Category Archives: Individual

Obamacare: when to drop your child

When do I have to drop my child from my health plan at work? Cutting The Ties Dear Cutting The Ties, In most states and situations, your insurer will drop your child the month after he or she turns 26.  If your plan offers COBRA, then COBRA would be available.  Some states require insurers to allow […]

How much you pay before the plan pays

Does the coinsurance on health insurance apply to the total medical charge or the discounted charge after the health plan’s discount?  For example, my insurance company says I owe 20% coinsurance on laboratory visits. The lab charged $200, and the insurance company disallowed $175, which means we have $25 left over. The insurance company says […]

Health plan for non-citizens available “off exchange”

Interested in understanding if non US citizens (above 60 years old) can buy health insurance in the US; if so, what are the options & where to find these plans. Foreigner Dear Foreigner, You can buy insurance directly from a carrier, as a non-citizen.  You cannot go to the insurance exchange, since that is available […]

Obamacare: Entrepreneurs and consultants get coverage, but not in Africa

I’m a young adult and recent graduate from college. Post graduation, I took a consultancy job in Africa until May of next year. I’m curious how consultants and entrepreneurs go about health insurance as it is certainly not offered by your line of work. Should I go the international insurance option? Or should I pay […]

Obamacare: husband turns 65, leaving wife on exchange plan

My husband and I are currently purchasing a plan through the Individual Marketplace. My husband turns 65 next month, and I turn 61 next month. Will I be able to keep our current plan with subsidies while my husband enrolls in Medicare? What are our options? Sofia in California Dear Sofia, When your husband enrolls […]

Affordable Care Act: COBRA on offer, can still go to exchange

I just lost my health insurance through my employer, who is now offering me COBRA.  Does this disqualify me for subsidies through the insurance marketplace? In Limbo Dear In Limbo, You will still qualify for subsidized health insurance from the exchange, while your COBRA offer is still on the table (i.e. for the 18 months).  […]