Each Marketplace Plan Must Offer 10 ‘Essential Benefits’
These include prescription drugs, emergency and hospital care and mental health services, among others.
Insuring Your Health
421 - 440 of 605 Results
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Two Types of Subsidies To Help Cover Costs Will Be Available
Lower-income buyers may get help paying the premium and help on covering expenses such as deductibles and co-payments.
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Applying For Marketplace Coverage Will Also Determine Eligibility For Subsidies
Tax credits to help pay for premiums will be available to people earning up to 400 percent of the federal poverty level, or about $46,000 for an individual.
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Consumers With Serious Medical Problems Need To Carefully Assess Total Plan Costs
The price of premiums isn't the only expense to consider when evaluating policies from the insurance marketplace.
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Health Marketplaces Are Open To Nearly Everyone
But individuals who already have insurance through work, Medicare or Medicaid don't need to shop there.
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A Reader Asks: When I Retire Can My Husband Get Coverage On The Marketplace?
Consumer columnist says he likely can, but the bigger question is whether he will qualify for subsidies to help defray costs.
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Complex Personal Issues May Cloud Decisions About Buying Insurance
Even the people trained to help consumers navigate the new online marketplaces may not have all the answers.
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A Reader Asks: I Get Coverage Through My Estranged Husband. Can I Choose To Go To The Marketplace?
Consumer columnist offers caution about the financial implications of that switch.
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Some Hospitals Turn To Post-Discharge Clinics To Help Hold Down Readmissions
A study finds that a third of adult patients discharged from a hospital don't see a physician within 30 days -- and experts say this is a key reason so many of them need to come back in.
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Readers Ask: Will Premium Subsidies Come In A Lump Sum And What Happens When You Don’t Pay Your Premium?
Consumer columnist answers questions about marketplace operations.
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New Online Markets For Small Businesses May Offer Some Workers Greater Choices
The SHOP exchanges are intended to make it easier for small businesses to offer their employees a variety of good plans, but that option is being delayed for a year in 33 states.
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Supreme Court Decision On Same-Sex Marriage Leaves Many Couples Awaiting Federal Rules On Insurance
The recent ruling on the Defense of Marriage Act didn't address question of tax implications for health care for couples who live in a state that doesn't recognize marriages.
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Many Consumers With High-Deductible Plans Are Concerned About Health Law Changes
Many policy holders are not aware that the plans, which generally have low premiums and can have high out-of-pocket costs, don't meet the standards set in the health overhaul.
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Does My Insurance Have To Cover Pregnancy Benefits For My Dependents?
Michelle Andrews answers a question from a reader about whether the health law requires employer-sponsored insurance to cover maternity benefits for an employee's dependents.
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Benefits On Health Marketplace Plans Will Be Similar But Costs Will Vary
In response to readers' questions, columnist explains that all policies offered on the online exchanges must cover 10 "essential health benefits," but the plans will be classified according to the proportion of costs that consumers will be responsible for paying.
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Patient Advocates Seek A Gentle Transition From High Risk Pools To New Exchange Plans
Many states had special programs to provide insurance to people with medical problems. Some of those programs will disappear after January when the federal health law offers guarantees of coverage.
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A Handful Of State Marketplaces Opt Not To Charge Smokers More For Premiums
The health law allows insurers to charge smokers 50 percent higher premiums than nonsmokers but some states have decided not to allow that distinction in plans sold on the new online exchanges.
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In Addition To Premium Credits, Health Law Offers Some Consumers Help Paying Deductibles And Co-Pays
Although much has been made about the tax credits that will help people afford to pay insurance premiums, the cost-sharing assistance can substantially reduce out-of-pocket medical expenses.
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Income — Not Assets — Will Determine Subsidies In Online Insurance Marketplaces
KHN's insurance columnist answers readers' questions about qualifying for help paying premiums under the health law and how student health plans will be treated.