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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1answer
34 views

To opt out from the long-term-care payroll tax in WA, does the LTC insurance have to be active by Nov 1, 2021, or simply be purchased by Nov 1, 2021?

To be allowed to opt out from the long-term-care payroll tax in Washington state, does the long-term care insurance have to be active by November 1, 2021, or simply be purchased by November 1, 2021? ...
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0answers
39 views

Should retiree take insurance from employer or should he/she take from external insurance organization?

My dad is retired bank official in India. I want to know if he should go for health insurance provided by his employer or he should go for other insurance organizations, given say the cover is exactly ...
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7answers
6k views

Are the HSA and FSA bad deals?

As I understand it, the HSA and FSA accounts are intended to provide individuals with a way of not paying tax on money they spent on healthcare. The individual sets up the account to receive a portion ...
56
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7answers
14k views

Is US health insurance just a terrible deal overall for a healthy young adult?

Since it is open enrollment period, it is once again time for me and my family to review our decisions about our healthcare insurance. These days, there are quite a few nuances to healthcare insurance ...
2
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1answer
134 views

After opting out from the long-term care payroll tax in Washington by purchasing a qualifying long-term-care insurance, can one drop the insurance?

After opting out from the newly established long-term care payroll tax in Washington state by purchasing a qualifying long-term-care insurance, can one terminate the contract with the insurance? Or ...
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3answers
134 views

Is 0% coinsurance better than a lower deductible?

I have two options for my healthcare provided through work. My employer covers 100% of the monthly premiums for both, and the premiums would be essentially identical anyway (within $2/month), so that ...
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1answer
51 views

Employer changing Healthcare provider during COBRA eligibility period -

I am currently on COBRA and my eligibility runs for several more months. My employer (who covers my COBRA) is changing healthcare providers. I assume they must let me continue under the new provider ...
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2answers
87 views

Can you keep on COBRA for medical and elect only dental and vision coverage from new employer?

Long story short, I am changing jobs and my new employer offers medical, dental, and vision. However, I've had a rough year and have finished paying all of my medical insurance's deductible and am ...
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6answers
7k views

Why is the monthly premium of one medical insurance plan over TWENTY times of another?

After many years of school, I recently started work. I learned about the different categories of health insurance: for an HMO I have to contact my PCP, PPO gives more flexibility, and POS is somewhere ...
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1answer
71 views

How to respond to CA 2020 tax penalty notice? I forgot to indicate I had health coverage

I received this mail yesterday: PICTURE OF MAIL I am a student with F1 visa status and filed both federal and state taxes for 2019 and 2020. I do have an external scholarship that includes a very good ...
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1answer
71 views

Is a layoff a QLE allowing one to elect different health plan offered by employer?

If one is laid off, one is allowed under Cobra to continue group based health insurance thru employer. Does the layoff count as a QLE allowing one to change health coverage if an employer offers ...
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1answer
57 views

Reimbursement from insurance after FSA reimbursement received

A couple months ago, I had a dental appointment and, since my dentist is not in-network, I had a substantial bill. I submitted this expense to my flex spending account (FSA) for reimbursement, and I ...
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0answers
33 views

How to correct mistake on CA 540 NR?

I recently received a letter saying that I owe the state of California money because I did not submit form 3853. My understanding is that this is the form I should be submitting if I do not have ...
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0answers
52 views

Hedging Costly And Unlikely Events With More Than Conventional Insurance

The selling proposition of something like an inflation-adjusted annuity is that the purchaser trades uncertainty for certainty. Even though some simple calculations will show that fixed and regular ...
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1answer
99 views

Is the employee-paid premium on a health insurance plan that is shared with a non-dependent tax deductible?

My health insurance premium for just me is $0. If I add my domestic partner, however, the premium goes up to $190. I know I have to account for imputed income, on the basis of the additional employer-...
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1answer
74 views

Claim money from unused health insurance (set by employer)

Is it possible to claim unused health insurance money after you leave a company? It is basically unused group health in the United Kingdom (England). The health insurance was set by the employer where ...
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2answers
4k views

Do I have to pay a medical bill when the ER never submitted it for an insurance claim?

My husband went into cardiac failure while we were traveling. He was taken by ambulance to the nearest hospital ER. I gave his insurance information at the time of service. About a month later, I ...
6
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1answer
84 views

Does a qualifying life event require changing retroactively to the date of the event?

My employer offers several insurance plans, including both a low-deductible plan and a high-deductible HSA plan. Suppose my family was planning to have a baby in the middle of next year. Would it be ...
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1answer
69 views

Health Insurance Premium deduction for Husband/Wife LLC

Assume the following situation: My wife and I own a LLC in a community property state. (50/50) We are self-employed and have no employees. Under this arrangrement, business income flows through to ...
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0answers
59 views

Cobra or catastrophic insurance

I'm about to leave a job and go on a long bikepacking trip. At the end of the trip I will be going to grad school and getting student health insurance. This is all in the United States. I have decent ...
30
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2answers
6k views

Insuring body parts

In the past few months I have injured my hands 4 times since I started playing basketball. One break was particularly bad and I wasn't able to use that hand for programming. This slowed down my work ...
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0answers
41 views

Mandatory retroactive insurance coverage due to QLE in USA

My wife and I have a QLE (Qualifying Life Event) for new insurance: a job change. The document is dated April 12. We apparently have 30 days to enroll in new insurance now. When we spoke to Health ...
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1answer
68 views

Will my surgery bill be covered by Medicaid if I just started a new job?

I had a knee surgery while i was on medicaid. The hospital hasn't billed me for the surgery yet. I will start a new job soon. Will Medicaid still pay for that surgery?
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2answers
179 views

Accidently forgot to cancel insurance Kaiser, refund possible?

I had a personal health insurance plan from Kaiser, but I forgot to cancel it when my workplace health insurance coverage (also from Kaiser) started, so for 2 months I was charged for 2 plans. Is it ...
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0answers
42 views

Do we have to pay deductibles on medicare and medicaid separately?

My fiancé has been seeing a PTSD therapist for about five weeks, paying out of pocket for the sessions until her medicare deductible was met so she would be covered. We just got a call from the ...
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0answers
88 views

What does a negative plan discount mean on a medical insurance claim in the United States?

I saw the following medical insurance (Aetna) claim in the United States: What does the negative plan discount mean?
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1answer
73 views

Self-funded & fully-funded health insurance plans for small businesses

Imagine that a hypothetical small business in the U.S., MoneySavers, is setting up a health insurance plan that it will offer to its employees. I'm looking for clarification on any misunderstanding ...
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1answer
89 views

Can a lab collection requisition be used in two different labs and still be covered by the health insurance?

For example, let's assume that a lab collection requisition lists two tests: test A and test B (e.g., test A and test B can be some blood tests). Can the patient do test A in one lab and test B in ...
4
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1answer
71 views

If I get covered by a new healthcare plan in the middle of a month that is already covered by COBRA, will I get double coverage or a prorated refund?

I've been unemployed and have paid into the COBRA dental, vision, and healthcare plan of my previous employer, ever since being laid off from that job. I submitted my last COBRA payment on February 1, ...
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1answer
47 views

If a health insurance considers a physician with a given NPI as in-network, does this mean that any physician with the same NPI is also in-network?

If a health insurance plan in the United States considers a physician with a given National Provider Identifier (NPI) in-network, does this mean that any physician billing via the same NPI is also ...
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1answer
74 views

Must Israeli citizens who do not reside in Israel pay for the nationwide Israeli healthcare system?

businessinsider.com claims that: Healthcare in Israel is universal and, by law, all citizens and permanent residents must participate in it. I find this surprising, as typically citizens who do not ...
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1answer
129 views

Can I use my Health Savings Account to pay for medical bills before insurance reimbursement?

This answer establishes that Health Savings Accounts (HSA) can be used to pay for co-payments and deductibles. Suppose that instead footing a co-payment bill with my HSA debit card, I use my HSA to ...
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2answers
48 views

Mass Connector Health Plans and new employment

I'm currently self-employed and I have insurance through Massachusetts Health Connector, which is what the Affordable Care Act is called in Massachusetts. I have a good income level so I don't ...
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1answer
48 views

ACA health insurance: What will happen if my income ends up being way higher than I have on record?

I have a state subsidized health plan through Covered CA (California, US). My income fluctuates quite a bit from year to year, but I always do my best to guess what it will average out to be, and if I'...
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0answers
33 views

What are the options for a French citizen, US-resident to get French medical insurance only applicable to France?

I am French citizen, US-resident and interested to know the option to get French medical insurance only applicable to France. https://www.crystal-finance.com/page/prevoyance-sante-expatrie says: Pour ...
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2answers
53 views

Use HSA to pay for previous medical expenses? [duplicate]

I'll be starting an HSA for the first time on Feb. 1. I have significant medical bills for treatment in December. Can I deposit money into the HSA on Feb. 1 and then use the HSA to pay the bills for ...
3
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0answers
39 views

Why is the second lowest cost silver plan (SLCSP) premium reported as $0 when no advance premium tax credit (APTC) was taken?

In the instructions for Form 8962 (Premium Tax Credit), it says: If no APTC was paid for your coverage, Form 1095-A, Part III, column B, may be wrong or blank or may report your applicable SLCSP ...
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1answer
51 views

Employee health insurance before vs after tax deduction

The employee insurance I am being offered gives a choice deduction being taken out before or after tax. Which of these choices would result in overall more money saved? Cost of insurance is ~ $60 a ...
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1answer
27 views

Claiming tax deduction on Family Health Insurance covering parents in India

I am going to buy a health insurance policy in India. I am single, salaried and 24 years old. And I want to include my parents(both 50 yrs) too in the health insurance. I have the following queries: ...
6
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1answer
154 views

If you are hospitalized on December 31st and released a few days into the following year, how is the deductible applied?

I was hospitalized on December 31st after a surgery that was done that same day. Now it is looking like I'll be staying in the hospital at least another day or two for recovery into the new year. I'm ...
4
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2answers
133 views

Employer Paid COBRA asking for reimbursement

Due to COVID I loss work. I requested COBRA paperwork filled them out and returned them to my former employer I never received any bill or any request for payment. I never paid anything toward my ...
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1answer
79 views

Insurance product for retirement

I am new in finance. If I want to propose an insurance product for retired people, and I am supposed to take on financial risks in the hope of profit. Can someone give me some informative tips of what ...
3
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2answers
557 views

Who pays after deductible? Coinsurance not listed

Our company switched health care providers and I'm a little confused because the provider doesn't call out "coinsurance". So for example, on this base plan, if I were to meet the $3000 ...
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2answers
260 views

What kind of health insurance does the American public have and how do they benefit from it? [closed]

My question What kind of health insurance does the American public have and how do they benefit from it? I was surprised to read articles about the American health care system; this seems to be ...
2
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1answer
49 views

Owed taxes for discounted health care after pension cash out

Last year in 2019 my Mom signed up for "Obamacare". At the time she signed up, she was under 400% of the poverty limit, which for 1 person was 12,490 x 4 = 49960. Being under this limit ...
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1answer
49 views

Where can I find a definitive list of FSA/HSA qualifying expenses?

I was recently informed that the Coronavirus Aid, Relief, and Economic Security (CARES) Act expanded the list of eligible HSA/FSA expenses to include things such as feminine hygiene products and over ...
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2answers
155 views

I started a new job, want to switch my wife to my new insurance. Can I open an HSA if she had an FSA on her previous plan?

I've been searching for a clear-cut answer to this for a while, to no avail. My employer benefits advisor's guidance was unsatisfactory, and my CPA hasn't gotten back to me about it. And so...once ...
5
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2answers
1k views

Add someone else to employer-sponsored health insurance?

My brother recently started working at the Internal Revenue Service (IRS). He tells me that he can add anyone to the health insurance that covers him. Can he add me to his health insurance? I'm an ...
2
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4answers
158 views

Does the benefit of a HDHP with an HSA disappear if the premium is the same as a PPO plan

I'm comparing a couple of different health insurance plans as part of open enrollment at work. Based on answers to some other questions as well as my own analysis, high-deductible plans with an HSA ...
12
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3answers
4k views

Can I afford to take this job's high-deductible health care plan?

I don't have the job offer yet, but one of the jobs I'm looking at would offer me only a high-deductible health insurance plan with an HSA (I don't knw what the deductible is exactly yet). However, ...

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