Category Archives: Prescription Help
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 defunding 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…
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
Some great resources for the uninsured and those with affordability issues (isn’t that all of us now?)
MyHealthQuoter.com helps individuals and families find affordable health insurance. Call (866) 577-3620 to speak with a consumer advocate today.
We will be hosting series of Health Reform Webinars on the first Friday of every month from 12-1pm. If you are interested, let us know and I’ll put you on the invitation list. Email: email@example.com
The next 4 sessions:
February 1, 2013
March 1, 2013
April 5, 2013
May 3, 2013
Matthew Byrne has made a career helping people find affordable health insurance. He is the founder of MyHealthQuoter.com, a Dublin-based brokerage providing health insurance for individuals, families and corporations. Mr. Byrne is a subject matter expert speaking frequently about Health Care Reform, Defined Contribution Programs, COBRA, and Medicare.