The Health Insurance Marketplace (www.healthcare.gov), also called exchanges, is the source for people to buy health coverage with a subsidy that can be used to reduce monthly premium. In addition to the subsidy, known as the Advance Premium Tax Credit (APTC), In...
U.S. Department of Health and Humana Services (HHS) issued proposed rules addressing essential health benefits (EHB) and the determination of actuarial value (AV) in order to clarify key provisions of the Affordable Care Act. The rules issued by HHS will cover the...
Health Insurance policies assign a plan deductible for each person insured up to a maximum number of insured members. An individual plan deductible is easy to understand – the plan deductible is assigned to the one individual covered by the health insurance policy. A...
The term “formulary” is defined as a list of drugs identified by the carrier that provides the highest degree of efficacy, or the capacity to produce a desired effect, for the treated condition in relationship to the most favorable cost. The list of drugs included on...
A Health Savings Account (HSA) plan that works in conjunction with the compatible High Deductible Health Plan (HDHP) are the best example of the how health insurance coverage has adapted to the needs of the Texas consumer. HSA plans have provided consumers with a more...
A health insurance plan deductible is an established amount of money that an insured member must pay before the health insurance carrier is required to make benefit payments not associated with an office visit or prescription co-pay. The purpose of a deductible...
