For questions about health insurance policies, including relevant terminology, types of policies, how to evaluate a health insurance policy, etc. Questions should be tagged with a country-specific tag in most cases, e.g. "united-states" or "canada".

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2
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2answers
47 views

New 1099 employee with Cobra insurance

I've just started my new job as a 1099 employee having worked as a full time employee for 4 months. For health insurance I'd like to do Cobra since my family has already met their deductibles for the ...
0
votes
4answers
77 views

Should market based health insurance premiums be factored into 6 months emergency fund savings?

I know it's advised to save between 4 to 7 months of regular expenses for an emergency fund. What I'm not sure about is if health insurance premiums should be factored into those expenses? I'd be ...
3
votes
2answers
108 views

Where does ObamaCare factor into the US federal tax return?

It was in the press a lot that if you fail to buy an ObamaCare health insurance you will be fined. But I just filled up my tax returns, and I didn't see this question anywhere in the forms. So are ...
3
votes
1answer
119 views

What to do when a 1095-C is lying?

I have a friend who does her grandmother's taxes. She is asking me for advice, so I am asking this forum. Her grandmother is a full-time hourly W-2 employee who, based on her income, qualifies for a ...
1
vote
1answer
56 views

Unpaid claim by insurance patient responsibility?

So my mom took my 11 year old brother to the dentist to get a crown done in March 2014.she paid the patient portion and everything else was supposed to be covered by the dental insurance. Since then ...
1
vote
2answers
85 views

Choosing between an HSA and PPO

I need to choose between a PPO and HSA plan offered by my employer and it seems like the "obvious" choice is the HSA plan but I fear that I am missing something that will come back to bit me later. ...
1
vote
1answer
31 views

Does out-of-pocket maximum still apply for out-of-network (not covered) doctors?

(in the US) If I have a doctor that is not in my health insurance's network (and so listed as Not-Covered), or if my doctor prescribes a drug that is not covered, I understand the insurer will ...
1
vote
2answers
118 views

Health insurance deduction on schedule C if also full time employee with w2?

I'm a full time employee of a small company that does not provide any health insurance benefits. As a result I purchase my health insurance as an individual. In addition to my full time work where I ...
2
votes
1answer
73 views

Confusion over repayment of Advance Premium Tax Credit

In the beginning of 2015 I received financial assistance with my health insurance premiums in the form of the Advance Premium Tax Credit. By midyear my income had increased substantially and I no ...
6
votes
2answers
109 views

Medical bill in collections

I am a college student that had surgery in 2014 on my gallbladder and subsequently became very ill and needed a necessary test to prove a a diagnosis my gastroenterologist suspected. He recommended ...
1
vote
1answer
49 views

If I only have international health insurance will I be fined by not having Minimum Essential Coverage?

I am an international student holding an F-1 visa, and I am working part time where I cannot apply for the employer health insurance. I only have international health insurance (bought in the US) and ...
1
vote
2answers
38 views

Continue with old Health policy with current employer

I am from Indiana. I want to change my current Employer. I have a Group Policy from my current Employer. So I want to ask that Can I continue with my Old Group Policy with new Employer..?? or have to ...
2
votes
0answers
36 views

Are gifted health insurance premiums tax deductible for the recipient?

Amanda paid some health insurance premiums for Bill in 2015. The payments were made directly to the insurer and intended as a gift to Bill. Amanda doesn't have to report payments for medical ...
0
votes
2answers
32 views

Employer Tax Contributions Pre-Tax for Contractors?

I'm currently working for an employer who contributes to my health insurance plan (they pay the plan directly, rather than reimburse me). I've just received my W-2, where it looks like they've ...
3
votes
2answers
117 views

Using two health insurance providers?

When I was hired I chose to be included in the company's health insurance policy and to have an HSA opened since my company makes a yearly contribution. However, I am still under 26 and could be ...
3
votes
0answers
174 views

Doctor's office won't submit claim to insurance after 5 months

I visited a doctor in August of 2015 that was in-network. They required me to pay for the services up front (in cash, btw). I should have known that was the first red flag, but I needed a prescription ...
6
votes
3answers
336 views

Can I use an HSA to pay off medical debts incurred before the HSA was funded?

Let's say that in year A I had a medical insurance plan without an associated health savings account, and incurred some medical expenses (co-pays, deductibles). I didn't pay them that year; they may ...
5
votes
1answer
199 views

No health insurance wants me, what to do?

Ive tried to apply to medicaid twice this year(2015) and both times, they have denied me. But when I try to find health insurance on the Obama Marketplace site, the private insurances block me out ...
4
votes
2answers
140 views

Can I make modifications to my health coverage enrollments after 30 days after joining my first company?

I recently took up a job in CA (the hustle-bustle place) after completing my PhD. I was on F1 during my studies and now I am on OPT. At the time of my joining, I was given a 30 day window by my ...
3
votes
0answers
36 views

Are there tax implications of refund of overpayment from HSA? [duplicate]

possibly related: How do I correct an HSA distribution when I was refunded by a health provider?, Can I get a rebate after using my HSA? (But I don't really understand the topic and those questions ...
5
votes
1answer
97 views

Evaluating ACA health insurance options

Question: Are ACA-compatible Catastrophic plans really more expensive (on average) than the other "metal" plans? After deeper analysis, it seems like a Catastrophic plan costs less out-of-pocket than ...
1
vote
1answer
78 views

How can I find out what USA Medicare would have paid?

I am trying to advise a relative on whether to drop a Medicare Advantage plan and just have straight Medicare. They advertise that you need their plan because Medicare only pays eighty percent, but ...
14
votes
3answers
2k views

As a married couple, should we get separate health insurance plans or share a single one?

Both my wife and I have employers with health insurance plans that pay 100% premium for the employee but does not cover premiums for family (spouse or dependents). It seems financially cheaper to ...
1
vote
2answers
226 views

Should I Purchase Health Insurance Through My S-Corp

I currently have an S-Corp, of which I am the only employee. As of this year, I started purchasing my own health insurance through healthcare.gov. In previous years, my wife and I were insured ...
1
vote
1answer
168 views

Dual coverage and HSAs

Both my wife and I are currently (2015) covered as dependents under our parents' health plans. I'm 100% sure that both plans are HDHPs. I'm currently in open enrollment for my employer, and I want to ...
2
votes
3answers
73 views

Which types of insurances do I need to buy?

I work in a MNC in India and can save up to Rs.10000 per month. My parents and sister are dependent on me. I like to use this 'extra' money to buy insurance for any contingencies. So far, I have ...
3
votes
2answers
96 views

Single employee - paying for health insurance premiums with pre-tax money

I am about to join a new US company and will be the only employee for a while. I am not a shareholder or anything similar. The employer cannot offer a group health plan as they normally require at ...
5
votes
3answers
2k views

“$100 Copay before deductible/40% Coinsurance after deductible”

I'm shopping for health insurance. (U.S., federal exchange, I'll be losing COBRA which is a qualifying life event.) One of the plans describes its emergency room costs as: $100 Copay before ...
2
votes
1answer
75 views

cobra insurance

I retired this year, my last day of work was 4/4/15. due to unused pdo time I was on payroll until 6/19/15. At the end of August I recieved info from cobra about continuing my insurance/ I ...
3
votes
1answer
824 views

Is “premium tax credit repayment” deductible as health insurance cost for self-employed?

Under the ACA, you estimate your income for the year when signing up for a health insurance plan via the exchange. If you are eligible for a subsidy, it is calculated based on this estimated income, ...
8
votes
2answers
443 views

What if an employer sets up and contributes to an HSA for an ineligible employee - can he withdraw the excess contributions with no penalty?

My son is 21 years old and starting his first job. He is covered under my health insurance, which is a non-HDHP PPO, until he turns 26. (Because I have other children, I wouldn't save any money by ...
2
votes
1answer
152 views

How to tell if a health share membership a prudent investment?

Under the Patient Protection and Affordable Care Act (aka Obamacare), Americans are required to purchase health insurance each year or else pay a penalty. I feel like I've been getting treated badly ...
2
votes
0answers
107 views

Change in health care deductible with newborn

My wife has health coverage (different from mine) through her employer. Her deductible is $1300. In May my daughter was born. Until then my wife incurred a lot of expenses and met the deductible. ...
2
votes
1answer
127 views

Dad wants to retire…how can I help insure him

My dad turned 63 and has decided he wants to retire. Without going into too much details his new boss has been rough on him. More info here ...
0
votes
0answers
109 views

Are Roth IRA dividends included in MAGI for healthcare.gov?

I have quite a bit of money invested in stocks in a Roth IRA, and I'm wondering whether I need to report that income when applying for health insurance coverage. My gut says no, since that income ...
3
votes
3answers
829 views

How to respond to collections regarding medical bill your insurance hasn't paid?

Last year our medical insurer froze my wife and children's account and refused to make any payments to any providers until my wife, her doctor, and possibly some of her other providers filled out a ...
0
votes
0answers
70 views

high deductible health insurance worth it?

I am an expat living abroad, and i have health insurance through my company here in Hong Kong, but the coverage is only for Hong Kong treatment. I'm in my late 30s, so is my wife. I have one kid. My ...
3
votes
3answers
341 views

Options for HSA with no high deductible plan

I had an employer that offered a high deductible plan with an HSA. I have since moved employers and my new employer does not offer a high deductible plan. At first, I thought I would just keep my ...
2
votes
0answers
57 views

How do I gracefully transition from a standard medical plan to an HDHP with a non-calendar plan year and multiple FSAs?

My family is on my wife's insurance and FSA which is on a non-calendar plan year (June to July), with the additional FSA through my employer which is on a standard calendar plan year (January to ...
0
votes
1answer
119 views

Supplemental Insurance for Martial Arts Students

I would like to know if there are supplemental insurance policies for people who study martial arts (living in the United States). Specifically, I would like to find a policy that covers injuries that ...
5
votes
3answers
154 views

How does the importance of a cash emergency fund change when you live in a country with nationalized healthcare?

In one of the answers to this question, it was mentioned that the primary cause of bankruptcy in the US is related to health expenses, and this is one reason to keep an emergency fund. Since most of ...
2
votes
0answers
106 views

Can a person who has Medicaid buy a discounted dental insurance plan?

We live in Arkansas. My dad has Medicaid. However, it turns out most dentists do not accept Medicaid, and those that do, provide a limited number of services . So, I tried to purchase a dental plan ...
0
votes
1answer
86 views

Do health insurance premiums go up as you age?

If I buy private health insurance at the age of 40, and start off with a monthly contribution of 200$ (for example), then does the amount of premium change when I reach 50? Since at 50, my medical ...
0
votes
0answers
50 views

Employer reimbursment of health care

My employer reimbursed me for private employee health care premiums. Is this an employer expense or is it employee income? The IRS rule is not clear
1
vote
1answer
128 views

Are health insurance premiums obtained through ACA deductible for the self employed?

This IRS article, and this answer on money.se seem to indicate that health insurance premiums are deductible for the self employed. However, turbo tax, when entering this deduction, specifically warns ...
1
vote
2answers
101 views

Insurance, healthcare provider, apparent abuse, lack of transparency

I'm now covered by my employer's health insurance. We're used to shopping around for health care, so we expect to spend $80 to $100 at the doctor if we're sick. My wife has an understandable ...
4
votes
1answer
188 views

Do I have to wash money through HSA account?

I paid for my eligible health expenses from my regular account at the end of 2014 and beginning of 2015 because I did not have enough money on my HSA account. Now that I realize that I can contribute ...
0
votes
1answer
592 views

My medical insurance was withheld post-tax instead of pre-tax, what can I do now?

My employer was supposed to be withholding my medical insurance pretax. When I got my 2014 W-2, and tried to claim my insurance as a deduction on my taxes, it stated I could not claim pretax insurance ...
1
vote
1answer
99 views

HSA contribution and self HDHP

I enrolled in HDHP plan starting 2014 Nov 3rd. I also have an employer sponsored HSA plan, where my employer contributed $250 towards the 2014 limit in Jan 2015. Before this I never had an HSA ...
2
votes
1answer
46 views

Interaction between health exchange and under-65 Medicare coverage

I purchased platinum-level family coverage on the healthcare exchanges this year. Shortly after the start of the year, my wife's disability application was approved (after ~2 years in progress) and ...