Individual and Family Health

Living Life to the Fullest.

The Major Medical Industry is one of the most heavily debated topics in the country. It can quickly become overwhelming, but don't panic; we are consistently analyzing new regulations and guidelines so you can spend less time stressing and more time living your life to the fullest! 

The Affordable Care Act

Since it's inception, the ACA has generated many questions and concerns. We have answers!

The Affordable Care Act, signed into law in 2010 and first implemented in 2014, has dramatically changed the health insurance market. There  are many new laws and regulations that consumers must comply with in order to avoid penalties and gaps in coverage.

 

We have compiled a list of frequently asked questions with answers so you can be one step ahead of the game!

When can I sign up?

Open Enrollment Period: Beginning November 1st of each year you are able to enroll into a new plan for the following year. During this time we review the plan options available to you and evaluate which plan best suits your needs. You must enroll by December 15th for a January 1st effective date.

Special Enrollment Period: Under special circumstances, you may enroll into a plan outside the open enrollment period. Moving to a new address, losing employer health coverage, and getting married are just a few examples of special enrollment period qualifying events. You must act quick! You only have 60 days from the date of your event to enroll.

What are Tax Credits?

Premium Tax Credits help bring down the cost of your monthly health insurance premium. The amount of tax credit you receive is based mainly on your modified adjusted gross income (MAGI) but, the size of your household and your age are a factor in the calculation. 

What are my options?

The Healthcare.gov Marketplace is the online platform for ACA certified health insurance plans. In order to receive a tax credit to help lower your premiums, you must enroll through the Healthcare.gov Marketplace. We are very familiar with the Healthcare.gov Marketplace and know the exact processes to go through to get you effective and affordable health coverage. 

BEWARE! There are a limited amount of health plans that are ACA certified and fully compliant with the law. Plans that are not fully compliant with the law will not have the same amount of coverage as ACA plans. You will also be assessed a penalty when you file taxes for not having an ACA certified plan or equivalent. Not sure if your plan is compliant? Call us and we will be happy to investigate.

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413 Greenbrier Valley Mall Drive

Suite 19

Lewisburg, WV 24901

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T: 304-645-3115

F: 304-645-3655