Why You should enroll in Obamacare now?

November 19, 2020
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It's time to start looking for a health plan for 2021. Annual open enrollment for Obamacare started on November 1 will ends on December 15, in most states except few states where there is an extended period to enroll.

Kinds of income based coverage

a. Depending on your income, you may qualify for an insurance plan with tax credits or,
b. Medicaid and the Children’s Health Insurance Program (CHIP) which provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities.

Essential Health Benefits

All marketplace plans cover ten essential health benefits:

• Ambulatory patient services
• Emergency services
• Hospitalization
• Pregnancy, maternity, and newborn care (both before and after birth)
• Mental health and substance use disorder services, including behavioral health treatment that includes counseling and psychotherapy
• Prescription drugs
• Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
• Laboratory services
• Preventive and wellness services and chronic disease management
• Pediatric services, including oral and vision care (but adult dental and vision coverage are not essential health benefits)

Additional coverages:

Birth control benefits

All Marketplace plans cover contraceptive methods and counseling for women, as prescribed by a health care provider. The plan covers FDA-approved contraceptive methods including:

• Barrier methods, like diaphragms and sponges
• Hormonal methods, like birth control pills and vaginal rings
• Implanted devices, like intrauterine devices (IUDs)
• Emergency contraception
• Sterilization procedures
• Patient education and counseling

Plans are not required to cover drugs to induce abortions and services for male reproductive capacity, like vasectomies.

Breastfeeding coverage benefits

Marketplace plans cover breastfeeding equipment and counseling for pregnant and nursing women. including help with breastfeeding at no extra cost. Your health insurance plan will cover the cost of a breast pump. It may be either a rental unit or a new one you will keep. Your plan may have guidelines on whether the covered pump is manual or electric, the length of the rental, and when you will receive it either before or after birth.

Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements. Plans may offer additional benefits, including:

Dental coverage

Dental coverage is available as part of a health plan or you may buy a dental plan separately as stand-alone. If a health plan includes dental, the premium covers both health and dental coverage. If you choose a separate dental plan, you will pay a separate, additional premium.

Adult & child dental insurance in the Marketplace

Under the health care law, dental insurance is treated differently for adults and children 18 and under.

Dental coverage is an essential health benefit for children. This means if you are getting health coverage for someone 18 or younger, dental coverage must be available for your child either as part of a health plan or as a stand-alone plan. Note: While dental coverage for children must be available to you, you do not have to buy it.
Dental coverage is not an essential health benefit for adults. Insurers do not have to offer adult dental coverage. (source: healthcare.gov)

Vision coverage

• A health benefit that at least partially covers vision care, like eye exams and glasses. All plans in the Health Insurance Marketplace® include vision coverage for children. Only some plans include vision coverage for adults.
• If adult vision coverage is important to you, check the details of any plan you are considering.
• If your plan does not include adult vision coverage, you can buy a “stand-alone” vision plan to reduce your vision care expenses. The Marketplace does not offer stand-alone vision plans. To shop for stand-alone vision plans, contact an insurance agent or broker, or search for plans online. (source: healthcare.gov)

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Coverplushealth.com is an independent marketplace operated by Health Plans Direct, Inc. National Producer Number 17854932 and is not the Health Insurance Marketplace website. We Invite application for insurance in states where we maintain our agency/broker licenses and appointed for each state that requires a license to conduct health insurance sales and services.We are required to comply with all applicable federal laws, including standards established under 45 CFR 155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Marketplace plans being offered in your state through our partner websites. To see all available data on Marketplace plan options in your state, go to the Health Insurance Marketplace website at HealthCare.gov. If you have questions or concerns, please contact us at support@coverplushealth.com

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