Keep Your Head From Spinning
What does essential health mean?
Minimum essential coverage is health insurance coverage that satisfies the Affordable Care Act‘s guidelines. Although there is no longer a federal penalty for not having minimum essential coverage, the individual mandate still exists and the concept of minimum essential coverage is still important.
Plans that qualify as minimum essential coverage include employer-sponsored plans, individual major medical plans (including new ACA-compliant plans, grandfathered plans, TRICARE, Medicare, most Medicaid plans, and a few others.
10 Essential Health Benefits
Preventive Care... What does that mean?
Preventative care is health care that prevents disease, injury, or illness, rather than treating a condition that has already become catastrophic or acute. The goal of preventive care is to help people stay healthy.
Preventive care can be different based on age and gender. To see a full list of preventive care we have included a helpful link below. To see if a service you are inquiring about is considered preventive, check out our link below!
Enrolling In A Plan
Open Enrollment is a specific timeframe every calendar year when you can sign up for health insurance.
If you do not sign up for health insurance during open enrollment, you typically cannot sign up for insurance until the next open enrollment period, unless you what’s called a qualifying event.
Special Enrollment Period
Special Enrollment Periods, also known as a Qualifying Life Event – are an event that triggers a special enrollment period for an individual or family to purchase health insurance outside of the regular annual open enrollment period.
Examples of Qualifying Life Events Include:
- Losing health insurance for any reason except not paying premiums
- Losing eligibility (Medicaid, or a Children’s Health Insurance Program)
- Turning 26 and losing coverage through a parent’s plan.
- Loss of job-based coverage (quit or fired)
- Marriage, divorce, or legal separation
- Pregnancy, adoption of a child, or any adding of dependents.
- Losing coverage due to a death in the family
- Moving to a different coverage area.
- Changes in income that affect the coverage you qualify for.
- Becoming a US Citizen
- Released from incarceration
- Losing coverage due to your spouse retiring.
Metal tiers are a quick way to categorize plans based on what that split is. Some people get confused because they think metal tiers describe the quality of the plan or the quality of the service they will receive, which is not true.
Advanced Premium Tax Credit (APTC)
The advanced premium tax credit reduces the amount you pay for monthly health insurance premiums if you bought your insurance on the Marketplace. The amount of the credit is determined by your income. It is calculated and sent directly from the federal government to insurance companies.
What The Heck Is MNsure?
MNsure is Minnesota’s health insurance marketplace where individuals and families can shop, compare, and choose health insurance coverage that meets their needs. MNsure is the only place you can apply for financial help to lower the cost of your monthly insurance premium and out-of-pocket costs.
Join us for our free educational health insurance event! Attend on any smartphone, iPad, or computer. During the hour together, attendees of these events will gain an in-depth understanding of how to purchase their own insurance. Including how and when to enroll, the cost of Medicare or individual insurance, and important differences between plan benefit structures.
First Tuesday of Every Month
We will cover how income will impact costs with your Medicare and how MNsure can lower premium costs when you are needing insurance prior to being eligible for Medicare. After our meeting you will gain an in depth understanding of what steps you are needing to take with enrollments and a timeline of when you can start taking action! Click the date below to register.
Third Tuesday of Every Month
During our time together you will learn more about the cost associated with Medicare and how income can impact your premiums. We will also cover how to enroll into Original Medicare and some of the quirks that can happen with the enrollment process. After our meeting you will gain an in depth understanding of what steps you are needing to take with enrollments and a timeline of when you can start taking action. Click the date below to register.
Meet Our Presenters
Sandra has been assisting individuals with health insurance since 2014. In this fast paced industry, Sandra takes pride in ensuring that her clients have the confidence they need to make an educated decision on their coverage options. She specializes in Medicare as well as Individual and Family insurance options.
Michela has been educating individuals on health insurance since 2015. She takes pride in ensuring that her clients have the education they need to make a decision with confidence on their coverage options.
Webinars on Demand
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