6) Full government health plans like Medicaid, CHIP, TRICARE, VA and other coverage plans as may be designated by the Department of Health and Human Services based mostly on financial criteria and/or military service.
Here are options if you are (1) pregnant, (2) residing in the US, (3) and needing health insurance:
Note: Starting on 1-1-2014 individual and family insurance plans may not decline a US citizen due to any medical issue(s).
Medicaid: Medicaid provides coverage for low income children, families, the elderly, and people with disabilities. Pregnant women may qualify with higher incomes.
Health insurance through work: You may be eligible for coverage through work – your job or your spouse’s.
Coverage for young adults under age 26: If your parent’s insurance offers dependent coverage, you may be eligible to be covered on their policy until age 26.
Pre-existing condition insurance plan (PCIP) / High Risk Pool: You may qualify for a pre-existing condition insurance plan or a high risk pool, which helps people who have a hard time getting insurance find coverage. Most states have this option and you may call the department of insurance in the state you are residing for that information. However, if your state does not have their own high risk program than they are using the US federal government high risk pool which you may find at www.pciplan.com/forms/pdfs/BenefitsSummary.pdf .
Finding care you can afford: There may be local facilities that provide free or reduced-cost care, whether you’re insured or not. What you pay depends on your income.
Doug Gulleson loves to scuba dive overseas and makes sure he has his US health care and overseas health care, www.gninsurance.com , information with him at all times when he travels Keep our blog close by you, www.gntravelinsurance.com, for continual updates on the changes with the US health care system.