Thursday, September 12, 2013

Healthcare Reform School, Lesson #18...Advice from an Expert

Welcome back to Healthcare Reform School.  I have been disseminating information about the Affordable Care Act through this blog for over 4 months. As the full enforcement grows closer, I feel like I need to give some advice to those out there who currently have to buy their own health insurance.  So please share with those individuals you know that are in that position.

The best advice I can give is to prepare for the new law.  Why should one prepare, because your insurance premiums could double or triple starting January 1!
Courtesy of renjith krishnan at freedigitalphoto.net


Many people (most people) want nothing to do with health insurance.  Every day I talk with individuals that don't have time to spend looking at their bills or worrying about their health insurance policy. So I will give real quick advice for individuals in specific categories.  Find the category you fit in and check out your best course of action.

As a broker I represent Blue Cross, United Healthcare, Assurant, Aetna & Humana.
The two companies with the best strategy to keep your individual policy prices stable up through 2015 are United Healthcare and Assurant.  

  • For all plans in effect before March 23, 2010.
    • Your plan is grandfathered in and will not change
    • If you like it, KEEP IT, don't change.
  • For all plans purchased after March 23, 2010
    • Blue Cross policy holders
      • Your plan is going to be dropped on December 31, 2013 and you will need to buy a new plan that will have many benefits you may not need which will increase your premiums substantially.  Your premium could double!
      • You should shop for a plan now and put a new plan in place.  
    • Humana and Aetna policy holders
      • You have an option to convert to a new plan starting January 1, with higher premiums and benefits that you may or may not need.
      • You have an option to stick with your current plan until the anniversary of it's effective date.
      • You should shop for a plan that keeps your premiums stable until the end of August 2014.
    • United Healthcare & Assurant policy holders
      • Your policy will remain the same through 2014.
      • You should review your plans and make sure you like the way they are set up.  If you want to lower your premiums or increase your benefits, now is the time to do it by taking advantage of choices that will not be available after January 1, 2014. you will not be able to change existing plans after that.
    • Policy Holders with companies that I have no mentioned above
      • Check with your insurance provider to see if they are converting their plans on January 1.
      • Many smaller health insurance companies are dropping out of the market all together.  Yours may be one of them.
    •  For anyone shopping for insurance
      • Shop with a agent/broker because you will get the most options that way.
I try to keep these blog posts short and simple.  So that is it for now.  Stay tuned for more next week.  Review all my lessons from the last four months below.

Lesson #1 - Introduction
Lesson #2 - Basic Reason for creating the Patient Protection and Affordable Care Act
Lesson #3 - Public exchanges for Purchasing Insurance
Lesson #4 - Essential Health Benefits that will be added to all Health Insurance policies in 2014
Lesson #5 - Tax Credits to Help Pay for Health Insurance
Lesson #6 - Enforcement and Penalties in the Affordable Care Act
Lesson #7 - Preparing for the Affordable Care Act
Lesson #8 -  Options for Small Businesses
Lesson # 9 - Will my Insurance Premiums change in 2014?
Lesson #10 - What Will Happen to Small Groups in 2014?
Lesson # 11 - Why Should I Buy Insurance Before the Deadline?
Lesson #12 - What does the Delay in the Employer Mandate Really Mean? 

Lesson #13 - Can I keep my Current Health Insurance Plan?
Lesson # 14 - Who is Providing Insurance During Open Enrollment?
Lesson #15 - Out of Pocket Spending Limits - Law Change
Lesson 16 - SHOP - Marketplaces for Small Businesses
Lesson #17 - Options for Individuals and Small Businesses

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