The Health Insurance Question: How Much Coverage Do You Need?

The Health Insurance Question: How Much Coverage Do You Need?

The Health Insurance Question: How Much Coverage Do You Need?
Photo: Health Care Insurance.

If you’re like most Americans, you have insurance to cover at least some of your medical expenses, whether it’s through an employer-sponsored health insurance plan or an individual plan purchased from a private insurance company or a government program like Medicare. But exactly how much coverage do you need?

Figuring out how much health insurance to get can be difficult and confusing, especially if you’re new to shopping around for coverage, but there are some strategies that can help you figure out exactly what type of coverage you should have and why.

What Are The Different Types of Health Coverage Available?

Health insurance in the United States can be complicated. There are many different types of health coverage available, from private insurance to public programs like Medicaid and Medicare. And each type of coverage has its own set of rules and regulations. For example, when it comes to car insurance, most companies offer liability only or combined liability coverage with comprehensive and collision.

Obama care is a government-subsidized program that provides low-cost health care for people who do not have access to healthcare on the job. Life insurance is an agreement between an individual and an insurer where the insurer agrees to pay a specific amount of money to someone (typically someone else) if the person insured dies during the term of their policy.

What Does Pre-existing Condition Mean?

A pre-existing condition is a health problem that you have before you start a new health insurance plan. Your new plan may not cover treatments for your pre-existing condition, or it may only cover them partially. Pre-existing conditions can include everything from diabetes to cancer, and even pregnancy.

Photo: Operation Room.

If you’re shopping for health insurance, it’s important to know whether or not your pre-existing conditions will be covered. For example, Obamacare mandates coverage of pre-existing conditions with no limits on cost-sharing (deductibles). In contrast, under Trumpcare plans are allowed to charge more for people with pre-existing conditions.
Some Americans don’t realize they have a preexisting condition until they get health insurance coverage.

Some don’t find out until they apply for health coverage through their state’s Health Insurance Marketplace or their employer’s group health plan.

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What Can You Do Before The Healthcare Open Enrollment Period Starts?

If you’re one of the millions of Americans who get their health insurance through the Affordable Care Act (ACA) or Obamacare, the time to start shopping for a new plan is now. The open enrollment period for 2020 begins on November 1, 2019, and ends on December 15, 2019. That may seem like a long time, but it’s important to start early so you have plenty of time to compare plans and find the one that’s right for you.

Don’t forget to check out your state exchange if you live in California, Colorado, Connecticut, Georgia, Idaho, Illinois, Indiana, Iowa (starting January 2), Maine, Maryland (starting January 2), Massachusetts (starting January 2), Minnesota, Nevada, New York, Oregon and Washington*. These states will be running their own health care exchanges instead of relying on healthcare.gov.

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What Happens If You Don’t Have Health Insurance?

If you don’t have health insurance, you may be subject to a tax penalty. In addition, you’ll have to pay for all of your medical expenses out of pocket. This can be a big financial burden, especially if you have a serious illness or accident. If you’re unable to pay your medical bills, you may end up with debt that will damage your credit score and make it difficult to get loans in the future.

The Health Insurance Question: How Much Coverage Do You Need?
Photo: Man On A WheelChair.

With health insurance, an insurer pays some or all of your healthcare costs in return for just a premium. There are many different types of health insurance plans available on the market today. However, before buying any type of plan, you should speak with an expert and review what’s covered by the plan before deciding which one is best for you.

Types of Health Plans and When Each Should Be Used?

There are four types of health insurance plans:

  • Preferred Provider Organizations (PPOs),
  • Health Maintenance Organizations (HMOs),
  • Point-of-Service (POS) plans, and
  • High-Deductible Health Plans (HDHPs).

PPOs offer the most flexibility when it comes to choosing a provider, while HMOs offer the most comprehensive coverage. POS plans fall somewhere in between, and HDHPs are best for healthy individuals who don’t mind paying more out-of-pocket costs. Health care reform includes minimum essential health benefits that must be covered by all health insurance companies. These include preventative care, emergency services, hospitalization, lab work and radiology services, maternity and newborn care, mental health services, substance abuse treatment, and chronic disease management.

What Will Happen During Open Enrollment?

During open enrollment, you can sign up for health insurance if you don’t have it, or switch to a different plan. This year, open enrollment runs from November 1 to December 15. If you don’t enroll in a plan during open enrollment, you can’t get coverage until the next open enrollment period unless you have a qualifying life event.

Qualifying life events include things like losing your job, getting married, or having a baby. But there are also some other reasons that qualify you to buy health insurance outside of open enrollment. For example, if you’re a U.S. citizen and live abroad temporarily or permanently but want to keep your health care coverage and use doctors back home while abroad, you may be able to buy health insurance on an international marketplace through Healthcare.gov. The last day of open enrollment is December 15th so don’t wait!

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