Washington State Healthcare Solutions

Today is myth busting for the price of healthcare in Washington State. We run Suzie Health Solutions , a Full Service Enrollment Center in Wenatchee, WA . We are trained and answer questions all year round for our clients. It is like having your personal HR department that works for you.  In a recent survey of Uninsured , 2 out of 3 didn't even try to get healthcare with 1 out of 3 thinking price was a problem. The majority probably qualified to get reduced cost or no out of pocket to them. I found it a little strange that people didn't know what their options were deciding to gamble with a solutions. I don't want my neighbors to not get their kids to the doctor because they didn't get healthcare during open enrollment.  We make it easy to get help. Open Enrollment is very short running November 1st through Dec 15th for Healthcare. Medicare Enrollments are October 15th through December 7th. Outside of that time frame, you need documented reasons. It is wh...

The information for Native American Services is spread pretty out. (The ACA is probably one of the worst marketed programs ever). Here are the basics for individuals that have their tribal affiliation. 1. At 300% or less of poverty level (400% in Alaska) you get the no cost sharing (the zero co-pays). This year that is $35,640 per year with a modified adjusted gross income. Which is fancy talk for you can write off some income and qualify for better rates. 2. You can enroll throughout the year. 3. You can apply for an exception for the tax penalty. 4. Improvements to existing Indian Health Services. I always recommend using a no-cost broker. (Ask up front if they charge because some are needing to charge). We don't charge fees, are licensed by the state, trained how plans work, and can help with situations like this. If you have any questions then let me know I am always glad to help out. Websites for more information: https://www.ihs.gov/aca/thingstoknow/ http://www.hh...

Suzie has been working hard. THese last couple of months adding new policies for Medicare Advantage plans all over the state. I made her sit down and do a county by county search to see if we could offer more plans as we are getting questions from all over. When you can cover under 65 with Healthcare and Prescription Plans (Part D) for the entire state then we knew that we could do more. For us it has always been about families helping families and this year we are prepared to help even more. Check out the coverage area for 2017.

1. Well, I found a first trap because of excessive exchange funding. This effects all clients that have had apple health. Clients are now able to get extensions automatically on their apple health up to a year at a time. I have a family that is now at 200%+ of the poverty level that was granted this extension. Their healthcare is paid by tax dollars and as their broker I receive zero commission. Would you like to make $60,000+ a year and have medicaid for the entire family? Previous to the ACA brokers were paid $100 per enrollment with an average of 10% of people a year coming off medicaid during any given year. 2. If you have been following this was an excerpt from a Health Care Authority recent audit sent Oct 23rd. HCA regularly conducts audits of Washington Apple Health eligibility. Recent audits by HCA found numerous cases of inaccurate income reported on Washington Apple Health (Medicaid) applications in Healthplanfinder. Clients found to have discrepancies in their reporte...

The first week of open enrollment has been exciting. We have had some new customers and some old. When we first started and I looked at the system, I let everyone know; the first rule is always use a broker. This year is truer than ever before. Here are the challenges: 1. There are 143 plans for individuals. 30 plans for Small business and 8 dental for kid s. These are plans that myself and many brokers have been training for months. This is a monstrous variety to choose from. 2. There are some plans that are only available on the exchange that are great even if you don’t have subsidy. The first year, we only had one company and now we have three that are going this route. 3. There are still some errors with the system. I was able to catch one early that no tax subsidy was being applied. It was $30 a month that the gentleman could use for other expenses. 4. I am still seeing businesses offering group plans that are either unaffordable or more expensive than some of the plans on ...

We believe that healthcare should be affordable and usable. There are 136+ plans on the Washington Health Benefits Exchange and it can be a little confusing to who covers what, for how much. For 2014 we helped so many people in Eastern Washington that Matt McColm was named a Top Producer by the Washington Health Benefits Exchange . Open Enrollment is just around the corner. It doesn’t matter if you are a new or a repeat customer as we take the time to explain how plans work so that our clients can make informed decisions. This is a tremendous time for Health Insurance because it allows customers to shop and select new plans that start in 2016. Some important things to consider: 1. Open Enrollment runs from November 1st to Jan 31st. This is when Health Insurance is the most Flexible. 2. There are Special Enrollments outside for a variety of reasons including moving careers to one that does not provide Health Insurance. 3. Households of 2 qualify for reduced prices for Health Insur...

Who likes paying something for nothing? When the ACA went into effect almost three years ago, the maximum a household would pay was $285. This is on top of any fees or expenses if you got sick or injured. Most people wouldn’t ever see the penalty because it was taken when they filed their taxes. We started helping people that year because we saw where the penalty was going to lead. The average client under 30 paid less than $150 a month for insurance or nothing at all if they qualified for Washington Apple Health. For 2016 the tax penalty will be up to $2085 per household. This is significantly more than more people enrolling would pay for insurance. 80% enrolled were either free or qualified for a subsidy. There are 136 plans on the exchange which can lead to some confusion, which is why we recommend working with a broker. A broker receives training on how different plans function and are licensed and regulated by the Washington Insurance Commissioner. Ask a broker up front if the...

Before I started working with Healthcare, I was a big fan of a single payer system. The more involved and the more understanding led me to a position that I do not believe single payer is possible in the United States. I can say this due to the continuous exploitation of sick people and tax dollars by unethical individuals. Here are some examples: 1. I am a veteran that does not like the VA. I remember the hanging fluorescent tubes from the ‘70s. It has been rocked by countless scandals throughout the years. Whether it is document shredding the applications of Veterans ; to bonuses paid to poorly behaving employees ; to waiting lists for waiting lists . They may do some good treatments however it needs to be overhauled at the least or dismantled at the best. 2. Medicare is another American System that people talk about expanding because of low administrative costs. We see abuses in Fraud and False Billing . It is a team event of ineffective management on the government level and un...

Health Insurance doesn’t have to be intimidating. I got involved because I saw for the first time; it could be affordable to normal people. That they didn’t have to go bankrupt. A lot has changed during the last couple of years to make it better for people. There is a simple principal that I started early with to help people who do not want to dedicate their lives to get better health insurance. I got involved in 2012 when a client walked into my office in Wenatchee and asked me, ‘how does Obamacare affect me?’ If you do nothing then you will have a fine and let’s take a look at it next year. When the summer of 2013 came around, we priced it and found that she could get insurance for around $50 a month. For the first time in her life Health Insurance was affordable. I priced more of my friends to discover that it would have a large impact in the Wenatchee Valley. I talked with my primary insurance company and they were not participating. I was left to find companies become affiliat...