Questions tagged [health-insurance]

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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-1
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0answers
39 views

Is NJ shared responsibility payment for no health insurance voluntary?

NJ has a tax penalty (called "shared responsibility payment") if you did not have health insurance for all of 2019. Is the payment voluntary? If you declare on your tax return that you had ...
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0answers
42 views

How do I get my insurance to treat an ambulance charge for a 5150 transfer as “in network”?

My daughter became suicidal and after taking her to our local emergency room she was placed on a 5150 and was subsequently transferred to the nearest inpatient mental health faculty. Our local ...
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1answer
78 views

Contributing to medical insurance

We are hiring a nanny and we would like to contribute to her medical insurance, as our understanding is it would be not be taxable (we are in California). Do we need to purchase the whole insurance or ...
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2answers
94 views

Where can I find a highly detailed model for how a normal US health insurance companies sets premiums?

I found this, and it was a great starting point for research but I would like to learn about the nitty-gritty details. For example, obesity is not considered a "pre-existing condition" and is often ...
2
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2answers
33 views

Indian health insurance incurred claims ratio

I was trying to calculate the incurred claims ratio for the New Assurance Assurance Co. (an Indian insurance company) for health insurance from the company's public disclosure information. This seems ...
3
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1answer
37 views

Can ACA subsidy repayment be deducted as medical expenses?

I used ACA in 2018 and received a subsidy based on incorrect information received via phone call with the Health Marketplace regarding what qualified as income. This resulted in me having to payback ...
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1answer
25 views

HSA/FSA eligibility and Last Month Rule

Spouse has had an HSA eligible plan but because I had an non-limited FSA throught my employer we had not been able to contribute to the HSA. Last year we decided to get rid of the FSA, the FSA ...
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1answer
89 views

Retirement benefits vs. better salary/health insurance

I'm a research scientist and postdoctoral fellow in a US government lab. Currently, my position is funded through a DOE-run organization as an educational/training position. The salary is good for my ...
3
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1answer
54 views

Understanding Indian insurance claim statistics

I'm in India, and I'm currently trying to understand the accounting (i.e. simple arithmetic) of the Public Disclosure information of Indian insurance companies. The context is that I'm trying to ...
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1answer
108 views

Are there escape clauses that insurer can use to not pay claims if too many people die from Covid virus?

Are there any clauses in a insurance contract that allows an insurer to not pay claims if too many people die from Covid virus? Is there a risk that insurance customers will be left out to dry?
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2answers
126 views

Will changing HSA custodians result in losing investment value?

My HSA custodian was acquired by another custodian, and they're planning to liquidate my investments at the old custodian, and then transferring that into a money market at the new custodian. At that ...
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0answers
30 views

Hospital Payment Plan - FSA account

I have a large hospital expense coming up in the next week and was planning on signing up for a monthly payment plan. Currently, I am not enrolled in FSA account for the 2019-2020 period. We are in ...
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1answer
89 views

Have short term insurance now and due to recent issues insurance company will not renew. How can we get insurance?

My sister worked at bank and had to retire 10 months ago due to testing positive for dementia. She signed up for short term insurance and not Cobra. In the past she has had both knees replaced and ...
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0answers
40 views

What can I do to avoid losing $2000 DFSA credit due to account mix up with another colleague's?

My wageworks account got mixed up with a former colleague's, since our names (both Chinese) are very similar. I discovered this last December, and have been in weekly contact with my HR department ...
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1answer
31 views

Premium tax credit repayment - below poverty line

So when we where signing up for 2018 healthcare. We estimated we would make enough money to qualify for the APTC...and not to much to not qualify for it..In Colorado in 2018 you had to make above a ...
2
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1answer
156 views

Health Insurance Coinsurance seems to be backwards

My friend is working for a company in the US (CA). She works for an international company that happens to use a Japanese insurance provider and she’s trying to decide what level plan to sign up for. ...
16
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3answers
4k views

Is there any upside in keeping a physical copy of one's health insurance membership card in the United States, or is a scan of it enough?

Is there any upside in keeping a physical copy of one's health insurance membership card in the United States, or is a scan of it enough? (assume the scan is backed up and it will not get lost.)
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2answers
105 views

Why am I not allowed to take the insurance premium deduction for a marketplace plan?

I just finished my 2019 taxes using TurboTax, and I'm pretty confused about one detail. I am self-employed, and during the portion of the process where I listed my business expenses and deductions, ...
2
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1answer
43 views

I'm seeing an out of network provider for physical therapy

I'm seeing an out of network provider for physical therapy. They told me I pay nothing and once I get checks from my insurance company, I sign them over to them. I received some checks and on the EOB ...
4
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1answer
268 views

Large Difference between Billed Amount and Allowed Amount

I've been researching this but have yet to come up with any resolution that makes sense. I thought I'd try here to see if anyone has any ideas. We were billed for our daughter's room and board and ...
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1answer
116 views

HSA vs. Health Sharing Ministries

Have you seen a comparison of Health Sharing Ministry Plans vs. HDHP plans when the health sharing plan is provided by your employer & HDHP is personal? Is the savings from the employer provided ...
3
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1answer
193 views

HSA Contribution Limit Question - Fun Situation

Here is the situation and what I would like to do: My wife and I are on separate HDHP with our respective employers, which means we are eligible for 2 HSA accounts and 2 solo limits for a total of $...
6
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1answer
303 views

What is the benefit of a private healthcare insurance in the UK?

Context I am a alien living in the UK (England, more precisely). I have right to permanent residency, (so) I benefit from the NHS. As background for those not familiar with the UK, all health ...
2
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1answer
325 views

If health insurance 'doesn't cover' a procedure, does the cost of the procedure get applied to my deductible?

If I haven't yet met my deductible?
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1answer
43 views

Can a dependent keep COBRA as secondary insurance as well as an (inferior) new employment group insurance?

Details: The COBRA is for an awesome PPO insurance. Primary subscriber is about to start a new job. Both my child and I are dependents facing high medical and prescription costs in the next few months,...
3
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1answer
107 views

What is the best way to finance medical screenings for a non-resident alien?

My dad is coming to visit me from a country with a very poor medical system. The kind of system where senior citizens don't get much attention from doctors at all and pretty much left to die from ...
3
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1answer
106 views

Getting bills after out of pocket max?

I hit my 2019 out of pocket max after a surgery in Nov 2019 but am still getting bills related to it (e.g. anesthesia). Since I’ve hit my max, I shouldn’t have to pay these. What am I supposed to do? ...
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4answers
210 views

Can you purchase medical/dental insurance after you know you will use it?

Currently I do not have dental insurance with my job. I just found out I need some major work :( Can I still get dental insurance and have it save me money? I know it's possible to get dental ...
2
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1answer
57 views

Essential difference between international travel insurance and relocation insurance

After reading a bit about international travel insurance concept and policies and about relocation insurance concept and policies I didn't recognize any essential difference by policy content. Both ...
2
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1answer
70 views

Medical Insurance Premium paid by non-earning spouse - Tax Deductible?

My wife has been a non earning (looking for job) member of the family throughout this year, but has been paying for Medical Insurance Premium for whole family through her savings. She was getting ...
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1answer
63 views

Independent contractor self-insured HSA/ACA compliant plan

Without delving into the political motivations behind my intent at why I would want to pursue such a plan, I'm looking for some information regarding setting up a self-funded health insurance plan. ...
2
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1answer
75 views

Income tax on Medicare premium paid by employer

We are a church in Texas. The pastor's contract with the church includes payment for health insurance for him and his family. The pastor's wife turned 65 this year and is now eligible for Medicare. ...
7
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3answers
589 views

What is a deductible?

New grad just out of college and working at a job that is asking me how much I want to contribute to my HSA. My medical plan deductible is $3,000 and I am a single filer (when it comes to tax) so I ...
4
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2answers
116 views

No-Deductible plan or High Deductible HSA plan?

The Company I work for is offering two Insurance options starting this year. One being the No-deductible plan I am currently on, and the other being a 1500$ deductible plan with an HSA that they will ...
2
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1answer
110 views

HSA and tax free investing

The below is a quote from another HSA question's comment: I agree. To your point the best course of action would be to max out your HSA contributions, not distribute them even if you can, invest ...
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1answer
46 views

Coordination of Benefits With Multiple Health Insurance

I would like to understand how two health insurance companies will co-ordinate their payment. Let's take the following example a person with the following coverage: Primary health insurance: (...
3
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1answer
74 views

Qualifiying Life Event allow one to change coverage plan

Employer provides four plans, with the following three that interest me, PPO, HMO, CDHP During open-enrollment I choose PPO. I marry. This counts as a QLE. Am I allowed to change to CDHP midyear? ...
7
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5answers
2k views

Getting health insurance with the highest deductible and putting the savings in HSA

I'm thinking about getting the highest deductible plan for next year, which would save us a lot of money. With that money, I'm planning to put all the savings (and some more) into our HSA account. We ...
3
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1answer
107 views

HSA over-contribution if I lose my job part way through the year

My employer provides my health insurance as part of my compensation and benefits package. It is a qualifying HDHP and as such every year I generally max out my HSA, either through payroll deductions ...
1
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1answer
46 views

per occurrence deductible vs co-pay

I'm comparing insurances to select my benefits. One says the outpatient surgery facility fee is $xxx/visit, while the other says $0 coinsurance but has a $yyy "Hospital per occurrence deductible." Is ...
4
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2answers
63 views

Moving from individual HDHP to family HDHP, can my wife only contribute to an HSA?

I have had an HSA account that I used to contribute to for my HDHP plan through my employer. This year I am on my wife's HDHP plan through her employer. Does this mean I can no longer contribute ...
4
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2answers
2k views

Orthodontist charged me more than submitted as total to insurance and wants me to pay the rest?

I had an orthodontic procedure done. The total bill was $10k. My insurance covers 90% of this procedure.They processed the claim and it shows coverage at about 60% of the total amount. I called ...
1
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1answer
28 views

S-Corp - Small Business Health Options Program (SHOP) vs Individual Policy Through Marketplace For One Person

I have a one person S-Corp. I am currently purchasing an individual health insurance plan through the federal marketplace, but would like more plan options. I know that SHOP (Small Business Health ...
2
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1answer
70 views

Moving from Family HDHP/HSA, to individual HDHP/HSA and individual FSA?

A similar question was asked here, but in this case they were looking to move to a family plan. Wife has FSA with employer, and my new employer offers an HSA plan. What to do? My situation is my ...
3
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1answer
179 views

Erroneously used child's birth instead of loss of insurance as QLE, double paid insurance for same month

Quick backstory: My wife is a teacher and we were getting our health/dental/vision from her work. When we got pregnant with our second child, we decided she wouldn't go back to work after the baby ...
3
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1answer
62 views

Choosing between Tradtional PPO and HDHP with high prescription cost

I have been on some variety of HDHP most years since about 2005. The math has almost always been a no-brainer, particularly at my last place of employment. However, I started with a new employer in ...
5
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2answers
115 views

HSA eligibility when with employer plans

My employer offers two health plans: PPO with optional FSA HDHP (high deductible health plan) with an HSA option. The plans have identical coverage, the difference is in the premiums, deductibles, ...
4
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1answer
115 views

Does the deductible apply to each doctor's visit separately or are the costs cumulative over the year?

In a few months I'm switching to a health insurance plan with a $1,600 deductible. After the deductible is met, the plan pays everything, i.e. 0% coinsurance. As of now, I see a physical therapist ...
2
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1answer
124 views

Changing jobs in UK and health insurance

I am self employed in the UK. My wife works for companies which give you a family health package while you work with them. Now my wife changed jobs. Before she was with BUPA and now, via the company, ...
1
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1answer
56 views

Understanding Premium increases in Long Term Healthcare policies

Question confined to Long Term Healthcare policies that provide a fixed daily benefit (unrelated to cost of care) over a fixed number of months. In trying to explain why a premium increase (of 50%) ...

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