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Nefouse & Associates, Inc., is a health insurance agency advising Ball State University students and their parents on health insurance options. Our goal is to provide all health insurance options available in the individual market. Ball State currently does not offer a domestic student health insurance plan. This is due to unintended consequences of the Affordable Care Act. With parents having the ability to cover their dependents up to age 21, this has impacted Ball State and all student health plans participation levels.
Private companies offer insurance plans through the Federal Marketplace, and they all cover the same core set of benefits, known as “essential health benefits. No plan offered through the marketplace can turn you away or charge you more because you have a preexisting illness or medical condition, and plans can’t charge women more than men.
The marketplace is supposed to simplify your search for health coverage by gathering the options available for your area in one place. With one application, you can compare plans based on price, benefits, network access, and other important features before you choose. Currently, there are two carriers offering Coverage in Delaware county, AMbetter & Caresource.
An option that has steadily become more popular is short-term health insurance. These policies provide a major medical benefit at a much lower cost. These plans will also usually include national network access, which can be a good solution for college students.
A short-term policy can help bridge the gap in coverage for students who do not have health insurance or are coming off their parent’s policy.
It’s important to understand that short-term policies are underwritten, don’t cover preexisting conditions, and are not considered qualified health insurance under the Affordable Care Act.
Determine Whether you are Eligible for Medicaid or Other State Programs
The rules for Medicaid enrollment differ slightly from state to state. You can visit www.medicaid.gov or use www.healthcare.gov to determine whether you are eligible for Medicaid coverage in your state. The state of Indiana has expanded Medicaid coverage through the H.I.P 2.O plan, and eligibility is base on monthly income.
Depends! Every family situation is different, and there are no one solutions that fit all.The marketplace is supposed to simplify your search for health coverage by gathering the options available for your area in one place. With one application, you can compare plans based on price, benefits, network access, and other important features before you choose. Currently, there are two carriers offering Coverage in Delaware county, AMbetter & Caresource.
If your home state is outside of Indiana, health insurance can become more complicated. Typically individual policies purchased through the exchange do not have network access out of state except for an emergency. To be eligible for state assistance programs, you will need to be a resident of the state.
Health plans purchased through the exchange will cover the essential health benefits (EHB). Short-term or extended-term policies typically exclude coverage for preexisting conditions
Yes, there are options to buy coverage without going through the federal marketplace.
Your student would need to set up an account at healthcare.gov, or you can use our enrollment engine to view and apply for coverage quickly.
https://www.healthsherpa.com/?_agent_id=tony-nefouse
Through the marketplace, your student could qualify for premium assistance. If your student does not have income, the marketplace will send your application to Medicaid. If you choose not to elect premium assistance, you will pay the entire premium.
On exchange, the lowest cost policy without premium assistance is $256/month. Should you qualify for premium assistance, you will only pay 8.5% of your income towards premium.
Short-term policies can range from $75/m and up.
By looking up your medication through an insurance company’s drug formulary, you can determine if it’s covered and at what cost to you.
