Turning 26, Married Couple, What are Our Coverage Options?
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If a spouse doesn’t have access to an employer plan and is turning 26 they can get a Marketplace plan based on household income.
Questions
Patient’s Rights to Release of Electronic Health Records
Rules pertaining to electronic health records were established in the PPACA in sec. 3003.
What Kind of Insurance To Get When Spouse Turns 65?
When one spouse turns 65 and becomes eligible for Medicare the other spouse can get a Marketplace plan or stay on the current plan if they are under 65.
Can I Get Help For Withheld Tax Refund?
All the best information we have about 1095-A’s discusses how to get the form filed, at that point it’s up to the IRS. We can only imagine they are working hard to get everything flowing smoothly. You can always call them to follow-up or get assistance from TAS (tax payer advocate services).
Is There Free Health Insurance?
Medicaid and CHIPP are free or low-cost health insurances that are offered to all adults under the poverty line in some states due to ObamaCare, but have limited eligibility in others. The fact that some states rejected expanding Medicaid means millions of hardworking low-income adults are left without coverage options.
How Do Child Dental Provider Reimbursements Work Under ACA?
The ACA doesn’t create new dental, it just extends existing dental plans (either as stand-alone or as part of a medical plan). So nothing changes in regard to how a dentist would handle billing and claims under the ACA.
Requirement to Track Hours Worked for Salaried Employees?
There is no requirement for tracking full-time hours in the ACA, employers simply use existing standards, look-back periods, and reasonable methods of crediting hours.
Why Don’t Businesses Just Reimburse Individual Plans?
Employers can use health care arrangements like employee payment plans to reimburse health premiums and costs, but these can’t be paired with non-group plans.
Does the Mandate Count Average Annual Wages?
The mandate takes full-time equivalent employees into account, but doesn’t take average annual wages into account.
Employer Mandate Concerning Per Diem Employees
Per Diem employees can be considered full-time employees under the ACA if the work over 30 hours on average a year. Employers can use a look-back period of up to 12 months and reasonable methods of crediting hours to determine eligibility of full-time employees for health insurance. If an employee works more than 30 hours a week on average (or 28 as a safe harbor) they must be offered coverage as long as they maintain full-time status.
How Is Income Counted for ObamaCare?
When you sign-up for ObamaCare’s Health Insurance Marketplace you’ll project income based on your expected household income for the year, if you are unsure make an educated guess and consider only taking part of the tax credit up front
Does ObamaCare Cover Abortions and Contraception?
Does Obamacare cover abortions and contraception?
Both Spouses Have Employer Coverage, What are the Rules?
An employer has to offer coverage to employees based on how many full-time workers they have, nothing else. If one spouse has employer coverage it doesn’t effect whether the other spouse has to be offered coverage.
Does Celebratory Cigar Use Count as Being a Smoker?
The tobacco surcharge only applies to those who smoke 4 or more times a week, it doesn’t include ceremonial or celebratory use.
Losing Coverage and Terminally Ill
If someone is in the middle of treatment they can avoid a gap in coverage by enrolling special enrollment at HealthCare.Gov.
How to Project Income for ACA if Income Varies?
If your income varies from week-to-week you’ll make a reasonable prediction of your annual income, which you can base on last year. You should consider taking only part of the tax credit up front and then adjusting the net tax credit on the 8962 – Premium tax credit form at the end of the year.
What Metal Levels Comply With the ACA?
I am trying to make sure that our Bronze Save plan with Aetna does not qualify toward the minimum wage for our medical benefits. If we have a Bronze Save plan with Aetna, is that the same (not necessarily the same plan but same “level” as a Bronze Metal Plan as defined in the federal Affordable… Read More
Can My Employer Pay for Individual Health Coverage?
An employer can’t pay for a plan an employee choses if they have to comply with the employer mandate, but can reimburse a group plan.
How Can An Employer Provide Coverage in Multiple States?
If an employer owns a business in more than one state, or employees reside in more than one state the ACA offers a number of options.
Why Should I Have to Pay a Deductible Twice?
If your medical treatment extends over two policy periods you’ll have to meet the deductible twice, even if it’s for the same condition.
How can you Find Affordable Coverage?
Your daughter should enroll in your state’s exchange or the federal marketplace. There she will be able to shop for different qualifying health plans and qualify for cost assistance
Amount of SLCSP in Column B is Blank?
In some cases the amount of the Second Lowest Cost Silver Plan (SLCSP) on a 1095-A may be incorrect, you can find the correct SLCSP here.
ObamaCare Popularity by State?
We have a poll on our site where we are collecting survey data on ObamaCare’s popularity by state post open enrollment 2015. We will post the results once we have enough data. For now, why not put your name in the hat.
Losing Employer Health Insurance, Where Do I Apply?
When you lose employer health coverage it triggers a special enrollment period in the Health Insurance Marketplace, this is true even outside of open enrollment.
Employer Health Insurance Three Month Probation Period Penalties?
A person who doesn’t have health coverage can be penalized during the three month probation period, or waiting period. 90 days is the maximum waiting period for employers, and each individual gets a less than three month gap each year without coverage.