What Are Your Health Insurance Options If Youre Unemployed
11 Minute Read | September 27, 2021
Life happens. We get that.If you lost your job, we know youre not just worried about when your next paycheck will arrive, theres also that other nagging thought in the back of your mind: What about my health insurance?
If youre no longer covered by your employers group health insurance, you might be assuming that your health care options are limited. And now it may feel like all you can think about is how to get health insurance between jobs.
But dont lose hope. Take a deep breath. There are options out there to protect your health care until youre back on your feet!
Can You Get Disability If You Are Unemployed And Pregnant
Disability Insurance provides short-term wage replacement benefits to eligible California workers. You may be eligible for DI if you are unable to work and are losing wages because of your own non-work-related illness, injury, or pregnancy. Note: Citizenship and immigration status do not affect eligibility.
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In Medicaid Expansion States 83 Percent Of Workers Would Be Eligible For Assistance If Unemployment Compensation Was Excluded From Eligibility Calculations
May 29, 2020 – Workers in states that embraced Medicaid expansion would have a better chance of accessing healthcare coverage assistance if unemployment compensation were not included in the eligibility determinations, a recent Kaiser Family Foundation study found.
The Health and Economic Recovery Omnibus Emergency Solutions Act, the fourth coronavirus stimulus package, recently passed in the House and is under consideration in the Senate. It proposed extending the additional unemployment compensation through to the end of the year.
In light of the pending legislation, the study looked at the impacts of Medicaid expansion on healthcare coverage in four different scenarios. It observed the current eligibility of vulnerable workers in Medicaid expansion and nonexpansion states. Then, the study compared this to three scenarios in which workers received:
- State income only without federal income
- Federal unemployment compensation through the end of 2020
- Both state and federal unemployment compensation and these were not included in the income eligibility calculation
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Individual Private Health Insurance
Individual private health insurance is a plan you purchase from a non-government exchange. Shopping on a private exchange, like eHealth, allows you to have more variety in your coverage options. You will also have the option of shopping for ACA-compliant plans, and youll even be able to apply for subsidies through eHealth by proxy.
Keep in mind that since the ARPA expanded qualifications for subsidies, you might now be eligible for assistance even if you did not qualify before. According to the new rules, enrollees now do not pay more than 8.5% of their income towards their insurance coverage, which has been reduced from nearly 10% under the prior limits. In addition, those earning more than 400% of the federal poverty level may now qualify for subsidies. In 2021, that includes individuals making about $51,000 or less annually and families of four making more than $104,800 annually.
If you find that subsidies arent an option for you, youll also be able to shop for alternative individual and family plans that may offer less benefits but be within in your price range. Short-term health insurance and catastrophic plans are two options that fall into this category.
Which Medicaid Plan Is Best In Florida
Each Medicaid plan in Florida comes with the same core benefits which are listed here. You can also compare the performance data for the various plans in your area by using what is known as the Medicaid Health Plan Report Card. You will also have to consider things like the types of services that might be needed along with how many doctor visits that will be necessary, the plan that is accepted by your doctors, the types of doctors you will need, and what extra benefits will meet your needs.
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Who Is Eligible For Medicaid
Medicaid has somewhat different eligibility criteria in every territory and state, but all state-level programs use federal guidelines as a starting point for approval of applicants. As a rule, Medicaid enrollees must be:
- U.S. citizens or permanent legal residents who meet length-of-residency requirements
- Residents of the state where the application is submitted
- Earning less than the state maximum income and have less than the maximum countable assets, which does not include a single home or car
- Free from past convictions for benefits fraud, not have voluntarily surrendered access to benefits in lieu of prosecution or have any other disqualifying civil or criminal history
Income verification is usually part of the Medicaid application process. To establish an applicants income, program workers often look back over a period of 60 months to see how much money you earned. In California, the look back period is 30 months. This assessment helps to determine whether you earn too much money to qualify for Medicaid benefits. It also helps to establish how much of a share-of-cost you should have before your Medicaid benefits kick in, if any.
Impact On Benefits And Eligibility
- SNAP: All UI benefits are countable as unearned income for SNAP households. Receipt of UI may reduce benefits for households, although they may continue receiving the maximum benefit if the state is issuing emergency allotments during the public health emergency. For other households, the receipt of UI will put them over the income threshold and make them ineligible.
- Medicaid: As a condition of receiving increased federal Medicaid funds, states must keep Medicaid enrollees covered through the end of the public health emergency, so Medicaid enrollees who begin receiving UI must not lose Medicaid coverage.
- TANF: States have flexibility in TANF on how to consider income, but they typically treat UI benefits as unearned income. Receipt of UI will almost certainly make a household ineligible for TANF and result in case closure unless the state has chosen to exclude some or all of the UI provided under the CARES Act as disaster relief.
- Loss of TANF could trigger transitional SNAP benefits in the 23 states that provide them, resulting in households maintaining a higher SNAP benefit for up to five months after their TANF ends.
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What About Private Health Insurance
You can buy health insurance outside of the Marketplace several ways:
- Directly through a health insurance company.
- From an insurance agent representing one insurer.
- From an insurance broker representing many different insurance companies.
Some individual insurance plans sold outside the Marketplace are ACA-compliant, but many are not, so itâs important to read the fine print carefully when considering such a policy.
Short-term health insurance plans are a special type of individual health insurance. These plans last one year and can sometimes be renewed for up to 36 months. Unlike Marketplace policies, however, short-term health insurance policies arenât required to meet ACA guidelines. As a result, these plans typically offer more limited coverage than Marketplace plans for example, they may not cover prescription drugs, pregnancy care or mental health care. They often have higher deductibles and may place an annual cap on the dollar amount of benefits you can receive.
Short-term plans arenât required to cover preexisting conditions or even sell insurance to people who have them. If you do get a short-term plan and you have a preexisting condition, youâll likely pay more in premiums than if you didnât.
Comparing policies available in the individual insurance market can be confusing. Working with an insurance broker can help you navigate your options.
Medicaid In New York State
- COVID-19 News and Updates:
- COVID Information for Medicaid Consumers:
- Medicaid Coverage through Your Local Department of Social Services during the Coronavirus Emergency –
- Medicaid Telehealth Services During the Coronavirus Emergency –
- IRS Form 1095-B Update:
- The 1095-B form for Tax Year 2020 is no longer being mailed automatically.If you need a copy of your 1095-B for Tax Year 2020, you can request it:
- By e-mail – or
Q What Medical Services Does Medicaid Cover
A. The Delaware Medicaid program pays for many medical services to keep you healthy and to treat you when you are sick. The major services are:
- Inpatient and Outpatient hospital care
- Lab tests
- Dental care
Covered services for the Delaware Healthy Children Program are listed on the DHCP Benefits page.
Floridas Requirements For Medicaid Qualification
In order to get Medicaid in Florida, you have to meet certain eligibility requirements. You have to be a certain type of patient for one thing. These include:
- Pregnant women
- Parents or relatives who are caretakers
- Families who might have lost Medicaid because of an increase in income or alimony
- Florida residents who receive SSI through the Social Security Administration
- Patients who are disabled or over the age of 65
- Children under 21
- Those who are eligible to receive Temporary Cash Assistance
- People under age 26 who were in a foster home
- People in nursing homes or those who receive community or home-based care.
You also have to be a Florida resident who has a valid social security number and a citizen of the U.S.
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Can I Get Health Insurance Without A Job
BY Anna Porretta Updated on December 16, 2021
If you lose your employment for any reason, one of the biggest concerns is how to ensure your potential medical needs are covered. The good news is you can get health insurance without a job. While group health insurance is not an option for those without an employer, you can still qualify for individual or family plans. Individual health insurance offers all the same coverage options as you may find from employer-sponsored plans.
If you are unemployed, your employer doesnt offer health insurance, or you do not qualify for benefits offered at your job, you still have a few health insurance coverage options:
- Affordable Care Act insurance
- Individual or family health insurance
Most Americans do get their health insurance through their employer. According to a 2017 survey by the Kaiser Family Foundation about half of Americans get employee sponsored health insurance.Even if youre in the minority, you can still find unemployed health insurance thats right for you, your situation, and your budget. At eHealth, our licensed brokers have the expertise and experience to help you find the best individual or family health insurance plan for your needs and budget.
I Have Children Will The Texas Medicaid Program Cover Their Health Care
It depends on your household income and the number of people who live with you.
What if your household income is too high to qualify for Medicaid? Your children might still be able to receive no-cost health insurance through The Childrens Health Insurance Program .
CHIP is for Texas residents who are:
- pregnant woman of any age who want to receive health care for their unborn children
- age 18 or younger living with a parent or other adult guardian
- U.S. citizens or legal permanent residents
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What Counts As Income During The Covid
As a result of COVID-19, Congress passed the CARES Act, which established a Pandemic Unemployment Compensation for unemployed workers. Workers who qualify for PUC will receive an extra $600 a week in unemployment benefits in addition to their regular unemployment compensation.
It is important to note that the additional $600 weekly assistance will not count as income for Medicaid eligibility however, it will be counted as income in determining eligibility for financial assistance through the Marketplace. If individuals are receiving the weekly $600 in PUC, they should include it on their applications for Marketplace coverage.
Additionally, the one time stimulus payment established under the CARES Act will not be counted as income for Medicaid eligibility or Marketplace financial assistance. You do not need to include the stimulus payment on applications for Medicaid or Marketplace coverage.
Impact Of Ui On Snap Medicaid And Tanf Applications
- Effect on eligibility. For those already receiving UI, the full benefit amount counts as unearned income for SNAP at application. For Medicaid, the additional $600 per week of PUC is not countable and should be excluded in determining eligibility, but other UI benefits are counted. States have flexibility for treatment of income under TANF most states count the full amount of UI, but some states are excluding the additional $600 per week of PUC.
- No delay in processing applications. State agencies must not delay processing of SNAP, Medicaid, and TANF applications while an individual is applying for UI. Potential UI income that hasnt yet been received must not be considered when determining eligibility and benefit amounts.
- Providing information about UI. State agencies that administer SNAP, Medicaid, and TANF can provide information about these expanded UI benefits and encourage individuals who apply for assistance to also apply for UI. Due to the expansion of UI eligibility, many self-employed people and those with limited work history who wouldnt have previously qualified may be eligible. And some TANF programs require applicants to apply for other potential income sources, including UI.
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How Long Will It Take To Enroll
Many state Medicaid agencies are being inundated with requests for help right now so call center response times may be longer than usual. Enrolling online is the best and potentially fastest way to enroll, however, help should be available over the phone. States have 45 days to process applications but the good news is that once you are enrolled, Medicaid coverage is effective back to the date of your application. If you have outstanding medical expenses, Medicaid may also cover your medical expenses incurred up to 90 days prior to your application date, but you will have to request retroactive Medicaid.
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Ny State Of Health: The Official Health Plan Marketplace
You and your family have many new low cost, quality health insurance options available through NY State of Health. You can quickly compare health plan options and apply for assistance that could lower the cost of your health coverage. You may also qualify for free or low-cost coverage from Medicaid or Child Health Plus through the Marketplace. Anyone can apply. To learn more or apply, visit the NY State of Health website or call 1-855-355-5777.
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Current Law: 16 Weeks Of Federal Additional Income Included In Eligibility
At present, vulnerable workers who become unemployed can receive $600 in additional federal income for 16 weeks. This federal unemployment compensation is included in income eligibility determinations for ACA marketplace eligibility but not for Medicaid and CHIP eligibility.
“Eligibility for assistance of any kind is not substantially different between expansion and nonexpansion states when all the cash assistance available is received, the researchers stated.
However, workers in expansion states are seven times more likely to be eligible for Medicaid, the researchers found. This is a critical metric because Medicaid usually has limited additional out-of-pocket healthcare spending for beneficiaries, as opposed to health plans on the ACA federal or state health insurance marketplace. This would make healthcare more affordable for Medicaid-eligible workers in Medicaid expansion states.
In both Medicaid expansion and nonexpansion states, under the current law, a similar percentage of vulnerable workers are not eligible for any federal funding . The percentage is slightly lower in Medicaid expansion states.
How Do I Apply For Medicaid
You can apply for Medicaid in any one of the following ways:
- Write, phone, or go to your .
- In New York City, contact the Human Resources Administration by calling 557-1399.
- Pregnant women and children can apply at many clinics, hospitals, and provider offices. Call your local department of social services to find out where you can apply.
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Additional Federal Income Extended Through 2020 Included In Eligibility
If the additional federal compensation was extended from the current 16 weeks through to the end of 2020 and still included in the income eligibility calculations, the population of workers eligible for subsidies would be lower than if policymakers did not make any changes at all. Eligibility would drop for both expansion and nonexpansion states. However, the decline would be sharper for expansion states.
Expansion states would have no workers that would be eligible for both ACA marketplace premium tax credits and cost-sharing reductions. Instead, its populations would be divided nearly into thirds, with 35 percent eligible for Medicaid, 29 percent eligible for ACA marketplace premium tax credits, and 36 percent not eligible for any assistance.
Nearly half of all nonexpansion state vulnerable workers , on the other hand, would be eligible for ACA premium tax credits. Meanwhile, a third would have no assistance available.
What Youll Pay When You Need Medical Care
If you enroll in a Silver plan, youll get the full benefits of the unemployment-based subsidies, meaning that youll have fairly low out-of-pocket costs if you need medical care later this year. Any Silver plan you choose will have a maximum out-of-pocket of no more than $2,850 in 2021, and its common to see these plans with deductibles that range from $0 to $500. Copays for office visits and many prescriptions also tend to be fairly low.
If you choose a non-Silver plan, the normal cost-sharing will apply. No matter what plan you select, your out-of-pocket maximum for in-network care wont exceed $8,550 this year, but the specifics of the coverage will vary considerably from one plan to another.
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