Can I Buy Health Insurance If My Employer Offers It REPACK

While we have made every effort to provide accurate information in these FAQs, people should contact the health insurance Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

can i buy health insurance if my employer offers it

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The Affordable Care Act ensures that almost all Americans can buy individual and family health insurance from the online Marketplace. To qualify to shop on the Marketplace, there are just a few general requirements. You need to live in the U.S., not be incarcerated, and be a U.S. citizen or hold a number of permitted immigration statuses that include being a refugee, a green card holder, a survivor of domestic violence, and more. If you meet these general criteria, you can shop for Obamacare plans during the annual Open Enrollment Period (OEP). You can also shop on the Marketplace during a Special Enrollment Period (SEP) if you have a qualifying life event like a marriage, birth, or move.

If you decline individual health insurance through your employer, you can enroll in an Obamacare plan through the Marketplace. Although you most likely will not qualify for any subsidies or other financial assistance. You will only be able to qualify for cost savings if the following applies:

In most cases, sticking with your employer-sponsored coverage for your health insurance will be your cheapest option. Most employers contribute towards your monthly premium costs, meaning you might not be able to beat that price. Especially since some employers might even contribute up to 100% of your monthly costs for your health insurance premiums.

Most employees who are covered through employer-sponsored plan make some kind of contribution to the cost of their monthly premiums. Employees contributed an average of $104 per month to their employer-sponsored insurance in 2019, according to the Kaiser Family Foundation.

My employer offers benefits. No premiums are deducted from employee checks, so they consider themselves 100% employer paid. However, they have a twice a year bonus that is 25% of your w2 wage. And from that bonus, they pay your simple contribution 2% employer portion, life insurance and health insurance if you enrolled. They deduct all those items before it hits payroll, so again, no payroll deductions, just a lower gross payroll. Is this legal?

I have been offered a job at a company that offers health insurance to people who regularly work 31 or more hours per week. I am scheduled to work 27 hours a week, and sometimes more, but most of the time under the 31 hours. Will I still qualify for the ACA subsidy? How does the government know if a individual is eligible for insurance or not?

Hi I was just remarried. I have Employer health insurance. My new wife has Marketplace insurance for her and her children prior to me. Do I need to add them to my employer based insurance or can they stay as is?

After this marriage, she will likely not qualify for Marketplace subsidies. As long as your individual employer-sponsored insurance is less than 9.78% of your total household income, she and her children will not qualify for subsidies. Your options are: 1. Add her and the children to your employer insurance 2. She can stay on Marketplace insurance and pay full price (no subsidies)

Does the plan they are offering cost less than 9.78% of your household income? Is it ACA-compliant and does it cover the 10 essential health benefits ( -marketplace-plans-cover/)? If the answer to either of those is no, then you can get Medicaid or subsidized Marketplace insurance. You can see plans and prices at healthsherpa.com or call us at (872) 228-2549.

If i am a part time worker (under 30 hours) my company has offered me insurance, do i have to take the company insurance plan? my husband is uninsured and is also looking for affordable health insurance until medicare kicks in. What are my options?

My employer does not offer ACA compliant health insurance because they said not enough people signed up for the plan. They said they have to have 25 or more people signed up for that plan, which they do hot. Therefore, the only coverage they offer me is MEC, which is just a preventative care, does not meet ACA minimum value standards. With this being the case, can I get financial assistance through Marketplace? How can they say they offer me something when it is dependent on 24 other people signing up?

Yes, if your employer does not offer you ACA-compliant coverage, you can qualify for subsidies on the Marketplace. You only have until December 15 in most states to sign up, so go to healthsherpa.com or call us at (872) 228-2549

Currently on the health exchange with a subsidy. I started a new job: employer offers two options for medical coverage. The first choice is a basic medical plan (no hospitalization) and does NOT meet the minimum value standard. The second choice is a CDHP High Deductible plan ($5,000) and DOES meet the standard. Based on that, is there any way I can still get (or continue) my plan on the health exchange, possibly by declining the basic plan?

my wife was a part time worker when the pandemic started last march. she took a leave of absent because of the virus till september when she was terminated. during those 9 months she she was offered health insurance coverage by her employer but she never realized it because she was a part time and never came back to work . in the meantime she had coverage through the market place and received premium tax credit assitance. we are now working in our taxes and received a form 1095-c and realized that she had the insurance option with her former employer. Do we have to pay back the premium tax credits received, about $4000 for the 9 months, and we should do it. our household income is 26K Thanks

My annual income is $28105, I pay $50 per month for my insurance through my employer but I have to pay $30 per dr visit and $85 for specialist and $28 per month for dental insurance. Can I apply for this insurance as a second health insurance? I can not afford going to the dr when I needed it because after all those deductions on my paycheck my monthly pay is $1790 per month.

Hello, I am married with two children. My spouse and I are covered under our parents insurance for now as we are under 26 y/o. My children currently have CHIP but it is set to expire soon. I make enough money to where my children wont qualify for CHIP, but I still make not enough so that I could qualify for tax premiums if I got a plan through the marketplace. My job currently does not offer health insurance. My question is, if I got a family plan, in order to get the tax premiums would me and my spouse have to be taken off of our parents insurance? Or do we even qualify for the tax premiums since we have health insurance? Essentially I only need a family plan to cover my children. Is there such a thing as child only plans available through the marketplace?

There are Child Only plans. The parents are the primary applicants and the kids would be the ones applying for coverage. Fill out the application at healthsherpa.com, and if your household income is high enough, your kids will get a subsidy on Marketplace insurance, or if the quote says CHIP there is a portion of the application that will allow you to put the LOC date (CHIP) to indicate the children are being denied coverage. Once the application in complete HC.gov will show the eligibility for the kids to see if they can give any subsidies for the children. You can call us at (872) 228-2549 if you have any questions or need help.

My husband will start a job that offers health insurance to spouse and dependents too. My kids will qualify for CHIP with his income. Can my husband only opt to get insurance for himself with the employer, the kids with CHIP, and I with a full cost Marketplace plan (because it will be cheaper than the spouse coverage)?

Also, the plan starts 90 days after employment. Till then can my husband and I enroll in marketplace plans with the subsidies and then update our insurance status once the employer insurance kicks in? Do we need to tell the marketplace about the expected coverage 90 days before?

2. Till then can my husband and I enroll in marketplace plans with the subsidies and then update our insurance status once the employer insurance kicks in? Do we need to tell the marketplace about the expected coverage 90 days before?

Yes, you can do this. You can just update the insurance status when the employer insurance is about to start. No need to tell them 90 days before, you can just update your application once the employer insurance is about to start.

My employer does not offer major medical insurance. They instead offer an insurance sort of like Aflack that just gives you a hundred dollars a day if you are admitted to the hospital. I have been told by my doctor that I may need another rotator cuff surgery sometime in the future. I would like to cancel my employer based insurance and instead get an insurance through the ACA. Am I eligible for insurance through the ACA?

Hi, I am currently 5 months pregnant and will be going on maternity leave in early February. After my 12 weeks of maternity/FMLA leave I will lose my health insurance. I am entitled to another 12 weeks leave through NJFLA to bond with my child. The NJFLA leave will be unpaid. My employer states that my only option to continue health benefits coverage for me and the baby at that point is COBRA. Since my NJFLA time will be unpaid, COBRA is not really an option due to the expensive rates. Am I eligible for the Marketplace plans for me and the baby until I return to work from my leave?

My ex-employer now offers retiree health insurance and I have Medicaid through marketplace, Dept of Health ( DOH only up to age 65). 1. Can I have both the retiree health insurance and Medicaid? 2. Medicaid gets 1095B, I am not sure about what kind of 1095 will get from employer. Is it correct marketplace or Medicaid will not let you have two 1095? ( a form received annually to show health coverage) 041b061a72