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What does Health Insurance Cover?

There is a variety of coverages out there. At Suzie Health Solutions , the Enrollment Center located in Wenatchee for the Washington Healthplanfinder , we work with Qualified Health plans.  We are going to talk about non-medicare health insurance plans today. We offer a lot of insurance but health insurance we have worked through 10 open enrollments which usually run from November 1st through December 15th across the United States.  This means that they cover the 10 Essential Coverages.  Inpatient and outpatient medical care Prescription drug coverage Preventive care and screenings Mental health and substance abuse treatment Emergency services Hospitalization Rehabilitation services Pregnancy and maternity care Laboratory services Pediatric care, including dental and vision services. Each plan will cover them in a variety of ways. We do run applications year round however are limited by enrollment dates. If we are outside a open enrollment then a person may have to ...

Who can enroll in Health Insurance outside of Open Enrollment

  At the Enrollment Center , we get asked this alot. Matt has assisted with 10 Open Enrollments helping thousands of people get healthcare. There are 10 Enrollment Centers in Washington State and you can catch Matt in Wenatchee's most of the time. If you need insurance help in Washington State then an easy way to contact him on his office's landing page .  Special enrollment periods (SEPs) for health insurance are periods of time outside of the regular open enrollment period during which certain individuals are able to enroll in or make changes to their health insurance coverage. SEPs are typically available to people who have experienced certain life events, such as the birth of a child, marriage, loss of other coverage, or a permanent move to a new area. In general, the following individuals are typically eligible to enroll in health insurance during a SEP: • People who have recently had a child, adopted a child, or placed a child for foster care. • People who have rece...

After a decade of waiting for all residents to have access to Healthcare, Washington State will have it for 2024.

  Matt's first questions a decade ago was would healthcare be available for ITIN s? The Individual Taxpayer Identification number is how immigrants without a Social Security Number file taxes. The first couple of years that we enrolled people, we literally saw stacks of 1040 tax filings for folks wanting to get Healthcare.  We had people that when they applied for healthcare discovered that they were not as their parents told them born in the United States. This includes the Dreamers who have been on hold since 2012. Sometimes we got lucky with refugees being granted special status. However for the most part immigrants were blocked from the marketplace.  We can finally say that 2024, we will have Healthcare regardless of immigration status! New first-in-kind federal waiver aims to improve access for uninsured Washingtonians Starting in 2024, all Washingtonians, regardless of immigration status, can get health and dental cover...

Time to talk about PEBB, SEBB, Health Insurance, and Medicare

  At The Suzie at Wenatchee Insurance Agency , we can explain and assist in enrolling in Health and Medicare Insurance Plans. We are trained by the companies, have annual certificates for Medicare and the Healthplanfinder and hold licenses in Washington state. Annual Enrollment Periods are limited: Enrollment Periods Medicare is from October 1 through the 14 we can talk about the changes for the following year.   From October 15 th through December 7 th , we can enroll and make changes to Medicare plans. Note we do not work for company retirement plans such as PEBB or SEBB. We can assist with Medicare Plan D Prescription plans, Dental or alternatives. Healthcare enrollment is from November 1 st through December 15 th for plans starting January 1 st 2023. Since we have a state-run exchange, they can extend it like this year we have a bonus enrollment period from December 16 th through January 15 th for plans starting on February 1 st , 2023. We are not employees o...

Medicare and disclaimers.

 This year Suzie is going through her Annual Medicare Training . It is done every year and allows her to contract with Medicare Plans, educate and enroll consumers and receive a commission for her services. If you have been to our main webpage then you notice that we do a lot of different types of insurance.   Insurance is an heavily regulated industry. It requires being trained and then licensed with the Office of the Insurance Commissioner. We purchase equipment, open office spaces, and software so that we can effectively interact with the public. We have to secure contracts with companies if we want to be able to offer their products. Now not every company offers contracts with Agents. So we had to put up a new disclaimer. "We do not offer every plan available in your area. Any Information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. " Yes, since not every compan...

Medicare Advantage, Supplement and Drug Plans from a local office.

  We do a lot of work with the Washington Healthplanfinder as an Enrollment Center for Healthcare. Seriously, we are open year round answering questions and enrolling people in healthcare. When Suzie first started transitioning from being a Pharmacy Technician, she wanted to lead helping Medicare Individuals with their plans.  Yes, we assist people with Medicare. We stock materials Medicare Advantage, Supplement and Drug plans so that we can help with questions at our office in Wenatchee for your initial enrollment. Most people can enroll into Medicare plans 3 months before their 65 th Birthday, the month of and 3 months after their Birthday. Folks also can delay enrollment if they are covered by   plan through work. We can do a lot over the phone however sometimes there is nothing like having a complete enrollment packet in your fingertips. We like to take the time to do it correctly and it is not a problem to answer questions through the year. The best part is ...

Native American Health and Washington State

We find people all the time that are unaware that they have access to low cost/high benefit healthcare. The Native American Program is a good example on why we have talked about the ACA for nearly a decade.  The Affordable Care Act improved healthcare quality and coordination. It included a permanent reauthorization of the Indian Health Care Improvement Act . It was designed to help prevention and improve wellness by increasing access to affordable health coverage. If you are a member of a federally recognized tribe or Alaska Native Claim Settlement Act (ANCSA) Corporation shareholders then you are qualified for the program. The Healthplanfinder will ask for proof of affiliation however we can help you upload a copy. Marketplace Health Plans. Washington is an expanded medicaid state so up to 138% of the federal poverty level then you are enrolled in Apple Health. These are comprehensive plans which means most services including dental are included.  Between 138% and 300% of ...