As many as 47 million Americans have no health insurance, and in any given two year period about a third of Americans will go without health insurance at some point. For low income Americans, the prospect of spending some of their hard earned cash on insurance just doesn’t seem possible-it is difficult enough making ends meet. When these people end up sick or injured, however, the costs are even more intense, and millions have gone bankrupt under these circumstances.
Yet between government programs and low cost insurers, getting at least basic coverage is in fact possible for low income families. Here’s what you should know.
First, there is the main federal health insurance program for low income individuals and families-Medicaid. Medicaid is financed in part by each of the fifty states, and each state runs its own Medicaid program. As a result, eligibility differs from state to state-in most places you must be below the poverty line to receive these benefits. Pregnant women, people with HIV/AIDS and people with disabilities may be eligible at higher income levels. The poverty line in the US is $10,830 a year for an individual and $22,050 for a family of four.
Another government program available to low income families is the State Children’s Health Insurance Program (or SCHIP). Like Medicaid (and as its name would suggest), SCHIP is administered on the state level, and so eligibility differs from place to place. In general, you must be over the poverty line (otherwise ineligible for Medicaid), but have a family income less than 200% of the poverty line. The program will cover your children, and if you are pregnant it will provide prenatal care.
Some insurers also offer low cost health insurance, typically with restricted coverage. This is to say that dental and eye care are likely not covered, and your benefits may max out at only a few thousand dollars. When researching low cost insurance options, beware that you aren’t paying more in premiums every year than you would be receiving in coverage. Most often these programs simply cover emergency or catastrophic costs, while doing little to cover checkups or routine medical care.
Health insurance exists to provide you with peace of mind. When your income makes getting such coverage difficult, the government and some insurers may be able to help. Do your research and you can find a plan that works for you today!
Health Insurance For Low Income Americans
Second Thoughts? You Bet You Should Have Them Before Using Health Insurance to Cover Counseling
To call it insurance benefits may be a lie. In the end, like a casino, the insurance company will benefit much more than you, even though you’re the one paying to play.
Most people these days think twice before submitting a claim to repair damage to their car after an accident, especially if it is not that much damage. Filing a claim from an auto accident can damage you with the insurance company because they may raise your rates for using the insurance you’ve been paying for.
Filing a claim to have your counseling covered can be even more damaging to you and your future
I. Some mental health issues make your rates go up or even be the cause to deny you coverage in the future.
II. All information collected about you and your family by your counselor can end up in insurance companies’ databanks. There are three or four of these national databanks to which all insurance companies funnel data on their clients and their claims. Future claims or applications for coverage with any insurance company will use this information to determine your insurability. This includes car insurance, life insurance, additional health coverage and disability insurance. Security clearance procedures also have access to this personal data on you.
III. Your privacy and confidentiality rights can be violated once you give permission to release personal information to your insurance company. You have no control over how this information will be used.
IV. Mental health counseling records are stigmatizing. Job recruiting and promotion processes often ask if you have had counseling or mental health treatment. Insurance claims obviously establish paper trail evidence that cannot be denied. This may seem illegal, but many interviews solicit this information and are not reprimanded. Once it becomes known that you have had certain struggles in your life such as alcohol abuse, sexual issues or depression, you can become discriminated against in negative and harmful ways.
Word to the wise: give it a second thought before you establish an official record with your insurance company by filing a mental health counseling claim. There are many alternatives including negotiating a lower rate with your counselor that you can manage out of pocket. Many agencies use sliding scales to establish counseling fees.
Better to take out a loan than to hawk your future privacy and success.
For Reasonable Health Insurance Quotes, Compare Carriers
The major thing to remember when searching for health insurance quotes is that the bigger companies are not always the best choice to ask for quotes. Although they have multiple carriers, their sites don’t often offer side-by-side comparisons of one plan to another. That’s what you want – a site that gives you the ability to see what others offer at the same time. It’s a novel thought, and yes, there are sites on the Internet that do that.
Don’t base your search for health care insurance on price alone. You might find that a rather radical thought, because trying to save money leads logically to shopping for the least expensive plan. However, you may not want to do that because when you go for the cheapest options, you often end up foregoing benefits you may need later.
Here’s where your local health insurance agent comes into play. Call them; that’s what they’re there for – to provide you with a health care insurance quote that is tailor-made for your specific circumstances, not everyone else’s. The advice is free, and it can save you a ton of money while getting you what you really need in terms of health care coverage.
When talking to the health insurance agent, tell them precisely what you are looking for based on what you need for you and/or your family. Tell them all the circumstances, such as pre-existing conditions, your family size and plans for future children, or conditions you currently have under control through the use of medication.
All the information you give the agent is confidential and will help them to provide you with a plan that works. There are thousands of options out there, and you can’t read about all of them online. That’s what health care insurance agents are for, to make choosing a health care plan a whole lot easier.
The big name online companies might not always be the best option for you either, largely because they don’t always have the same kind of plan flexibility as a smaller company does. Brand name companies, like brand name drugs, don’t always do what you think they will do. Ask smaller companies to provide you quotes while also taking time for a free consultation with the insurance broker. You will be pleasantly surprised.
Find Very Affordable Health Insurance in Alabama
In 2002, the Trade Act created the Health Coverage Tax Credit, also referred to as the HCTC. The HCTC became effective in 2003, and offers a federal tax credit of 65% to be paid back to eligible individuals for the qualified health plan premiums they paid each year. This works one of two ways: the eligible individual can either file their federal tax returns each year claiming the premiums, or by applying for an advance by paying 65% of the health plan premiums due. The way in which the individual receives the health tax credit is usually up to him or her.
Eligible individuals for the health tax credit usually include trade impacted workers who get a Trade Readjustment Allowance or Alternative Trade Adjustment Assistance. Some people may be eligible if they collect from the Pension Benefit Guaranty Corporation.
This is a huge plus for those individuals who find it difficult to obtain affordable health insurance in Alabama. Sure, there are state and federal programs to assist low income individuals and families who can not afford to purchase an individual and/or family health insurance plan, and even those individuals who work but aren’t offered health insurance coverage through their employers, but sometimes individuals aren’t eligible for these programs, even though they don’t have any other means to find affordable health insurance in Alabama.
Health care is a necessity, and sometimes we have to find the cash to hand over, whether we have it or not. With the Health Coverage Tax Credit, those who are eligible for a federal tax credit can at least rest assured that some of their hard-earned cash will make it back into their pockets.
If you are one of the many who are having a difficult time finding affordable health insurance in Alabama and are interested in your eligibility for the Health Coverage Tax Credit program, visit Alabama’s Department of Insurance Web site for more information.
Affordable Health Insurance
Ohio Health insurance does not have to be a budget buster. Even with soaring medical costs, several companies in Ohio have found ways to hold down the price of insurance while still protecting you and your family from the bills that go with a catastrophic illness. There are a number of options available for coverage and by shopping around you can find a plan that will match your needs.
The newest plan that is giving subscribers some control over their health care is Anthems Lumenos HSA. HSA stands for Health Savings Account and the Anthem plan merges these accounts and their tax savings with a traditional policy that carries higher deductibles. Under the Lumenos HSA, you will have to pay some of the cost of your care but because you also have an HSA the money will come out of that account. There is tax savings associated with the HSA plus the money in the account will accrue interest and it can be carried over from year to year.
The deductibles on the Lumenos HSA will range from a low of $1500 for an individual all the way up to a high of $11,000 for families. The higher the deductible, the lower your insurance premium is going to be. Affordable health insurance can also be obtained through other plans offered by Anthem. The Value plan basically covers hospital stays as well as a couple of doctor visits each year. It allows for some coverage for medical tests like x-rays but the level is relatively low. A third option from Anthem in Ohio is CoreShare. This policy will cover a wide array of medical services but requires coinsurance payments of up to 50% until you meet the maximum out of pocket expenses for the year.
Medical Mutual of Ohio also offers a variety of affordable health plans. SuperMed coverage offered by Medical Mutual comes with a wide variety of options aimed at keeping the cost of the premium down. High deductibles are one way that they keep premiums in check and they also offer blended policies which can be combined with an HSA. If you are only looking for coverage for a few months, Medical Mutual can assist you as well. Short term policies can be cheaper than the government COBRA plan for workers who lose their jobs.
Florida Self Employed Health Insurance
Florida residents that are self employed and looking for health insurance have a number of options available to them. Be aware that depending upon your health, your age, and other factors unique to your particular situation there is no hard and fast rule as to which option is best for you. However, there are some general guidelines that will help you make the best Florida self employed health insurance decision.
The first Florida health insurance option available to the self employed is to simply apply for an individual health insurance policy. The benefit to applying for an individual health insurance policy is that individual health insurance rates in Florida are very competitive.
The downside to attempting to purchase an individual health insurance policy in the state of Florida is that you must be healthy. According to FL law, a health insurance company can decline your application for an individual health insurance policy based on prior medical history (pre-existing conditions), height and weight restrictions, and other health related criteria.
That means if you have cancer, diabetes, weight problems, or a host of other physical ailments then you will be denied coverage with a Florida individual health insurance policy. (Any unscrupulous agent that tries to tell you other wise is misrepresenting whatever product he or she is trying to sell you as health insurance when in fact it is probably a discount health plan or a health insurance indemnity plan with very limited coverage).
The second Florida health insurance option available to the self employed is to apply for a Florida group health insurance plan. In Florida, any group of 2 employer/employees or more is considered eligible for a Florida small group health insurance. (If it is just you: 1 self employed person functioning as a sole proprietor in the state of Florida then you have a different option open to you – see option 3 below). The benefit to applying for a Florida small group health insurance policy is that that certain health issues that can signal an automatic decline on the individual health insurance side will not signal an automatic decline on the group health insurance side.
The downside to attempting to purchase a group health insurance policy in the state of Florida is that it can be very expensive. Think of it in terms of: the more potentially unhealthy people that the insurance company has to give health insurance to (group health insurance) the higher the premiums will be as opposed to where the insurance company can pick and choose who they will accept for health insurance (individual health insurance).
The third Florida health insurance option available to the self employed is for those that are functioning as a sole proprietor. Florida self employed sole proprietors can apply for a Florida guaranteed issue small group health plan. The Florida guaranteed issue small group health plans has an open enrollment period only during the month of August.
Florida self employed health insurance can be a somewhat tricky area to navigate without the help of a licensed independent Florida health insurance agent. There are also many different ways to save money in taxes – one of which being the ability to deduct your health insurance premiums paid on Schedule C of your tax return against and up to your Schedule C income (Meaning that even if you don’t itemize [Schedule A] you can still deduct your health insurance premiums paid all the way up to your Schedule C income!).
Group Health Insurance Quote Tips
Group Health Insurance is necessary to attract and keep good employees. While employers may not like the cost of group health, they should be aware of the benefits to the company and overall morale. There may be things you as an employer can do to alleviate some of this costly pain. Also, all Group Health companies and insurance agents that offer them are not created equal.
The cost of this health insurance versus the need for solid employees should be weighed. There a perception that many in this country that employees will take a cut in pay if they were to be guaranteed a group health plan. There is a simple explanation for this reasoning. People know they will have to go the doctor. Women need to have mammograms and pap smears, the children need their shots and physicals, and men need their prostrate examined, people realize these services cost money. Employees often would prefer that you take money out their check for group health then for them to write a check each month for it.
Get up to Five Free Group Health Insurance Quotes
It is the job of to keep your group health cost to a minimum. If you already have a group health plan, you can raise the deductible to discourage overuse of coverage by your employees. However a dramatic raising of group health deductible or co-payment may cause some rumbling among your employees. Yet it is t is a good idea to start with a lower deductible, so you can absorb rate increases. (Your group health rates will go up) Also know beforehand what networks are in your area, and what health networks most of your employees’ doctors belong to.
It is very important to review and understand your group health quotes that you will receive. Any insurance agent or broker that provides you with initial group health quotes over the phone, without having your employees fill out any applications, is doing you a disservice. Unless the agent is the Great Houdini, no one in our field can give you a firm, group health quote without a thorough underwriting. Group Health Insurance is too complicated to be taken this casual. Remember, look for an agent that gets to know your particular situation, understand your needs, and has the group health benefits that meet your expectations.
Is going with the biggest named group health insurance companies, the best choice? Choosing the “big name” companies over less known, group health insurance companies with reputable ratings, may not be in your employees and yours’ best interest. All group health plan are not designed the same. If XYZ, group health companies pays 80% for a mammogram and ABC, group health company pays all, could it make sense to you to check the other benefits of the health plan?
Employers realize that they must offer group health to attract and keep quality employees. There are a few hints that can keep group health costs down. It is important to realize that an initial group health quote, with no underwriting is worthless and probably should never be used. The listings of the benefits of the group health plan would be meaningful. While big companies have good “branding,” do not overlook smaller group health companies with good ratings.
Other Group Health Tips
1. Realize that you will be required as an employer to contribute as least 25% of the premiums for the group health insurance. (I never seen an group health carrier ask for less.)
2. Also realize that many group health carriers want at least 60- 70% participation of eligible employees to take the group health insurance or they will not underwrite the group.
3. Before you bind coverage with an agent or broker, find out who will process any claim paperwork and who your employees call about a claim.
4. Decide whether you will want current employees to keep their group health insurance when they retire.
5. Review and ask questions about such terms as group health deductibles, coinsurance, and maximum limits if you are not familiar with them.
Conflict on Health Insurance Reform Lawsuit
Healthcare reform is a very controversial issue. Much of the conflict comes from the health insurance mandate, which requires that everyone with earnings over a certain income level either buy health coverage or pay a fine. Supporters think that doing so is necessary to get a higher percentage of healthier policyholders in the fold, leading to more affordable health insurance. Opponents, on the other hand, believe that it is an unconstitutional violation of states’ rights.
Legal experts are conflicted on how the mandate issue will play out. The commerce clause of the Constitution allows the federal government to regulate interstate commerce. The Obama administration and Democrats in Congress no doubt had analysts poring over the legislation in order to avoid having it revoked after a bruising political battle. They knew that the Republican party would be looking to poke holes in its logic, so their legal argument would presumably be air-tight. For example, they refer to the penalty as an excise tax, because such taxes typically enjoy more protection under the Constitution.
However, that has not stopped a coalition of states–which has now grown to 20 governors and attorneys general–from filing a lawsuit immediately after President Barack Obama signed the bill. It began with Florida Attorney General Bill McCollum, and has only continued to grow. Several other lawsuits have been filed, but this is the one receiving the most press.
Virtually all of the government officials involved in the lawsuit are Republicans. The one exception is a Democratic attorney general, who was heavily pressured by a Republican governor. There is most likely a political grandstanding element to their action–many of them are running for re-election or higher office, and participating in the lawsuit against the unpopular healthcare reform law shores up their conservative credentials for primary season.
Although it is easy to dismiss the suit as partisan theater and a waste of taxpayers’ money, some legal scholars are considering the possibility that there may be some merit to it. Specifically, it remains to be seen whether the Supreme Court would rule that Congress is allowed to regulate inactivity, as opposed to activity, in commerce. If they are, some fear that it would lead to a slippery slope of mandates: would all Americans be forced to purchase a U.S. car if it is deemed to be for the greater good, as the mandate is purported to increase the availability of affordable health insurance? In the case that they are not, it has the potential to topple the entire structure of reform–not to mention federal authority altogether.
A handful of experts believe that the issue won’t even reach the highest court, since the state governments themselves are only indirectly affected by that provision of health insurance reform. In that case, there will probably be a sufficient number of individual Tea Party volunteers who would have standing to sue. In September, the Justice Department is scheduled to make a motion to dismiss the lawsuit in the 11th Circuit of the United States Court of Appeals. Since that circuit tends to be conservative, the case has a good chance of continuing past that point.
If the suit reaches the Supreme Court, it will probably take several years to do so. By then, President Obama will have appointed a second nominee to the Supreme Court. Whether or not the newest justice is Elena Kagan remains to be seen, but whoever he picks will most likely be sympathetic to one of his key domestic issues.









