Individual & Family Health Insurance

It depends on:

• How your income compares to the Federal Poverty Level
• The size of your family.

The main factor is your income. You can qualify for a subsidy if you make up to four times the Federal Poverty Level. That’s about $47,000 for an individual and $97,000 for a family of four. If you’re an individual who makes about $29,000 or less, or a family of four that makes about $60,000 or less, you may qualify for both subsidies.

If you get a subsidy, you’ll have to report it when you send in your taxes. When it’s time to file your taxes, you’ll get a 1095 form with all the necessary information.

Open Enrollment runs from November 1, 2020 to January 15, 2021. For coverage beginning January 1, 2021 you must enroll by December 31, 2020. Outside the Open Enrollment Period, you generally can enroll in a health insurance plan only if you qualify for a Special Enrollment Period.

Application must be submitted by December 31, 2020 to have an effective date January 1, 2021. Any application submitted January 1, 2021 to January 15, 2021 will have an effective date of February 1, 2021.

Yes! We can assist you online and walk you through the entire process via email & phone. You do not need to come into our office to sign up for health insurance.

You qualify for a small business insurance plan if you have 2 of more full-time employees. The two employees can’t be related by marriage. Your small business must be registered with the secretary of state in Nevada.

Health insurance is contract agreement either between your employer and the insurance company or between you (buying your insurance) and the insurance company. The agreement comprises the health insurance company to pay all medical expenses (routine checkup, in cases of illness or accidents) based on the terms and condition of the signed coverage in exchange for paying an appropriate fee on a regular basis. Approximately 198.8 Million individuals in the USA are insured with private health insurance while others are sheltered by a government program like Medicare and Medicaid. On the other hand, based on United States Census Bureau, there are still 48 Million Americans who are not insured as of the year 2012.

Nowadays, treatment either from a clinic or a hospital is very costly. According to the US government, an individual who has a broken leg pays not less than $7000, not to mention the days wherein a person needs to stay in the hospital that would cost from $5,000 to $10,000 per day. Without the health insurance, a lot of individuals will experience a financial breakdown. An insurance company guarantees their clients that in times of hospital care, there is money available to pay the medical bill.

These are medical fees that need to be settled from your pocket before the insurance company comes in. The deductible is the first amount you must complete every year depending on the detailed health insurance plan coverage. The copayment, on the other hand, is a minimum payment to the clinic or hospital for medical service, while the coinsurance is a like a share of a fee that you need to pay for every service that you have received.

The Affordable Care Act or known as Obamacare is a law that set the bar for health insurance to be affordable and improved for all Americans. It was signed by President Obama in March 2010 for a purpose of expanding the health insurance coverage for Americans who are not yet insured. The law mandates an individual to have insurance or pay a penalty and to monitor the policies of insurance companies that charge more or refusing to accommodate a person who has a pre-existing illness.

The Obamacare’s health insurance, an individual who has low income, may qualify for minimum cost insurance. A person may receive subsidies and allowed to be exempted from paying the penalty. Medicaid is also an option for individuals who have no or little income.

The requirement is based on the earnings per year. For those individuals who are earning between $11,500 and $46,000 may receive the “advance premium credit” that lowers the monthly insurance bill. This discount allows a person to decide how much money to put in the insurance monthly. Moreover, for a family of four members that earns accumulatively $23,550 up to $94,200 without an employer may take advantage of the premium discount.

One of the Obamacare’s health insurance priorities is to help a person and small businesses create an available and effortless inquiries online about certain health coverage that suits their budget. The process is available in all federal states including the District of Columbia which provides information if a person is qualified for the tax subsidy or the federal health programs such as Medicaid and Medicare.

For those individuals who do not have insurance, a penalty must be settled. On the other hand, persons with the following situations may be exempted.

• Uninsured for less than ninety days
• Low-income individuals who cannot afford the health insurance
• Qualified to have the Medicaid program
• Member of religious groups who disapproves health insurance process
• A contributor in health care pastoral care

You don’t need to pay a penalty if you are insured to the following health care programs:

• Veteran’s health program
• A member of Medicaid, Medicare and Children’s health insurance program (CHIP)
• Peace Corps Volunteers program

The state’s marketplace is where all health insurance offers their services from hospitalization, emergency and therapeutic services, diagnostic examinations, preventive benefits, prescription medicines, mother and child care, mental illness and substance abused treatment. You can inquire online, and compare all the advantages and competitive prices which you can offer.