What does the Indiana Health Exchange Individual Mandate Mean?
An individual in Indiana not offered coverage from a group medical plan must purchase minimum essential coverage from the federal Indiana health exchange or from a private exchange effective 1-1-2014 to avoid a tax penalty. This mandate and exchange does not apply to those eligible for Medicare. Initially you will choose between a Platinum, Gold, Silver, or Bronze plan through the exchange or a qualified metal level private medical plan. All health exchange plans will be guaranteed issue with no health status rating including all essential medial benefits.
The Affordability Care Act (ACA) mandates that you purchase health insurance that complies with the new Affordable Care Act. The open enrollment period for 2015 coverage is November 15, 2014 through February 15, 2015. If you choose to be uninsured in 2015 you will received a tax penalty that is 2% of your household income or $325 per person. If you’re uninsured for just part of the year, 1/12 of the yearly penalty applies to each month you’re uninsured. If you’re uninsured for less than 3 months, you don’t have to make a payment.
We will help facilitate your enrollment into a qualified plan, assist with your application for credits and subsidies, as well as work with the small group employers looking for from the shop exchange.
Additional guidance will continued to be provided by Health and Human Services throughout 2013 and beyond. Indiana Insurance Group will continue to provide you with the necessary information as it changes and plans develop.
10 Essential Benefits Being Added to the Indiana Health Exchange Plans
The 10 new essential benefits added to the Indiana health exchange will be; Ambulatory patient services, Emergency services, Hospitalization, Maternity and newborn care, mental health and substance use disorder services, including behavioral health treatment, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services and chronic disease management and pediatric services, including oral and vision care.
Our Specialty is Medical, Dental, and Vision Coverage
IIG is a licensed certified Agency that will help facilitate the individual Indiana health insurance exchange. We can also help with the necessary dental or vision plans to ensure you have full coverage. Our expertise will show how to best navigate the exchange products, inform you on changes of the marketplace as well as help you choose the best product for your specific needs.
What is the Role of an Indiana Insurance Exchange Navigator?
Currently under PPACA, state exchanges will be required to award grants to navigators who will perform the following roles:
*Conduct public education activities to raise awareness of the availability of qualified medical plans;
*Distribute fair and impartial information concerning enrollment in qualified health plans, and the availability of premium tax credits and cost-sharing reductions in accordance with federal tax laws;
*Facilitate enrollment in qualified health plans;
*Provide referrals to any applicable office of health insurance consumer assistant or health insurance ombudsman, or any other appropriate state agency or agencies, for any enrollee with a grievance, complaint, or question regarding their health plan, coverage, or a determination under such plan or coverage;
*Provide information in a manner that is culturally and linguistically appropriate.
Navigators will likely be comprised of representatives of trade associations, business associations, and other community-based organizations; they also may be brokers. However, PPACA prohibits navigators from accepting remuneration from an insurer. The Secretary of Health and Human Services (HHS) is charged with establishing standards for navigators.
We keep your information Private
We protect your privacy! Your information is always held in strict confidence and never shared with any outside source except for the intention of applying! Please review our Privacy Statement if you have any concerns.