Health, Hospitals, PCP, Provider Network

How to avoid an out-of-network medical bill

If you or a family member have to undergo a medical procedure, you’re probably already feeling stressed. When an unexpected medical bill arrives afterward, it can feel like the last straw. Especially if it’s an “out-of-network” bill from an “in-network” provider. Read on to learn how to minimize your chances of receiving an out-of-network medical bill and […]

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PCP, Provider Network

Tips for choosing a primary care provider

After you sign up for a Marketplace health plan, you will want to choose a primary care provider. This is the main person you will see for all non-emergency care so it’s important to spend time making this decision. You want to make sure your primary care provider will listen, answer your questions, and advocate […]

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ACA, Individual Mandate, Minimum Essential Coverage, Monthly Premium, On-exchange, Open Enrollment, Subsidy or Tax Credit

On-exchange vs. off-exchange health insurance plans

There have been a lot of changes around health insurance since the Affordable Care Act (ACA) was signed into law. One of the big ones is having the opportunity to buy on-exchange vs. off-exchange health insurance plans. So which one is right for you? In this article, we’re going to look at the differences between […]

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ACA, Health, Monthly Premium, Open Enrollment, Qualifying Life Event, Special Enrollment, Subsidy or Tax Credit

Reporting a major life change to the Marketplace

Let’s say you’re one of the 12 million people who signed up for health insurance during Open Enrollment. You completed your eligibility application and enrolled in a health plan. Then, several months later, your family moves to another city. You might already know you need to report your new address to the Marketplace. But what […]

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5 tips for being an informed medical consumer

You have some control over the quality of the medical care you receive. If you invest time in becoming a participant in your own treatment, rather than a passive recipient, you’ll experience better outcomes. Here are five basic tips to get you started: Don’t Keep Secrets From Your Doctor You may try to maintain a […]

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ACA, Medicaid, Medicaid Gap, Subsidy or Tax Credit

The Medicaid Gap explained

The Medicaid Gap refers to a situation that came in some states as the Affordable Care Act went into effect in 2013.  Folks who earn between 138 – 400% of the Federal Poverty Level in affected states are not covered by Medicaid. Additionally, they are not eligible for Marketplace subsidies.  This means it’s more challenging to find quality, […]

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Individual Mandate, Tax Exemption

Do I qualify for an ACA tax exemption?

When you or your family, including your spouse, children or other dependents, don’t have health insurance that meets the minimum essential coverage requirements, then you might find yourself facing penalties at tax return time. This tax provision goes by many names, including individual shared responsibility payment, individual mandate penalty, and ACA fine. This requirement also has […]

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