Question 1

Is there a penalty for not having health insurance?

Accepted Answer

Effective January 1st, 2019, the Affordable Care Act rescinded the penalty for not having health insurance coverage.  You will not be penalized at tax time.

Question 2

What is the Affordable Care Act?

Accepted Answer

Formally known as the Patient Protection and Affordable Care Act, also known as Obamacare. Enacted and passed into law on March 23, 2010

Question 3

What is the Marketplace or Exchange?

Accepted Answer

A service available in every state where individuals and families can shop and enroll in private medical insurance.

Question 4

What is a short-term medical policy?

Accepted Answer

These policies offer health insurance for a limited period and can be a solution for people between jobs, waiting for group health coverage to start or need a more affordable solution.

Question 5

What is the difference between an HMO and a PPO plan?

Accepted Answer

HMO Plans:
Navigating the health care industry on your own can be complicated. There are lots of doctors out there. And it's hard to know which ones will be the right fit for you. At times, you might feel like you're the only one advocating for your health. HMO plans help with that.  When you have an HMO plan, you choose a primary care physician who works as your partner. They coordinate all your care and can refer you to trusted doctors and specialists in your network.  Another thing to know about HMO plans is that most health care isn't covered outside your network. That means if you're traveling outside your coverage area, only cover emergency or urgent care in most cases.
 
PPO Plans:
PPO plans have more flexibility than HMO plans. You don’t need a primary care physician. You can see doctors inside or outside your network. But if you stay in your network, you’ll pay less.

Question 6

What is a Health Savings Account?

Accepted Answer

A type of account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses.  By using untaxed dollars in a Health Savings Account (HSA) to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your overall health care costs.

Question 7

Can I be denied for pre-existing illness?

Accepted Answer

All Marketplace plans must cover treatment for pre-existing medical conditions.  You cannot be charged more premium or refused coverage.

Question 8

When is Open Enrollment?

Accepted Answer

November 1st through December 15th.

FAQ

Questions you might consider as the Employee

Questions you as the business owner
or Employer might ask

Health Insurance – Individual and Family

Senior Solutions

FAQ

Questions you might consider as the Employee

Questions you as the business owner or Employer might ask

Health Insurance – Individual and Family

Senior Solutions

Questions you as the business owner
or Employer might ask