Thursday, June 23, 2016

Health Coverage in The Marketplace by David Mark Decherd

Qualified Health Plans ( QHP) can be found in the marketplace. QHP are Health Insurance  Policies that have meet the CMS standard for 10 different categories of coverage.  Accordingly,  the Marketplace  determine consumers' eligibility for participation in:

-QHP enrollment through  the marketplaces.

-Advanced  payments  of the premium  tax credit.

-Cost-Sharing reductions.

Also, depending on the state in which the consumer resides, the Marketplace may either determine  consumers ' eligibility for Medicaid or CHIP, or make an initial  assessment of eligibility  for those programs and have the State make the final determination.

Tax credits and Cost-Sharing are tools that allow consumers' to reduce their cost of healthcare coverage.

Wednesday, June 22, 2016

Aflac Value Rider:

This enhancement uses the unique concept of paying a cash benefit to Aflac Short-Term Disability policyholders who have the Aflac Value Rider on their policy. Under the Rider's terms, an Aflac Short-Term Disability policyholder with the Aflac Value Rider on his or her policy would be paid up to $1,000, less any claims paid for every consecutive five-year term that a claim is not filed on the policy. Once this time frame has passed and the policyholder is paid, the five-year process repeats itself for up to five consecutive terms.

Tuesday, June 14, 2016

Do You Have Cash When the Accident Happens?

Auto accidents are on the rise the culprit, the cellphone. Distracted drivers cost of  Vehicle Crashes: According to NHTSA, the monetary cost of motor vehicle crashes (police-reported and unreported) totaled $277 billion in 2010, amounting to almost $897 for every person living in the United States and for 1.9 percent of the U.S Gross Domestic Product.

These costs include medical, lost productivity, legal, emergency service, insurance administration, property damage, workplace and other. The study was released in May 2014.

Medical bills, lost time at work, the legal bills the  list goes on. Are you able to pay out of pocket for expenses if your not working? Supplemental accident policies are designed to pay you cash in the event of an accident.

Protect yourself from the cost of accidents today and put that cellphone down.

Sunday, June 12, 2016

Minimum Value Standard. By David Mark Decherd

According to  the Affordable Care Act, ACA.  Coverage levels have been established to guide consumers and quickly indicate the Value of a plan and if it qualifies  for certain assistance programs.

The Minimum Value Standard, is a threshold that provides a starting place to indicate whether an insurance plan meets the minimum standard. A health plan meets the minimum value standard if it's designed to pay at least 60% of the total cost of medical services for a standard population. Consumers with an offer of job-based coverage for example that provides minimum value and is affordable won't be eligible for the premium tax credit.

Job based coverage is considered affordable if the employee's share of the annual
premium for the lowest cost self-only coverage is  less than 9.56% of the household's income.

Wednesday, June 8, 2016

Premium Tax Credit Rule. David Mark Decherd

In general, married spouses must file a joint tax return to receive the premium tax credit and Cost-Sharing reductions. There is one exception to this general rule-consumers who are victims of domestic violence do not have to file a joint return, as contacting their spouse may be dangerous or restricted by the court order.

Tuesday, June 7, 2016

Marketplace Programs to Reduce Cost . David Mark Decherd

In the marketplace for healthcare, the ACA, there are programs designed to reduce the cost of coverage. These programs provide cost reduction based on an applicant income and other factors.
Advanced Premium Tax Credit and Cost-Sharing Reduction are two such programs. They essential lower the cost of healthcare coverage. The first, the Advanced Premium Tax Credit functions by reducing the monthly premium an applicant would be charged by a healthcare  provider,  because this tax credit would be paid in "advance" to the provider. So for example if your policy cost $395.00 dollars per month and your tax credit was $300.00 dollars per month, you would only need to pay the $95.00 to the provider .

The cost-sharing reduction works a little differently. This reduction effects the out of pocket cost when a policy holder receives service. By reducing or " sharing " the proportion the policyholders would be responsible for.

Friday, June 3, 2016

ACA Marketplace- Exemption from shared responsibility payment. By David Mark Decherd

Consumers may be required to pay the individual shared responsibility payment if they don't have minmum essential coverage. Under certian circumstances,  consumers may be exempt from this fee.
There are different types of exemptions. Common exemption include hardship exemptions and affordability exemptions.