@@raross1204 that’s part of the problem who can afford to pay the rates for health care as they are. One illness and your life’s savings could be wiped out. The cost must come down for health care. Does it really cost $15.00 dollars for a Tylenol?
@@lawrence1960 I don't disagree. I worked my whole life always having health insurance and never needing it, now that I'm at the age where I'll be needing it, I can't afford it.
@@raross1204 kind of a sick irony isn’t it. I just need to one more year on the market insurance. Then I get Medicare. I’ll see what that turns out to be.
Hi Jeff, we understand your frustration. There are great plans to be found, but some can be just too expensive. There are definitely ways to find less expensive plans with good coverage though! If you'd like our help, please feel free to call us at 888-410-0344. Have a great day!
Medicare for All! Single Payer Health insurance. It is ridiculous for us to worry about our basic right to health. Thank you for your videos. I appreciate it. We politically solved this problem, we wouldn't have to worry about medical debt and the related consequences i.e suicides, bankruptcy, foreclosure, and so many others.
Veterans should get platinum and it should be paid for 100% plus a monthly stipend, a nasty hitting the surface. I'm not talking about benefits because these cards should have extra benefits on them as well. Like free membership to Jim's the coverage of hemp oil with THC.
Your videos are very useful and provide lots of information. I have received lots of help after watching this post, please continue to share this kind of information. Thank you.
Please explain the first part of your video again. Am I understanding correctly, to purchase insurance we can go directly through an insurance company, directly to Healthcare.gov or through an agent. How is the agent paid when a consumer contacts them? Is it a commission paid by the consumer added to the insurance premium each month or a one time fee paid by consumer or how do I pay the person helping me select a health plan? Thank you so much for your answer in advance and for the great videos.
Insurance companies (carriers) have agents that work directly for them. You can call directly but they will only be able to present you with the plans offered by their company. You can also enroll through healthcare.gov where you can see all of the plans available. Finally, you can contact a broker who works for you (the beneficiary) not the insurance carrier (insurance company). They will present you with options from multiple different carriers (like healthcare.gov). The rate will be the same whether you use an agent, a broker, or healthcare.gov. Some brokers charge an additional fee. We, however, do not. I hope that helps answer your question! If you need further assistance, please feel free to give us a call at 888-410-0344. Thank you!
I want the health care problem that covers my gym cost and my sacred oil. And gives me special discounts because I am a Marine Corps veteran. You know, things like that. Do you understand what i'm talking about
We definitely do not recommend health shares. They are completely unregulated and there are a lot of horror stories. Because they are not insurance, you are left with little to no recourse if they choose not to reimburse you for any reason. We go into further detail here: ruclips.net/video/W4ebhgIX54k/видео.html STM on the other hand is a great option if it works for you and your family! A young, healthy person can have access to a low cost, quality plan with nationwide PPO coverage (which is very hard to find on the marketplace). You can learn more here: ruclips.net/video/3-JUcB3DyR4/видео.html. As for members clubs, I'm not as familiar, but I will definitely look into it. Maybe we will even create a video dedicated to that topic. Thanks for the great question!
It is very hard to find PPOs on the marketplace. EPOs and HMOs will not really provide standard coverage if you are traveling. However, you will still be covered in case of a true medical emergency even if you are outside of your network. All plans must cover the 10 essential benefits: www.healthcare.gov/coverage/what-marketplace-plans-cover/ If there are specific procedures, services or medications needed, you can check the details of the plan on healthcare.gov, call the carrier directly or work with a broker. If you are looking at higher medical needs and bills, you may want to consider a plan with a higher monthly premium and lower deductible. Please feel free to give us a call so we can help. You should be able to focus on your wife's recovery rather than dealing with potentially scary medical bills and picking the right insurance plan is a step in the right direction. There is no charge for our services or pressure to buy, but we'd like to be able to steer you in the right direction to get as much of your wife's treatment covered as possible. 888-410-0344. Speedy recovery to her and well wishes to you both.
I have had United Healthcare this past year and never been contacted as much ever by any other insurance company. I don't have that much healthcare, tho. They set me up in 2012 to die in NC cause they split my bladder in half doing a robotic surgery I never needed, already had a infection showing, before the surgery, told me I had weeks to live, it has been twelve years. It tells me I have no payments. so I like that and they have sent me a card with 175 a month on it for groceries or healthcare items.
Hi Len. Sidecar Access plans are fixed indemnity plans which means that you do not have a stop loss on your medical bills. Basically, if you need major medical care you could end up with tremendous bills since there is not out of pocket max. Therefore, we do not recommend them. See their own disclaimer below at the bottom of their sign up page. ------- “Access Plan” and “Access Plans,” collectively, refer to the excepted benefit fixed indemnity insurance product marketed and administered by Sidecar Health Insurance Solutions, LLC and underwritten by Sirius America Insurance Company or United States Fire Insurance Company, depending on the state. The Access Plan is an excepted benefit plan and does not provide comprehensive/major medical expenses coverage, minimum essential coverage, or essential health benefits. You cannot receive a subsidy (premium tax credit and/or cost-sharing reduction) under the ACA in connection with your purchase of such an excepted benefit fixed indemnity insurance plan. Also, the termination or loss of this policy does not entitle you to a special enrollment period to purchase a health benefit plan that qualifies as minimum essential coverage outside of an open enrollment period.
How are out of network hospital and doctor charges considered against the out of pocket max in the case of emergency care (out of area)? Are they not considered at all?
I'm a self employed independent contracted caregiver currently. Can the premiums that we pay for health insurance be used to lower our taxable income at the end of the year? I kinda get it, but it's just a bit confusing. Wasn't aware of how expensive paying for your own Healthcare vs being employed is.
Hi Louis. If you're self employed and not eligible for insurance through a spouse's plan, your health insurance should be tax deductible. We'd of course recommend checking with an accountant to make sure you fit the criteria. Additionally, your taxable income affects how much you actually pay for your monthly premium. Healthcare.gov will ask you to estimate your MAGI for the upcoming year. Based on your estimated income you may be eligible for a tax credit on your premiums. If you apply this upfront, your monthly premiums will be significantly lower. Of course, if you estimate inaccurately, you may have to pay these tax credits back when you file taxes. Let us know if you have any more questions!
Can you explain if you are veteran and you only have medicine expenses? But you need other medicine expenses that are not covered as of yet, but there are things going on to change what
I don't know of any stand along prescription drug plans (without medical coverage). Do you not need any medical coverage? There are always pharmacy discount cards (like GoodRX or state pharmaceutical cards), but I don't know of any insurance that will only cover prescription drugs! Do you have tricare?
Sorry to hear you've had a poor experience. That's certainly not the way that we operate. Feel free to check out our 5 star reviews online. Best of luck!
I understand what you’re saying and thank you for the video. I’m not quite clear about the deductible. So do you pay the deductible before you can even see a doctor or is the healthcare system keeping a calculation on how much your spending and when it reaches the deductible amount then it goes into cost sharing. Also when does the premium kick in? I’m assuming you have to be notified at a later date on how much they’re giving you.
Hi Vivian. Many services are covered prior to meeting your deductible (some even at no cost). But, if you needed to have surgery, for example, your deductible would come into play. I'm not certain what you mean about your premium "kicking in". Your premium is the monthly charge to keep your insurance active. You need to pay it every month to ensure to maintain your insurance benefits. I think maybe we're talking about the premium tax credit? If that's the case, you should still know what your premium will be with your tax credit when you enroll. The website can be a little confusing, so if you are having any difficulty comparing plans and costs, please feel free to give us a call at 888-410-0344. We can explain the specifics of the plans you are interested in. Thanks for your question!
Good day. My parents apply for insurance in the marketplace. What happens if they overreported the income in marketplace? For example, they estimated the 2023 income to be $26,000 and it turns out that they will not make any money this year. So how much do they have to pay back to marketplace, like all of the Premium tax credit available per month x 12 months?
If they made less money than anticipated, they will likely receive a larger refund when they file their taxes. They shouldn't have to pay anything back if they made less than estimated.
@@iHealthBrokers They are in Florida. Because their income is way less than 100%, I thought that they are not eligible for marketplace insurance. Thus, because of not being eligible, they have to repay back of the APTC that they had for all the months. But I do hope that they shouldn't have to repay anything too.
I love health insurance companies, especially when they lower your premium by a mere 7$ but double your deductible the following year. Great system we got in the USA.
It can often feel like you're getting less for more. There are often better options though which is why we always encourage our clients to review all available options every year.
Usually our two best recommendations are are marketplace insurance or short term medical plans. Right now, under the America Rescue Plan Act and the Inflation Reduction Act, more people are eligible for premium tax credits than in years past. So, we'd recommend you start there. Short term medical plans are another good options (especially for those who are ineligible for premium tax credits). There is medical underwriting, but a young healthy person can get a plan with nationwide PPO coverage with a relatively low monthly premium. Check out this video to learn more! ruclips.net/video/aIIOvX_0uhs/видео.html Thanks for your question!
Help, here is my situation, household of 2, only 1 income =90k, current employer sponsored insurance =800 per month with both in household. How can I remove one person from company insurance that will reduce monthly to 160 and get separate insurance for other household member.
Sounds like you are one of the many people who has fallen victim to the "family glitch". You can check out our video with updates on the recent "fixes" to learn more: ruclips.net/video/I6IgCc9NzSI/видео.html. That being said, you would likely need to wait until the next enrollment period with your company to make changes. Try speaking to your HR department to find out when you can make those changes. At that time, you should be able to enroll your spouse in a marketplace plan through a SEP.
Absolutely. You can still apply for a marketplace plan and based on your income and household size, you may qualify for a premium tax credit. Thanks for your question!
Remember, seniors ... This is the Affordable Care Act, and they treat senior health issues as a burden on them. In the bill that was passed, they treat you according to your worth to society .. your career and importance in the community. When they determine what treatment they will allow you, they have a formula that takes all that into consideration to determine how much they will spend. This is FACT! Please check that out before you choose one of their health care plans. It may be a plan you wish to choose anyway, but I feel you should know the truth!
It is a shame that many seniors are not treated as valued citizens. We certainly agree, you should always do your research when choosing a health plan.
Your monthly premium will be exactly the same whether you use a broker or not. Commissions are already calculated into the monthly premium so whether you use a broker, an agent or healthcare.gov, what you pay does not change. Some brokers will charge a one time service fee, but many do not. For example, we do not charge any type of additional fee. If you need help, please feel free to email at support@ihealthbrokers.com or call us at 888-410-0344. As I said, absolutely no charge 😉 Thanks for your question!
@@iHealthBrokers yes, exactly. In the event I would rather not use the VA for an appointment or a procedure. I wanted to know if I can still purchase marketplace insurance. I read the following on one of the sites, but not sure how valid this is. “If you are enrolled with VA for your health care, your enrollment meets the standard for minimum essential health care coverage under ACA. You are not eligible for assistance to lower your cost of health insurance premiums if you chose to purchase additional health insurance on the Marketplace to complement your VA health care coverage”
@@markpranger9089 You would be ineligible for a premium tax credit. You could still purchase the insurance, but it would likely be rather expensive without the eligibility for a premium tax credit. Probably not the most cost effective option. Additionally, marketplace plans do not directly supplement VA benefits. If your concern is that your VA benefits will not allow you to see a certain doctor or hospital, you should know there are often no PPO plans available on the marketplace. Based on your health, your needs, and your budget, you might be better served with a private insurance plan, possibly a short term medical plan. If you are just looking for some additional coverage, there are also hospital indemnity plans and critical illness plans.
@@iHealthBrokers great info, thank you. I did a quick check and my current hospitals and doctors are considered in-network with ambetter for example. With that, couldn’t marketplace still be an option?
What is sep ? Also I just retired and started my social security would that count as part of my income I did report it but was not sure if I completed my application correct.
SEP stands for Special Enrollment Period. Outside of the open enrollment period, you may qualify for a special enrollment period if you experience certain qualifying life events. For example, if you get married, you'd qualify for a SEP. Retiring (and losing your employer sponsored health insurance) would qualify you for a SEP. If you are applying for a marketplace plan, your social security would count as part of your income.
I need help. For the past 5 years my husband and I have been on a HDHP plan with HSA(employer gives a monthly contribution of $50) we pay $156/month (deductible of 3,000/fam and 9,000/fam for out of pocket). Within these 5 years my husband had a kidney transplant and has medication that he’ll be on for life as well as regular Dr visits and specialist visits. Lately we’ve been thinking about having a child and whether or not we should switch to an PPO. The PPO would cost us $216 per month (2,400 deductible/fam and 12,400 out of pocket/fam) Can you help me decide or what should I be focusing on. I’m so lost and scared of change but the PPO would be about$35 for copay at Dr so it sounds like it might be better bu
Would you meet the deductible quickly with his medical needs? HDHP are good for people with either extremely high medical needs or very limited medical needs. The premiums are not a lot different though so a PPO might be better...
HELP! I'm shopping for a new plan... In benefit summaries I see copays (which I understand) but some will say things like "Generic Drugs: 20% coinsurance per prescription after INET plan deductible is met" Can you please clarify this? If a plan's deductible is $5000, does that mean I have to pay the prescriptions full cost until my deductible is met and then it'll be 20%?
Possibly. Some plans have one deductible for health and drug. Others have separate deductibles. From what you are describing it seems likely that you would have to meet the deductible first, but I can't say with 100% certainty without looking at the terms of the plan. If you'd like you can call us at 888-410-0344 and we can explain the plan to you. You can also email us at support@ihealthbrokers.com if that's easier!
ADVICATE FIF YOUR IWN HEALTH CARE. I have spoken to at least 6 different ppl; you only need to talk to enough ppl where u get the idea of who the person is you’re speaking with. Do they say things often like” Essence has highest help to meet your claims above almost everyone else.” Give me a break we’re SENIOR CITIZENS, not brain dead. I over heard someone say this to my father , when he got off the phone. He gave me the best clue he was still able to manage his own care at 86( After thr call ended he said,” they always say that” My father ran his own insurance agency since hr was 20- 84. Everyone you deal with needs to recognize you are the brokers customer. Period. Insist ON BEing TREATED LIKE YOU WERE IN YOURE 30’s. Insist and advocate and don’t feel vulnerable.
Feel free to give us a call: 888-410-0344. It really is so sad and frustrating that such an important financial and health decision is so confusing! Let us know if we can help!
i’m retiring at the end of december 2021at age 62.how do wife and i qualify for the ACA.will be collecting about 1,900.00 in pension.will wait for a year to start collecting SS.what are my options?
You are automatically qualified. Logon to healthcare.gov to see your options! No need to wait for social security. You'll have to wait a few years for Medicare, but you can get a marketplace plan at a low rate due to your income.
Good information and presentation. You nice lady are specific and speak clearly. It is so annoying when a woman speaking trails off a sentence with that crackly growl the last 3 words
If you meet the deadline of the 15 December and you decided you did not like hmo found that another program ppo was cheaper can you change or that is it nothing you can do..?
I want a card that covers THC hemp oil. High levels of hemp oil that grow new brain cells and new nervous cell systems. That's been covered up for a very long Tare. You ready for that
If you retire pre 65 medicare age, and you get coverage through ACA, can you pay your monthly premiums with saved HSA dollars? If not, what can you use HSA money for? Thank you.
In almost all scenarios, HSA funds cannot be used for premiums. However, HSAs can be applied towards many expenses. This list is very helpful: www.hsabank.com/hsabank/learning-center/irs-qualified-medical-expenses
Open enrollment is around the corner (Nov.1-Dec.15 or longer in some states). Once we're in open enrollment, you can absolutely work with a broker (even if you've enrolled yourself in the past). We encourage you to always review your plan and the new options during open enrollment as there may be better options available. Feel free to give us a call at 888-410-0344 so we can help!
You haven't been able to find any plans with a lower deductible? There are services that are covered even before you've met your deductible, but still you should be able to find plans with much lower deductibles than that... Please feel free to give us a call at 888-410-0344 and we will try to help.
i'm trying to enroll in HSA eligible insurance. How does "premium pass through" work? does the insurance company contributes premium automatically into HSA account??
If this benefit is offered, then a portion of the premium you pay passes through to your HSA. These benefits are usually only offered by group plans (employer sponsored insurance).
Americans Healthcare systems so ridiculously expensive, yet they loaded plane full of money and wasting across the world, while citizens struggle with their basic need.
As a 100% disabled, veteran not being approved from my disabilities that I went through while I was in the Marine Corps. That's one warfare, and then there's the other one with this kind of healthcare program
In a YT video comment a few years back, I said healthcare is a human right. Some salty people came out of the woodwork and said things like “No. Because you don’t have the right to another person’s labor.” Another weirdo said this gem 💎 “You can have health but you can’t have healthcare.” This is “America”.
anyhow.. soon have to get on Medicare.. turning 65.. but see Part A is free i guess.. worked 40 yrs.. but Part B is huge $164.90/mo Can't afford that no way No job. No income. No way !! in MA can I get Adv plan or MediGap or sthing.. idunno to help pay ..tax credit ? to pay Part B and or Part D too. (is that Part C then kinda?) so stupid confusing. MC rly rly rly Suckkks charging Everybody $164.90 + higher for US govmint bs insurance. What a Ripppoff.. and get very little for it to boot huge huge deductibles.. copays etcetcetc. What a load crap. smfffh can't bevlieve it
Are you eligible for Medicaid? If so, a DSNP may be a great option for you. If you qualify based on income, you could have access to all of the benefits of Medicare PLUS Medicaid (and many others) at a much lower cost. There are also Medicare Savings Programs which can help you pay for your Part A and Part B premiums. Feel free to call us at 888-410-0344 with any questions. We can see if there are any options available to you.
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The whole system is ridiculous but I'm glad you are making these videos. They are helpful
Thanks Lawrence! Glad we could help
I agree, they should get rid of insurance and just make people pay themselves
@@raross1204 that’s part of the problem who can afford to pay the rates for health care as they are. One illness and your life’s savings could be wiped out. The cost must come down for health care. Does it really cost $15.00 dollars for a Tylenol?
@@lawrence1960 I don't disagree. I worked my whole life always having health insurance and never needing it, now that I'm at the age where I'll be needing it, I can't afford it.
@@raross1204 kind of a sick irony isn’t it. I just need to one more year on the market insurance. Then I get Medicare. I’ll see what that turns out to be.
So in other words for the average person health insurance not only doesn't cover much but is too expensive 2 afford
Hi Jeff, we understand your frustration. There are great plans to be found, but some can be just too expensive. There are definitely ways to find less expensive plans with good coverage though! If you'd like our help, please feel free to call us at 888-410-0344. Have a great day!
That is the size of it. These deductibles are way too high. At least now they do cover pre existing conditions.
Medicare for All! Single Payer Health insurance. It is ridiculous for us to worry about our basic right to health. Thank you for your videos. I appreciate it. We politically solved this problem, we wouldn't have to worry about medical debt and the related consequences i.e suicides, bankruptcy, foreclosure, and so many others.
Thank you for your comment. We do try to make health insurance a little easier to understand.
American corruption at its finest. Pay for insurance your entire life and when you finally get cancer they drop you. It’s all one big scam.
If your worried about your health eat better fight for better food without chemicals forget about health insurance
@@redthecalm6366 Well, we're all in favor of eating healthy! But you'll still need health insurance 😁
@@redthecalm6366 you ate healthy but then got hit by an uninsured drunk driver - what you gonna do :)
Veterans should get platinum and it should be paid for 100% plus a monthly stipend, a nasty hitting the surface. I'm not talking about benefits because these cards should have extra benefits on them as well. Like free membership to Jim's the coverage of hemp oil with THC.
Why can't we simplify taxes and health insurance?
Your videos are very useful and provide lots of information. I have received lots of help after watching this post, please continue to share this kind of information. Thank you.
Thank you so much for the kind feedback! We are glad to be of help!
Please explain the first part of your video again. Am I understanding correctly, to purchase insurance we can go directly through an insurance company, directly to Healthcare.gov or through an agent. How is the agent paid when a consumer contacts them? Is it a commission paid by the consumer added to the insurance premium each month or a one time fee paid by consumer or how do I pay the person helping me select a health plan? Thank you so much for your answer in advance and for the great videos.
Insurance companies (carriers) have agents that work directly for them. You can call directly but they will only be able to present you with the plans offered by their company. You can also enroll through healthcare.gov where you can see all of the plans available. Finally, you can contact a broker who works for you (the beneficiary) not the insurance carrier (insurance company). They will present you with options from multiple different carriers (like healthcare.gov). The rate will be the same whether you use an agent, a broker, or healthcare.gov. Some brokers charge an additional fee. We, however, do not. I hope that helps answer your question! If you need further assistance, please feel free to give us a call at 888-410-0344. Thank you!
Thank you for explaining this in a simpler way to understand.
So glad to be of help!
I want the health care problem that covers my gym cost and my sacred oil. And gives me special discounts because I am a Marine Corps veteran. You know, things like that. Do you understand what i'm talking about
Thanks for the new video! I’m looking forward to seeing what other content you post! Always good to learn as much as you can!
Thanks for your kind words!
What about alternative health insurance approaches like healthshares, short term insurance, and members clubs like CYA?
We definitely do not recommend health shares. They are completely unregulated and there are a lot of horror stories. Because they are not insurance, you are left with little to no recourse if they choose not to reimburse you for any reason. We go into further detail here: ruclips.net/video/W4ebhgIX54k/видео.html STM on the other hand is a great option if it works for you and your family! A young, healthy person can have access to a low cost, quality plan with nationwide PPO coverage (which is very hard to find on the marketplace). You can learn more here: ruclips.net/video/3-JUcB3DyR4/видео.html. As for members clubs, I'm not as familiar, but I will definitely look into it. Maybe we will even create a video dedicated to that topic. Thanks for the great question!
We are looking to change insurance but we need to know details 😊
We can certainly help. Give us a call at 888-410-0344. We can go through a few quick questions and present you with all your available options.
How do I tell what they cover. Wife has cancer. And do the insurance good if we are traveling.
It is very hard to find PPOs on the marketplace. EPOs and HMOs will not really provide standard coverage if you are traveling. However, you will still be covered in case of a true medical emergency even if you are outside of your network. All plans must cover the 10 essential benefits: www.healthcare.gov/coverage/what-marketplace-plans-cover/ If there are specific procedures, services or medications needed, you can check the details of the plan on healthcare.gov, call the carrier directly or work with a broker. If you are looking at higher medical needs and bills, you may want to consider a plan with a higher monthly premium and lower deductible. Please feel free to give us a call so we can help. You should be able to focus on your wife's recovery rather than dealing with potentially scary medical bills and picking the right insurance plan is a step in the right direction. There is no charge for our services or pressure to buy, but we'd like to be able to steer you in the right direction to get as much of your wife's treatment covered as possible. 888-410-0344. Speedy recovery to her and well wishes to you both.
thank you young lady very usefull info.
You are so welcome!
I have had United Healthcare this past year and never been contacted as much ever by any other insurance company. I don't have that much healthcare, tho. They set me up in 2012 to die in NC cause they split my bladder in half doing a robotic surgery I never needed, already had a infection showing, before the surgery, told me I had weeks to live, it has been twelve years. It tells me I have no payments. so I like that and they have sent me a card with 175 a month on it for groceries or healthcare items.
Oh my goodness. What a terrible experience.
Glad your doing fine dear
What is your opinion of a plan like Sidecar?
Hi Len. Sidecar Access plans are fixed indemnity plans which means that you do not have a stop loss on your medical bills. Basically, if you need major medical care you could end up with tremendous bills since there is not out of pocket max. Therefore, we do not recommend them. See their own disclaimer below at the bottom of their sign up page. ------- “Access Plan” and “Access Plans,” collectively, refer to the excepted benefit fixed indemnity insurance product marketed and administered by Sidecar Health Insurance Solutions, LLC and underwritten by Sirius America Insurance Company or United States Fire Insurance Company, depending on the state. The Access Plan is an excepted benefit plan and does not provide comprehensive/major medical expenses coverage, minimum essential coverage, or essential health benefits. You cannot receive a subsidy (premium tax credit and/or cost-sharing reduction) under the ACA in connection with your purchase of such an excepted benefit fixed indemnity insurance plan. Also, the termination or loss of this policy does not entitle you to a special enrollment period to purchase a health benefit plan that qualifies as minimum essential coverage outside of an open enrollment period.
this video was so helpful, thank you!!
Thanks Camille! Glad we could help!
How are out of network hospital and doctor charges considered against the out of pocket max in the case of emergency care (out of area)? Are they not considered at all?
This is a really great question... Our general consensus is "yes", but I am looking for documentation to support that.
thank you, so much for this video!!!
So glad to be of help!
I'm a self employed independent contracted caregiver currently. Can the premiums that we pay for health insurance be used to lower our taxable income at the end of the year? I kinda get it, but it's just a bit confusing. Wasn't aware of how expensive paying for your own Healthcare vs being employed is.
Hi Louis. If you're self employed and not eligible for insurance through a spouse's plan, your health insurance should be tax deductible. We'd of course recommend checking with an accountant to make sure you fit the criteria. Additionally, your taxable income affects how much you actually pay for your monthly premium. Healthcare.gov will ask you to estimate your MAGI for the upcoming year. Based on your estimated income you may be eligible for a tax credit on your premiums. If you apply this upfront, your monthly premiums will be significantly lower. Of course, if you estimate inaccurately, you may have to pay these tax credits back when you file taxes. Let us know if you have any more questions!
Check out Self-employed Health Insurance Deduction
You can take 80 percent of the cost of your insurance OFF your income tax, federal, state and local!
Can you explain if you are veteran and you only have medicine expenses? But you need other medicine expenses that are not covered as of yet, but there are things going on to change what
I don't know of any stand along prescription drug plans (without medical coverage). Do you not need any medical coverage? There are always pharmacy discount cards (like GoodRX or state pharmaceutical cards), but I don't know of any insurance that will only cover prescription drugs! Do you have tricare?
unfortunately the broker will recommend the plan that pays them the highest commission.
Sorry to hear you've had a poor experience. That's certainly not the way that we operate. Feel free to check out our 5 star reviews online. Best of luck!
I understand what you’re saying and thank you for the video. I’m not quite clear about the deductible. So do you pay the deductible before you can even see a doctor or is the healthcare system keeping a calculation on how much your spending and when it reaches the deductible amount then it goes into cost sharing. Also when does the premium kick in? I’m assuming you have to be notified at a later date on how much they’re giving you.
Hi Vivian. Many services are covered prior to meeting your deductible (some even at no cost). But, if you needed to have surgery, for example, your deductible would come into play. I'm not certain what you mean about your premium "kicking in". Your premium is the monthly charge to keep your insurance active. You need to pay it every month to ensure to maintain your insurance benefits. I think maybe we're talking about the premium tax credit? If that's the case, you should still know what your premium will be with your tax credit when you enroll. The website can be a little confusing, so if you are having any difficulty comparing plans and costs, please feel free to give us a call at 888-410-0344. We can explain the specifics of the plans you are interested in. Thanks for your question!
Oscar Insurance plan in Florida is a scam, deliberately delaying service and limiting appointment options
Informative video, thank you!
Glad we could help!
Good day. My parents apply for insurance in the marketplace. What happens if they overreported the income in marketplace? For example, they estimated the 2023 income to be $26,000 and it turns out that they will not make any money this year. So how much do they have to pay back to marketplace, like all of the Premium tax credit available per month x 12 months?
If they made less money than anticipated, they will likely receive a larger refund when they file their taxes. They shouldn't have to pay anything back if they made less than estimated.
@@iHealthBrokers They are in Florida. Because their income is way less than 100%, I thought that they are not eligible for marketplace insurance. Thus, because of not being eligible, they have to repay back of the APTC that they had for all the months. But I do hope that they shouldn't have to repay anything too.
@@khatran1153 No, no. They should be fine! No repayment on the horizon.
I love health insurance companies, especially when they lower your premium by a mere 7$ but double your deductible the following year. Great system we got in the USA.
It can often feel like you're getting less for more. There are often better options though which is why we always encourage our clients to review all available options every year.
It's really such a gross and exploitative industry.
I agree with you. Health Insurance in USA is the worst.
creo que tengo un crush. also need health insurance lol. what do you think of us health group for self employed people?
Usually our two best recommendations are are marketplace insurance or short term medical plans. Right now, under the America Rescue Plan Act and the Inflation Reduction Act, more people are eligible for premium tax credits than in years past. So, we'd recommend you start there. Short term medical plans are another good options (especially for those who are ineligible for premium tax credits). There is medical underwriting, but a young healthy person can get a plan with nationwide PPO coverage with a relatively low monthly premium. Check out this video to learn more! ruclips.net/video/aIIOvX_0uhs/видео.html Thanks for your question!
@@iHealthBrokers thank you for your very informative response 🙏🏽
@@elcholomovil Glad to be of help!
Help, here is my situation, household of 2, only 1 income =90k, current employer sponsored insurance =800 per month with both in household. How can I remove one person from company insurance that will reduce monthly to 160 and get separate insurance for other household member.
Sounds like you are one of the many people who has fallen victim to the "family glitch". You can check out our video with updates on the recent "fixes" to learn more: ruclips.net/video/I6IgCc9NzSI/видео.html. That being said, you would likely need to wait until the next enrollment period with your company to make changes. Try speaking to your HR department to find out when you can make those changes. At that time, you should be able to enroll your spouse in a marketplace plan through a SEP.
I'm self employed, but file as an S corp, and pay myself via W2. Would I still classify for the typical coverage an employee receives?
Absolutely. You can still apply for a marketplace plan and based on your income and household size, you may qualify for a premium tax credit. Thanks for your question!
Remember, seniors ... This is the Affordable Care Act, and they treat senior health issues as a burden on them. In the bill that was passed, they treat you according to your worth to society .. your career and importance in the community. When they determine what treatment they will allow you, they have a formula that takes all that into consideration to determine how much they will spend. This is FACT! Please check that out before you choose one of their health care plans. It may be a plan you wish to choose anyway, but I feel you should know the truth!
It is a shame that many seniors are not treated as valued citizens. We certainly agree, you should always do your research when choosing a health plan.
Does this mean if I go with a broker I have to pay more each month for their commission?
Your monthly premium will be exactly the same whether you use a broker or not. Commissions are already calculated into the monthly premium so whether you use a broker, an agent or healthcare.gov, what you pay does not change. Some brokers will charge a one time service fee, but many do not. For example, we do not charge any type of additional fee. If you need help, please feel free to email at support@ihealthbrokers.com or call us at 888-410-0344. As I said, absolutely no charge 😉 Thanks for your question!
Hello. Are there marketplace options for disabled veterans who have VA Health benefits, but would like to have a back up plan?
Do you mean using a marketplace plan as some type of supplement or secondary insurance?
@@iHealthBrokers yes, exactly. In the event I would rather not use the VA for an appointment or a procedure. I wanted to know if I can still purchase marketplace insurance.
I read the following on one of the sites, but not sure how valid this is.
“If you are enrolled with VA for your health care, your enrollment meets the standard for minimum essential health care coverage under ACA. You are not eligible for assistance to lower your cost of health insurance premiums if you chose to purchase additional health insurance on the Marketplace to complement your VA health care coverage”
@@iHealthBrokers any options based on my reply?
@@markpranger9089 You would be ineligible for a premium tax credit. You could still purchase the insurance, but it would likely be rather expensive without the eligibility for a premium tax credit. Probably not the most cost effective option. Additionally, marketplace plans do not directly supplement VA benefits. If your concern is that your VA benefits will not allow you to see a certain doctor or hospital, you should know there are often no PPO plans available on the marketplace. Based on your health, your needs, and your budget, you might be better served with a private insurance plan, possibly a short term medical plan. If you are just looking for some additional coverage, there are also hospital indemnity plans and critical illness plans.
@@iHealthBrokers great info, thank you. I did a quick check and my current hospitals and doctors are considered in-network with ambetter for example. With that, couldn’t marketplace still be an option?
What is sep ? Also I just retired and started my social security would that count as part of my income I did report it but was not sure if I completed my application correct.
SEP stands for Special Enrollment Period. Outside of the open enrollment period, you may qualify for a special enrollment period if you experience certain qualifying life events. For example, if you get married, you'd qualify for a SEP. Retiring (and losing your employer sponsored health insurance) would qualify you for a SEP. If you are applying for a marketplace plan, your social security would count as part of your income.
Very detailed information thank you
Glad we could help!
I need help. For the past 5 years my husband and I have been on a HDHP plan with HSA(employer gives a monthly contribution of $50) we pay $156/month (deductible of 3,000/fam and 9,000/fam for out of pocket). Within these 5 years my husband had a kidney transplant and has medication that he’ll be on for life as well as regular Dr visits and specialist visits. Lately we’ve been thinking about having a child and whether or not we should switch to an PPO. The PPO would cost us $216 per month (2,400 deductible/fam and 12,400 out of pocket/fam)
Can you help me decide or what should I be focusing on. I’m so lost and scared of change but the PPO would be about$35 for copay at Dr so it sounds like it might be better bu
Would you meet the deductible quickly with his medical needs? HDHP are good for people with either extremely high medical needs or very limited medical needs. The premiums are not a lot different though so a PPO might be better...
Good video
Thanks Tim!
HELP! I'm shopping for a new plan...
In benefit summaries I see copays (which I understand) but some will say things like "Generic Drugs: 20% coinsurance per prescription after INET plan deductible is met"
Can you please clarify this?
If a plan's deductible is $5000, does that mean I have to pay the prescriptions full cost until my deductible is met and then it'll be 20%?
Possibly. Some plans have one deductible for health and drug. Others have separate deductibles. From what you are describing it seems likely that you would have to meet the deductible first, but I can't say with 100% certainty without looking at the terms of the plan. If you'd like you can call us at 888-410-0344 and we can explain the plan to you. You can also email us at support@ihealthbrokers.com if that's easier!
ADVICATE FIF YOUR IWN HEALTH CARE. I have spoken to at least 6 different ppl; you only need to talk to enough ppl where u get the idea of who the person is you’re speaking with. Do they say things often like” Essence has highest help to meet your claims above almost everyone else.”
Give me a break we’re SENIOR CITIZENS, not brain dead.
I over heard someone say this to my father , when he got off the phone. He gave me the best clue he was still able to manage his own care at 86( After thr call ended he said,” they always say that”
My father ran his own insurance agency since hr was 20- 84.
Everyone you deal with needs to recognize you are the brokers customer. Period. Insist ON BEing TREATED LIKE YOU WERE IN YOURE 30’s.
Insist and advocate and don’t feel vulnerable.
I need a broker, cause I know nothing about insurance.
Feel free to give us a call: 888-410-0344. It really is so sad and frustrating that such an important financial and health decision is so confusing! Let us know if we can help!
i’m retiring at the end of december 2021at age 62.how do wife and i qualify for the ACA.will be collecting about 1,900.00 in
pension.will wait for a year to start collecting SS.what are my options?
You are automatically qualified. Logon to healthcare.gov to see your options! No need to wait for social security. You'll have to wait a few years for Medicare, but you can get a marketplace plan at a low rate due to your income.
Good information and presentation. You nice lady are specific and speak clearly. It is so annoying when a woman speaking trails off a sentence with that crackly growl the last 3 words
Glad to be of help!
Great videos...
Thank you! 😀
If you meet the deadline of the 15 December and you decided you did not like hmo found that another program ppo was cheaper can you change or that is it nothing you can do..?
Hi Judy, unfortunately usually once you've selected your plan you are locked in unless you qualify for a SEP.
I haven't got health insurance because I'm hearing impaired. I cant hear over the phone. Living without it.
Google a healthcare system around you and go there in person, you dont have to live without it
What about working with a broker via email or text?
I want a card that covers THC hemp oil. High levels of hemp oil that grow new brain cells and new nervous cell systems. That's been covered up for a very long Tare. You ready for that
I have not bought insurance because its just too confusing
Many people get overwhelmed. Please don't let that stop you though! If you need help, please feel free to call at 888-410-0344. We can help.
Thanks
Glad to be of help!
If you retire pre 65 medicare age, and you get coverage through ACA, can you pay your monthly premiums with saved HSA dollars? If not, what can you use HSA money for? Thank you.
In almost all scenarios, HSA funds cannot be used for premiums. However, HSAs can be applied towards many expenses. This list is very helpful: www.hsabank.com/hsabank/learning-center/irs-qualified-medical-expenses
Thank You 😊
So glad to be of help!
Yes And Thank You 👍
Thank you so very much for posting this important video.
So glad we could help!
Can you still use a broker if you have already signed up on your own?
Open enrollment is around the corner (Nov.1-Dec.15 or longer in some states). Once we're in open enrollment, you can absolutely work with a broker (even if you've enrolled yourself in the past). We encourage you to always review your plan and the new options during open enrollment as there may be better options available. Feel free to give us a call at 888-410-0344 so we can help!
So cute!
Hi, every plan I’m looking at has a deductible of $7,000 up to $17,000. Who on earth can afford this?
You haven't been able to find any plans with a lower deductible? There are services that are covered even before you've met your deductible, but still you should be able to find plans with much lower deductibles than that... Please feel free to give us a call at 888-410-0344 and we will try to help.
That's my case, this is crazy.
i'm trying to enroll in HSA eligible insurance. How does "premium pass through" work? does the insurance company contributes premium automatically into HSA account??
If this benefit is offered, then a portion of the premium you pay passes through to your HSA. These benefits are usually only offered by group plans (employer sponsored insurance).
Who am I to disagree? Travel the world of the seventies and sees
Americans Healthcare systems so ridiculously expensive, yet they loaded plane full of money and wasting across the world, while citizens struggle with their basic need.
I don't need 99%. I don't need like one percent of coverage and I want the rest put back in my pocket
And your a I is covering up this information by watching everything I say
Then you may want to get a catastrophic coverage plan or HDHP for lower monthly premiums (with less coverage).
As a 100% disabled, veteran not being approved from my disabilities that I went through while I was in the Marine Corps. That's one warfare, and then there's the other one with this kind of healthcare program
here because my parents are useless in picking how to choose health insurance, they're illiterate
It's confusing for most people! Let us know if you have questions and we will try our best to help.
I’ll never understand how anybody can be against universal health insurance (getting rid of this insurance mess)
It can certainly be very confusing!
In a YT video comment a few years back, I said healthcare is a human right.
Some salty people came out of the woodwork and said things like
“No. Because you don’t have the right to another person’s labor.”
Another weirdo said this gem 💎
“You can have health but you can’t have healthcare.”
This is “America”.
anyhow.. soon have to get on Medicare.. turning 65.. but see Part A is free i guess.. worked 40 yrs..
but Part B is huge $164.90/mo Can't afford that no way No job. No income. No way !!
in MA can I get Adv plan or MediGap or sthing.. idunno
to help pay ..tax credit ? to pay Part B and or Part D too.
(is that Part C then kinda?)
so stupid confusing.
MC rly rly rly Suckkks charging Everybody $164.90 + higher for US govmint bs insurance.
What a Ripppoff.. and get very little for it to boot huge huge deductibles.. copays etcetcetc.
What a load crap. smfffh
can't bevlieve it
Are you eligible for Medicaid? If so, a DSNP may be a great option for you. If you qualify based on income, you could have access to all of the benefits of Medicare PLUS Medicaid (and many others) at a much lower cost. There are also Medicare Savings Programs which can help you pay for your Part A and Part B premiums. Feel free to call us at 888-410-0344 with any questions. We can see if there are any options available to you.
I feel like insurance is big fat scam
The best thing to do is be as informed as possible. There are many plans and carriers out there that are definitely less than desirable...
Great content. Thanks for sharing it
Thanks Fernando! Glad we could help.
Very informative thank you
Glad we could help!