It's Open Enrollment Time!
Annual Enrollment for Medicare and The Affordable Care Act Plan is here.
(SEE DATES BELOW)
There are many new plans and choices coming for 2023. Call 318-651-0047 for an appointment. There is never a charge to you for my services.
Medicare Annual Enrollment Period:
Annual Enrollment for Medicare begins OCTOBER 15, 2022 and ends DECEMBER 7, 2022. (Click on Products offered tab for more information). Your plan choice will become effective January 1, 2023. We are able to show you plan options from
*AETNA
*AARP
*BLUE CROSS BLUE SHIELD OF LA.
*HUMANA
*PEOPLES HEALTH
*UNITED HEALTH CARE
*VANTAGE HEALTH PLAN
We can also help you with fiding a Medicare Supplement Plan and a Prescription Drug Plan. We urge you to please schedule an appointment to look at ALL your options. Call The Roanita Jenkins Insurance Agency Inc. today for help with the enrollment process. Call 318-651-0047 for an appoinment.
Your healthcare decision is certainly one of the most important decisions you will have to make. With our agency, you get the FREE knowledge and expertise of an independent agent with over 23 years of experience to help with not only enrolling in a plan but with explaining your benefits to you, checking your providers, confirming your prescription drugs are covered and ensuring you have a full understanding of how your plan benefits work. There is NO CHARGE to you to use our agency.
The advantage to you for using our agency is we are able to show you EVERYTHING!! Every plan available to you, from every major carrier. We are you one stop shop for MEdicare. We are available to you to ensure you are making the best decision for you and your loved ones. Again, we show you ALL plans available to you, from ALL major carriers to ensure you have all the information you need in the decision making process. Let us serve you. Call for your FREE enrollment appointment. 318-651-0047. We are eager to serve you!
The Affordable Care Act Open Enrollment:
As part of the Affordable Care Act, The Health Insurance Marketplace Open Enrollment begins November 1, 2020 through December 14, 2020. The effective date for plans will be January 1, 2021.
THERE WILL ONLY BE A 45 DAY OPEN ENROLLMENT PERIOD TO CHOOSE YOUR PLAN FOR 2021.
Individuals and Small Businesses have an opportunity to purchase health insurance plans through the Health Insurance Marketplace. I have earned the designation, CHRS, Certified Healthcare Reform Specialist, and I am qualified and certified to guide your through the entire process of understanding the Affordable Care Act and enrolling in a Health Insurance Marketplace Plan. I will help you compare plans on the Health Insurance Marketplace and assist you in determining if you qualify for Advanced Premium Tax Credit, APTC. (This is money to help you pay for your monthly insurance premiums.) Let me help you with the decision making process. Call 318-651-0047 today and schedule your FREE appointment. There is NO COST TO YOU for me to assist you with the process from beginning to end. I look forward to the opportunity to serve you.
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HOW TO ENROLL IN THE HEALTH INSURANCE MARKETPLACE.
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There are many factors and variables to consider before buying through the Health InsuranceMarketplace. I can make the enrollment process easy and simple and I will make sure you clearly understand the entire process as well as the product you purchase on the Health InsuranceMarketplace. I can explain what happens after you've enrolled and what you should expect going forward. I have the knowledge, the experience, the certifications, the software, the privacy requirements and I know all the factors you should consider before purchasing a plan for you or your loved ones.
Call 318-651-0047 today for your FREE appointment. Let me assist you with the entire enrollment process. THERE IS NO COST TO YOU. I look forward to having the opportunity to serve you and your family.
THE HEALTH INSURANCE MARKETPLACE
Open Enrollment for 2016 begins November 1, 2015 - January 31, 2016. The ACA requires each to state to have a Health Insurance Marketplace. Louisiana is using a Federally Facilitated Health Insurance Marketplace (FFE). Health Insurance Marketplaces will be set up as a Marketplace for Individual policies and as SHOPs (Small Business Health Options Program) for small employer groups. A small group by Louisiana standards is a group under 50 employees. (See FAQ #3) Beginning in 2016, the ACA defines a small group as having 1- 100 full time employees.
Plans offered through the Health Insurance Marketplace are regulated by the federal government and MUST include Essential Health Benefits. (See FAQ #11)
THE HEALTH INSURANCE MARKETPLACE PLAN OPTIONS
The 4 levels of coverage available in the Health Insurance Marketplace will be defined as "Metal Plans." Each plan has a co-insurance amount, the amounts the individual and the plans pay. Some Insurance Companies may have more than 1 plan in the metal coverage levels.
|
Metal Plan |
Plan Pays |
Individual Pays |
|
Platinum |
90% |
10% |
|
Gold |
80% |
20% |
|
Silver |
70% |
30% |
|
Bronze |
60% |
40% |
Example: An individual in the Silver Plan can expect to pay approximately 30% of the healthcare costs and the plan will pay approximately 70% of the cost of the healthcare costs.
ADVANCED PREMIUM TAX CREDITS, APTC
An Advance Premium Tax Credits, APTC, lowers the monthly premium an individual will pay throughout the year for health insurance coverage. Tax credits may be available to individuals with a household income between 100% and 400% of the Federal Poverty Level (up to $47,080 for an individual and $97,000 for a family) (See FAQ #7)
COST SHARING REDUCTIONS
Cost Sharing Reductions reduce out-of-pocket expenses for the individual. Generally this would be available to individuals who enroll in Silver Plans with incomes between 100% ($11,770 for an individual and $24,250 for a family of 4) and 250% ($29,425 for an individual and $60,625 for a family of 4) of the Federal Poverty Level. Subsidy amounts may vary by income and family size. Reductions can include reduced monthly premiums, copays, deductibles and Out of Pocket Maximums.
CHANGES that began in 2014 and are continuing through 2016
- No more annual dollar limits on Essential Health Benefits or Lifetime Maximums on benefits
- An employer can no longer have a waiting period for benefits longer than 90 days
- Guaranteed issue and renewability for plans (no eligible person can be denied coverage)
- Insurance Companies will be required to spend at least 80% of each premium dollar on medical expenses. This is often referred to as the Medical Loss Ratio (MLR).
INDIVIDUAL MANDATE: PENALTIES FOR NOT HAVING COVERAGE
Beginning January 1, 2014, The Affordable Care Act, ACA, included a mandate which required most individuals to have some form of health insurance coverage or face penalties for not having coverage. The 2016 Open Enrollment Period for the Health Insurance Marketplace is November 1, 2015 – January 31, 2016. (See FAQ #3)
- 2014 Penalty - $95 per adult and $47.50 per child (up to $285 for a family) or 1% of your family income, whichever is greater.
- 2015 Penalty - $325 per adult and $162.50 per child (up to $975 for a family) or 2% of your family income, whichever is greater.
- 2016 and beyond penalty - $695 per adult and $347.50 per child (up to $2,085 for a family) or 2.5% of your family income, whichever is greater.
WHAT INFORMATION DO I NEED TO BRING WITH ME TO ENROLL?
- Names, Birthdates and Social Security Cards/Numbers for everyone in your household. (Your household should include everyone you plan to file on your 2016 Tax Return)
- Know your expected Gross Income (before taxes) for 2016; if married, know your spouse’s Gross Income information as well. If children receive any income, know their expected income for 2016 as well. SSI and child support do not have to be included in income calculation.
- Bring Proof of all Incomes for everyone in your household, to include income from Social Security Benefits, Retirement Income, Investments, etc. (LAST PAYCHECK STUB WOULD BE VERY HELPFUL)
- Have a valid email address; if you do not have one, we can create one for you. If you have an email address, be sure you know your password as you will need to log into your account.
- Name and Telephone Number of your Employers; both past and present for 2016.
Call Roanita today at 318-651-0047!
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