Explore Topics

500 questions across 16 categories

25 results for"Health Insurance"

131
Health Insurance HotPinned

Health insurance network confusion - in-network vs out-of-network costs

I had a procedure at an in-network hospital, but afterward got a bill for the anesthesiologist who was out-of-network. I thought I was covered! How can an in-ne…

@SurpriseBalanceBill8 months ago55answers
128
Health Insurance Hot

What is a deductible, copay, coinsurance, and out-of-pocket max? Health insurance basics

I just graduated college and have to pick my own health insurance for the first time. I'm completely lost on the terminology. Can someone explain deductible, co…

@HealthInsuranceNewbie8 months ago53answers
101
Health Insurance Hot

Health insurance deductible vs out-of-pocket maximum - what's the difference?

Open enrollment is confusing me. Plan A: $500 deductible, $4,000 out-of-pocket max, $350/month premium. Plan B: $3,000 deductible, $6,000 out-of-pocket max, $18…

@OpenEnrollmentStuck8 months ago43answers
98
Hot

Medicare at 65 - do I HAVE to sign up even if I'm still working?

Turning 65 in 3 months, still working full-time with employer health insurance (company has 50+ employees). Do I need Medicare Part B now or can I delay without…

@WorkingAt659 months ago39answers
97
Medicare & Medicaid Hot

Can I keep my employer health insurance after turning 65 and getting Medicare?

My employer has 200 employees. I'm turning 65 in 8 months but plan to work until 68. Can I delay Medicare and stay on employer coverage? Is employer coverage pr…

@WorkingPast658 months ago40answers
97
Hot

Health insurance in early retirement - how do I cover gap until Medicare?

Retiring at 60, need health insurance for 5 years until Medicare. COBRA too expensive. ACA subsidy eligibility? What do most early retirees do?

@EarlyRetireHealthcare9 months ago39answers
96
Health Insurance Hot

Health insurance pre-existing condition coverage after ACA - is it truly protected?

I have Type 1 diabetes and change jobs occasionally. Before ACA I was uninsurable in the individual market. What's actually protecting me now? Can insurance com…

@DiabetesInsuranceConcern8 months ago39answers
92
Hot

Short-term health insurance - is it real coverage or a scam?

Between jobs for 6 months. Short-term insurance is $150/month vs COBRA $850/month. Seems too good to be true. Does it actually cover major medical expenses?

@BetweenJobs9 months ago36answers
91
Hot

How does health insurance deductible actually work?

My deductible is $3,000. Does that mean I pay 100% of everything until I hit $3k, then insurance pays 100%? Or is there coinsurance after deductible? So confuse…

@InsuranceNewbie9 months ago36answers
91
Health Insurance Hot

Marketplace health insurance subsidy calculation - how does the ACA premium tax credit work?

I'm self-employed with variable income. Some years I make $45k, some years $75k. I've been told I qualify for ACA subsidies but I'm confused how the premium tax…

@SelfEmployedSubsidy8 months ago37answers
86
Hot

Maternity coverage - how much does pregnancy cost with insurance?

Planning to get pregnant. Health insurance says maternity covered. What are typical out-of-pocket costs? Deductible? Copays? Trying to budget for baby.

@PlanningPregnancy9 months ago33answers
84
Hot

Pre-existing condition exclusion - can insurance deny my claim?

Just got health insurance 2 months ago. Now need surgery for hernia I've had for years. Can they deny this as pre-existing? I thought ACA protected against pre-…

@PreExistingWorried9 months ago32answers
81
Hot

Dependent coverage until 26 - can adult child stay on my insurance?

Daughter is 24, graduated college, working part-time with no benefits. Can she stay on my health insurance? Does she have to live with me?

@ParentOf24YearOld9 months ago31answers
77
Hot

Can I get health insurance after open enrollment with life event?

Just lost job 2 weeks ago. Missed open enrollment. Getting married in 3 months. Can I get insurance now or wait until marriage for special enrollment?

@SpecialEnrollment9 months ago29answers
76
Hot

Working at 65 - do I need Medicare Part A even though it's free?

Turning 65, still working with great employer health insurance. Part A is free so should I just take it? Or will it cause coordination of benefits issues with m…

@StillWorking659 months ago29answers
63
Hot

Can I add my domestic partner to my health insurance?

Live with partner (not married) for 5 years. My employer offers health insurance. Can I add partner as dependent? What proof do we need? Do they count as 'spous…

@DomesticPartnership9 months ago24answers
38
Health Insurance

Health insurance for early retirees before Medicare kicks in at 65

I'm planning to retire at 60, but I won't be eligible for Medicare until 65. That's a 5-year gap. What are my best options for health insurance during those yea…

@drodler4 months ago5answers
33
Health Insurance

How does a health insurance deductible actually work with copays and coinsurance?

I'm embarrassed to admit I don't fully understand how my health insurance works. I have a $3,000 deductible, $30 copays for primary care, and 20% coinsurance af…

@drodler4 months ago5answers
31
Health Insurance

Health sharing ministries — legitimate alternative to health insurance or too risky?

My neighbor is using a health sharing ministry (like Medi-Share or Christian Healthcare Ministries) instead of traditional health insurance and says it's much c…

@drodler4 months ago5answers
29

Health insurance deductible - $1000 vs $5000, which saves money?

Choosing between HDHP with $5000 deductible ($200/month) or PPO with $1000 deductible ($450/month). I'm healthy, rarely go to doctor. HSA contribution benefit w…

@HealthyAndFrugal9 months ago13answers
28
Health Insurance

COBRA vs ACA marketplace — which is better when leaving a job?

I'm leaving my job next month and need health insurance for my family of 4. COBRA would cost $1,850/month to keep my current plan. An ACA marketplace silver pla…

@drodler4 months ago4answers
24
Health Insurance

Health insurance denied my MRI — how to appeal and win

My doctor ordered an MRI for persistent back pain and my health insurance denied it saying it's 'not medically necessary' and I need to try 6 more weeks of phys…

@drodler4 months ago4answers
21
Health Insurance

Short-term health insurance plans — are they worth it or just junk insurance?

I'm between jobs for 3 months and need temporary health coverage. Short-term plans are quoting me $150/month versus $600/month for a COBRA plan. But I've heard …

@drodler4 months ago3answers
17
Health Insurance

Adding a newborn to health insurance — deadlines and what happens if you miss them

My wife is due in 3 weeks and I'm trying to get ahead of the insurance paperwork. I know there's a special enrollment period when a baby is born, but how long d…

@drodler4 months ago3answers
16
Health Insurance

Medicare and out-of-country medical care — what coverage exists when traveling internationally?

My husband and I want to spend 6 months in Portugal after we retire at 65. We have Original Medicare with Medigap Plan G. I know Medicare generally doesn't cove…

@drodler4 months ago2answers