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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3
votes
1answer
138 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
votes
1answer
39 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
votes
2answers
96 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
votes
1answer
111 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
votes
1answer
92 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
vote
1answer
54 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%) ...
7
votes
3answers
457 views

Why am I not billed for EOB balance?

Why am I not always required to pay the outstanding amount listed on my Explanation of Benefits? Documentation of how EOBs work state that I am responsible for any outstanding amount that the ...
5
votes
1answer
91 views

Can my spouse and I both have HSA's at the same time if I am covered on his health insurance plan?

My husband has a HDHP through his employer which I am covered on, along with our 3 children. He has an HSA plan that he contributes to through his employer in the amount of $200 every two weeks or ...
8
votes
0answers
146 views

What recourse do I have when my COBRA insurance provider refuses to pay my claims? (Presently enrolled and paid in full)

My COBRA health insurance provider won't pay for my prescriptions using excuses like they can't find me in their system or my group number is wrong even though nothing has changed. I'm paid in full ...
1
vote
0answers
24 views

Am I reading the HDHP rules correctly? [duplicate]

I'm puzzled by the rules for High Deductible Health Plans. For 2019, the IRS defines a high deductible health plan as any plan with a deductible of at least $1,350 for an individual or $2,700 for a ...
8
votes
1answer
233 views

Medical bill sent straight to collection agency

I was very surprised to receive a letter from a collection agency regarding a medical bill incurred during my wife's pregnancy last year. We never received any correspondence via mail, e-mail, or ...
2
votes
1answer
86 views

Are you eligible for COBRA more than once?

I was laid off and used COBRA for 7 months. Started a new job and was employed for 6 months, quit the job because we moved. Am I entitled to COBRA again from the second job?
3
votes
1answer
108 views

Medicare and living in Mexico

If a US citizen moves to Mexico, can he/she live in a town near the border, maintain his/her coverage of Medicare and come to the US for medical care? He/she would want his medical care to be paid for ...
2
votes
2answers
156 views

Insurance company demands extra payment for marketplace healthcare

My brother went to the marketplace to get insurance. He picked a plan and has paid on time every month. Today he was told by his insurance that he owed an additional 1300 dollars. The marketplace had ...
14
votes
3answers
2k views

How Often Do Health Insurance Providers Drop Coverage?

My freelance work is organized as a single-member LLC. Since the Affordable Care Act, I have been getting insurance coverage directly from a health insurance provider, with rates equal to those on the ...
2
votes
2answers
185 views

During the cobra 60 days election period, can I go to the doctor?

I was recently terminated and my health insurance stopped working. I got the cobra option, but I didn't sign up to it yet as I have 60 days to do so. My question is: Can I go to the doctor in this ...
2
votes
1answer
110 views

Hospital charged me for more than insurance claims that I owe

I recently had a medical procedure done that had a number of diagnostic tests leading up to a surgery. All of the various bills from that went through insurance, with me paying the out-of-pocket ...
2
votes
2answers
112 views

COBRA and deductibles already paid

If I'd already paid five months of deductible expenses, should I elect for COBRA or buy my own insurance if there's only a $30 difference between the two?
3
votes
5answers
460 views

Does COBRA make sense anymore with the ACA?

I recently changed jobs. Job 1 ended in March, and Job 2 started immediately after the end of Job 1. The health insurance provided by Job 1 continued to the end of March. The health insurance coverage ...
6
votes
1answer
101 views

Can I defer starting Medicare if 65 and on COBRA after a lay-off? (HSA, COBRA, and Medicare)

I turned 65 in February, am still working full-time, and have medical insurance through my company that qualifies me to defer signing up for Medicare. I've been contributing the maximum to my HSA ...
5
votes
1answer
367 views

pros and cons of HSA in Investment account

I have my HSA that is currently in savings or checking account. The Insurance company provides option to keep the money in Investment account. What are the pros and cons of parking HSA fund in ...
2
votes
1answer
182 views

Car Insurance - Uninsured Motorist Bodily Injury With Personal Health Insurance

I have comprehensive health insurance with a relatively low out of pocket. I noticed that the "Uninsured Motorist Bodily Injury" add-on for my car insurance has limits of $100,000 / $300,000. In the ...
1
vote
0answers
90 views

Health insurance payment does not match up explanation of benefits. What's going on?

My wife and I utilized the services of a chiropractor who happened to be out of network with my insurance provider (will name in an edit if it is important). My Explanation of Benefits says that out-...
43
votes
4answers
16k views

How can I get a job without pushing my family's income into a higher tax bracket?

I live in Seattle and turn 18 before the year's end, and I'm told my family has an income such that if I get a job and make more than $1000, then I would push my family into a higher tax bracket. ...
3
votes
1answer
103 views

HSA Based Income Tax Optimization Strategy

A hypothetical individual living in the USA held a high deductible healthcare plan (HDHP) in 2017, 2018, and in 2019. She maxed out her HSA contributions in 2017 and 2018 but did not make any ...
2
votes
2answers
98 views

Best method for paying out of network licensed professional counselor?

I am interested in a specific LPC (Licensed Professional Counselor) because I like their model and services, but they are out of network. I have very limited understanding in the medical/insurance ...
3
votes
1answer
71 views

Individual Mandate Penalty for a Resident Alien who left the country in August

I am an F1 student who was in the United States from September 2011 till August 2018. I completed my coursework in May 2015, and stayed in the US for another three years under the OPT provision. I ...
1
vote
0answers
28 views

Question regarding reporting medical insurance, interest income and my address because of part-year stay in the US

I am seeking urgent assistance with my US tax filing (with TurboTax) for 2018 concerning part-year residency. I lived in the US between Jan-August and left the country for good thereafter. Keeping ...
1
vote
2answers
196 views

What happens if I can't pay money to my health insurance company?

I have a health issue for which I have to go into treatment for 4 to 6 weeks. When I called my insurance about the benefits, I was told that after treatment, I will owe $5000 to my insurance company ...
3
votes
1answer
77 views

Reimbursing myself for health related expenses years after they occur w/HSA?

I have an HSA which I primarily use as an investment vehicle, I have not taken any money out for eligible expenses but continue to contribute and invest those funds. I have read that I can essentially ...
1
vote
1answer
88 views

Deducting self-employed ACA health insurance premiums paid for next year

I'm self-employed and paid my January 2019 ACA health insurance premium at the end of 2018. I assume I can deduct this on my 2018 taxes since I use the cash accounting basis. But what if my 2019 ...
2
votes
1answer
202 views

I have a dental health policy and I have a general health policy that includes dental. Can I claim on both?

I had to have a crown for £500. I claimed through the specialist dental insurance. They paid out £350. Can I now claim on the other general insurance policy for the £150 that wasn't covered? I know I ...
2
votes
2answers
159 views

Option for health insurance coverage when going back to school in 30s

Specifically for health insurance coverage: What are ones options when going back to school full-time in their 30s? Do schools provide any sort of coverage plans, if so are how do they compare to a ...
2
votes
1answer
64 views

Is it preferable to visit out-of-network medical providers before reaching the in-network deductible when max between in- and out-of-net are combined?

In the United States, some health insurance plans are designed so that the submitted expenses accumulate towards both the in-network and out-of-network deductibles (sometimes referred to as combined ...
2
votes
1answer
85 views

Understanding German state health insurance terms Mindestbeitrag for self-employed

According to this site, they operate with the following terms around a minimal monthly insurance fee: Beitragssatz - Mindestbeitrag EUR 1038.33 Krankenversicherung - 163,02 What is now the mandatory ...
1
vote
3answers
134 views

Is there any point in a medical provider “taking the patient's health insurance” even though they aren't in-network?

In the United States, medical providers sometimes indicate that they "take the patient's health insurance". This means they will bill the patient's health insurance regardless of whether they (the ...
1
vote
1answer
77 views

What is the difference between open access and open choice in health insurance plans in the United States?

What is the difference between open access and open choice in health insurance plans in the United States? I've seen both terms used in health insurance plan names. Example, from https://www.aetna....
3
votes
1answer
109 views

What is a “cash carrying patient”?

I read on https://www.ccapta.org/mpage/MoveInsurance (mirror): Physical therapist services may be obtained without a physician’s referral if you are a cash carrying patient, receiving treatment for ...
1
vote
1answer
817 views

Still enrolled in Medicaid after starting new job

I just started a new job and I am still enrolled in Medicaid officially. Can I still use Medicaid until my new company sponsored health insurance kicks in?
1
vote
0answers
52 views

Can I take self-employed health insurance deduction?

I am trying to figure how much of my Medicare premiums and Medicare Advantage (MA) premiums qualify as self-employed health insurance deduction (SEHID) "above the line" on line 29 of Schedule 1. ...
4
votes
1answer
179 views

What counts toward the insurance deductible: the amount that the medical provider billed the insurance or the amount the insurance billed the patient?

What counts toward the health insurance insurance deductible: the amount that the medical provider billed the insurance, or the amount that the insurance billed the patient? For example: the medical ...
0
votes
2answers
355 views

Wife No Longer Has Health Insurance, What Can We Do?

My Wife and I are both American Citizens who got married in October. Our initial plan was to enroll in my job's health coverage during the open enrollment period in November, but after we sat down and ...
0
votes
0answers
26 views

Medical insurance submission

Can my medical Dr. refuse to submit a prescription to my insurance for the reason that they aren't compensated enough, when they are contracted with my insurance?
1
vote
2answers
152 views

Does paying a medical provider in cash count toward one's insurance deductible?

When paying a medical provider in the United States, the patient can either pay them cash or have them bill the insurance (which in turns may send some of the bill to the patient). Paying cash is ...
0
votes
0answers
93 views

Does health insurance pay for traffic accident related claims

Is it true that in the US, health insurance does not pay for treatments needed as a result of car accidents? Specifically, what insurance covers the following scenarios: Someone has an accident ...
3
votes
6answers
368 views

Rational risk-assessment decision framework: Should I buy health insurance?

Update: I've posted a sub-question on the math stack exchange to help answer part of this primary question. Sub-question: Toy problem: How much should I rationally be willing to pay for this ...
0
votes
0answers
65 views

Is Supplemental 20/80 health insurance still available in the US?

Are supplemental health insurance plans (those that can pay your out of pocket expenses after some deductible up to the limit that your primary insurance covers) still available in the US? I was ...
0
votes
1answer
135 views

Premium tax credit repayment

I had to repay entire subsidy in the amount of $15,000.00 when I filed my taxes in February 2018. Did to having withdrawn money from IRA to purchase a home. Can I deduct the entire $15,000 when I ...
3
votes
1answer
60 views

Do I need to Re-file my taxes (1040x) once I receive healthcare marketplace exemption certificate?

This pertains to tax year 2017. My girlfriend filed her taxes and filled out form 8965 (healthcare coverage exemptions form). She checked the box indicating that she had a "pending" hardship exemption ...
0
votes
1answer
209 views

Can I get multiple hospital indemnity plans (e.g. Aflac and such)?

Is it possible to get multiple hospital indemnity plans from different companies such as Aflac and Metlife? If I were to get one by myself, can I cancel any time?