TEXAS HEALTH INSURANCE
Key Pages

Individual and Family
Small Group
Medicare Supplement
Health Reform in Texas
Texas Health Insurance SiteMap

TEXAS HEALTH INSURANCE
Guides
Health Insurance Introduction
HSA Health Savings Accounts
Cobra Option in Texas
Are you Insurable?
Medigap Texas Coverage
Small Group Plans and Options
Texas Catastrophic Coverage

 

OVER 200,000 ONLINE TEXAS HEALTH INSURANCE QUOTES SINCE 2002

Affordable Texas health insurance  Texas Health Plans  Health Reform Battle Plan

How to Manage Changes Resulting from Healthcare Reform

As you probably know, healthcare reform under the Affordable Care Act (ACA) is kicking into high gear in the near future.  Texas consumers have a great of deal of decisions in front of them and timeframe to make these decisions begin October 1, 2013.  Options that will be available will fall into two market segments: policyholders with coverage prior to March 23, 2010 and policyholders with coverage written after March 23, 2010.  March 23, 2010 is the date ACA was signed into law and divides policyholders into grandfathered and non-grandfathered plans.  Stateside wants to make sure both groups know what's coming.

Policies Written After March 23, 2010

Policies written after the March 23, 2010 effective date are designated as non-grandfathered plans.  Beginning on January 1, 2014, ACA will mandate that all non-grandfathered health insurance policies issued after March 23, 2010 provide essential benefits including maternity, substance use, preventative care and mental health parity.  Non-grandfathered plans will be subject to these requirements on the policy anniversary date in 2014.  Alongside the increase in mandated benefits assigned to your plan, Stateside expects to see an increase in premiums next year.

What do these changes mean? 

Policyholders of non-grandfathered plans will have many options to consider beginning October 1, 2013, and Stateside wants to assist you. 

If your current coverage has an exclusion rider, which can limit benefits, a new policy can be issued with no restrictions.

If your current coverage was subject to a rate-up that increased your monthly premium, a new policy can be issued with no premium increase based on health history or medical condition.

If you needed maternity coverage and were not able to secure it from an employer, you will now have the opportunity for comprehensive maternity and prenatal benefits.

If your income has been adversely affected recently, you may qualify for a premium subsidy, which can significantly decrease your cost of coverage.

A separate category of coverage called non-qualified plans plans that do not meet the essential benefit requirements, but also do not carry the expected higher premium will be offered by Stateside.  These plans are expected to be at least 30% lower than the mandated benefit plans, even with the annual penalty charged for choosing a non-qualified plan.

Policies Written Before March 23, 2010

Policies written with an effective date prior to March 23, 2010 are designated as grandfathered plans.  Grandfathered plans are not subject to the essential benefit requirements that become effective January 1, 2014.  Stateside expects premiums in Texas to increase substantially for policies written after March 23, 2010 due to the coverage requirements that include maternity, substance abuse, preventative care and mental health parity benefits.

What do policyholders have to do to comply with healthcare reform?  Absolutely nothing because these plans are grandfathered and will not be transitioned into one of the mandated benefit plans.  However, healthcare reform may offer some benefits not to be overlooked. 

If your current coverage has an exclusion rider, which can limit benefits, a new policy can be issued with no restrictions.

If your current coverage was subject to a rate-up that increased your monthly premium a new policy can be issued with no premium increase based on health history or medical condition.

If you needed maternity and were not able to secure coverage from an employer, you will have the opportunity for comprehensive maternity and prenatal benefits.

If your income has been adversely affected you may qualify for a premium subsidy which can significantly decrease the cost of health insurance coverage.

Does one of these situations apply to you?

Whether your plan is non-grandfathered or non-grandfathered, please let Stateside know, and we will research which Affordable Care Act options could benefit you and your family.

The Affordable Care Act open enrollment period begins October 1, 2013.  Be sure to stay informed on healthcare reform and what that means for you and your family in terms of insurance coverage for the remainder of 2013, and into 2014?  Call us anytime to learn more.

You can contact Stateside Insurance Services in whichever way is most convenient for you:

www.texasplans.com
Toll Free: (866) 444-3332
Austin Local: (512) 542-9760
Email: info@texasplans.com
Toll Free Fax: (800) 349-2730

Popular Related Pages:

Texas Health Reform Updates


 


 
TEXAS HEALTH
Request Texas Health Quote:
Individual and Family
Small Business (2-50 employees)
Seniors with Medicare
Texas Health Reform
NAVIGATE
Texas health insurance home
Understand how Texas health works
Article Database
Apply Online
Doctor Search
 
SUPPORT
Contact Page
Email
Enrollment Support
Questions on Quote

ABOUT
About Us
Terms of Use
Privacy Statement
Our Services
 


  quote - quote
TexasPlans
.com  Copyright All Right Reserved.              Helping Texas Individual, Families and Groups find the best Texas health insurance