As a leader in the insurance industry, Member Insurance Agency is committed to helping its members navigate through the complexities of the ever changing benefit world. You will have access to many tools and resources that will further education and communication for your business and employees. You will have our support for any enrollment or plan changes that are needed. Our goal is to help you spend less time, save costs and limit paperwork as much as possible. We have included further resources below that contain important information and can help guide you along the way. We also have current up-to-date information on our Healthcare Reform page that includes everything you need to know about the Patient Protections and Affordable Care Act (PPACA).
The Health Insurance Marketplace
Also known as Obamacare, this website can guide you through the newest rules and regulations as well as help you to find an individual or family policy through the Health Insurance Marketplace. You may be eligible to qualify for a “premium tax credit” that would lower your monthly premium. This website includes tools and calculators to help you discover if you would qualify for additional savings.
SHOP – Small Business Health Options Program
This website is also part of the Healthcare Insurance Marketplace/ Obamacare. SHOP coverage is for small employers (1-50 employees) looking to provide health and/or dental insurance to their employees.
There are many tools to help you:
- Find out if you qualify
- Compare the many plans and prices available
- Find out how much you can save with the Small Business Health Care Tax Credit
***Member Insurance is happy to help you explore your options as well and answer any questions you may have***
IRS – Internal Revenue Service
Here you can find further information and resources regarding tax credits for healthcare as well as work-related deductions.
Centers for Medicare & Medicaid Services
Also a part of The Department of Health and Human Services (HHS), CMS offers valuable information and resources with the goal of empowering patients when it comes to quality, accessibility and affordability. They publish legislative updates as well as easy to understand federal regulation and policy information. They help to provide guidance and resources for Medicare, Medicaid, Private Insurance, Innovative Health Plans, research and so much more.
Besides the Health Insurance Marketplace, there are also further government health care programs for certain individuals. They have many restrictions and not everyone is eligible to receive coverage. Even so, we want you and your employees to be aware of any programs such as these that can create a significant reduction in health care costs. Read further for a brief description of these programs. We have also included links below for you to learn more.
Medicare – a health insurance program for:
- People age 65 or older,
- People under age 65 with certain disabilities, and
- People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).
Types of Medicare Plans:
Ø Medicare Part A typically has no premium fee attached to it and covers Hospital Insurance.
Ø Medicare Part B typically has a monthly premium and it covers Medical insurance.
Ø Medicare Prescription Drug Coverage will most likely have a monthly fee associated and covers prescription costs.
All of these plans are very specific as to what they will and will not cover. There are restrictions and exclusions as to what costs Medicare will cover. Because of this, many people will look for Medicare Supplement Health Insurance – also known as Medigap.
Medigap is a policy sold by private insurance companies to fill the gaps in original Medicare plans. Medigap will help to pay some of the costs that the original plan doesn’t cover. These policies must follow state and federal laws and insurance companies can only sell you a standardized Medigap policy. Member Insurance has access to a great group that can help you with any Medigap/Medicare Supplement Insurance needs you may have. Call us today to learn more.
Medicaid provides health coverage to individuals with low-income and is one of the largest payers for health care in the United States. Although the Federal government establishes certain parameters for all states to follow, each state administers their Medicaid program differently (resulting in variations in Medicaid coverage across the country). Click here to see Medicaid information by state.
Children’s Health Insurance Program (CHIP) provides health coverage to eligible children (up to 19) that are uninsured in families with incomes too high to qualify them for Medicaid.
To learn more about these federal and state funded benefits, visit: