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Health Insurance Information
What kinds of health insurance are there?
There are essentially two kinds of heath insurance: Fee-for-Service and Managed
Care. Although these plans differ, they both cover an array of medical, surgical
and hospital expenses. Most cover prescription drugs and some also offer dental
These plans generally assume that the medical professional will be paid a
fee for each service provided to the patient. Patients are seen by a doctor
of their choice and the claim is filed by either the medical provider or the
- Managed Care
More than half of all Americans have some kind of managed-care plan1. Various
plans work differently and can include: health maintenance organizations
(HM0s), preferred provider organizations (PPOs) and point-of-service (POS)
plans. These plans provide comprehensive health services to their members
and offer financial incentives to patients who use the providers in the
The Affordable Care Act (Obamacare)
Starting in 2014, the government will be mandating that everyone be covered by a health insurance or pay a fine. This means everyone will be required to have health insurance that meets a minimum amount of coverage, be enrolled in a government program or pay a fine at the end of the year on their taxes. To help offset the extra expenses that health insurance might create, the government will be offering subsidies to those who qualify based on household size and income.
According to healthcare.gov, the government is fining families the following amounts for not being covered by health insurance in Nevada.
The fee for not having coverage in 2014
If you didn’t have coverage in 2014, you’ll pay one of these two amounts when you file your 2014 federal tax return:
1% of your yearly household income. (Only the amount of income above the tax filing threshold, about $10,000 for an individual, is used to calculate the penalty.) The maximum penalty is the national average premium for a bronze plan.
$95 per person for the year ($47.50 per child under 18). The maximum penalty per family using this method is $285.
The fee in 2015
If you don’t have coverage in 2015, you’ll pay the higher of these two amounts:
- 2% of your yearly household income. (Only the amount of income above the tax filing threshold, about $10,000 for an individual, is used to calculate the penalty.) The maximum penalty is the national average premium for a bronze plan.
- $325 per person for the year ($162.50 per child under 18). The maximum penalty per family using this method is $975.
The fee after 2015
The penalty increases every year. In 2016 it’s 2.5% of income or $695 per person. After that it's adjusted for inflation.
Las Vegas Auto Insurance is an approved producer for the Nevada Health Link. We can offer help to individuals that need help navigating through the exchange or have any questions on Las Vegas Health Insurance. Call us today for further information on any topics for Las Vegas health insurance.
What is 'long-term care'?
Because of old age, mental or physical illness, or injury, some people find
themselves in need of help with eating, bathing, dressing, toileting or
continence, and/or transferring (e.g., getting out of a chair or out of bed).
These six actions are called Activities of Daily Living–sometimes referred to as
ADLs. In general, if you can’t do two or more of these activities, or if you
have a cognitive impairment, you are said to need “long-term care.”
Long-term care isn’t a very helpful name for this type of situation because, for
one thing, it might not last for a long time. Some people who need ADL services
might need them only for a few months or less.
Many people think that long-term care is provided exclusively in a nursing home.
It can be, but it can also be provided in an adult day care center, an assisted
living facility, or at home.
Assistance with ADLs, called “custodial care,” may be provided in the same place
as (and therefore is sometimes confused with) “skilled care.” Skilled care means
medical, nursing, or rehabilitative services, including help taking medicine,
undergoing testing (e.g. blood pressure), or other similar services. This
distinction is important because generally Medicare and most private health insurance pays
only for skilled care–not custodial care.
What are the types of disability insurance?
There are two types of disability policies: Short-Term Disability (STD) and
Long-Term Disability (LTD):
- Short-Term Disability policies (STD) have a waiting period of 0 to 14
days with a maximum benefit period of no longer than two years.
- Long-Term Disability policies (LTD) have a waiting period of several
weeks to several months with a maximum benefit period ranging from a few
years to the rest of your life.
Disability policies have two different protection features that are important
- Non-cancelable means the policy cannot be canceled by the insurance
company, except for nonpayment of premiums. This gives you the right to
renew the policy every year without an increase in the premium or a
reduction in benefits.
- Guaranteed renewable gives you the right to renew the policy with the
same benefits and not have the policy canceled by the company. However, your
insurer has the right to increase your premiums as long as it does so for
all other policyholders in the same rating class as you.
In addition to the traditional disability policies, there are several options
you should consider when purchasing a policy:
1 - Source : MANAGED CARE AND THE STATES
- Additional purchase options
Your insurance company gives you the right to buy additional insurance at a
later time for an additional cost.
- Coordination of benefits
The amount of benefits you receive from your insurance company is dependent
on other benefits you receive because of your disability. Your policy
specifies a target amount you will receive from all the policies combined,
so this policy will make up the difference not paid by other policies.
- Cost of living adjustment (COLA)
The COLA increases your disability benefits over time based on the increased
cost of living measured by the Consumer Price Index. You will pay a higher
premium if you select the COLA.
- Residual or partial disability rider
This provision allows you to return to work part-time, collect part of your
salary and receive a partial disability payment if you are still partially
- Return of premium
This provision requires the insurance company to refund part of your premium
if no claims are made for a specific period of time declared in the policy.
- Waiver of premium provision
This clause means that you do not have to pay premiums on the policy after
you’re disabled for 90 days.