Affordable Care Act Basics, Part Two

By |2020-08-14T05:42:31+00:00August 28th, 2020|Categories: Blog and News, NHIA Blog|Tags: , |

The Affordable Care Act, which people also refer to as ACA, PPACA, or Obamacare, is a federal law concerning health care coverage. The act stems from the Obama Administration’s desire to expand healthcare coverage and Medicaid, as well as encourage innovation. Obama’s signature goes on the ACA in 2010, and the states implement changes by 2014. Last week, we reviewed key Affordable Care Act basics, such as what the Federal Poverty Level is as well as the main purposes of the ACA. This week, we are looking at more Affordable Care Act basics key protections the ACA affords as well as federal provisions that help achieve the ACA’s goals.

Rights & Protections

The ACA affords Americans some very specific rights and privileges. If you get a new insurance plan, these things should be on there. But there are a handful of plans that insurance companies grandfather in, so check your plan for coverage today. So here are some things that plans must do.

  • Cover individuals with pre-existing conditions, as well as not charging more for it.
  • Offer free preventative care.
  • Provide young adults with more options.
  • Abolish lifetime and annual limits on coverage of essential health benefits.
  • Assist customers understand what type of coverage they get.
  • Protect your choice of healthcare provider as well as protect you from retaliation from your employer.
  • Give mothers breastfeeding support and equipment.
  • Birth control counseling and cost coverage.
  • Include mental health and substance abuse services in the category of essential health benefits.
  • Allow people to appeal health plan decisions and have an outside party review them.

The ACA also holds insurance companies accountable for rate increases and prohibits them from dropping a client when that client gets sick.

Federal Provisions

The three main purposes of the ACA are to improve the availability of coverage, expand Medicaid, and support cost saving innovations in health care delivery. There are quite a few steps the federal government takes to achieve those goals. We only have space for some of the provisions on this page, for a full list, check out the National Conference of State Legislatures website. In addition, there are exceptions to a few of these provisions, consult with your local health insurance company to find out further details.

Availability Of Coverage

  • Make employers help their workers get coverage. However, some small businesses are exempt.
  • Give small businesses that help cover employee health insurance costs with tax credits.
  • Insurance plans must cover young adults on parents’ plans.

Medicaid Expansion

  • Give Medicaid coverage to people with incomes below 133% FPL.
  • Improve care coordination between Medicare and Medicaid.
  • Medicaid must cover services to help pregnant individuals on Medicaid stop smoking.

Innovation

  • Comparative studies to research the difference in effectiveness of different treatments. Then, implement that research.
  • Collect and report data to analyze health disparities between populations of different demographics.
  • Invest in health information technology.

Affordable Care Act Basics: An Introduction

By |2020-08-14T05:30:10+00:00August 21st, 2020|Categories: Blog and News, NHIA Blog|Tags: , |

The Affordable Care Act, also known as ACA or Obamacare, is a health care coverage act from the Obama Administration. President Barack Obama signed the act in March of 2010. Since then, the ACA is a hotly debated topic in homes and on news stations. However few people understand the purpose and the full extent of the bill. This week and next week we are breaking down Affordable Care Act basics. Read on to learn what the federal poverty level is, the purpose of the Affordable Care Act, and other basics.

Federal Poverty Level

When it comes to the Affordable Care Act, there are many references to the “federal poverty level” (FPL). But what is that really? The FPL is an exact dollar amount that the Department of Health and Human Services calculates every year. FPL represents the minimum amount of income that an individual or family needs to cover the necessities of life, including shelter, food, clothing, and transportation.

The government uses FPL to determine your eligibility for government benefits. For example, take Tom. Tom is a single man who lives alone, and his annual income is only $17,000.  For a single person, 138% FPL is $17,609. Tom makes below 138% FPL so he qualifies for Medicaid if his state has wider Medicaid coverage.

Income Under 100% FPL

You likely do not qualify for Medicaid from income, nor do you qualify for a Marketplace insurance plan.

Income Under 138% FPL

If your state expands Medicare coverage, you qualify for Medicaid from your income.

Income 100% to 400% FPL

You qualify for government subsidies that lower your monthly premium so you can access a Marketplace insurance plan.

The Big Picture

The Affordable Care Act has three primary purposes that the entire act revolves around. All of the provisions and the design of the act exist to meet those purposes. If you want to understand the ACA, it is essential to understand these big picture goals.

Availability

Firstly, the ACA addresses an issue that gives much cause for concern in America – how many people have no health insurance coverage. At the time of the signing, over 46 million Americans are without health insurance.

The focus is especially heavy on families who are at or just above the poverty level. The government provides subsidies that keep costs as low as possible.

Expand Medicaid

Medicaid provides health insurance coverage for low income people, including families. Both the state and federal government fund Medicaid, which causes some issues when the federal government tries to expand it.

Nevertheless, expanding Medicaid is one of the big goals of the ACA. Ultimately, they want Medicaid to cover all adults with income under 138% of the federal poverty level. Find out more about those exact numbers here.

Support Innovation

Finally, the ACA strive to support innovative ways to deliver medical care. Especially those innovations that lower the cost of health care.

Come Back

Come back next week to learn more about the ACA, including key federal provisions as well as how the law protects you.

Boosting Insurance Enrollment In Florida

By |2019-09-14T18:57:08+00:00October 2nd, 2019|Categories: Blog and News, NHIA Blog|Tags: , , , |

Floridians are the largest population signed up for coverage under the Affordable Care Act, and that number is likely to increase. Read on to learn about the grant that a USF-based group earned, and the work that they are doing to help Floridians with insurance enrollment.

What Is The Affordable Care Act?

 The Affordable Care Act, more commonly known as Obamacare, is an insurance program that was passed in March of 2010. The legislation has three main goals. The primary mission is to make health insurance available to more people. It subsidizes healthcare for those living far below the poverty level. It also aims to help expand Medicaid and supports “medical care delivery programs”.

Why Do Groups Need Grants?

Non-profit groups aid under-served communities by connecting people to medical insurance, which can help them immensely. These groups, such as the Florida Covering Kids & Families, are designed to help simplify the insurance process. Their goal is to help the uninsured population of Florida (2.5 million people) understand insurance enrollment. They especially aim to help children and families.

Florida Covering Kids & Families does not charge people to use their services. Not only do they connect people with insurance options, they conduct research on insurance trends across the state of Florida. The catch is that Florida Covering Kids & Families is a non-profit. So how do they pay for knowledgeable insurance experts and support research across the state? With grants such as these.

How Much Will The Program Receive?

Florida Covering Kids & Families will receive 1.3 million dollars each year for the next two years. The money will go to Florida Covering Kids & Families, who will in turn work with medical and insurance organizations across the state.

The programs help enroll over 60 thousand people per year in Florida. WUSF reports that the program is grateful for the money, but frustrated at the recent budget cuts. Their budget has been slashed 85% in the past two years, from 6 million at its peak to 1.25 million last year. This grant represents a trend in the other direction though, which has inspired hope.

The director of Florida Covering Kids & Families hopes that the government will provide more opportunities for funding. “Obviously, it doesn’t give us the ability to provide the level of services that are needed across the state of Florida, but it will allow us to continue to serve Floridians through open enrollment and the special enrollment periods.”

The Future of Obamacare with a Trump White House

By |2017-02-01T12:08:41+00:00February 1st, 2017|Categories: Blog and News|Tags: , |

With the pending change of leadership in the White House consumers, media, healthcare professionals, and health insurers have many questions about the future of Obamacare. Their questions are timely as the open enrollment period for 2017 coverage under the Affordable Care Act draws to a close December 15th.

During President-Elect Trump’s campaign he was clear in his intent to repeal the Affordable Care Act. Since being elected his message has changed a bit, recently stating that he intends to keep some of the components of the plan. According to an interview with the President-Elect on 60 Minutes, Trump wants the revised Act to “force insurers to cover people with pre-existing health conditions and allow parents to cover children under their plan into their mid-20s.”

President-Elect Trump has tapped Tom Price as his health and human services secretary. Price is an U.S. Representative and orthopedic surgeon from Georgia. According to a recent New York Times article, each year for the past six, including while Democrats were still working on the plan, Price “has introduced bills offering a detailed, comprehensive replacement plan.” Further, Reuters reports, “Price’s plan would also roll back the 2010 law’s expansion of Medicaid for low-income people, a change that helped Obamacare cut the number of uninsured Americans to 29 million in 2015 from 49 million in 2010.” His plan “endorsed converting Medicare from a program that covers set benefits to a voucher-style program to help people buy coverage.”

Please contact us for more information or assistance finding the healthcare coverage you and your family need.

Comments Off on The Future of Obamacare with a Trump White House

Benefits of Obamacare (ACA)

By |2016-05-25T12:41:16+00:00May 25th, 2016|Categories: Blog and News|Tags: , |

The Affordable Care Act ( ACA ), also known as Obamacare, is an act that was established to protect consumers from insurance companies that were able to restrict care or increase costs of health care. Obamacare was signed into law in 2010. The main goal of this act was to provide affordable insurance to all people who live in America. There are millions of people who have benefited by receiving insurance coverage through Obamacare. Many of these people were disabled or unemployed. There are many benefits that Obamacare provides for Americans.

The number of Americans who have health insurance has increased since 2010.

Within the first five years of Obamacare being established, more than 16 million Americans obtained health insurance. The majority of these people are young adults.

Obamacare ( ACA ) Made Health Insurance More Affordable.

For a lot of people, health insurance was a lot easier to obtain under Obamacare. Insurance companies are required to spend at least 80 percent of insurance premiums on medical improvements and medical care. Although health insurance is not free, Obamacare did give people a wide range of coverage options to choose from.

Obamacare ( ACA ) Reduced Prescription Drug Costs.

Many people are not able to afford the prescription drugs they need. Obamacare promised to make prescription drugs more affordable. The number of generic and prescription drugs that Obamacare covers is growing significantly each year. The savings on prescription drugs within the first five years of Obamacare was approximately $15 million.

Obamacare is an act that ultimately provides more affordable health care to American citizens. For more information about how Obamacare can benefit you, contact us.

Comments Off on Benefits of Obamacare (ACA)

Am I Eligible for Obamacare?

By |2016-05-04T01:35:48+00:00May 4th, 2016|Categories: Blog and News|Tags: |

Getting good insurance coverage can be frustrating. Premiums are high, many plans are complicated or unclear, and the benefits depend on income level or even which state you live in. You may be asking yourself, “Am I eligible for Obamacare?”

The Affordable Care Act (ACA), a law also known as Obamacare, created a system  which allows Americans to seek out and sign up for insurance individually. All Americans are allowed to access this. The main way to access this system is by going here to find more information.

For those who are not U.S. citizens or U.S. nationals, a full list of immigration statuses that make someone eligible to use the ACA (Obamacare) can be found here.

Obamacare can be used instead of the traditional choices of either being tied to an employer’s insurance plan, or for seniors, using Medicare. The ACA is not an insurance plan by itself, but instead directs people to browse a variety of options for their insurance coverage. The plans available vary by state, and can include Medicare, Medicaid, private insurance companies like Florida Blue, or sometimes a private/public partnership. The plans also vary depending on you or your family’s income level.

If you have pre-existing conditions, you are still eligible to use the ACA’s system to find insurance and cannot be denied coverage because of those conditions.

If you have further questions, please feel free to contact us.  We can help talk you through the process of choosing and signing up for an insurance plan which will work for you and your family.

Comments Off on Am I Eligible for Obamacare?

How to Tell if You are Eligible for Obamacare (the ACA)

By |2016-04-26T01:31:26+00:00April 26th, 2016|Categories: Blog and News|Tags: , , |

The Affordable Care Act, known colloquially as Obamacare, offers US Citizens and residents the chance to buy health insurance through a regulated marketplace. It also offers subsidized premiums to individuals and families with low to moderate incomes.

The most basic requirement access to the healthcare marketplace is that you live in the United States. You can be either a citizen or an immigrant who is in the country legally.

Access to premium subsidies is one of the biggest benefits of Obamacare. Here are some of the requirements for subsidies:

Your Employer Does Not Offer Affordable Health Insurance

Individuals whose employers offer affordable health insurance are expected to use it rather than buying insurance on from the Marketplace. A plan is considered “affordable” if the employee’s cost is less than 9.66% of their income. If your employer offers insurance, you receive some benefit from the fact that your plan is tax-deductible.

You Have Some Income

Persons who have no income or income below 138% of the Federal Poverty Guideline can use Medicaid if they live in a state that adopted the Medicaid Expansion.

You Don’t Have Too Much Income

Persons whose income is more than 400% of the Federal Poverty Guideline must pay for insurance themselves, without a subsidy. In 2016, the limit for a single individual is $47,080. The limit for a family of 6 is $130,280. Subsidies are based on your modified AGI, so people who put money into a 401k or other tax-deductible savings vehicle can make more and still qualify for subsidies.

The information above provides a short overview of the requirements for Obamacare eligibility. In addition to the information above, there are many exceptions and special conditions. If you need help determining your eligibility for Obamacare or subsidies, please contact us.

Comments Off on How to Tell if You are Eligible for Obamacare (the ACA)

The Good News About Your Eligibility for Obamacare

By |2016-04-05T08:29:33+00:00April 5th, 2016|Categories: Blog and News|Tags: , |

The overriding and continuing goal of Obamacare is to enact health care reform that makes affordable health insurance available to every United States citizen regardless of pre-existing health conditions. The simplicity of this goal has been obscured by some of the controversies that continue to surround it, but those controversies have no bearing on determining if you are eligible for Obamacare. Different sides of the political spectrum might give you different answers, but at the end of the day, the most likely answer will be a resounding “yes”.

The very good news is that Obamacare was designed to help millennials and people who are new to the job force to get or keep low-cost health insurance. For example, under Obamacare, a parent’s health insurance will continue to cover children until those children are 26 years old. A young adult who has health insurance under a parent’s health plan can graduate from college, begin an entry-level job, and establish his or her own living situation without having to worry about paying for health insurance.

For people who do want to purchase their own insurance, Obamacare establishes a network of insurance co-operatives and exchanges that offer several health insurance alternatives to all individuals who want health insurance coverage. These cooperatives and exchanges will help you to select the best plan for you from a number of alternatives. The alternatives that are available to you will vary from state to state. Your Obamacare enrollment specialists will help you select the best plan that fits your particular situation.

Some of the early criticisms of Obamacare have focused on the system’s failure to achieve the ambitious early goals that it established for itself. These failures are beginning to correct themselves as individuals become better educated about the benefits that Obamacare holds in store for them. For example, your health insurance premiums will be independent of your health status. Previously, if you had a prior illness or adverse health condition, your health insurance premiums would likely have been all but unaffordable. By creating a significantly larger pool of covered individuals, Obamacare has spread out these risks and equalized premiums for a great majority of enrollees.

Notwithstanding these benefits, Obamacare is still a work in progress. Please contact us if you are confused or if you have any questions about your eligibility for Obamacare health insurance coverage. We can provide the guidance you need to get the best insurance possible.

Comments Off on The Good News About Your Eligibility for Obamacare

How to Know if You Are Eligible for Obamacare

By |2016-03-08T14:24:32+00:00March 8th, 2016|Categories: Blog and News|Tags: , |

Sorting through insurance policies can sometimes feel like you are trying to navigate murky waters. There are restrictions, fine print, and varying prices and levels of coverage. How can you tell if you are eligible for Obamacare? Here are a few tips to help you know where you stand:

  • If you do not have insurance through an employer, and you are not a senior on Medicare, you can sign up for Obamacare to get insurance coverage. If you fall in one of the two above-mentioned categories, you won’t have to worry about anything because your insurance requirements will be met through your employer or Medicare.
  • If you do need to find out if you are eligible for Obamacare, and you are in a low-income household, there are tax credits that you can apply for. To qualify for these credits, your income level must fall between one and four times the Federal Poverty Level.
  • There are four levels of coverage to be eligible for Obamacare. The first is Bronze, the second is Silver, the third is Gold, and the fourth and final tier is Platinum. While the Bronze plan has the lowest premium cost, it will only cover 60% of your medical expenses. The Platinum plan has the highest premium cost, but it will cover 90% of your medical expenses.

If you have any remaining questions about being eligible for Obamacare, you are welcome to contact us and let us know. We will gladly discuss the details of this program with you and help you decide which plan may best suit your needs and situation.

Comments Off on How to Know if You Are Eligible for Obamacare

Affordable Health Insurance Quotes: Finding Better Insurance at Any Age

By |2015-11-28T12:45:54+00:00November 28th, 2015|Categories: Blog and News|Tags: , , |

Finding affordable health insurance quotes is probably on your mind lately after realizing you need to get insured this year. With Obamacare requiring you get insured, it’s worth keeping in mind many plans within that construct are very affordable. Here at National Health Insurance Agencies, we offer our own Florida Blue plans to help you acquire affordable insurance at any age. We can help you find affordable health insurance quotes for your situation.

With so much unpredictability in the health care industry, you probably prefer finding a plan that helps give you more predictable premiums and other fees. No doubt you’re tired of relying on health plans adding unnecessary fees and raising costs just because you’re getting older.

You shouldn’t have to pay more for health insurance just because you’re over a certain age. We know how frustrating this is and provide plans that not only help you when young, but also finding Medicare supplements when you’re over 65.

We’ll give you an immediate quote on many of our plans suitable for groups, individuals, families, and those who need more specialized care.

Quotes on Group Plans

Through our BlueOptions, BlueCare, and BlueSelect plans, you have various options for group plans that you won’t find many other places. This includes the guarantee your workforce has affordable premiums at all times without sudden increases.

If your employees frequently complain about sudden co-pays raises, you can ease their worries with our group plans. With these plans additionally compatible with HSA accounts, you’ll have employees who can know exactly what they’ll pay before having any medical work done.

Quotes on Individual and Family Plans

We’ll give you a quote on many of our individual and family plans that fall under the same Blue names mentioned above. They offer many of the same services, including additional benefits like dental care. You’ll even find supplemental plans giving you medical coverage with no medical questions asked.

It’s rare to find these in the time we’re living in. We’re here to answer any questions about them through our GoBlue and FamilyBlue options.

Medicare Supplemental Plans

Wouldn’t it be great to have a medical plan in your old age that doesn’t constantly raise your premiums? Many of our Medicare supplemental plans guarantee this, including ways to completely replace your Medicare coverage.

We offer this through our BlueMedicare moniker with either supplemental or advantage plans. Many of them give you more health care freedom, including better choice of doctors, plus excellent prescription drug coverage.

Quotes on Hospital Insurance

Did you know you can get a stand-alone insurance that helps pay for hospital stays? These plans pay supplemental benefits when you have to stay in the hospital for a considerable amount of time. With many affordable premiums, it’s a service capable of cutting down on medical expenses exponentially when long stays become a requirement due to specific illnesses.

Contact us here at National Health Insurance Agencies to get your quote for our insurance plans and find out how affordable health insurance can still be.

Comments Off on Affordable Health Insurance Quotes: Finding Better Insurance at Any Age

This Is A Custom Widget

This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Its perfect for grabbing the attention of your viewers. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile.

This Is A Custom Widget

This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Its perfect for grabbing the attention of your viewers. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile.
Go to Top