Skip to main content

Trumpcare will it work for me?



Healthcare is complicated. We have seen marketers and a few insurance companies use the term Trumpcare for the last couple of years with mixed results. There was even the South Florida-based operation called Simple Health Plans that was shut down by the Feds that collected more than $100 million. (Seriously, read this before putting your information on an unknown site.)I am going to talk about a few of the niche markets being pushed by the administration.

1. Short Term Plans - In Washington state, these plans are heavily restricted. We are talking 90 day non renewable. They can exclude pre-existing conditions and can exclude treatments and overages. As I write this I am aware of 1 company offering a plan that has made it through the Office of the Insurance Commissioner's standards. With the amount of coverage excluded, we feel that a customer is best served by purchasing a full health-plan for a short period of time. We have had new customers come to us over the years because they made a mistake and purchased a short-term plan and discovered it did not cover what they needed covering. 

2. Association Health Plans (AHP)- AHPs are a type of Health insurance the employers and professional trade associations offer to their employees or members. As they were described small groups of similar companies could band together and buy healthcare across state lines. They can consider someone's health condition when setting premiums. They can not cover self employeed with no employees. Please make sure that they are licensed to do business in Washington State. There is concern from experts that they will become vehicles for fraud and produce market instability. There is a history of AHP plans leaving policy holders with unpaid bills. As brokers, we have had more than one approach us to offer their product that we turned away for not being licensed in Washington state. 

3. Health Reimbursment Arrangements - An employer and not the employees own these. When an employee leaves then they lose benefits. HRAs can be used to pay for qualified medical expenses and the rules are going to change substantially in 2020. Starting in January 2020, HRAs will change considerably. The government will allow employers to offer their employees a new type of HRA called an individual coverage HRA in lieu of group health insurance. Employees can use these HRAs to buy their own comprehensive individual health insurance with pretax dollars either on or off the Affordable Care Act's health market place. These plans can vary from employer to employer so they still require deep understanding on the plan's function.  

4. Healthcare Sharing Ministry - These are faith based co-ops where members agree to pay other member's bills. These often have limited faith clauses, can exclude pre existing conditions and are not insurance. This year the Office of the Insurance Commissioner ordered Aliera which operates Trinity Healthshare to halt operations in Washington State because of deceptive practices. Yes, some of these plans even pay brokers commissions but are not effectively regulated.      

A recent article titled by Bob Herman, "Ads for 'Trumpcare,' which doesn't exist, are everywhere." is fairly accurate. I have had friends hit me with copies of emails and websites for these things since the American Health Care Act (AHCA) was unveiled to the public and crashed in the Senate.  So the administration has been reshapping healthcare using rules and most noteably the work around with the 2017 GOP Tax Bill which brought the individual mandate penalties to zero.  Once that was done a bunch of GOP Attorney Generals sued to invalidate the ACA. The Federal position has been to rip away healthcare. 

Some states have initiated to improve healthcare and coverage. There have been states that have done 1332 Reinsurance Wavers that have lowered consumer cost considerably. We are looking at 5 states and Washington DC returning to taxing the individual mandate. The majority of improvement will have to be done on the state level for the next couple of years so be patient. 

With Trumpcare there is serious buyer beware. In Washington state, use the Enrollment Centers. You can walk in during regular hours through out the year and get service. They had to meet additional background checks and contracting. The brokers there do not charge fees and can answer questions about the shifting markets. By contract the Enrollment Centers do not offer Trumpcare products first and in our case might have to refer you to a company that does engage with those produts. 





Comments

Popular posts from this blog

Enrollment Centers in Washington State are unique as people are able to get help with out extra charges.



We provide Statewide help for the Washington Health Benefits Exchange. Consumers get no cost help in selecting and enrolling in health and dental plans through the Washington Healthplanfinder. There is wi-fi available. 

As a bonus, the broker partners may provide additional assistance with additional insurance products such as Medicare, Supplemental and Life Insurance products so ask. At Wenatchee, we upload documents, notarize and do our best to assist our clients in effectively using healthcare.




Broker Affiliated Enrollment Centers

Wenatchee
Suzie Health Insurance
1630 N. Wenatchee Avenue, Ste. 18, Wenatchee, WA 98801
1-509-293-9051
Schedule an appointment
info@wahbroker.org

Bellingham
Rice Insurance
1400 Broadway Street, Bellingham, WA 98225
1-360-734-1161
keith@riceinsurance.com

Kennewick
The Advisor Benefits Group
5101 W. Clearwater Avenue, Ste. 100, Kennewick, WA 99336
1-509-582-3…

2020 Healthcare Open Enrollment and Low cost plans.

Open Enrollment is November 1st through December 15th. Outside of that time frame, it requires a special documented reason.


We have been helping people enroll into plans on the Washington Healthplanfinder with out charging fees since the first Open Enrollment. Insurance is expensive and complicated. Not everyone has been trained by the Insurance Companies how their plans function nor went through the education and licensing for a Insurance Producer in Washington State.

Just as last year, there are a lot of little or no cost plans available. When I say a lot I mean that the people in charge of Healthcare.com (Centers for Medicare and Medicaid Services) put out a report stating 2/3 will be able to purchase a plan for $10 or less. An analysis Thursday from the consulting firm Avalere Health found that low-income residents in 96% of counties served by HealthCare.gov can find a basic "bronze" plan at no cost to them, factoring in subsidies. Bronze plans are skimpy, but experts sa…

1095 Forms, Do I need to file my taxes?

Hey, this is the 3rd year that we have been the Full Services Enrollment Center for the Washington Healthplanfinder. We don't charge a bunch of fees and you get access to extra services. Since it is tax season then you should know we help with 1095 Forms! Yes, we will print one out for you at our office if we are connected to your account.

Tax season is officially from January 27th to April 15, 2020. If you receive tax credits or Washington Apple Health then you need to file your taxes with the IRS. If it is not filed or filed incorrectly then the Healthcare Authority can revoke the tax credits. Yes, I have heard from more than one person that thought that they were saving money by not filing which created massive problems. The worst problems that I heard was they went the next year without healthcare!


If you are a tax professional then let me know and I will add you to this list. A person can be a paid tax return preparer as long as they have an IRS Preparer Tax Identification N…