All posts by Obamacare

Indiana Health Insurance Exchange

If you live in Indiana you can click on this calculator below to figure out your subsidy.

If you are low income, under $230 a week, click here to see some options.Get your Indiana Health Insurance Subsidy*All assistance provided is no cost to you. Purchasing a plan through Obamacare / the Federal Exchange is not the best option for everyone. A Health Insurance Plan Comparison and Consultation will be the best way for individuals and families to find affordable Indiana health insurance and see all their options.

NOTICE: It is important to understand the ACA eliminates medical underwriting. A person’s height and weight or pre-existing conditions do not affect one’s health insurance premium.

IU Health Plans Leaving Health Insurance Marketplace

IU Health PlansA letter was sent to brokers, agents, and navigators  regarding the IU Health Plans that were offered during 2016 in the state of Indiana. It is sad day as many Indiana residents will lose their ON-Exchange Marketplace / Obamacare coverage on 12/31/2016. Here are some of the Key Points:

IU Health Plans Exit Exchange

As an important partner with Indiana University Health Plans we’ve promised you transparency, so we want to ensure you are among the first to know about an important and unexpected change we’re making to our Marketplace strategy for 2017.

In light of impending regulatory deadlines and continued volatility in the Marketplace, an organizational decision was made to change the IU Health Plans level of participation in Indiana’s Marketplace. Effective for 2017 coverage, we will only be offering plans off-exchange, so consumers will only be able to enroll directly through IU Health Plans website to receive coverage. This shift will allow us to re-assess Marketplace dynamics and consider federal response to competitor withdrawals.” Allie Billows

Indiana Residents should know

  • IU Health Plans Marketplace insurance coverage will still be available in 62 counties in Indiana off-exchange
  • Bronze, silver, and gold member plans will be available
  • Consumers will not be able to enroll in IU Health Plans coverage through www.Healthcare.gov
  • Medicare Advantage and Commercial coverage will still be available through IU Health Plans and Medicaid coverage will be available through MDwise

Indiana Health Insurance Plans for 2017

The good news is that you can still get Indiana Health Insurance for 2017 through this site. Be sure to visit us between 11/01/2017 and 01/31/2016.

PHP Indiana Exits Health Insurance Marketplace for 2017

PHP of IndianaAnother Indiana company has decided to Not offer coverage in 2017. Physicians Health Plan of Northern Indiana will be exiting BOTH On and Off Exchange marketplaces for 2017. Members 2016 coverage will not be changed or affected in any way and will remain in effect until Dec. 31, 2016. Members will be notified in September of PHP’s decision advising them to contact their insurance agent or broker for 2017 health insurance options.

Visit this Link to Shop for 2017 Indiana Health Insurance.

PHP Indian Leaves Obamacare

“We are disappointed that we are forced to make this difficult decision,” stated Michael Cahill, President and CEO of PHP, “but we have to keep in mind that we do have a responsibility to the community and the beneficiaries we serve, as a not for profit health insurer. We are committed to supporting our communities over the long term, yet believe that withdrawing from the market and refocusing our efforts on group insurance coverage and administrative health insurance services is a better use of PHP resources. By withdrawing from the individual market today, PHP can redirect the millions of dollars in losses we would incur and invest that money in areas with greater potential outcomes while continuing our mission with our beneficiaries who have relied on us since our founding in 1983.”

A PHP press release states it remains extremely well capitalized and on solid financial ground. However, Three Critical Factors of the Individual Product Decision In 2016, for every premium dollar received, PHP of Indiana estimates it will pay $1.20 for medical expenses. PHP estimate this number would increase to $1.36 in 2017. This loss in premium does not begin to cover operating costs or overhead. The deficiency is attributed to three factors:

  • The Risk Adjustment Program, which was intended to move monies between health insurers based on the relative cost of the populations  attracted. It did not take many measures into account and was not designed for the commercial Indiana insurance marketplace.
  • The Risk Corridor Program, put in place to keep premiums down and make products affordable in the early years, was ultimately not funded by Congress leaving most insurers with large, unexpected medical costs.
  • Adverse selection due to certain anomalies between federal mandates and state mandates for Indiana health insurance has left some insurers, including PHP, unprotected in several areas.

Michigan Health Insurance Exchange

Michigan residents can click on the image below to see quotes and plans.

Get your Michigan Health Insurance Subsidy

If you get a subsidy you will need help to process your application.

  • Once you determine your subsidy you will have to visit Help Me Get My Health Insurance Plan.

*All assistance provided is no cost to you. Purchasing a plan through Obamacare / the Federal Exchange is not the best option for everyone. A Health Insurance Plan Comparison and Consultation will be the best way for individuals and families to find affordable Michigan health insurance and see all their options.

NOTICE: It is important to understand the ACA eliminates medical underwriting. A person’s height and weight or pre-existing conditions do not affect one’s health insurance premium.

How much is the Obamacare Penalty for 2016

NOTICE PRESIDENT DONALD TRUMP DID AWAY WITH FEDERAL HEALTH INSURANCE PENALTY.

The Obamacare Tax Penalty for 2016 will be $695 per a person, or 2.5% of your income, whichever is higher.

Example 1:  A family of 3 who make $50,000.

2016 Obama Tax Penalty:  $2085.00

Example 2: A self employed individual making $150,000.

2016 Obama Tax Penalty:  $3,750 (2.5%)

Example 3: Apply for 2016 Health Insurance.

2016 Obama TaxPenalty:  $0.00

More examples of how to avoid Health Insurance Penalty and Save Money

An individual would pay $695 a year or $58 a month tax penalty. SO if they buy a 2016 Obamacare plan under $58 a month, they are saving money (by avoiding penalty) AND getting health insurance.

A family of 2 would pay $1390 a year or $116 a month penalty. SO if they buy a 2016 Obamacare plan under $116 a month, they are saving money (by avoiding penalty) AND getting health insurance. 

A family of 3 would pay $2085 a year or $174 a month penalty. SO if they buy a 2016 Obamacare plan under $174 a month, they are saving money (by avoiding penalty) AND getting health insurance.

Community Health Alliance Closes

A sad day in Tennessee. Community Health Alliance due to huge internal problems Com TN will no longer offer insurance coverage next year. This will be forcing about 27,000 enrollees to find new TN health insurance plans.

The Tennessee Obamacare insurance cooperative, created under the Affordable Care Act, will continue to pay out existing claims but will wind down its coverage by not taking on new customers, which it has not done since January 2015 .

The decision was based on the co-op’s financial condition, according to the Tennessee Department of Commerce and Insurance, and ends months of uncertainty about its future. The alliance had stopped selling its plans on the federal exchange in January after its low-cost plans attracted more enrollees than expected, and their ability to handle the high volume came into question.

“This was not a decision that the Department took lightly, but it was the right decision,” Julie Mix McPeak, commerce and insurance commissioner, said in a statement. “With thousands of Tennesseans’ coverage hanging in the balance, Community Health Tenn financial success could not be guaranteed. The risk of CHA’s potential failure in 2016 was too great and would have caused substantial detrimental effects on the market as a whole if it were to collapse.”

TN active members will keep their insurance coverage through 2015 as long as premiums are paid. However, they must enroll again during the Open Enrollment period, which begins Nov. 1, 2015. To shop health plans in 2016, consumers must enroll by Dec. 15, 2015 for a Jan 1 start date, and have until 01.31.2016 until Open Enrollment closes. They will be able to choose from four remaining carriers on the federal marketplace, which they can shop for on www.applicationforobamacare.com.

Nevada Health Coop Closes Door for Open Enrollment

As Open Enrollment of Obamacare begins, Nevada Health Coop is packing its bags. Essentially, it’s broke. NV Health Coop is one of the many nonprofit organizations formed and funded by the Affordable Care Act to “keep insurance companies honest”. One cannot help but scratch their head and marvel at the huge loss of money from this poorly executed idea. Now the Commissioner of Insurance has filed a suit against the delinquent domestic insurer.

It should be stated that Nevada Health Coop is not the only organization like this to close its doors. New York, Nebraska, and a slew of other states also had to close their doors as well. It is interesting that carriers like Anthem BSBS of NV, Sierra Health and Health Plans of Nevada will all continue doing business in Nevada.

Below is a document.
Nevada Health Coop Sued

Obamacare 2016 Renewal Dates

Here are some key Obamacare dates Americans need to keep in mind.

  • November 1, 2015 – 2016 Open Enrollment begins
    This is the first day your to shop and enroll in a 2016 Obamacare health insurance plans or Private Health Insurance. It’s also important that consumers make sure their account information is up to date to reflect any changes to their income or family.
  •  December 15, 2015 – Last day to renew or choose a plan to avoid a coverage gap. This is the last day to renew or choose a plan to make sure coverage will start on January 1, 2016.
  •  January 1, 2016 – First date health insurance coverage begins
    This is the plan effective date if applicants renewed or choose a plan by December 15, 2015.
  • January 31, 2016 – 2016 Open Enrollment ends
    This is the last day Americans can make changes or enroll in a new 2016 Obamacare health insurance plan, without potential penalty for being uninsured.

Nevada Health Co-op Goes Belly Up

The Board of the Nevada Health CO-OP decided NHC will not offer health insurance policies after December 31, 2015 and will voluntarily cease operations beginning January 1, 2016.  The health policies are to remain in effect, and members may continue to see providers under the terms of their policies.

The goal is for the members to have a positive experience through this transition. Nevada Health Co-Op will be notifying all individual members that they will need to select a new health insurance plan for 2016 during the upcoming open enrollment beginning November 1, 2015.

Nevada Health Co-op Notice to Providers

“…continue to treat our members in the same manner you have been doing under the terms of your provider agreement. Claims continue to be processed in the same manner and we will accept claims for dates of service through December 31st, 2015.” If you have any questions, please call us at 702-823-2667, Monday through Friday, 8:00 a.m. to 6:00 p.m.

Nevada Health Co-op Notice to Agents

“…our goal is for all brokers and members to have a positive experience through this transition. We are committed to satisfying broker commissions that have been and continue to be earned through 2015. We appreciate the opportunity brokers gave the CO-OP to help improve health care in Nevada.”

Nevada Health Co-op Phone Number

3900 Meadows Lane
Las Vegas, NV 89107
702-823-2667
1-855-606-2667

Nevada Health Co-op closes as of 12/31/2015.

Nevada Obamacare Options

Currently the state of Nevada still has many Obamacare options. This Open Enrollment residents can apply for Nevada Obamacare coverage with Anthem Blue Cross Blue Shield of Nevada, Sierra Health, Health Plan of Nevada (HPN). Consumers can also shop off Exchange with some additional carriers.

Enrollment in Virginia Obamacare is Simple

Enrollment in Obamacare is quite simple and has generally served me well. Some of the things I like about my plan includes the fact that all you have to do is sign up on the website. In my case however, I had trouble with my password so I was able to call in and sign up with a FFM agent who was working on the phone. It is was very easy to sign up by phone and I appreciated having the personal touch in terms of getting my enrollment taken care of as quickly and efficiently as possible. Since I was a client last year, I wanted to sign into the program via the website, however, as that wasn’t possible, I was glad an agent was available.

I had a little bit of difficulty picking a plan as the Anthem Blue Cross Blue Shield of Virginia Silver plan I signed up for last year with a low deductible was now out of my price range. I was able to find a bronze plan with Aetna with optional dental that fit though. I was pleased with this alternative.

I am a single person who relies on a few different sources of income like rent and part time jobs. I manage to make enough to get the insurance but just qualify to meet the subsidy guideline.

I signed up with Anthem on a Bronze plan with a high deductible, because they offered the most affordable insurance for my situation. I was able to get a decent subsidy since my income was low enough to qualify for one.

I have used my Obamacare plan, but I ran into a problem where my doctor’s visit wasn’t covered by my plan so I have to find out what that is all about. It should have contributed one hundred dollars toward my 139.00 bill. So, I was disappointed it didn’t.

I like my plan in general, because most of the basic doctor’s visits are covered. This is a decent insurance plan. I liked the plan I had last year which had a lower deductible but a higher co pay but as mentioned, it went up in price significantly this year so I was not something I could utilize again unfortunately.

My plan costs me nothing at this time, but it does have a rather high deductible. that is something I am not very happy with. However, the other plans as mentioned, were out of my price range.