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Are your clients over-insured?

What a weird question. With today’s super-high deductibles and astronomical out-of-pocket limits, many people with health insurance struggle to pay their medical bills despite being “insured”. As we point out in a recent blog post, the maximum deductible and out-of-pocket limit for HSA-qualified plans is increasing to $7,500 for an individual and $15,000 for a family in 2023, and for non-HSA plans, the max OOP is increasing to $9,100 for single coverage and $18,200 for family coverage.

Will Congress Extend the Enhanced Premium Tax Credits?

A huge question right now—one that will have a big impact on insurance agents and their clients this fall—is whether Congress will extend the enhanced premium tax credits that have been in place for the last two years.

The Enhanced Premium Tax Credits are Substantial

It’s been a few months since the Biden Administration announced the increase in the premium tax credits for individual health plans under the American Rescue Plan Act (ARPA), so hopefully you’re busy helping clients take advantage of the increased financial assistance. If not, we wanted to stress to you just how significant this assistance can be for certain individuals.

Are You Texting Your Clients?

In the old days (and the old days weren’t that long ago), most business was done face-to-face or over the phone. In fact, that’s probably how many of you did business until the pandemic hit. While traveling to an appointment or having a phone conversation can be time consuming, they can also help you build relationships with your clients.

Preventive Care Isn’t Really Preventive

Let’s be honest—most preventive care visits don’t really prevent illnesses. When we go to the doctor to get poked and prodded during our annual physical, most of the tests are intended to determine if we already have or are susceptible to something that, without treatment, could become more serious.

New Rule Could Increase Premiums and Out-of-Pockets

The Wall Street Journal recently reported on proposed changes by the Trump Administration “that could raise health insurance costs for millions of Americans who get coverage on the job or receive subsidies under the Affordable Care Act.” As they explain, the two sides continue to bicker about the Affordable Care Act: “Republicans say subsidies for consumers are inflated; Democrats see another effort to sabotage the health law.”

Understanding Facility Copayments

Most of us understand what a copayment is, right? It’s a fixed dollar amount that the insured pays for certain covered services on a health plan before benefits are paid by the plan. Usually, but not always, benefits that apply these copayments, or copays for short, are paid before the calendar-year deductible has been met and after the copay has been paid by the insured. Some HSA-qualified plans, though, do have copayments for prescriptions that kick in after the deductible has been met.

Dependent Rates Soar in 2018

As you probably noticed during this year’s open enrollment period, the rates for children under age 21 have increased significantly, forcing many clients to ask if there’s another option. This is true for both individual and small group plans, and its cause dates back to some regulations issued by the Department of Health and Human Services (HHS) in December of 2016.

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