Healhtcare Insurance

[dosekies]

Get married with a person that has health care coverage and their spouse is included.

Haha that is my plan! I turn 25 this April and am planning to get married later this year so that I can hop into my fiancé's insurance he gets through the union. We've been engaged for a few years, so we're definitely not getting married just for this factor, but I figure we're just having a court house wedding anyway so why not do it before I turn 26? I've had a lot of girl problems the past few years and also have a few mental health issues I'm dealing with, so why pay for my own insurance each month when I can go on his that covers almost everything!

 

[tinkerbell615]

Haha that is my plan! I turn 25 this April and am planning to get married later this year so that I can hop into my fiancé's insurance he gets through the union. We've been engaged for a few years, so we're definitely not getting married just for this factor, but I figure we're just having a court house wedding anyway so why not do it before I turn 26? I've had a lot of girl problems the past few years and also have a few mental health issues I'm dealing with, so why pay for my own insurance each month when I can go on his that covers almost everything!

Congratulations! She has been dating the same young man for a couple of years, but no marriage plans in the near future. I think I'd rather she wait until tbey are ready.

 

[Marionnette]

Oh thank you. I did not realize she has until the end of the year. Gives just a little more time to look.

She doesn't have until the end of the calendar year. You received misinformation. The ACA only guarantees that a child must be covered under a parent's plan until they turn 26, not after that time. She has until the end of the month in which she turns 26 to get her own plan.

If her employer does not offer health insurance coverage then the exchange or insurance thru an individual purchase is her only option. If her income is low, she may qualify for a subsidy but the premiums are still pretty high, even for a catastrophic plan. And she can only buy a catastrophic plan until she reaches age 30. Afterwards, she would only be able to purchase a regular bronze plan for the lowest premium price. Even with insurance, the copays and deductibles can be pretty high.

 

[Sadie22]

If she belongs to any professional or other organizations she may be eligible for coverage through any plans offered through them. COBRA coverage may be less expensive than everyone thinks. You do not know until you ask. That could be for up to 36 months. It's important to examine all the options and find out what applies to the individual situation. This can vary from state to state.

 

[DVCTX]

Your daughter can get COBRA coverage for 36 months if they lose coverage by turning 26. We are doing this for our daughter who turned 26 last year. In our case the COBRA coverage was less than the marketplace plans and the networks are bigger.

 

[maxaroni]

From healthcare.gov

You can stay on a parent’s plan until you turn 26
Once you’re on a parent’s job-based plan, in most cases you can stay on it until you turn 26.

Generally, you can join a parent’s plan and stay on until you turn 26 even if you:

• Get married
• Have or adopt a child
• Start or leave school
• Live in or out of your parent’s home
• Aren’t claimed as a tax dependent
• Turn down an offer of job-based coverage

If you’re covered by a parent’s job-based plan, your coverage usually ends when you turn 26. But check with the employer or plan. Some states and plans have different rules.

If you’re on a parent’s Marketplace plan, you can remain covered through December 31 of the year you turn 26 (or the age permitted in your state).


We were looking into this as my DS24 (will be 25 this month) is on our plan. He wanted to get an idea of costs in preparation as he and his girlfriend are looking to move out within the next 1 or 1.5 years. The cost of his own insurance made our eyes bug out a bit, I will be honest. LOL. Fortunately, he was able to secure a job that now offers insurance, at a reasonable cost for his part and a good plan.

 

[ruadisneyfan2]

Americans want a higher quality of care, minimal to no wait times and lower taxes. Laws have prohibited citizens from buying insurance across state lines for decades and government has continued to pass laws that help insurance companies and hurt the people. Repealing the individual mandate was a good first step, it's time to let people buy their insurance from where ever they want. Also, slavery and conscription were outlawed in the USA back in the 1860's and healthcare isn't some faceless thing. Healthcare is people. The scalpel is useless without the surgeon, the hospital bed useless without the Nurse. The surgical suites, bathrooms, hallways filthy without the orderlies. People tend to forget that healthcare doesn't exist without human beings.

Amen!
I just wanted to add to that the cost of undergrad school + medical school leaves our doctors with hundreds of thousands of dollars in debt upon entering the workforce. Also add in the cost of malpractice insurance to protect them from every moronic lawsuit where people get paid even when the doctor/surgeon did nothing wrong.
Also add that yes, doctors here want a good salary. I would too if I went to school for 13 years after graduating HS. If it was easy, we'd all do it, right?

Further add to that, no one is the US wants to be told by the government what doctor they can see, who is going to perform surgery on them, there is a 3 month waiting list for an appointment with the orthopedic doctor your child is allowed to see. etc. etc.

Just a quickie google search shows the grass isn't always greener on the other side of the pond.
https://www.dailywire.com/news/14470/7-things-you-need-know-about-britains-failing-aaron-bandler

 

[AquamarineSteph]

Part of it also depends on the state in which she lives. For example, COBRA in a previous poster's state may be affordable. In my state, nobody could pay this.

If she has a change of status - such as no longer being covered by another policy - she may have the option of applying for something ACA related in some states. BUT if she is reasonably healthy, she could also possibly apply for a private policy with minimal coverage that would work.

A lot depends on her health, pre-existing conditions and the state in which she lives.

 

[nancygirl1]

My oldest turned 26 the beginning of September and he was covered on our insurance until the last day of September.

 

[morgan98]

Part of it also depends on the state in which she lives. For example, COBRA in a previous poster's state may be affordable. In my state, nobody could pay this.

If she has a change of status - such as no longer being covered by another policy - she may have the option of applying for something ACA related in some states. BUT if she is reasonably healthy, she could also possibly apply for a private policy with minimal coverage that would work.

A lot depends on her health, pre-existing conditions and the state in which she lives.

COBRA is based on the cost of your employer's plan. It has nothing to do with the state you live in (except for the fact insurance costs can vary by state). COBRA basically gives you the right to pay AT YOUR COST the premium for an individual on the employer plan. Many employers pay a portion of health care for their employees, some pay quite a high percentage. The reason COBRA generally shocks people is when you are employed and on an employer plan, you pay the portion the employer does not pay. Sometimes, this is only 20% of the total cost. The number seems very high when the employer is no longer paying any of the premium.

 

[SteveH]

Sadly when ObamaCare kicked in affordable options for young adults like her disappeared. For individuals you are forced to use the Marketplace, agents won't bother helping much, but reality is that there are not many options for individuals now. With Kidney stones having a plan for emergency room visits is important as that can really set her back. HSA plans are an option but honestly the deductibles for most plans have gone up so much that its almost a wash. If you can find a bill from the last time she had Kidney Stones and see if coverage makes any sense or if she's better to bank the money.

But before you assume anything you need to check with your husbands employer as each State and each employer can have different rules. They must provide coverage at least until the end of the month that they turn 26, but some States and Employers have other rules that may change this. Don't assume, verify.

 

[AquamarineSteph]

COBRA is based on the cost of your employer's plan. It has nothing to do with the state you live in (except for the fact insurance costs can vary by state). COBRA basically gives you the right to pay AT YOUR COST the premium for an individual on the employer plan. Many employers pay a portion of health care for their employees, some pay quite a high percentage. The reason COBRA generally shocks people is when you are employed and on an employer plan, you pay the portion the employer does not pay. Sometimes, this is only 20% of the total cost. The number seems very high when the employer is no longer paying any of the premium.

That's what I said. Costs vary by state. And unfortunately, some states are very expensive, insurance wise.

 

[tinkerbell615]

Thanks to everyone again for all of your comments. My head is spinning. There is a lot to look into to help her with all of this.

 

[DisneyHardin]

Years ago, my DH had a job that didn't provide any insurance (this was before we were married, so that was why he couldn't go on mine). We found an insurance broker locally who looked at all the different options available and found one that was the most reasonably priced for the coverage he needed. You might be able to find someone in your area like that.

 

[ibob52]

We found an insurance broker locally who looked at all the different options available and found one that was the most reasonably priced for the coverage he needed. You might be able to find someone in your area like that.

I found a Insurance Broker (online) when I needed to Supplement my

Healthcare Plan a few years ago. There is no cost to the client for the Insurance Broker.

The Insurance Broker Service is paid for by the Insurance Company.

 

[AnnaS]

My dd will be in this situation by the end of the year. She has two part time jobs (one she has had for years/retail (while in school) and the other she just started a few months ago (the field she wants). Getting her foot in and hoping for full-time. If this does not happen, we will be looking also (COBRA or some other plan). She is getting married end of next year but we might have that one year gap.

 

[Marionnette]

Years ago, my DH had a job that didn't provide any insurance (this was before we were married, so that was why he couldn't go on mine). We found an insurance broker locally who looked at all the different options available and found one that was the most reasonably priced for the coverage he needed. You might be able to find someone in your area like that.

Things have changed since the ACA has been rolled out. Now, if you are not insured by your employer or union, you have the same choices on the marketplace as if you were to go thru the exchange. The only difference being that if you do not qualify for a subsidy, it is easier to deal directly with the insurance company than it is to deal with the government's red tape to purchase the same product. The prices on the exchange and the open market are the same.