Texas Health Insurance | Health Insurance in Texas
At Texas Health Insurance All Information is Private and not Sold to hundreds of Insurance Agents LIKE OTHER SITES.
YOU ARE ADVISED BY A INDEPENDENT INSURANCE BROKER THAT WORKS FOR YOU AND NOT ANY ONE INSURANCE COMPANY
BCBS Exchange plan rates go here….. https://retailweb.hcsc.net/retailshoppingcart/TX/census
Humana exchange rates…..
https://www.humana.com/insurance-plan-quotes/AOALanding?SANID=1263296
What exactly is this Marketplace, and why should I care?
The Affordable Care Act requires most individuals to have health insurance in 2014. So the law requires that so-called health insurance exchanges — now referred to as marketplaces — be established in every state as another avenue for individuals to purchase private health insurance on their own. Most people get insurance through their jobs. But if you don’t have that option, you can shop in the marketplace instead of buying directly from insurance companies. Or maybe you have a certain condition that in the past prevented you from getting health insurance because it was too expensive or simply hard to get. Now, you will have options in the marketplace.
Changes under the ACA also require all private health plans to provide a minimum package of “essential health benefits,” which include a basic set of services like physician visits, hospital and emergency care, preventive services like vaccines and screenings, and prescription drugs. So any health plan you purchase on the exchange must cover these services, and they cannot deny you coverage because of a preexisting condition.
Instead of having to search out health plans on your own, the marketplace is designed to be a one-stop shop where you can go online to check out your coverage options in one place, get easy-to-understand information, and compare plans before you make a decision. Kind of like Orbitz or Travelocity, but for health insurance instead of travel. You can also find out right then and there if you qualify for a tax break on your private insurance premiums — another feature of the health reform law — or for state programs like Medicaid or the Children’s Health Insurance Program.
The time to sign up for plans offered in the marketplace is approaching: Open enrollment is slated to begin Oct. 1 for coverage beginning Jan. 1, 2014. Unless you qualify for an exemption under the federal law, you must get insurance starting Jan. 1 or you could have to pay a fine.
WHAT IF I HAVE A HEALTH CONDITION OR I’M PREGNANT?
Starting in 2014, being sick won’t keep you from getting health coverage. An insurance company can’t turn you down or charge you more because of your condition.Once you have insurance, the plan can’t refuse to cover treatment for pre-existing conditions. Coverage for your pre-existing conditions begins immediately.This is true even if you have been turned down or refused coverage due to a pre-existing condition in the past.
WHAT KIND OF ASSISTANCE IS THE GOVERNMENT PROVIDING?
The centerpiece of President Obama’s new health law is a collection of government-sponsored insurance exchanges, in which people who shop for coverage on their own can purchase health insurance, and gain a taxpayer-funded subsidy if their income is low enough. The exchanges are set to roll out on October 1, in less than two weeks. In other words, it’s crunch time.
|
Household Size |
100% |
133% |
150% |
200% |
300% |
400% |
|
1 |
$11,490 |
$15,282 |
$17,235 |
$22,980 |
$34,470 |
$45,960 |
|
2 |
15,510 |
20,628 |
23,265 |
31,020 |
46,530 |
62,040 |
|
3 |
19,530 |
25,975 |
29,295 |
39,060 |
58,590 |
78,120 |
|
4 |
23,550 |
31,322 |
35,325 |
47,100 |
70,650 |
94,200 |
|
5 |
27,570 |
36,668 |
41,355 |
55,140 |
82,710 |
110,280 |
|
6 |
31,590 |
42,015 |
47,385 |
63,180 |
94,770 |
126,360 |
|
7 |
35,610 |
47,361 |
53,415 |
71,220 |
106,830 |
142,440 |
|
8 |
39,630 |
52,708 |
59,445 |
79,260 |
118,890 |
158,520 |
|
For each additional person, add |
$4,020 |
$5,347 |
$6,030 |
$8,040 |
$12,060 |
$16,080 |
If you find yourself below 100% of the federal poverty line you will be a Medicaid eligible Texan provided you meet other state requirements. Call the State of Texas to get additional information or to apply for Medicaid.
If your income is below 250% of the FPL you may be eligible for what’s called Cost Sharing Subsidies. CSS are simply additional assistance allocated to pay your deductibles, co-pays and other out of pocket cost. The lower the income the higher the cost sharing subsidy.
Agents and Brokers in the Health Insurance Marketplace
Starting October 1, 2013, consumers in all states will be able to choose new affordable health insurance options through a new Health Insurance Marketplace. Some states are setting up a State-based Marketplace, and other states will work with the federal government in a State Partnership Marketplace or Federally-facilitated Marketplace.
No matter what state they live in, consumers can get help as they apply for and choose new insurance options. Agents and brokers can help consumers enroll in new insurance options and apply for premium tax credits and cost-sharing reductions through the Marketplaces.We highly recommend using an experienced agent or broker that has BEEN trained, tested and become certified to market these highly complicated plans.
When looking for Texas Health insurance its smart to look around and obtain multiple rates quotes from different companies. Cost is easily the most confusing part of the Individual health insurance Texas market. For example, the rates for similar items from different insurance companies can differ up to 50 % for the similar person. Additionally, the guidelines and rules about Texas Medical insurance change from condition to condition, making comparison-shopping challenging for that consumer.
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