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Category Archives: Ohio Individual Health Insurance

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10 Tips You Need to Know About Health Reform (federal exchange marketplace)

You have questions and we have answers.  Because we value your time, we’ve quickly summarized the 10 things we believe you need to know to help you navigate health reform. For those who want a deeper look, access to a recording of our hour long webinar, a link is provided at the end of this post.

#1) On January 1, 2014 – All plans on or off the federal exchange marketplace will be guarantee issue with no exclusion of pre-existing conditions which means the insurance company cannot deny you for coverage and they can’t exclude any of your medical conditions.

#2) If you want a 01/01/2014 effective date, your broker will help you enroll in a plan between October 1-December 14, 2013.  Applications submitted on 12/15/2013-01/14/2014 will be effective 02/01/2014.

Marketplace subsidies available to those under 400 FPL

Marketplace subsidies available to those under 400 FPL

#3) The deadline to enroll in a 2014 health reform compliant plan, be it on the federal exchange or through the private market is 03/31/2014. If you miss this window, you will not be able to enter the system until 01/01/2015, unless you qualify for a special enrollment.

#4) Anyone making under 45,960 (single), $62,050 (couple) or $94,200 (family of 4) will receive federal subsidy to help you pay for your health insurance. If you are eligible for a subsidy, your broker will assists you in purchasing your health plan on the exchange marketplace and you will receive an immediate premium discount at the time of purchase, no extra forms, no waiting.

#5) If you are eligible for subsidy, you will buy your insurance on the federal exchange marketplace, with help from your broker.

#6) If you are NOT eligible for subsidy you will buy your insurance, with the help of your broker, OFF the federal exchange marketplace.

#7) All Americans will be required to purchase health insurance or pay a fine.

#8) You may keep your current plan but upon its renewal in 2014, it will be converted to a more costly Health Reform compliant plan.  Speak with your broker to determine if early renewal is right for you.

Community Rating Changes How We Are Charged for Health Insurance

Will my health claims affect my rate?

#9) The amount you pay for insurance will NOT be determined based on your health history.  Everyone of the same age, in the same zip-code, will pay the same amount. Except for smokers who will pay a lot more.

#10) Prices for 2014 plans are expected to cost significantly more than plans today due to Health Reform mandates.  The 2014 plans are richer plans, more robust than 2013 plans and therefore will cost more.



Before you take the next step you need to consider your health, age, income and current coverage options to determine if you should move quickly into a Reform compliant plan or take steps to delay your entrance into the world of Obamacare.

Feel free to call or email MyHealthQuoter.com, so that we can schedule a time to analyze your unique situation.


Some other resources for your review:

If you know anyone who has questions about Health Reform, please share this 2 minute animated YouTube video we created to help, http://youtu.be/-YUAPJssBOc

War Stories from Health Reform (Webinar Recording); www.anymeeting.com/myhealthquoter/EE55DD888747

Our website; http://www.myhealthquoter.com/ (A Private Health Insurance Exchange)

Our Blog; http://www.ohioindividualhealthinsurance.net/?p=625 (7 part Blog about Health Reform, among other things)

Facebook: http://www.facebook.com/pages/MyHealthQuotercom/31908081738?fref=ts

LinkedIn; www.linkedin.com/in/matthewsbyrne/

Twitter;  https://twitter.com/myhealthquoter


About The Author…

matt_81x106 Matthew Byrne has made a career helping people find affordable health insurance in Ohio. He is the founder of MyHealthQuoter.com, a Dublin-based brokerage providing health insurance quotes in Ohio, and additional services for individuals, families and corporations. Mr. Byrne is a subject matter expert speaking frequently about Health Care Reform, Defined Contribution Programs, COBRA, and Medicare. He can be reached at (614) 336-3636, and online at www.MyHealthQuoter.com.

Need a Health Reform Speaker? Find Matt on COPEC! http://copeceducation.org/speaker/Matthew.Byrn

Will congress defund health reform?

Defund or Delay? Don’t Count On It.

National Health Underwriters reports,

It’s been widely reported that when Congress returns from August recess, some Republican lawmakers hope to tie defundreform defundinging of health reform provisions to the overall federal government funding continuing resolution that needs to be passed by September 30. Many of these lawmakers have proclaimed defunding as their last and best hope to stop health reform implementation. As an alternative, some conservative groups have endorsed a one-year delay of all of the provisions of the law slated to take effect on January 1, 2014.

Not everyone in the GOP agrees. Many conservative thought leaders and political leaders, including Representative Paul Ryan, Senator Tom Coburn, Mitt Romney among others, have said they think the defunding plan is a bad one. Representative Tom Cole, who before being elected to Congress was a national GOP pollster and political operative, has even predicted that going forward with a defunding strategy could cost the GOP the House of Representatives in the 2014 midterm elections. Polling data bears that out—a recent health policy tracking poll shows that by a 2-1 margin voters say they will be less likely to vote for their member of Congress in 2014 if they support a health reform defunding effort tied to a government shutdown.

It’s important to know that the train has left the station.  Health Reform and 90% of its major provisions will spring to life on 01/01/2014. It’s important to get a game plan to determine how you will navigate health reform.  All politics aside, there are some critical decision (with potentially long term impact) that each of us must make this fall. Finding the right health insurance quotes in Ohio will take time and a clear understanding of where you fit into the system.

Here is a partial list of the provisions set to arrive in 2014.

  • All health products will be guarantee issue with no pre-existing condition exclusions.
  • No health status rating; ratings limited to
    • Age 3:1
    • Tobacco 1:5:1
    • Family Size
    • Geography (notice how your medical claims history and prescription use has no impact on how much you pay)
  • Health Insurance products must exhibit at least 60% “actuarial value”, must cover “essential health benefits”
  • Employer mandate (penalty delayed until 2015 but measurements for penalty will occur in 2014)
  • Individual mandate (all individuals are required to have health insurance, starting 01/01/2014)
  • Exchanges – an online marketplace where those eligible for federal subsidy will buy health insurance (starts 10/01/2013)

Many individuals are more comfortable with professional assistance when making decisions that involve detailed and confusing material.  Evaluating Health Reform coverage, federal subsidy money available and the complex enrollment on the exchange marketplace is unlike any other healthcare program you have evaluated in the past.  Mistakes can be costly.  This is why we developed our Health Advocate Program.

A Health Advocate will provide one on one consulting is designed to provide you the information and assistance you need as you navigate through all your options so you can confidently choose what is best for your personal situation.

About The Author…

matt_81x106 Matthew Byrne has made a career helping people find affordable health insurance in Ohio. He is the founder of MyHealthQuoter.com, a Dublin-based brokerage providing health insurance quotes in Ohio, and additional services for individuals, families and corporations. Mr. Byrne is a subject matter expert speaking frequently about Health Care Reform, Defined Contribution Programs, COBRA, and Medicare. He can be reached at (614) 336-3636, and online at www.MyHealthQuoter.com.

Need a Health Reform Speaker? Find Matt on COPEC! http://copeceducation.org/speaker/Matthew.Byrn

Prevention Saves Money

man exercisingWe all know what an ounce of prevention is worth.

That’s the value in leveraging individual health insurance as part of an overall wellness plan. It’s not something that is saved for when you get sick or injured.

People who have individual health insurance coverage use it to prevent serious medical conditions from happening down the road, with the preventive benefits they enjoy. These include regular physicals, immunizations, blood tests, and screenings that are age and gender appropriate. All at no out of pocket cost to the patient. Read More…

Large Corporations Reduce Premium Costs with Individual Employee Health Insurance

syringesSave Big Money with Individual Employee Health Insurance Plans

If the economy has hit your corporation, you can save money with more cost-effective insurance plans.  Move away from expensive group employee health care plans that only drain your budget.  MyHealthQuoter.com understands your financial struggles. Choose a far less expensive alternative to group insurance premiums – Ohio individual health insurance plans. Read More…

Why Health Savings Accounts (HSA) are the Best Things Since Sliced Bread

iStock_000016167666SmallFor people with a health savings compatible Ohio individual health insurance plan, setting up a Health Savings Account (referred to as an HSA) is a recommended option. HSAs are a special kind of bank account that allows you to put money aside to specifically cover out-of-pocket health-related expenses, like co-pays, deductibles, medications, etc. You can even pay for vision and dental expenses with funds from an HSA. It is also sometimes referred to as a Medical IRA Read More…

Alternatives to COBRA

8256995700_470c0f22ba_mDon’t Pay Outrageous COBRA Costs

If you are recently unemployed, don’t feel pressured to pay expensive COBRA health coverage. COBRA health coverage locks you into your employer’s expensive group plan. Choose an Ohio individual health insurance plan today, and you won’t get stuck with high COBRA expenses.

Unemployment means your spouse loses benefits as well. Don’t get hit with double coverage loss for you and your spouse. Choose comparable coverage for your spouse with an Ohio individual health insurance plan. Pick and choose your doctors now. Enjoy the freedom and portability that goes along with Ohio individual health insurance plans. Take your future into your own hands with an Ohio individual health insurance plan. Read More…

Supreme Court Upholds Health Care Reform Law

Supreme Court Upholds Health Care Reform Law

On June 28, 2012, the last day of its current term, the U.S. Supreme Court announced its decision on the constitutionality of the health care reform law. The Court upheld the entire law, holding that Congress acted within its constitutional authority when enacting the individual mandate. This means that the health care reform law will continue to be implemented as planned and provisions that are already effective will continue. Read More…

Navigating Health Reform (Part 7 of 7) (A Video)

Do you need someone to speak about Health Reform to your company or group? Are you looking for someone to help you navigate health reform or the complex health insurance process?

Feel free to contact us to schedule a time to review your needs.

Matt Byrne is President of MyHealthQuoter.com, a division of Spiralight Group, a health insurance brokerage specializing in affordable solutions for individuals, families and small groups. He also founded The Ohio Referral Network (TORN), a group that helps small businesses cultivate their professional development and the exchange of referrals.

Matt draws on fourteen years of technical product marketing experience. He has achieved record growth and has created several innovative marketing strategies which leverage and unify several state-of-the-art technologies including; CRM, telemarketing, affiliate programs, strategic partners, referral program, e-newsletters, live and virtual seminars, multimedia social networking and the internet.

Matt has a Bachelor of Arts degree from Boston University and holds a life and health insurance license.

He serves on the board of the Central Ohio Professional Education Council (COPEC) and the Foundation Board of Trustees for First Community Church.

Matt can be reached at (614) 336-3636 or http://www.myhealthquoter.com/

This is part of a 7 part series called Navigating Health Reform, please review some of our past entries.

Part 1: http://www.ohioindividualhealthinsurance.net/?p=422
Part 2: http://www.ohioindividualhealthinsurance.net/?p=432
Part 3: http://www.ohioindividualhealthinsurance.net/?p=437
Part 4: http://www.ohioindividualhealthinsurance.net/?p=444
Part 5: http://www.ohioindividualhealthinsurance.net/?p=510
Part 6: http://www.ohioindividualhealthinsurance.net/?p=524
Part 7: http://www.ohioindividualhealthinsurance.net/?p=625

All you need to know about Health Savings Accounts (HSAs)

All you need to know about Health Savings Accounts (HSAs).

Imagine an affordable health insurance plan that offers 100% preventive coverage that is NOT subject to your deductible. That’s right, no co-pay, no out of pocket 100% free for all preventive coverage. We’ve helped thousands of satisfied clients find affordable Wellness HSA’s.

Click here to start shopping for your HSA or call us at (866) 577-3620.

The insurance companies value prevention and early detection. They beleive in it so much that they literally give away most prevention and diagnostic services.

Please listen to my 30 minute blog about Health Savings Accounts

Listen to internet radio with spiralight on Blog Talk Radio

Health savings accounts (HSAs) are savings plans that allow health care consumers to set aside tax-free money to cover current and future qualified medical expenses. An HSA allows account holders to set aside as much as $3,350 for individuals and $6,650 for families annually before federal taxes to cover out-of-pocket healthcare costs, for individual and family coverage respectively in 2015 (and indexed annually thereafter). Contributions to HSAs are made annually and can be made by both employers and individual account holders. Unlike flexible spending accounts (FSAs) in which funds must be used within a certain period of time or forfeited, unspent funds in an HSA can accumulate over time as tax deferred savings. If the money is used for medical expenses, it is never taxed. To enjoy the tax benefits, you’ll also need a HSA compatible high deductible health plan (HDHP). When paired together, funds from a HSA can be used to cover the deductible and other cost-sharing aspects of an HDHP, as well as other qualified medical expenses not covered by the HDHP.

We’ve helped thousands of satisfied clients find an affordable Wellness HSA and we can help you, too. Give us a call at (866) 577-3620 and we’ll help you find a health insurance plan that is. . .

Affordable – Up to 50% cheaper than group coverage
Portable – You can take it with you from job to job
Permanent – As long as you make your premium payment, nobody can take it away

How It Works

1) You enroll in an HSA-qualified HDLP. You’ll pay lower premiums and have an account designed to help you pay for qualified medical expenses.

2) You establish an interest-bearing HSA.

3) You and other individuals may make tax-advantaged contributions to your HSA, up to certain limits.

4) You may use your HSA debit card or personal check* to pay for qualified medical expenses. Your local bank can help establish an HSA bank account. We suggest

We suggest using H S A Bank. They have a suite of 18 mutual funds you can use and allocate. https://secure.hsabank.com/enrollment?ain=1020030

What are qualified medical expenses?

Eligible medical expenses are defined as those expenses paid for care as described in Section 213(d) of the Internal Revenue Code. Additionally, the IRS allowed some over-the-counter drugs to qualify as eligible medical expenses.

This is a partial list of eligible medical expenses. Visit the IRS’s website (Publication 502) for a more complete list of eligible medical expenses.

Artificial Limb
Artificial Teeth
Breast Reconstruction Surgery
Braille Books and Magazines
Capital Expenses / Home Improvements
Christian Science Practitioner
Contact Lenses
Dental Treatment
Diagnostic Devices
Disabled Dependent Care Expenses
Drug Addiction
Drugs / Medicines
Eye Surgery
Fertility Enhancement
Founder’s Fee
Guide Dog or Other Animal
Health Institute
Health Maintenance Organization (HMO)
Hearing Aids
Home Care
Hospital Services
Labor and Delivery
Laboratory Fees
Lead-Based Paint Removal
Learning Disability / Special Education
Lifetime Care – Advance Payments
Long-Term Care
Medical Services
Medicines / Drugs
Mentally Retarded, Special Home for
Nursing Home
Nursing Services
Organ Donors
Psychiatric Care
Stop-Smoking Programs
Vision Correction Surgery

Future value of money calculator for H S A contributions.


Click here to start shopping for your HSA or call us at (866) 577-3620.

Shop online; http://www.myhealthquoter.com/healthsavingsaccount.html

Health insurance, medical insurance ohio, medical ira, health savings account, HSAs and travel insurance, international travel insurance, trip cancellation insurance, individual health insurance quotes for Ohio including: Akron, Canton, Columbus, Cincinnati, Cleveland, Dayton, Toledo.

Frequently searched terms; COBRA, COBRA Subsidy, COBRA Subsidy Extension, Dublin Ohio Health Insurance, Ohio Health insurance, affordable medical Insurance ohio, and individual health insurance quotes for Ohio including: Akron Health Insurance, Canton Health Agents, Columbus Ohio Health Insurance, Cincinnati Health Insurance, Cleveland, Dayton, Toledo.

Things to review before you buy an individual health plan

If you suddenly find yourself without health insurance and are unsure of the possibility or process of buying your own Ohio individual health insurance plan, here’s a brief, helpful guide.

  1. Commit to finding Ohio individual health insurance coverage to protect your assets and financial future.
  2. Determine the monthly amount you can budget for health insurance.
  3. Gather the list of current health care providers that you would like to continue using. You may want to target plans that include your providers or allow you to choice your provider.
  4. Think about what type of deductible you would feel comfortable carrying. Since higher deductibles shift a higher percentage of any future claims to you, the monthly payment is usually lower.
  5. Go online to a Web site that specializes in cost-effective Ohio Individual health insurance plans such as http://www.myhealthquoter.com.
  6. Review these common health insurance terms:

What is a premium?
A premium is the monthly cost of keeping your insurance policy in effect. Health insurance premiums are determined by a variety of factors, including your medical history, your lifestyle, and your current health status.

What is a deductible?
A deductible is an amount of medical expenses you are responsible for paying before your insurance starts covering you. A common deductible is $500, this means you would be responsible for paying the first $500 in medical bills before receiving coverage. Having a higher deductible usually means you enjoy lower monthly premiums.

What is a co-payment?
A co-payment is a fixed-dollar amount that you are responsible for paying for a particular medical service. For example, many plans have $20 co-payments for doctor’s visits. This means it only costs you $20 to see a doctor.

What is coinsurance?
Coinsurance is an amount of the cost of a medical service that you are responsible for paying. Unlike a co-payment, which is a fixed-dollar amount, coinsurance is expressed as a percentage. For example, many insurance plans have 20% coinsurance for hospital costs, meaning you pay 20% of the total cost of a trip to the hospital.

We are here to help you understand your options and get you into the very best Ohio individual health insurance plan for you.
Even if you are currently uninsured, we may be able to help. Call us at 1-866-577-3620 or visit MyHealthQuoter today.

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