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View Diary: Obamacare 303: Health care insurance exhanges (97 comments)

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  •  I need clarification on this question, too. (3+ / 0-)
    Recommended by:
    high uintas, scribeboy, ladybug53

    My understanding is that after March 1, 2014, anyone uninsured pays the penalty, but if you lose or want to switch your insurance effective July 1, 2014, can you enroll in a plan at that time or are you forced to wait for an open enrollment period (and pay a penalty while you wait?) In my case, my insurance, which currently is the Maryland High Risk Pool, runs from July 1 to July 1 of every year. It doesn't make sense for me to switch now because we have almost hit our family deductible due to some medical emergencies, and the 80% coverage portion will kick in. If I switch now, I assume on Jan. 1 I will have to start all over with deductibles, which will mean I pay a lot more for medical care in the period Juy 1, 2013 to July 1, 2014.

    A society grows great when old men plant trees in whose shade they know they shall never sit. - Greek proverb

    by marleycat on Sun Sep 15, 2013 at 08:43:59 AM PDT

    [ Parent ]

    •  I'm in a similar situation (5+ / 0-)

      I am a sole proprietor which means I can use the Exchange
      to buy an individual policy. I would love to dump my current high deductible policy, but I just started a new policy year at the beginning of September. I was hoping I could enroll through the exchange with coverage beginning January 1, but then I found this vaguely ominous paragraph on the  What If I'm Self-Employed? page:

      Replacing individual insurance

      You may use the Marketplace to replace individual insurance you currently have. In the Marketplace, you can find out whether you can get lower costs on monthly premiums and reduce your out-of pocket-costs. You can compare plans based on price, benefits, and other features important to you.

      Check with your insurance company before cancelling your policy. You may have to wait until the end of your policy year before you can cancel.

      So what does that mean? It's vague. I have 11 months remaining on this lame policy that I want to cancel.

      I think both of us have navigated as far as we can and now we need the help of a Navigator. Many people will be in our situation, and guess what? The GOP are messing with Navigators any way they can.

      •  it means (0+ / 0-)

        that you have to check with your insurance company if you have a plan you can cancel, or if your plan says you have to pay for the full year once you've signed up.

        •  I agree this is what it means (1+ / 0-)
          Recommended by:
          peregrine kate

          But it seems ridiculous which is why I'm going to talk to a Navigator before I call my incredibly unhelpful and often misleading insurance company.

          This seems to be a matter of timing--I may have to keep my crappy policy or pay for the full year if I want to cancel to get a better policy?

          I could hardly go without insurance for the rest of the year while I want for Jan. 1, which is why I didn't drop the policy at the end of my policy year (Aug. 31).

    •  healthcare.gov (3+ / 0-)
      Recommended by:
      scribeboy, ladybug53, marleycat

      I looked for an answer to your question about starting July 1 instead of January 1 on healthcare.gov.

      The site does say that coverage can begin "as soon as" January 1. I suspect that you will enroll between October 1 and March 31, and specify the date you want coverage to begin.

      After all, people who enroll in March won't get retroactive coverage back to January 1, so ACA can handle start dates other than January 1.

      Many people will have insurance coverage they'll have to pay for until sometime in 2014. It wouldn't be sensible to say that you either have to pay for two policies, or else not get the ACA marketplace coverage until 2015--meanwhile surviving a six-month gap.

      •  PPACA uses the same qualifying events as (4+ / 0-)

        Employer plans.  For example if you have coverage already, then you don't sign up onto the exchange.  If you lose that coverage, it is a qualifying event which allows you to come onto the exchange immediately.

        •  I am in scribe boy's position. I am self-employed (1+ / 0-)
          Recommended by:
          scribeboy

          and my current plan is a high deductible plan. True North's suggestion makes sense and I'll look into it. Thanks, all, for the suggestions.

          A society grows great when old men plant trees in whose shade they know they shall never sit. - Greek proverb

          by marleycat on Sun Sep 15, 2013 at 10:20:34 AM PDT

          [ Parent ]

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