Rushville Republican

Columns

January 14, 2014

What you need to know about the Affordable Care Act

(Continued)

What are my options?

For many in the 6th District, health insurance options on the exchange are limited and vary by county. Seventeen of the 19 counties in our district are limited to one or two insurance providers—MDwise and/or Anthem. If you live in Delaware or Randolph counties you have three providers from which to choose including Anthem, PHP and MDwise. Because of these limited options, you may have to switch physicians and preferred hospitals if you select health insurance through the exchange website instead of in the individual marketplace.

What are the costs?

When comparing health insurance plans on the Federal exchange website, you will notice Bronze, Silver and Gold plans. Those categories determine your deductible, yearly out-of-pocket maximum, and your share of the cost for medical care after you’ve paid your monthly premium.

Bronze Plan: Lowest monthly premium, but highest out-of-pocket costs. After your monthly premium, you pay 40% of the cost for doctor visits, medical procedures, tests, etc. The plan pays 60%.

Silver Plan: Monthly premiums are higher than the bronze plan, but out-of-pocket costs are slightly less. You pay 30% and the plan pays 70% of your medical costs after your monthly premium is paid.

Gold Plan: Highest monthly premium, but lowest out-of-pocket cost. After your monthly premium, you pay 20% and the plan pays 80% of your medical costs.

Your monthly premium, your deductible and out-of pocket maximum will vary based on the plan you select, your age, income and where you live. Let’s walk through what that might mean for a typical consumer. Based on estimates from healthcare.gov, if, for example, you live in our district and have a family of four with a combined income of $40,000 a year, your monthly premium could be as little as $7 a month after receiving a government subsidy. Your deductible will range from $7,000 to $12,600 depending on the plan you choose. Gold plans have lower deductibles and out-of-pocket expenses, but premiums are much higher. It is also important to keep in mind, your children could be eligible for free or low-cost health care through the Healthy Indiana Plan, and you could be eligible for a federal subsidy to off-set the costs of your monthly premium. You can find information on the Healthy Indiana Plan at http://www.in.gov/fssa/hip/

Text Only
Columns
  • There's something about Maryland My family unit has just returned from a death march – oops, make that, “vacation” – in Annapolis, Maryland. In spite of constant 96-degree temps (though it dropped as low as 95.7 at night), and the stifling humidity, we had lots of dolgurn fun. Mainl

    July 22, 2014

  • Learning to say goodbye From as far back as I can remember, saying hello has been a part of nearly each day.During my youth, it was used when I met new people my parents introduced me to and was frequently followed by a handshake. I couldn’t count the number of times I used

    July 18, 2014

  • Lessons from the largely forgotten war As we approach the official date on which the First World War started, July 28, 1914, when the first shots were fired by the Austro-Hungarians who invaded Serbia, it’s appropriate to think about the lessons that catastrophic event has taught us one h

    July 15, 2014

  • Please go away My wife is planning our summer vacation, which we will take in the fall. We took our spring vacation this summer. We got behind in 1984 and still haven’t caught up. I don’t have much input into the planning of these trips, but Mary Ellen did assign m

    July 15, 2014

  • Soothing '60's Surf Sounds I’m sitting in my home office enjoying a serenade of rhythmic pulsations emanating from the outside wall. It’s coming from our water spigot. No. 5 son (age 13) and his buddies are using it to fill water balloons. 1,500 water balloons to be exact. 1,5

    July 15, 2014

  • Soccer-stopping Storm a Lousy Treat What a great way to spend a Saturday morning in July: I’m sitting in my car with rain cascading on the roof, lightning skittering all over the sky, and thunder sockin’ it to the atmosphere with such force that I feel a rumbling in my bum.I’m staring

    July 8, 2014

  • Only in America - Top 10 As we move into the glorious months of summer, I thought you might be amused by reading the Top Ten List of what Canadians supposedly think of how things are going in this country. It’s a lot like David Letterman’s “top ten list.”Number 10: Only in A

    July 8, 2014

  • Government today is way too intrusive What ever happened to the America of my youth? That great country that was indeed the jewel of the common person of the world. The country where one could actually, through hard work and industry, make a good living and actually have the OPPORTUNITY

    July 8, 2014

  • Gone in the blink of an eye Over the holiday weekend I was able to enjoy three days, (somewhat) off work. Three day weekends are always a highlight for me and I am sure most of you will agree.I went fishing to wrap up my Sunday evening. While sitting in the old John boat castin

    July 8, 2014

  • Mum Mum If my grandmother were alive today, she would be 125, and she would still, no doubt, be walking around in her six-inch-high heels, the ones she asked to be buried in—and she’d have a Marlboro in her fingers. She demanded to be called Mum Mum because

    July 3, 2014