This is a common question, so we wrote an entire post on it.
Plan G <— Click this link to see more about Plan F and G.
This is such a long answer that it doesn’t really fit well here in the FAQ section, so we’ve dedicated an entire page to it.
If you already have Medicare Part A and wish to sign up for Medicare Part B, please complete form CMS 40-B, Application for Enrollment in Medicare – Part B (Medical Insurance), and take or mail it to your local Social Security office. You can also call Social Security’s toll-free number 1-800-772-1213 (TTY 1-800-325-0778). or contact your local Social Security office.
The annual Medicare enrollment period is October 15th through December 7th, every year.
During this time you may shop and replace your Medicare Advantage and Part D Prescription plans.
This annual enrollment period does not apply to Medicare Supplements. If you wish to change your Medicare Supplement plan, you may do so anytime during the year, however, in most circumstances, you will be subject to medical underwriting.
While our name may infer that we only sell Medicare products, we specialize in all forms of health insurance for individuals, businesses and seniors. We also sell ancillary products like dental, vision, life insurance, disability insurance and much more.
We work for you, not any insurance company and we’re not partial to any particular insurance company. This means that you always get honest advice shopping for a health insurance company. In addition, our services go far past helping you find the right health insurance plan. Our brokers stick with you forever to assist with future questions, billing concerns, network issues, help finding a doctor, and much more. While you would pay the same price if you went directly to the carrier, you would never receive the benefits we offer or our unmatched and award winning customer service! Additionally, you would not have an advocate to help you at renewal time, when your premium went up.
Working with iHealthBrokers Medicare Advisors costs you nothing. When you purchase an insurance policy, the insurance company pays us a commission, but because health insurance rates are pre-filed with the states, you do not pay more for our services as these commissions are already built into the cost of the plan, regardless of where you purchase it. If you do not purchase a plan, we receive nothing.
To be eligible, you must cover at least 50 percent of the cost of employee-only (not family or dependent) health care coverage for each of your employees. You must also have fewer than 25 full-time equivalent employees (FTEs). Those employees must have average wages of less than $50,000 (as adjusted for inflation beginning in 2014) per year. Remember, you will have to purchase insurance through the SHOP Marketplace (or qualify for an exception to this requirement) to be eligible for the credit for tax years 2014 and beyond.The maximum credit increases to 50 percent of premiums paid for small business employers and 35 percent of premiums paid for small tax-exempt employers.For more information on the Small business health care tax credit for small employers, visit the IRS website by clicking here.
The Small Business Health Options Program (SHOP) Marketplace is a new program that is supposed to simplify the process of buying health insurance for small businesses. Not all insurance companies offer SHOP plans. To participate in the SHOP Marketplace, you must: Have a principal business address within the state where you’re buying coverage, have at least one common-law employee on payroll and employ 50 or fewer full-time equivalent employees (FTEs), including part-time employees.
The maximum out-of-pocket limit for any individual Marketplace plan for 2016 is $6,850 for an individual plan and $13,700 for a family plan. This number tends to go up a few hundred dollars annually. In 2014, the individual maximum was $6,350 and in 2015 it was $6,600.
|Coverage Year||Annual Enrollment Period|
|2015||November 15, 2014 – February 15, 2015|
|2016||November 1, 2015 – January 31, 2016|
|2017||November 1, 2016 – January 31, 2017|
|2018||November 1, 2017 – January 31, 2018|
|2019||November 1, 2018 – December 15, 2018|
|2020||November 1, 2019 – December 15, 2019|
There are eligibility requirements for individuals who wish to receive subsidies to help them pay for their health insurance under the Affordable Health Care Act.
To qualify a person:
- Must live in the United States
- Be lawfully present in the United States
- Have a Modified Adjusted Gross Income (MAGI) between 133% and 400% of the federal poverty limit
- Must not be currently incarcerated
The penalty’s cost is calculated in one of two ways: You’ll either pay a percentage of your total household adjusted gross income — which you’ll figure on your annual tax return — or a flat rate, whichever is greater. Your tax return will also help you determine your penalty amount.
Each year, the penalty will increase to keep pace with inflation and encourage people to buy coverage.
- For tax year 2015, the ACA penalty is 2% of your total household adjusted gross income, or $325 per adult and $162.50 per child, to a maximum of $975.
- For tax year 2016, the penalty will rise to 2.5% of your total household adjusted gross income, or $695 per adult and $347.50 per child, to a maximum of $2,085.
- For tax year 2017 and beyond, the percentage option will remain at 2.5%, but the flat fee will be adjusted for inflation.
To purchase a permanent major medical health insurance plan outside of open enrollment, you need a qualifying life event, which creates a special enrollment period. Examples of qualifying life events are moving to a new state, certain changes in your income, and changes in your family size (marriage, divorce, child birth, adoption), losing other health coverage, etc. If you do not have a qualifying life event, you can still purchase term health insurance to bridge the gap from now until the next open enrollment period.