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Your health insurance deadline is today

by Brooke Jarchow

Today is January 31, marking the deadline to enroll in health insurance coverage for 2017. If you choose not to enroll in a health care plan today, you will not be able to enroll until the next Open Enrollment Period unless you have a Qualifying Life Event before then.

Deadline Last Day 2

If you have not yet enrolled in a health care plan for 2017, or if you were re-enrolled in your original plan, take time to review your options and secure necessary coverage while you can.

Wondering if you should enroll in health insurance? Keep in mind that health insurance can provide cost assistance for individuals and families in many common medical situations. Additionally, health insurance can cover preventive services such as cancer screenings and routine immunizations.

Convinced you need health insurance but need help choosing a plan or enrolling in a plan? There are licensed agents who can discuss your options and offer advice.

Be sure to enroll today to protect you and your family with health coverage in 2017!

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Re-enroll in health coverage before the deadline

by Brooke Jarchow

January 31 is just around the corner, which means the deadline for securing health insurance for 2017 is approaching quickly. If you miss the final deadline, you won’t be able to enroll in health insurance until the next Open Enrollment Period, unless you have a Qualifying Life Event before that time.deadline

To secure coverage in 2017, take time to review all of your health care coverage options so you can find a plan that is best for you and your family. Keep in mind that if you were previously enrolled in a 2016 Marketplace health plan and did not choose a new plan, you will likely be automatically re-enrolled in your original plan. While this may seem like the hassle-free way to secure coverage, plans can change and you could end up saving more by evaluating your options and making changes if necessary.

Do you need help choosing a plan or enrolling in health insurance? If you need assistance, there are licensed agents who can help you pick a plan and enroll.

While the future of Obamacare remains uncertain, the law has not officially been repealed or changed yet, so it’s important to make sure you secure coverage for January, 31 2017.

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Obamacare and mental health coverage share an uncertain future

by Brooke Jarchow

Tomorrow, President-elect Donald Trump will take office as the next President of the United States. The President-elect made a list of promises for his first 100 days in office, including a promise to “immediately deliver a full repeal of Obamacare“. Despite revealing few details of a replacement plan so far, Trump has also promised that there will be “insurance for everybody.”

However, if Obamacare is fully repealed, 20 million currently-covered people could be left uninsured or paying more for insurance, including those with pre-existing conditions. Among the most common pre-existing conditions is mental illness, currently impacting one in five Americans.


Let’s take a look back at mental health coverage in America. In 2014, Obamacare provided the largest expansion of mental health and substance use disorder coverage in a generation. A provision of the health law requires health insurance plans to cover necessary services for those with mental illness. Obamacare also requires health insurance plans to provide preventive services such as cost-free depression screenings.

In the United States, over 30 percent of the population is affected by anxiety disorders, including generalized anxiety, social anxiety, panic attacks, phobias, OCD, PTSD, depression, eating disorders, bipolar disorders, and more. Anxiety disorders also affect one in eight children, and research shows that if untreated, children with anxiety are more likely to perform poorly in school and engage in substance abuse.

Anxiety can severely impact quality of life for children and adults. Studies show that many young adults in college suffer from anxiety disorders related to stress. The most recent Senate vote attempted to deny those who are age 26 and under from staying on their parent’s health plan, a current provision of Obamacare. This could potentially lead to untreated and undiagnosed mental illnesses in young adults.

If left untreated or undiagnosed, mental illnesses can lead to other chronic illnesses, job and relationship instability, homelessness, incarceration, and violence. Should Trump and the Republicans succeed in repealing Obamacare, those with mental illness could face dangerous repercussions. During his campaign, Trump emphasized that the United States needs to focus on the “massive problem” of mental health, but in order to improve mental health, those suffering from or prone to mental illnesses will need access to coverage and care.

While the Senate’s votes to repeal certain aspects of the health law that would affect mental health coverage are not yet final, this is a reminder that Trump and the Republicans are standing by their promises. The future of mental health care for millions in America remains uncertain until a replacement plan is put in place.

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What last night’s Senate vote could mean for women’s health care

by Lauren Mandel

In a matter of days, President-elect Donald Trump will take office as the next President of the United States. But he’s not waiting until he takes office to influence certain change. Just last night, the Senate voted to begin breaking apart the Affordable Care Act, and although we’ve mentioned in the past that the health law’s future is still somewhat unknown, it’s becoming more and more likely that it will not remain in tact.


So what does this vote mean, particularly for women’s health care? In response to the vote, Democratic senators put forth a series of amendments in an attempt to protect certain provisions of Obamacare, but all were rejected. One amendment would have required insurers to continue to cover the cost of contraceptives, and without it, 55 million women could be left to pay for their birth control completely out of pocket.

A second amendment attempted to maintain the pre-existing conditions provision of the current health law, which protects those with conditions like cancer or diabetes from being denied or charged more for coverage. This amendment was also denied, which means getting pregnant (which is considered a pre-existing condition under Obamacare) could mean increased premiums for millions of women.

While this is only the beginning of the process to dissolve the Affordable Care Act, it’s a sign that Trump and the Republican party will waste little time doing what they’ve been promising for months.

Stayed tuned for continued updates on the Affordable Care Act and other health care news. 

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5 things to know when shopping for a Medicare Supplement plan

by Lauren Mandel

If you’re eligible for Medicare, you may want to consider a Medicare Supplement policy. These plans can help close any gaps in your current Medicare coverage by helping to pay for certain costs like copayments. At the end of 2015, almost 20 million Americans had a Medicare Supplement plan.

Not sure if a Medicare  Supplement plan is right for you? Here are 5 things you should know while shopping for a policy.

You cannot get Medicare Supplement until you have Parts A & B. You’ll like be automatically enrolled in Part A around your 65th birthday, but for Part B, you’ll most likely need to call your local Social Security office to actively enroll. Once you acquire both parts, you’ll be able to move forward with exploring Medicare Supplement plans.

The best time to buy a Medicare Supplement policy is when you’re first eligible. Although you may still be able to get a Medicare Supplement plan after this time period, there may be fewer plans available or your options may be more expensive.

You’ll need separate Medicare Supplement policies for you and your spouse. A Medicare Supplement plan only covers one person, so if your spouse is also looking to close gaps in his or her coverage, encourage them to get their own policy.

Your Medicare Supplement premium is separate from any premium you might pay for Part B. And remember: your coverage will only be active once you pay your first month’s premium.

There are some benefits a Medicare Supplement plan won’t cover. If you need things like dental or vision coverage, consider looking at separate plans for these benefits to ensure you have the complete coverage you need.

Ready to explore your Medicare Supplement plan options? Call 855-457-5249 to start the enrollment process today.

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This is the most asked question regarding health insurance:

by Brooke Jarchow

There seem to be endless questions regarding health insurance and health care terminology. However, understanding the difference between deductibles, copayments, coinsurance, and cost-sharing can help you understand when and how much you will have to pay for health care.

Not-so-coincidentally, the most common question regarding health care coverage is, “What is my deductible and how does it work?”

When you and your health insurance company each pay part of your medical expenses, it’s called cost sharing. Deductibles are part of cost sharing.

A deductible is the amount you pay for health care services before your health insurance begins to help you pay expenses. Once you meet your deductible, your insurer begins paying more health care costs through copayments or coinsurance.

For example, if your deductible is $1,000, that means you’ll pay for all of your medical and pharmacy bills up front and out-of-pocket until the amount you’ve paid in total reaches $1,000. At that point, you can then share future costs with your insurance plan for the remainder of the year.


So, if you expect to visit the doctor often (maybe you have a chronic illness or are planning to become pregnant or have surgery), you might consider a plan with a lower deductible and higher monthly premiums. When choosing this type of plan, your frequent doctor visits will likely help you reach your deductible faster than someone who does not need a doctor as often. Paying higher monthly premiums allows for more predictable, monthly costs.

If you are healthy and do not expect the need for significant health care, you could
benefit financially from choosing a plan with lower monthly premium payments. . However,  if you do end up needing to see a doctor, you will have to meet your potentially-higher deductible before your insurance starts to help with medical costs. In this case, you may benefit from setting up a Health Savings Account (HSA).

In the end, there are many health plans to choose from and many factors to consider  before making your final decision. The key to finding the right plan is to understand your current and future health care needs.


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New Year, new coverage: How to secure coverage before Open Enrollment ends

by Brooke Jarchow

If you have not yet signed up for health insurance, the deadline to sign up for coverage that begins January 1, 2017 has passed. However, Open Enrollment continues until January 31, 2017 so you can still enroll in coverage. jan31reminder

While your coverage may not begin until at least February depending on when you enroll, it is important to enroll before Open Enrollment ends to avoid the tax penalty, or the fine for going uninsured. You can be charged a tax penalty if you are able to afford health insurance coverage but chose not to enroll in a health plan. Despite the uncertainty at the federal level surrounding the Affordable Care Act, it remains the law, so individuals should secure coverage now to avoid a potential tax penalty in the future.

If you had a 2016 Marketplace health plan and did not choose a new plan by December 15, 2016, you were likely re-enrolled in the same plan for 2017. However, new plans may be available that could be more affordable or your old plan may not be available for the upcoming year, so take time to compare your options for 2017 before Open Enrollment ends.

For those who have not yet signed up for health insurance and were not re-enrolled in a plan, there is no planned deadline extension for Open Enrollment, so your final deadline for Open Enrollment is January 31, 2017.

Ready to find coverage or need help getting started? Visit to find a 2017 plan that is right for you.

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Your basic introduction to Medicare Supplement plans

by Lauren Mandel

According to a survey recently conducted by GoHealth, 72 percent of Medicare-eligible Americans want more information about Medigap to help them better shop for coverage.

You talked; we listened.

In this blog post, we’re sharing information that will hopefully help Americans better understand Medicare Supplement plans, often referred to as Medigap.


To start, what is a Medicare Supplement plan? Medicare Supplement plans are sold by private insurance companies and can help close any gaps in Medicare coverage. For example, Medicare Supplement plans can be used to help pay for certain health care costs, such as copayments, coinsurance, and travel insurance costs. Some of these costs may not be covered without a Medicare Supplement plan.

How much will a Medicare Supplement plan cost? There are 10 different kinds of Medigap policies, and costs for these plans can vary based on things like what type of plan you choose and where you live. If you’re considering a Medicare Supplement plan, it’s best to consider your health care needs and all of your plan options before enrolling. Payments are made through a monthly premium, similar to individual health insurance plans.

Who can get a Medicare Supplement plan? If you are eligible for Medicare, you may have the option to purchase a Medicare Supplement plan. However, there is an additional requirement to be eligible for a Medicare Supplement plan: you must already have Medicare Parts A & B. Remember that you have until 6 months after your 65th birthday to find a Medicare Supplement plan. While you may be able to get a Medigap policy after this time period,  your options may be more limited and prices may increase.

Have additional questions about Medicare Supplement plans? We’d love to hear from you! Leave your questions in the comments section below.

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What it would mean to lose the pre-existing conditions provision of Obamacare

by Brooke Jarchow

Under the Affordable Care Act, those with pre-existing conditions cannot be denied health coverage or charged more for coverage. However, before January 1, 2014, those with pre-existing conditions (health-related problems that exist before applying for health insurance or enrolling in a new plan) could be denied coverage or charged higher premiums based on their health.

Pre-existing conditions range from life-threatening illnesses, such diabetes, HIV/AIDS, or cancer to more manageable illnesses, like migraines and bronchitis. Even if you have a relatively minor condition, such as an accidental knee injury, it is still considered a pre-existing condition that could have impacted your coverage in the

In 2013, 49 percent of American people under the age of 65 reported that they or a family member had a pre-existing medical condition. Before the Affordable Care Act and the corresponding provision, more than 18 percent of applicants were denied coverage due to pre-existing conditions and over one million of those denied were uninsurable children.  Even if a child overcame their illness, insurance companies were able to refuse coverage in the future due to the past pre-existing illness.

Before the law, women could also be denied or charged more for individual insurance policies because of their gender. In fact, pregnancy is considered a pre-existing condition, and women were once able to be denied coverage simply for being pregnant. A one-day stay in an American hospital can cost as much as $4,000 and a C-section can cost up to $15,000 without insurance. Under the Affordable Care Act, women cannot be denied or charged more for coverage and women can also receive preventive care services – like mammograms and birth control – with no out-of-pocket costs.

But now, the future the health law is uncertain. President-elect Trump has vowed to repeal and replace the Affordable Care Act. Should Trump completely repeal the law, millions could be denied coverage, including those with pre-existing conditions who are often women and children.

A study from the Urban Institute shows that if the Affordable Care Act were completely repealed, the number of uninsured Americans would rise to over 58 million (a jump of almost 30 million). However, Trump has stated that he “does not believe health insurance carriers should be able to refuse coverage to individuals due to pre-existing conditions.” If Trump maintains this core component of the Affordable Care Act, he will likely have to implement a way to take care of the costs, as it is “one of the most costly elements of the law,” according to health insurance carriers and experts in the health insurance industry.

Again, it is important to remember that if these changes were set into motion, they would not be implemented overnight. Nonetheless, it is important to look back on our country’s history and understand how people would be affected without the pre-existing conditions provision in place.

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Get involved (and get covered!) on National Youth Enrollment Day

by Lauren Mandel

Did you know 1 out of every 5 young adults still doesn’t have health insurance? That statistic seems alarming, especially considering the help and tax credits currently available to most Americans.


If you’re like us – and Get Covered America – and you want to see more young adults enrolled in health coverage, now is the time to take action. National Youth Enrollment Day is this Saturday, December 10, which means there’s no better time for millennials – and all Americans – to get enrolled in the right health plan.

Not sure which plan to choose? Not to worry: there’s personalized help available. Licensed agents can guide you through the enrollment process and help you find the right plan. Think health coverage is too expensive? The Department of Health and Human Services (HHS) announced more than 2.5 million covered Americans are missing out on lower costs, and most individuals could find coverage for $75 a month or less once they take advantage of tax credits.

We understand the uncertainty surrounding the future of Obamacare. However, we’re here to remind you that major policy change takes time, meaning it’s still important to plan for your 2017 health coverage. If you don’t enroll in a plan by December 15,  you will not have active coverage once the New Year begins. And you most definitely do not want to miss the final Open Enrollment deadline on January 31, 2017; if you do, you may have to wait until the next Open Enrollment Period starts to enroll in a health plan.

Looking for ways to get involved this Saturday? Click here for more information, volunteer opportunities, and more.

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