Health Insurance Deductible

What is a deductible in health insurance?Caduceus with First-aid Kit

The deductible in health insurance is the amount you owe for health care services before your health insurance plan begins to pay. For example, if your deductible is $500, your plan won’t pay anything until you have met your $500 deductible for covered health care services. The deductible may not apply to all services.

Typically, the lower the deductible, the higher the premiums.  Get expert advice on your options and choose the right plan for you.

Next Open Enrollment Period

Caduceus with First-aid KitOpen Enrollment for 2014 is over.  To see if you can still get coverage with a special enrollment period click HERE.

The Next open enrollment period for health insurance is as follows:

  • The Open Enrollment period for 2015 coverage is November 15, 2014 to February 15, 2015.

Coverage can start as soon as January 1, 2015.


Missouri Health Insurance 2015

The fury to sign up for an individual health insurance plan in Missouri for 2014 has finally come to an end.  However, we must immediately turn our sights to the changes coming for the Missouri Health Insurance Exchange in 2015. The insurance companies participating in the exchanges are due to have initial rates submitted for 2015 by the end of June, with the final rate applied rates due on September 4th.Caduceus with First-aid Kit

In Missouri and Kansas the participating carriers Coventry Health Care of Missouri and Blue Cross Blue Shield of Kansas City are expected to again have plan offerings on the exchange for 2015.  In addition, it is quite possible; another large insurer could enter the fray. Humana, Cigna, or United Health Care could be likely participants.  The rates for 2015 are expected to rise, but the exact amount is totally up in the air.  Aetna has plans in 17 states covering 132 rating areas and its CEO Mark Bertolini says increases could range from “the very low single digits” to “some that will be over double digits.”  While most Missourian’s increases should be low enough to manage, there is some concern that plans in lower populated counties with smaller health networks may see steep increases or lose some exchange plans all together.  The off exchange plans will still be available, but those plans are purchased without any subsidy in areas where they are often needed the most.

Finally, as we go forward with our new Affordable Healthcare Act the most critical component in keeping premium rates under control will be signing up enough young adults “healthier people” to offset the premiums for the older adults “sicker people”.  The actual numbers on the ages of participants is still unknown, but generally speaking the more young adults sign up the less rates will increase.  We will follow this closely as more information is released.

Open Enrollment for Obamacare

Open Enrollment for 2015 coverage

To enroll in health coverage through the Marketplace you will have to wait until the next Open Enrollment period.

  • The Open Enrollment period for 2015 coverage is November 15, 2014 to February 15, 2015.

Coverage can start as soon as January 1, 2015.

There are, however, qualifying events that may give you the opportunity to enroll outside of the open enrollment period.  To find out more on these qualifying events click below.

Special Enrollment Period

Missouri Health Insurance Marketplace – Eligibility

The Missouri health insurance marketplace open enrollment ended March 31, but you may still be able to get coverage if you qualify for aHIM Logo 2 special enrollment period or qualifying life event.  Below are some of the qualifications to have a special enrollment period.

  • Got Married
  • Got Divorced or separated
  • Lost coverage
  • Lost dependent status
  • Had a baby or adopted a child
  • Changed your household income
  • Had a change in immigration status
  • Moved to another county or zip code
  • Had errors with your enrollment

If any of the above situations apply to you and you are needing health insurance in Missouri, call us to find out more or to shop plans.  Don't tackle this alone.  Get the guidance you deserve and find the plan that best fits you or your family.