How To Buy Health Insurance And Not Empty Your Walet
If you thought buying life insurance was tough, just wait until you shop around for health coverage. Unlike an employer sponsored plan that has to accept everyone at the same price, private plans in most states are underwritten based on your age, weight, smoking status and health history.
In some cases, applicants will even have to undergo a medical exam. A preexisting condition as common as asthma could be enough for an insurer to hike your premiums, while a history of anxiety or depression might cause an underwriter to think twice.
And if you have a history of heart disease, cancer or diabetes, you could be out of luck entirely. A plan could either be too expensive or include a rider that excludes the very ailment for which you need coverage. If they look at your application and see something they don’t like, a $600 [a month] policy could go to $850, says Richard Reichmann, Florida Isnurance Broker.
You should also know that health insurance is regulated at the state level. In places like New York, New Jersey and Vermont, insurers must offer coverage to every applicant, regardless of age or health status. This egalitarian approach sounds great until you see the premiums.
Even young healthy men, who are the cheapest to insure, could be charged as much as $1,000 a month, says Reichmann. In other states, such as California and Florida, there are fewer restrictions on the insurers, and premiums tend to be more reasonable for young people and pricier for older folks. The problem in these regions is that insurers can outright refuse to provide coverage. In such cases, consumers can buy pricy policies from a state high-risk pool.
But it won’t come cheap, and it could exclude pre-existing conditions. For more information on the rules for your area, contact your state insurance commission’s Web site.
If you have the option to sign up for COBRA (a federal law that requires certain employers to provide former employees with the option to purchase health insurance), do it. In nearly all circumstances, it’s smarter to keep your former employer’s health plan for the full 18 months. Yes, paying the entire premium out of your pocket may be steep, but it’s usually cheaper than buying it on your own.
Before you exhaust your COBRA, start shopping around for your next plan. The quickest way to get a handle on your options is to look for policies on If you need a little more hand holding, you should contact a local insurance broker. (Contact the National Association of Health Underwriters for a listing of local brokers in your area.)
Just make sure you find someone who represents a lot of companies and understands the underwriting standards for each insurer. The last thing you want is to be rejected from a plan that doesn’t typically cover someone with your health profile. Not only is it a waste of time, but it could also raise a red flag when you apply to other insurers. An informed broker could steer you away from such insurers.
And since group coverage tends to be cheaper, don’t forget to check with your professional trade association for coverage. The Writers Guild and the Actors’ Equity Association are two examples of groups that offer their members health insurance. (In most states, however, people in their 20s and 30s may find cheaper coverage through an individual plan.) And for those starting a business: Most states allow as few as two employees to buy a small group policy.
One way to keep premiums manageable is to increase your deductible (don’t go beyond what you can afford to pay out each year) and skip the vision and dental coverage. Don’t even try to match your former employer’s lush plan. Blue Cross Blue Shield of Illinois, for example, charges a young family of four living in suburban Chicago $636 a month in premiums and a $250 deductible. If they accept a deductible of $1,750, they can lower the premium to $415 a month.
Insurance should be purchased to cover sudden accidental and unintended losses. With low-deductible plans and maintenance policies, you are trading dollar for dollar with the insurance company over the long run.
While there are some benefits you can live without, others are important. A maternity rider is one of them. I advise all of my female clients to get one. Unlike employer-sponsored plans, which usually cover birthing expenses, private plans don’t unless you pay for it upfront.
Even if you decide to start a family in a few years, it may be too late to add the coverage. Blue Cross Blue Shield of Tennessee, for example, won’t let a woman add the benefit after she initially purchases a policy unless she submits an official notification of change in status and gets married.
Before you make your final decision, read the fine print. Make sure you’re buying comprehensive coverage that will cover you should you suddenly fall ill and rack up thousands in hospitals bills. Insurers have been known to attract customers with low teaser rates that can change after only a few months. It may cost a little more, but you should look for one that will guarantee your premiums won’t rise for 12 months. And most important, go with a reputable firm. Check its claims-paying ability rating with an agency like Standard & Poor’s or Moody’s.
Buying health insurance may not top your list of fun things to do, but that doesn’t mean it’s unimportant. After all, there are few things in life more valuable than good health.
Watch the video related to health insurance
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Help answer the question about health insurance
What would happen to health insurance companies if government take over the health insurance system?Correct me if I'm wrong, but I heard that Obama is trying to push a public health system that will allow everybody to have health insurance no matter what pre existing conditions he or she may have.
If this is reached, what would happen to insurance carriers like Blue Cross, Blue Shield? Will we need these companies and health insurance agents?
If you are self employeed you should take a serious look into Health Savings Accounts, for several reasons, starting with there is a huge savings on your monthly premiums regardless if you are insuring yourself or you and your family. Things that are considered by the insruance companies are the area you live in, the type of work you do and any pre-existing conditions you might have. If you are in the state of California, and you have employees, you need a minimum of two employees and/or 75% of the payroll to participate in the plan (regardless of HSA or regular insurance) to get a guaranteed issuance of the insurance.
If you are not self employeed but do have a job, again the HSA is great way to go, because you can make pretax contirbutions to the plan, take it with you where ever you go, and keep the insurance with you when you retire… which as common sense tells us, you are going to need healthcare much more in your retirement years (ie when you are older) then you will now. Also any qualified medical expenses can be paid tax free from the account, and once you hit your deductable out your account, anything above that is paid for by the backing insurance company.
One note about the non bias oppinon of "brokers," they get paid on a commission as well by the companies they represent, and some companies pay more than others. Just because you are working with an "independant" does not mean you are getting the best price, or service. You want to work with someone who knows the products that they work with inside and out, or have access to the people who do so that all your questions can be answered to your satisfaction. Some times a huge selection does not mean a huge savings in time and money.
1) Most employer provided health insurance is deducted "pre-tax" so there is no deduction on the tax return.
2) Your parents must be your dependents (or would have been your dependents except for the gross income test) for you to take a deduction anyway. So, unless you are supporting them: No.
Cesca is a racist scumbag
Dumb-assssss
Multiple member LLC's can be taxed 3 different ways:
1. As a partnership
2. As a C corporation
3. As an S Corporation
The deductability of health insurance premiums for your LLC will depend on which of the 3 types of entities your LLC elected to be taxed at (the default is the partnership form of taxation).
Typically, you will be able to deduct 100% of your health insurance premiums although there are some specials considerations for owner/officers of S Corporations who own more than 2% of the company.
If you speak with a CPA or qualified tax advisor they should be able to give you plenty of good tips. One thing that you may want to mention is a medical reimbursement plan. Here is some more detail on medical reimbursement plans:
Forget that Klan hood Bob Cesca? All viewers should know this man is a proud racist.
i htought the main reason of living in a society was to help each other out, am i wrong?
If healthcare reform doesn’t include a government-run public option, but instead forces all of us to give our money to the private healthcare insurance companies, I’m going to go apeshit. I’d rather face bankruptcy than be forced to give these greedy, selfish, bloodsuckers any of my money. I’d rather move to Nigeria than give Cigna ANYTHING. If healthcare reform = forcing us to give United Health, Cigna, Blue Cross, etc, etc more money, than fuck this country and fuck Obama.
No.
The insurance through your husband's employer does not meet the test of having been established through the S-corp.
You've asked a very broad question. There is no simple answer.
In truth, health insurance works a little differently in each state.
To answer your specific questions:
1) No, health insurance is not compulsory for everyone. If you're lucky, you are able to join a group policy at work. (If you're really lucky, it's a good policy and the employer pays at least half of it.) Some states have recently made it compulsory, but that's such a recent change that there's no clear cut answer yet for how that's going to work.
2) What happens if someone can't afford it is… they don't get it, usually. Except if your income puts you below the "poverty level", in which case you qualify for Medicaid. (In some states there are programs that typically provide assistance with insuring children, though they are few and far between for covering adults.)
3) Health insurance rarely covers all the bills when you have a procedure done. Most plans cover 50-80% after you meet your deductible. The deductible amounts vary widely (but the trend is that the deductibles are getting higher and higher to keep the premiums down.) If you're really, REALLY lucky, you don't have a deductible (which is only an option on group plans), and you may only have to pay 10% of covered charges. (These plans are few and far between. As in, you might have them if you're in Congress.)
4) Yes, the patient has some say over procedures. However, if the patient opts for an "experimental" procedure, or one that isn't deemed "medically necessary", then health insurance may refuse to cover any charges at all.
In the end, as with most things, the middle class takes the brunt of these costs. This has become such a problem that more than 50% of all bankruptcies are as a result of medical bills (and of those, more than 75% had health insurance.)
** Edited to add:
It's not ALL about the money when a procedure is involved. If it is, the state keeps track of complaints filed on behalf of consumers with "managed care" (ie. any type of network arrangement including Preferred Provider Organizations, Health Maintenance Organizations, and Point of Service organizations — also known as PPO, HMO, and POS) and may very well revoke a company's charter to do business in the state should the company be turning down too many legitimate claims.
However, insurance companies are sticklers for following the "standard" for medical care. This is what makes it difficult to answer your question. Because they should not deny anything that's considered standard for care in the given circumstances (should not and will not being two completely different things, of course.) And there may be several options that would be considered "standard." If the patient wants treatment that isn't yet considered "standard", they would balk. Period.
most insurance will cover the costs you mention if the doctor thinks it is medically necessary.
lol…
“Bob, welcome to the young turks!”
“Good, how are you?”
hehe, idk why that made me laugh xD
Bob cesca is a bitch
Bob Cesca is a racist pile of garbage.
This Bob Cesca character is a known racist. He’s a real piece of garbage.
Bob Cesca is a known racist.
Well, if she's 40 and perfectly healthy, it's going to cost her about $500 a month to have a low/no deductible plan that covers checkups.
You BUY it on a month to month basis. If you want low monthly payments, you have to cut the coverage – like take a $10,000 deductible. Or higher. That would cut payments down to maybe $200 a month or less.
The older she is, the less healthy she is, the more it costs.
Your best bet, is to find a local, independent agent, who can help you balance cost with coverage.
The purpose of any type of insurance is to protect against catastrophic loss. Using health insurance as an example, most everyday medical expenses are not very expensive (a physical exam averages $150.00+/-), but if you are admitted to the hospital for an emergency your medical bills would be in the tens of thousands of dollars at a minimum. If you do not have insurance you "self-insure" againts that potential catastrophic loss. Without insurance, the average person would face financial ruin if faced with a major loss.