This months marks the start of open enrollment. You will have the opportunity to change plans if you are unhappy with the one you are currently on.
Medicare Open Enrollment Period: October 15th, 2013 through December 7th 2013
If you have a Medicare Supplement Plan here are some of your options.
The Medicare Advantage PPO and HMO Programs have networks to access to receive the most cost effective care. The Medicare Advantage program allows you to go outside the network but with higher out of pocket costs
If you have a Medicare Advantage PPO here are some of your options.
The Advanced Premium Tax Credit
To help individuals and families pay for their health insurance.
Here's how you qualify:
Vincent Reda & the staff at Mainline Insurance
Insurance companies will offer their programs:
There are two Health Benefit Exchanges:
Level of Plans on the Exchange (the Metallic Plans)
Many insurance companies although not advertised and disclosed openly, to hold down costs have created smaller networks of doctors and hospitals. Those providers will be paid less. It is easy to see why the networks are smaller. Participants in the exchanges should be prepared for the much tighter narrower networks. The insurers say that with a smaller number of doctors and hospitals they can offer lower cost policies and have more control over the quality of the health care providers. They also say that this is better than no coverage.at all. Health plans having narrow networks that exclude many doctors, may discourage patients with expensive pre-existing conditions who have established relationships with doctors. Basically saying they do not want patients who for medical reasons require a broad network of providers
We will be ble to help you navigate to see which insurance company’s networks and plan design best works for you.
We expect there to be a combination of large legacy insurance companies, new insurance companies and existing insurance companies looking to expand their geographical footprint all offering market rate plans. This comes about since everyone has to have health insurance or be fined.This should provide ample competition thus keeping rates stable.
Small Business Health Care Tax Credit
Finally, a break for small businesses.
To help small business and small non-profit organizations afford the cost of covering their employees.
How Do You Claim the Credit?
A key component in the new Affordable Care Act to help making healthcare affordable.
Vincent and the Staff at Mainline Insurance
A major component of the Affordable Care Act is the Health Benefits Exchange.The Exchange is a tool for small businesses and individuals to obtain health insurance. We are prepared to help you navigate amongst the Business and Individual Exchanges along with the private market programs.
The Affordable Care Act comprises of two Exchanges.
Along with the Exchanges there will be regular market programs for additional benefit options.
We are still waiting for guidance from the State concerning the rules and regulations.
The first phase is to begin October 2013 for implementation January 2014.
Note: the penalty for large employers (50+ on the payroll) has been pushed off till 2015
The penalty for employees still remains. Those employees will have to obtain coverage or be penalized.
At Mainline Insurance we are prepared to deliver guidance to navigate during these changing times.
Many employees that have to go to the Individual Exchange will receive subsidies from the government to help them afford their coverage.
The education and certification process has started. Mainline Insurance has been certified and authorized to offer plans on the NYS Health Benefits Exchange. It appears it is taking the State some time to get the curriculum together along with the insurance companies still not delivering plan design and rates for plans offered on the exchange and in the private market.
I anticipate the pace to pick up now since October is right around the corner.
Stay tuned as the Affordable Care Act unfolds and we break it down for you.
We have entered the last quarter of the year and there are important items to discuss. This circulation addresses Emblem and HIP policyholders. Many of you have received notification that Emblem is terminating all plans for small groups effective 12-31-13. This also applies to groups that have Emblem through the LIA and HealthPass. Over the last several months we have brought notice of Emblem’s intention to leave the small group marketplace. In the future, Emblem wants to offer plans that are compliant with the Affordable Care Act. The irony Emblem’s current offerings are more than compliant already.
A transition will not be automatic and the industry does not know how Emblem will proceed with this change. As of the writing of this article, Emblem has not disclosed plan designs or rates for 2014. This same lack of information is concurrent across all insurance companies that offer plans in New York.
I want you all to know that I am staying up to date on the situation. I hope to have a variety of options from Emblem and other providers shortly for review. Mainline will be able to illustrate and council on health insurance programs offered both on and off the Health Benefit Exchange. It appears there will be a larger selection of insurance companies offering plans in 2014. Under the Affordable Care Act, insurance providers that offer plans on the Health Benefit Exchange are also required to offer market rate plans off the Health Benefit Exchange.
As I mentioned earlier, I will be keeping you informed. Please look out for our articles and newsletters. Mainline will be posting articles periodically detailing the Affordable Care Act and issues that are important to you. Please visit our website www.mainlineins.com to see articles previously posted.
Vincent and the Staff at Mainline Insurance
Mainline President Vincent Reda is a Healthcare specialist with 40 years of experience in providing healthcare coverage to individuals and organizations.