A quick Guide to Obtaining Healthcare Coverage
A Quick Guide to Obtaining
Healthcare Coverage
Do you have health
insurance? It is undeniable that health insurance makes healthcare more
accessible, including preventive services such as screenings and
regular check-ups with your doctor.
Consider the fact that
only a third of the uninsured U.S population scheduled a preventive visit with
their doctor in 2013. On the other hand, 74% of adults with health insurance
saw their doctor for a preventive visit during the same year.
If you don’t have
insurance, or have a policy that doesn’t meet your needs, it’s important that
you learn more about healthcare coverage to find a policy that matches your
needs and your budget.
Ask yourself these important questions before
purchasing a policy:
1.
What is the
Affordable Healthcare Act? The purpose of the Affordable Healthcare Act is to
make health insurance more accessible by extending Medicaid coverage, creating
a marketplace where you can shop for policies, and requiring insurance providers
to offer coverage to clients in spite of pre-existing health conditions.
·
However, this law also makes it mandatory to purchase
healthcare.
If you’re not insured, the government levies a fine with your income taxes. The
amount of this fine is $95 or 1% of your income (depending on which is greater)
and will go up next year.
2.
Are you eligible
for Medicaid or Medicare? You’re eligible for Medicare if you’re over the age of
65 and have been paying Medicare tax for at least 10 years. Medicaid coverage
is available on a state level, which means requirements vary depending on where
you live.
·
The
Affordable Care Act sets the minimum income that makes you eligible for
Medicaid at 133% of the federal poverty level. It’s possible that your state
offers coverage to individuals who earn more.
·
Even if you’re eligible for Medicaid or Medicare, you
can also purchase additional coverage if you feel that these programs do not
entirely meet your needs.
3.
What are your
options if you don’t qualify for Medicaid or Medicare? You still have
many options:
·
You
can purchase insurance on the Healthcare.gov website and possibly qualify for
other subsidies.
·
You
might also receive coverage through your employer.
·
If
you’re under the age of 24, your parents can include you on their policy.
·
In
addition, you can also find alternative personal policies outside these realms.
4.
What factors
should you consider when choosing a policy? It’s important to select a health
insurance policy that corresponds to your needs and budget. Consider these factors before
purchasing coverage:
·
Monthly premiums. This corresponds
to the amount you will have to pay on a monthly basis to receive coverage.
·
Deductible. This
is your portion of your medical expenses – before your insurance even starts to
cover your expenses. Most policies include a co-pay for doctor appointments
and a larger deductible if you need surgery or another expensive form of
treatment.
·
Amount of coverage
offered.
What percentage of your medical expenses will the insurance company pay? Is
there a maximum amount?
·
Reputation of your
health insurance provider. Choose a company with good reviews. Your insurance
provider should value customer service and process claims quickly and
efficiently.
5.
Which factors
influence your health insurance premiums? Your premiums are based on how
likely you are to need coverage for medical expenses. These are the factors healthcare
insurance providers look at:
·
Your age. Purchasing
healthcare coverage while you’re young and healthy will help you secure low
premiums.
·
Your location. The cost of
living in your area can affect your premiums.
·
Smoking. Using tobacco
could result in your premiums being 50% higher than the premiums offered to a
non-smoker.
·
The type of plan
you purchase.
Premiums
are higher for policies with lower out-of-pocket amounts.
There are many
downsides to not having healthcare, including putting off screenings for a
number of health conditions and not scheduling regular check-ups with your
doctor. Should you become ill or injured, you would end up with huge medical
bills.
A more important question to ask yourself might be, “Can I afford not to have health insurance?”
Receiving questions on the right type of health insurance coverage can start by contacting a licensed health insurance representative.