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Health Insurance Basics

Basic ideas about health insurance and where you can go to get it.

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Individual health insurance

individual health insuranceWell, life happens to change, and with that, so do your health insurance needs. The 2022 Open Enrollment Period for coverage has ended. However, if you have a qualifying life event, you can still get or change health coverage in 2022. Things like getting married, moving or relocating, having a baby, or losing your current health insurance may qualify you for a SEP or particular enrollment period.

Your sep will only last for 60 days after your qualifying event. This will allow you to enroll in or change your plan outside the Open Enrollment Period.

You may qualify for government subsidies—like a premium tax credit—that can help you pay your monthly premiums or a cost-sharing reduction, which lowers the amount you pay for deductibles, copays, and coinsurance.

The 2023 plans Open Enrollment Period begins November 1, 2022

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Health and wellness

health and wellnessPeople often like to use the terms health and wellness interchangeably. Although one cannot have one and not the other, even though they are two different concepts and are quite variable, their meanings are different.

World Health Organization (WHO) defines health as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity (illness).”

WHO defines wellness as “the optimal state of health of individuals and groups,” and wellness is expressed as “a positive approach to living.”

If you think about it, the key difference between health and wellness is that health is the goal, and wellness is the active process of achieving it. For sure, you indeed cannot have health without first achieving wellness. Wellness directly influences your overall health, essential for living an excellent, happy, and fulfilled life.

Health versus wellness

health versus wellness

While one cannot choose the state of health, you can consciously choose your wellness by living responsibly and taking preemptive measures for your well-being.

  • Health comprises the diagnosis of a disease/illness, a predisposition to a disease, and any other unexpected injury.
  • Wellness is an ever-growing process and change to reach your entire health and well-being. It involves actively pursuing activities, making choices and lifestyle changes, controlling risk factors that can harm a person, focusing on nutrition, having a balanced diet, and following spiritual practices that lead to holistic health.

Definition of health insurance

definition of health insuranceAccording to the Health Insurance Association of America, health insurance is defined as “coverage that provides for the payments of benefits as a result of sickness or injury. It includes insurance for losses from accident, medical expense, disability, or accidental death and dismemberment”.

Health insurance marketplace

The Health Insurance Marketplace is designed to help you find health coverage that fits your needs and budget. All the health plans in the Marketplace offer the same set of essential health benefits, like doctor visits, preventive care, hospitalization, prescriptions, and more. Of course, you get to compare plans based on price, benefits, quality, and other features important to you before you choose.

health insurance marketplaceFilling out one application will let you know if you qualify for free or low-cost coverage through Medicaid or Children’s Health Insurance Program (CHIP) or savings on a Marketplace plan. The majority of people who apply will qualify for some savings.

Every person in the U.S. must have minimum health coverage or pay a fee.

Health care

health careHealth care is the maintenance or improvement of health via the prevention, diagnosis, treatment, amelioration, or cure of disease, illness, injury, and other physical and mental impairments in people. Health professionals and allied health fields deliver health care. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions are all part of health care. It includes work done in providing primary care, secondary care, tertiary care, and public health.

Affordable health care

affordable health insuranceFinding affordable health insurance premiums can be a challenge for some Americans when it comes to finding affordable health insurance premiums. Those at the top end of the subsidy range and beyond will find it difficult. Because of how the ACA was first thought of, health insurance costs can vary widely based on where you might live, the amount of money you earn, and the number of people in your family.

No matter where you fall within those metrics, to find affordable health insurance, it’s still best to shop around among several different carriers and compare plans based on what they offer, your monthly premiums, your annual out-of-pocket costs, and other details.

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FAQ’s

 

Do I qualify for affordable care act?

Basically, all income levels can sign up for health insurance under Obamacare. If your household income is between 100% and 400% of the federal poverty level (FPL), you may qualify for a premium tax credit or special subsidies that will reduce health insurance costs

What is the maxium income to qualify for free health care?

If you are single and your annual 2020 income is between $12,490 to $49,960, or if your household income is between $21,330 to $85,320 for a family of three, you may be eligible for tax credits to lower your premium (the lower income limits are higher in states that expanded Medicaid)

What is a good deductible for health insurance?

For 2021, the IRS defines a high deductible health plan as any plan with a deductible of at least $1,400 for an individual or $2,800 for a family. An HDHP’s total yearly out-of-pocket expenses (including deductibles, copayments, and coinsurance) can’t be more than $7,000 for an individual or $14,000 for a family

Meet the team

About Coach B.

After starting his financial career with Phoenix Home Life Insurance Company back in 1992, Scott decided he wanted to provide people with an easier and more enjoyable way to buy life insurance. That was the start of Coach B. Life Insurance, whose mission is to be transparent, honest, and helpful to customers — without ever bugging or pushing them.

In the years since then, he has worked tirelessly to improve the process of shopping for insurance. His goal is to make sure that everyone who comes to Coach B. — whether they end up buying a policy or not — has the best possible experience.

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