COVID-19 At Home Test Kits
Beginning January 15th, 2022, most health insurance companies will cover FDA Authorized over-the-counter (OTC) COVID at-home test kits. Members do not need a prescription to receive the kits at no cost. An individual can receive up to eight OTC test kids every month. Should you elect a rapid test kit that includes two tests, that […]
Small-Group Health Insurance Renewal
With the 1st of November, every small group should have received their group health insurance by now. A small group is under 50 employees for Indiana, but some would consider under 100 to fall into the same category. When it comes to exploring group health options, size does matter. Micro Groups- under five employees face […]
Open Enrollment for 2022 Health Insurance Coverage
Who can apply? Residents of Indiana under age 65. When can I apply? November 1, 2021, through January 15, 2021. If you experience a qualifying life event after January 15, you may still be able to apply. When does my coverage start? For those who apply from November 1, 2021, through December 15, 2021, coverage […]
Medicare Part D Creditable or non-Creditable Notices
What is the purpose of the notice? Insured employees use this information to make an informed decision on when to enroll in Part D Prescription drug coverage. Who should be notified? Employees and dependents who are eligible for Medicare and enrolled in the group-sponsored prescription drug coverage. When are the notices due? October 15, 2021 […]
2022 A.C.A. Cost Sharing and Out of Pocket Maximums
Under the Affordable Care Act, the U.S. Department of Health and Human Services (H.H.S.) releasing rules on small group and individual health insurance plans and large group health plans. These notices typically impact the out-of-pocket max on a health insurance plan, employer shared contribution limits, and the enforcement of existing rules. 2022 Out of Pocket […]
Supreme Court Upholds ACA
The Supreme Court released its ruling in Texas vs. United States in a 7-2 majority upholding the constitutionality of the Affordable Care Act. The Court found that the plaintiff has not suffered harm by enforcing the individual mandate under the ACA. This ruling did not address whether the individual mandate is a true mandate and […]
Indiana 2022 Individual Health Insurance Options
For 2022 it appears Indiana will have four insurance companies offering Individual coverage through the federal marketplace. This doubles the current carriers participating in the Individual Health Insurance Indiana. This information is based on filings with the Indiana Department of Insurance. CareSource Indiana- will continue to offer plans on the marketplace for 92 counties in […]
Indiana Hospital Transparency Pricing
January 1st, 2021, all hospitals are required to display at least 300 “shoppable medical Services “that a health care consumer can access prior to having a procedure. The goal is to give greater transparency to people who wish to be better consumers of health care. The medical providers are supposed to display these services in […]
The Family Glitch
Under the Affordable Care Act, an employee can qualify for premiums assistance if the current employer costs more than 9.83% of the employee’s income. The “family glitch” is where the dependent’s costs are more than 9.83% of household income. Still, they do not qualify for premiums assistance because the affordability is based on the employee […]
American Rescue Plan & Health Insurance
President Biden officially signed into law H.R 1319 aka American Rescue Plan Act of 2021 on March 11, 2021. One of the goals of the law is to expand Health Insurance by making it more affordable. Marketplace Tax Credits Expansion on Health Insurance Under the new law, people that purchase individual and family Health […]
