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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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Deductible Transfer changing to plan with higher deductible

Individual had Medical Plan with Deductible of $1300. Deductible was met within a few months of start of calendar year. Plan is on calendar year. Mid-year Individual changed plan within the same ...
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1answer
56 views

How can all medical expenses be deducted from taxable income for a business with owner and 1 other employee?

How would I best set things up so as to fully fund my and my employees healthcare and reduce taxable income. I am am considering forming an LLC or S-Corp but don't know the pros and cons in this ...
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1answer
918 views

How to read the benefits table

I am not a regular on this site, so I apologize if I have the wrong format, but I am having trouble understanding some of the health insurance benefits and costs tables that I am seeing in my search ...
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0answers
38 views

How to handle switching individual health insurance in the United States when frequently moving to different states and countries?

I have had the same individual California Blue Cross PPO insurance for the last 10+ years and I just moved to the east coast on July 1. My California insurance is paid up to the end of June. As I ...
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1answer
39 views

Maximum Allowed Amount not mentioned in the benefits, on a PPO health insurance plan

I believe i have an Anthem PPO 250 plan. One type of service only mentions a $1000.00 daily cap on rendered services. The only other mention of my responsibilities is a 30% copay for services out side ...
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1answer
35 views

Wife - HSA/HDHP -Husband traditional & HRA - wife receive $ from H HRA?

I currently have a HDHP/HSA individual plan through my employer. I have no coverage for health care and prescriptions, through my current plan until I meet my deductible of $3,000. After I payout $3,...
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1answer
51 views

Can I qualify for ACA subdisies if I don't have current employment income, but have interest/dividend income, other income and capital gains?

My understanding is that individuals with income < FPL don't qualify for ACA subsidies. I have made around 10-15k this year from a previous job, but currently don't have a job (by choice, but I ...
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1answer
60 views

Leaving a High-Deductible Health Plan (HDHP) during the year: can one still fully contribute to one's HSA? [duplicate]

Bob has a High-Deductible Health Plan (HDHP) and wants to maximize his contributions to his Health Savings Account (HSA). At some point during the year, Bob changes his health insurance from an HDHP ...
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4answers
5k views

Where can I get my girlfriend health insurance?

I have a girlfriend, she is not working, but in college at the moment. We live together, but are unmarried and have no kids. I have a considerable income of about $60k annually. We tried Medicaid, ...
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2answers
363 views

My medical insurance from my employer is extremely high. Could there be a possible mistake?

I am 26 years old and recently my employer changed to another insurance provider agency and the price went up ridiculously, at least for me. At this company the employer pay 50% of the insurance cost. ...
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1answer
2k views

Can I get private health insurance if my employer offers it?

I started a new job... The health insurance plan that is closest in comparison to my current plan is $300 MORE expensive per month. Coincidentally they cover $300/month (it's about $980/mo!!) so it'...
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1answer
47 views

HSA distribution for deferred insurance payment

My daughter recently started an orthodontics program that will last 13 months. We've covered the entire program cost up-front already. She is covered on my wife's insurance, and that will pay about ...
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1answer
59 views

How do ACA premium tax credits work?

As a "What if I lost my job?" budgeting exercise, I went to https://www.healthcare.gov/apply-and-enroll/health-insurance-plans-estimator-overview/ and punched in the numbers for me and my children ...
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1answer
130 views

Health insurance for psychological Skype consultations

I consult with an overseas psychologist via Skype. My current BCBS health insurance pays 80% when I visit my US psychologist. I don't know how to make the international health insurance since this is ...
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3answers
117 views

Pros/Cons of individual HDHP HSA's versus family HDHP HSA?

My wife and I deciding if we should keep individual HDHP with individual HSA's or be on the same HDHP and have one family HSA account. The insurance plan basically doubles the deductible and out-of-...
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1answer
49 views

Must I prove that I've paid the medical provider before receiving payment from the insurer?

I recently submitted some medical insurance claims to my medical insurer. They are requesting proof of payment of my medical bill since I'm requesting that I be paid, not the provider. Am I required ...
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2answers
4k views

Laid off. Had FSA overages that I wasn't aware of. Can they collect?

I was abruptly laid off, and I wasn't aware of the FSA overages until after my departure. I realize I'll sound like a weasel, but can they collect? They paid out more than the annual limit and they ...
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1answer
452 views

Can corporate insurance coverage continue even after resigning?

While working at a company in India, I was covered by a corporate insurance policy. Also, I was asked to pay the annual premium for including my parents to the policy. In December, I had to resign ...
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3answers
245 views

Which of these countries makes most financial sense? [closed]

Below are a list of countries I am considering moving to (from within Europe). My preference was initially the Netherlands, but I have read that the bureaucratic side of things can make moving there ...
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3answers
963 views

Is it possible to use my HSA for a payment I've already made?

I misplaced my HSA debit card, and while waiting for a new one was forced to pay a qualified health care expense out of pocket. Is there any way to use my HSA to cover the expense retroactively?
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0answers
54 views

Health insurance for family visiting from overseas

I have an aunt and uncle planning on visiting the US from China for a stay of 5 months (on a tourist visa with Chinese passport) and I'm wondering what insurance to get them. They're about 60 years ...
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0answers
42 views

Medical premiums vs. ACA premiums on tax return

I'm currently doing my tax return. In 2017, I paid 12 months of health insurance premiums out of pocket, on my own private plan bought through the Marketplace. In the tax return, it instructs NOT to ...
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1answer
54 views

Are Medicare premiums deductible on schedule C if you also have a secondary policy from previous employer?

My wife and I both receive Medicare parts A and B. We can not participate in previous employer's health plan as primary because we are on Medicare. However, we do participate in the employer's plan as ...
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3answers
1k views

What is the purpose of putting funds into an HSA when the interest rate is so low?

I have an HSA through my employer, of which I put a certain percentage of my salary towards. The "goal" of the HSA (as I understand it) is to have a lifetime plan to support your healthcare. Looking ...
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1answer
505 views

Can COBRA-premiums be paid for pre-tax?

I have the option to remain on the previous employer's COBRA for the foreseable future. Their plan is much nicer than what my new employer is offering while being only a little more expensive. ...
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1answer
86 views

Paid every two weeks but health insurance premium is listed as monthly

My husband gets paid every 2 weeks. I would like to know do they divide his health insurance payment between the 2 checks. It says per month on his paper work.
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2answers
85 views

Product Pricing & fractional pennies

So I have a product where the price is is determined by multiplying a base price by a factor that increases by age. So depending on how old someone is when they buy the product the price is different. ...
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4answers
428 views

Why it is recommended to have High Deductible Health Insurance and to have HSA - Max out the pocket?

Why it is recommended to have High Deductible Health Insurance and to have HSA - Max out the pocket? I am not able to understand the benefit of having High Deductible Health Insurance and HSA.
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3answers
7k views

Is it mandatory to have health insurance?

Is it mandatory to have health insurance? Assuming that I contribute $200 monthly, which for 12 months is costing me around $2400, and don't use the insurance, then having only FSA with a fixed ...
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0answers
29 views

Health Insurance Deduction - Better to Buy Through S-Corp or Buy Individually?

I have a S-Corp that I can buy myself insurance through. If my monthly coverage costs $380, is it more advantageous for me to purchase this insurance through my S-Corp and then use it as an employee ...
4
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1answer
91 views

What can I do with a HSA after I leave a HDHP

I have a HSA which I opened with a previous employer who offered a HDHP. My new employer does not have a HDHP plan. Because I'm no longer an employee with my previous employer, my HSA custodian (...
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1answer
135 views

Opened HSA that I am not eligle for… How do I get rid of it without getting in trouble?

In order to keep my insurance coverage through my husband's employer I was forced to sign up for my employer's High Deductible Health Plan. My employer knew I was keeping my other coverage but told ...
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0answers
71 views

Health Insurance: Why use the iterative calculation method?

Context Self-employed Bought health insurance through a health insurance marketplace All premiums for the entire year were "specified" (nothing "unspecified") Need to calculate the the amount of ...
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1answer
116 views

Should I purchase health insurance directly, or through my LLC?

I am currently in the market for health insurance and have an LLC with myself as the sole employee. I would like to know the advantages vs the disadvantages to purchasing through my business. Also how ...
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1answer
124 views

Taxes and health insurance: Find SLCSP (second lowest cost silver plan) before 1095As are issued

To do 2017 end-of-year tax planning, I need to know the second lowest cost silver plan (SLCP) for my Colorado zip code. I've tried searching my health insurer's site, the state marketplace site, and ...
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0answers
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If I am eligible for employer sponsored insurance which doesn't offer coverage in my state, can I still get an APTC on the exchange?

Normally if an employer offers "affordable" coverage that meets minimum standards, employees eligible to participate no longer qualify for an Advance Premium Tax Credit, even if they want to turn down ...
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2answers
86 views

Do I need an HSA in order to purchase an HSA health plan?

I live in New Jersey and am buying insurance through the healthcare.gov marketplace. Some of the plans are marked 'HSA'. Can I purchase these plans even if I don't have a health savings account? (...
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2answers
169 views

Why would anyone choose this PPO over PPO HSA?

The health insurance plan below has the following fees for an employee only coverage (excluding spouse + children plans to keep it simple): PPO 250: $605/mo ($7260/yr) PPO 2250 HSA: $351/mo ($4212/yr)...
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1answer
106 views

If I have a high-deductible health plan, is there any reason not to take HRA?

From Wikipedia entry for HRA: "a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses" (bold is mine). It sounds too good to be true, but does ...
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0answers
21 views

Primary and Secondary Health Insurance Interoperation - Copay Reimbursement?

I live in USA and have two types of health insurances - primary (UnitedHealth) one and secondary (Medicare Part B) one. My specialist copay for primary insurance is $50. Can I somehow arrange my ...
3
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1answer
81 views

For the purposes of Obamacare, what really counts as income?

So, I need to raise my income slightly to hit the minimum income for the Obamacare premium tax credit. Do any of these count for income? I sell broken cell phones I bought off eBay (fixed, of course....
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2answers
4k views

Do birth defects in children count as pre-existing conditions?

My family is shopping for new insurance at the moment. We reside in the United States, Georgia specifically. We have had insurance continuously since she was born. My daughter, born in 2011, was born ...
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1answer
93 views

Transferred money to HSA but need it back

I transferred money from my checking to my HSA and now I realize I need it back but not for medical expenses. I usually do direct deposits but I needed some of that money for medical because my ...
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2answers
123 views

Can I deduct the cost of an out-of-pocket medical visit on my taxes?

Say I visit a specialist -- like an orthodontist -- without any insurance. I pay for everything out-of-pocket -- no insurance/deductibles/payment sharing plans/etc. I pay several thousands for the ...
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1answer
592 views

Is accident insurance worth it for my kids who play sports

I'm evaluating options at my job for insurance and an optional insurance offering is accident insurance. I'm looking at this for my kids who play sports in school and on club teams. It's $170 a year....
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0answers
74 views

Are group health insurance premiums cheaper than individual health insurance premiums?

I am self-employed and have one employee. I am a health 35 year old, with healthy wife, and 1 child. My employee is a 30 year old, also healthy. Would group health insurance rates premiums be ...
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2answers
267 views

Can I keep my HSA if I get on husband's insurance?

My husband and I recently got married and are wondering what to do about health insurance. I am currently with a company that offers a plan with the option to put funds in an HSA or FSA. My husband'...
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0answers
42 views

Why do HDHPs have a maximum out of pocket? [duplicate]

I understand minimum deductibles (to ensure HSAs are only used with cheaper plans) but why the maximum out of pocket? It is worth noting it is different form the general maximum out of pocket of ...
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1answer
111 views

Should I pick a company paid premium or company paid deductible health insurance plan?

I am switching companies in a month. Here is my current health insurance and here are my two options for when I switch (Note that I have a wife and infant child): Current: Shared premiums at $310 ...
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1answer
720 views

HSA/FSA, changing health plans mid year, concurrent coverage

My family is on the HDHP offered by my employer which has both an HSA and an LPFSA. The plan is on a calendar year (Jan 1 - Dec 31). We want to move to the plan offered by my wife's employer which not ...