In this 4th episode of the Dough Roller Podcast, I interview Nate Purpura of eHealth. Nate and the folks at eHealth are experts when it comes to Obamacare. Given all of the questions and uncertainties surrounding the Affordable Care Act, I was thrilled when Nate agreed to come on the show.
The Topics Covered on the Show
We covered just about every topic relevant to Obamacare in this nearly one hour interview, including the following:
- How the Obamacare subsidies work and how you can determine whether you qualify
- Whether you can keep your existing health insurance policy even if it doesn’t meet the new standards under Obamacare
- How the platinum, gold, silver and bronze plans work
- What the out-of-pocket caps are and how they work for both individuals and families
- Why those who do not receive a subsidy will have more health care insurance options and how to find these additional choices
- Whether you can switch plans in the middle of the year
- What are “qualifying events” that might allow you to change plans in the middle of the year
- Whether it’s a good idea to wait until you’re sick before buying insurance
- How to determine if a health plan covers your existing doctors and area hospitals
- Why the cost of health insurance is going up
- How your age affects the premiums you’ll pay
- How Obamacare subsidies are calculated and tools to help you determine your eligibility
In addition, Nate and I discuss those states that may allow individuals to keep their existing insurance plans. Please note that this is a developing issue with changes announced almost daily. Best on our best information, the table below gives the current status by state. Before making any decisions, however, be sure to confirm this information with the exchange in your state.
Unofficial List of States Where You Can Keep Your Health Insurance
Will Allow Renewals
Will Not Allow Renewals
|NH||KY (up to insurance carrier)||NY|
|VA||NC||MN (per Medica broker alert)|
|IL||KS||CA (per LA Times)|
|NE||OR (broker alert stated OR will leave it up to carriers)|
|ND||MD (per CareFirst, renewing at 2014 renewal through end of 2014)|
Resources Mentioned in the Show
- Obamacare Map–What exchange covers your state?
- 5 Steps to Understanding Obamacare
- Why does my household income matter under the Affordable Care Act?
- Essential Benefits under Obamacare
- eHealth’s Find a Doctor Tool
- The Cost of Comprehensive Health Benefits (pdf)
- Obamacare Subsidy Calculator from eHealth
Nate was also kind enough to share some infographics with us:
Finally, after the interview Nate emailed me and said that HHS announced that enrollment for 1/1/2014 can now take place as late as 12/23/2013.