When it comes to your health insurance, Open Enrollment is the most important time of the year. This is the time that you’ll be able to change your plan, or enroll in a new one that better suits your needs and saves you money. It’s imperative that you know when the Open Enrollment Period (OEP) starts and how long it lasts so that you don’t miss out! If you do miss the OEP, you may have to wait an entire year in order to make changes, that is unless you qualify for a Special Enrollment Period (SEP). With all that being said, it’s super important to act before the deadline and avoid waiting until the last minute. To help you on this endeavor, we’ve outlined the key OEP dates for every state, to ensure you have ample time to get enrolled!
The 2025 OEP begins November 1st, 2024 in most states, and since changes to the OEP last year, it generally runs through January 15th in most states. Some states, though, have extended their OEP a little longer. Take a look at the following so you know when your state’s OEP begins and when it ends.
States With January 15th Deadlines
Alabama
There are currently 33 states that have a January 15 deadline for the health insurance OEP.
Alaska
Arizona
Arkansas
Delaware
Florida
Georgia
Hawaii
Illinois
Indiana
Iowa
Kansas
Louisiana
Michigan
Mississippi
Missouri
Montana
Nebraska
New Hampshire
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
West Virginia
Wisconsin
Wyoming
States with Different OEP Dates
Some states with their own ACA exchanges have different date ranges for the 2025 Open Enrollment Period. The chart below shows the State Enrollment Period (SEP) and OEP dates for these states; other states have not yet announced their dates (these are also listed below).
State
State Open Enrollment Period for 2025 Plans
California
November 1, 2024 – January 31, 2025
Colorado
November 1, 2024 – January 15, 2025
Connecticut
November 1, 2024 – January 15, 2025
Idaho
October 15, 2024 – December 15, 2025
Kentucky
November 1, 2024 – January 15, 2025
Maine
November 1, 2024 – January 15, 2025
Maryland
November 1, 2024 – January 15, 2025
Massachusetts
November 1, 2024 – January 23, 2025
Minnesota
November 1, 2024 – January 15, 2025
Nevada
November 1, 2024 – January 15, 2025
New Jersey
November 1, 2024 – January 31, 2025
New Mexico
November 1, 2024 – January 15, 2025
New York
November 16, 2024 – January 31, 2025
Pennsylvania
November 1, 2024 – January 15, 2025
Rhode Island
November 1, 2024 – January 31, 2025
Vermont
November 1, 2024 – January 15, 2025
Washington DC
November 1, 2024 – January 31, 2025
Washington
November 1, 2024 – January 15, 2025
Looking For Affordable Health Insurance?
The health insurance 2025 Open Enrollment Period is open from November 1 until January 15 (depending on your state), so now is the perfect time to reconsider getting a health insurance plan, or looking into your current one and making sure it’s got you covered. And if your plan doesn’t cover everything you need it to, it’s time to find a plan that does, so you can save as much money as possible.
If you’re shopping for a plan, your best bet is to speak to a licensed EZ agent. Our agents work with the top-rated insurance companies in the nation, so we can compare plans in minutes. We will not only find a plan that has all the benefits you’re looking for, but we will also make sure the plan meets your financial needs. To get free instant quotes, simply enter your zip code in the bar above, or to speak to a local agent, call 888-694-0047. No obligation.
The Health Insurance Open Enrollment Period is coming up: starting November 1st, you’ll have around 6 weeks to find a plan that meets your needs. That means a lot of information about all the different health insurance plans available, and information about any changes to your current plan will soon be coming your way. You’ll have to sort through all of this while trying to figure out how much coverage you need, and what you can afford, which can feel like a lot. And this time is going to come and go quickly! That means it’s important to begin planning now, so you are ready and don’t feel rushed during the process.
Luckily, you won’t have to feel alone during this OEP, because EZ.Insure is here to help! EZ.Insure makes the enrollment process stress-free and simple. Our easy-to-use platform provides free quotes and side-by-side comparisons of all the available health plans in your area. We also have a team of dedicated agents who are always on hand to help guide you through the process or answer any questions, so you can leave feeling confident in your coverage. To help you feel even more prepared, we’ve compiled a brief list of helpful tips so you can tackle this OEP with ease.
EZ’s certified insurance agents are also always up-to-date on the newest healthcare plans.
1. Choose an Unbiased Agent
Who you choose to work with when looking for a health insurance plan is a very important decision, and plays a big part in finding a comprehensive, affordable plan. It’s important to work with a licensed, knowledgeable agent who is not connected to a certain type of health insurance plan or insurance company, so you can get an unbiased look at all available options in your area.
EZ’s agents work with the top-rated health insurance companies in the nation, and we guarantee that we will compare all plans in your area so that you can find the perfect plan. And not only are our agents independent, but they are also always up-to-date on newer healthcare plans, so they can provide you with all the information that you need before you make your decision.
2. Consider ALL of Your Options
After choosing to work with an EZ agent, you can simply ask them to research every option that you have, as well as help you weigh all the pros and cons of each plan. There are many different types of healthcare plans available, including PPO plans, HMO plans, or metal tier plans; if you’re not sure what’s best for you, an EZ agent will go over all of these different plan types, and will not try to limit you to a certain plan. We will lay all of your options on the table and review the coverage and cost of each one.
3. Ask the Right Questions
When it’s time to start searching for plans, think ahead of time about what you want to ask your agent, and what is important to you in a plan. In addition to asking about prices and coverage options, have a list of questions you want to ask, like:
Is mental health care (or anything else you’re interested in having covered) covered?
Is a higher deductible or lower premium plan better for you?
4. Find the Plan That Has the Most Value
People often choose the cheapest plan available, but this cheapest plan might not have the best benefits available for the price. A good health insurance plan will come from a quality carrier, provide comprehensive benefits, allow you to see the doctors you want to see, and have affordable co-pays. And remember, if you go for the cheapest plan available, you might end up paying more out-of-pocket when you use medical services. Our agent will review your medical needs and budget, and search for a plan that will check all the boxes for you.
Need Help? EZ’s Got You Covered
The health insurance Open Enrollment Period will be open from November 1st through January 15 (depending on your state), so now is the perfect time to reconsider getting a health insurance plan, or to look closely at your current one to make sure it will cover all of the above-mentioned costs. And if your plan doesn’t cover everything you need it to, it’s time to find a plan that does, so you can save as much money as possible.
If you’re shopping for a plan, your best bet is to speak to a licensed EZ agent. Our agents work with the top-rated insurance companies in the nation, so we can compare plans in minutes. We will not only find a plan that has all the benefits you’re looking for, but we will also make sure the plan meets your financial needs. To get free instant quotes, simply enter your zip code in the bar above, or to speak to a local agent, call 888-350-1890. No obligation.
Health insurance is an important component of financial and physical well-being since it allows people to obtain necessary medical care. However, not everyone chooses the health insurance provided by their employment or through government programs. Some people choose to look for alternatives, and one way to do this is to get a health insurance waiver. A health insurance waiver form will typically include information about your request to forgo access to a health insurance plan that has been made available to you.
Waiving Employer-Sponsored Health Plans
Company-sponsored health insurance plans can be a considerable advantage for employees. Especially when the company pays for all or a portion of the employee’s health insurance benefit. However, it is possible that a person will not require the medical coverage supplied by their work. Employees are not compelled to partake in perks such as health insurance, which is the best part. There is no penalty for refusing coverage.
When an employee does not want their employer’s health insurance, they waive coverage. Employees can also forgo coverage for a family member who was previously covered under their plan. Employees can only opt out of coverage during specific time periods. Here are some examples of when employees can choose to forego coverage:
When they first start their job and are initially offered coverage.
During an open enrollment period, which takes place once a year and lets employees enroll, change, or opt out of coverage.
If the company begins to offer a new plan.
If someone has a change to their family such as a marriage, divorce, or birth. This qualifies them for a Special Enrollment Period.
The health insurance waiver is frequently considered as an employee perk since some firms offer to reimburse the employee for the financial value of the cost of insurance by waiving insurance. However, because most employers do not cover the entire cost of coverage, there is less of an incentive to avoid providing those benefits.
Keep In Mind
Signing a health insurance waiver may no longer provide any advantage in terms of employee perks in the form of a wage “increase” because many firms no longer pay for their workers’ health insurance benefits as they used to. However, because you will be covered via an alternate plan rather than the employer plan, the waiver may still reduce the costs of payroll deductions for your insurance.
Waiving College or University Health Plans
Universities frequently offer health insurance waivers. Students who are already enrolled in comparable or better health insurance plans than those given by their college or university typically have the option of waiving the health insurance by completing a health insurance waiver form and presenting proof of comparable coverage elsewhere. The submission deadlines for these waivers correlate to school terms. This is a common choice for students because they are frequently covered by a family plan, and the cost savings from foregoing health insurance can amount to thousands of dollars each year.
Proof Requirement
You may also be required to give proof of the reason you seek to forgo health insurance coverage, depending on the organization or reason for your request. This is for the organization, business, or school that is providing you with the plan’s protection.
Before processing your health insurance waiver request, the organization may wish to confirm that you have adequate health insurance elsewhere. Health insurance waivers may need to be signed on an annual basis, and if your circumstances change, you may be required to notify your plan provider.
Why People Use A Health Insurance Waiver
There are numerous reasons why you might decide to forego your health insurance coverage, but before you do, consider the benefits of dual coverage or benefit coordination. If you have a lot of medical bills or specific needs, it may be more beneficial to use multiple plans. Always consider all of your alternatives. For example, you may wish to waive coverage if your employer’s or student’s health insurance plan is not necessary because you already have coverage via another plan. Other circumstances in which you may obtain a health insurance waiver include:
Spousal Coverage – Individuals who are qualified for health insurance through their spouse’s employer may choose to forego their own coverage in favor of the spousal plan. This choice may be influenced by factors including cost, coverage options, or personal preferences.
Government Programs – Individuals may be eligible for government-sponsored health insurance programs, but choose to forego coverage in specific instances. This could be because of a desire for private insurance, unhappiness with the government plan, or specific coverage needs that the public program does not meet.
Alternative Options – Some people may have access to other insurance options, such as individual or family plans, and opt out of employer-provided coverage in favor of these options. Cost, coverage scope, and network preferences may all have an impact on the selection.
Coverage Preferences – Individuals might have specific preferences regarding healthcare providers, networks, or types of coverage. Opting for a waiver allows them the freedom to choose a plan that aligns better with their preferences and needs.
Alternative Health Insurance Options
If you decide to pass on health insurance offered by your job or school and choose to buy individual health insurance it’s important to know your options. There are several types of plans that all cover care in different ways. So it’s easy to find a plan that fits exactly what you need.
Health Maintenance Organizations (HMO)
HMOs offer you the option of choosing from a local network of participating physicians, hospitals, and other healthcare providers and facilities. As part of these health insurance policies, you must choose a primary care physician (PCP) from this network. Your primary care physician (PCP) will get to know you and help you organize all of your medical care. They are also responsible for referring you to any specialists; without this recommendation, your HMO would not cover a specialist visit. Out-of-pocket payments for an HMO plan are frequently lower than those for other types of health plans as long as you stay in-network.
PPOs offer very vast networks of participating providers. So, you can choose from a wide range of hospitals, clinics, and other healthcare facilities and experts. Unlike HMOs, PPOs provide some coverage for providers outside of their network,. But not as much as they would for an in-network provider. Another significant distinction between PPOs and HMOs is that you are not compelled to select a PCP and can see a specialist without a referral.
EPOs also provide you with access to a network of participating providers from which you can choose. The majority of EPO plans, with the exception of emergencies, do not cover care received outside of their network. As a result, if you visit a provider or facility that is not part of the plan’s local network, you will most likely be responsible for the full cost of services. You may or may not be needed to select a PCP depending on the plan. In either case, you will not need a recommendation from a PCP to see a specialist. As long as they are in the network of the plan.
PPOs and HMOs are combined in POS plans. A POS plan’s provider network, like that of an HMO, is often smaller than that of a PPO plan. And in-network care expenses are typically lower, as with a PPO. In POS plans, you must choose a primary care provider (PCP) from a network of physicians and other primary care specialists.
If you need to see a specialist, you must acquire a referral from a POS. However, like with PPO, you can choose to see in-network or out-of-network experts. However, if you visit an out-of-network provider, your part of the costs will be higher. And you will be responsible for submitting any claims if you visit a physician who is not in the plan’s network.
An HRA, or health reimbursement arrangement, is a form of health expenditure account provided and owned by the employer. Because they own the HRA, your employer is the only one who can contribute to it. They can also determine if you can roll over unused cash into the next year. The money in it is used to pay for eligible expenses. Including medical, pharmaceutical, dental, vision care, and as defined by the employer.
The Bottom Line
Health insurance waivers give people the freedom to choose how they want to be covered for medical care based on their own needs and circumstances. Even though they give people some freedom. People who decide to not have coverage should carefully think about the risks and other options. In turn, employers and schools have to deal with the paperwork side of health insurance waivers. Making sure they follow the law and encourage open communication. The use of health insurance waivers is still a moving part of the larger conversation about healthcare access and personal freedom, even as healthcare changes.
There are numerous sorts of health insurance plans to choose from. So it all comes down to you: your requirements, your budget, and your overall health. When looking for the best plan, the greatest thing you can do is compare the features of various plans. As a result, you can obtain the most coverage for the least money. Even if you are normally healthy, health insurance is a vital component of life. You never know what can happen, and it’s always better to be cautious than sorry. To begin, enter your zip code into the box below or call one of our qualified representatives at 877-670-3557.
Autism spectrum disorder (ASD) is a complicated developmental illness. It’s characterized by chronic difficulties with social communication, limited interests, and repetitive behavior. While autism is a lifelong illness, the degree of functional impairment caused by these issues differs amongst persons with autism. According to the CDC, one in every 36 kids and over 5.4 million adults are on the autism spectrum. With boys being four times more likely to be diagnosed than girls. Autism symptoms are typically noticed at 18 months or younger that usually leads to an official diagnosis by age 2. However, doctors have just begun to understand that symptoms of autism in adults can differ from those in children. Which is why more adults have been diagnosed with autism in recent years. So, how do the symptoms of autism differ between children and adults?
Autism In Infants and Toddlers
Autism signs and symptoms may be difficult to detect in this age group. But addressing the issue early will help give your child the best chance of success. One of the most obvious indicators is a young child who does not speak by the age of two or begins to speak. But then appears to regress to a pre-vocal stage. These children will also struggle to make eye contact with others. They rarely, if ever, initiate play with others and appear deafeningly silent when you speak to them. These children, unlike other babies and little children, do not desire to be touched or cuddled. They do not return smiles and are unlikely to respond to games that entail mirroring another’s action, such as patty-cake.
Autism In School-Age Children
This is the time when the signs and symptoms of autism are most visible. Children on the autism spectrum will not engage in pretend play. These children never seem to master nuances like sarcasm or irony since they not only think in images. But also accept things literally. When an autistic child is told to unwind after spinning in circles (a repetitious movement they may employ to self-soothe), they may literally start spinning in the other direction. Other self-soothing behaviors include constant rocking, watching a fan spin, or flapping one’s hands.
During this time, the inflexible personality that is characteristic of all varieties of autism manifests itself. When timetables are changed or a different route is taken to school, these children frequently get upset. They prefer their possessions to be in a specific sequence and will notice if something is moved. They may play alongside other children, but they rarely participate in group activities. Additionally, they may have an exceptional attachment to an inanimate object, such as a stuffed animal or blanket. Touch and eye contact are still avoided. This is often because their senses appear to be heightened. And they become more readily overwhelmed when exposed to loud, vivid colors, and lights.
Autism In Teens and Adults
By this age, your child may have learnt that avoiding making eye contact is considered impolite and has made changes. But may occasionally go to the extreme of staring. During these latter years, the autistic signs and symptoms of inflexible behavior and social isolation are often more visible. It’s difficult to establish friends when you don’t know how to read social cues, and by the teen and adult years, many people with autism have given up trying.
Your child may be timid, but the need for companionship might produce the opposite behavior, and he or she may become overly sociable. The latter may speak loudly and stand too close to others, not understanding why the other person is uncomfortable. The one-track mentality persists, and rules are held virtually sacred. If rules are broken, he/she has no trouble in informing others. Rigid devotion to routine has grown even more ingrained, and sudden change may cause annoyance or even fury. Understanding office politics completely escapes the adult with autism, which may prohibit him or her from progressing in their employment.
Often, it is not until an individual reaches maturity that they discover they are on the autism spectrum. This is particularly common in high functioning or Aspergers individuals. Finally, the diagnosis provides spouses, significant others, and employers with information and a justification for some of the abnormal behaviors they may have observed, as well as tips on how to interact with the individual more successfully.
Types of Autism Spectrum Disorder
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is the standard resource used by medical professionals in the United States to diagnose mental disorders. The DSM-5 specifies the criteria that must be met in order for a person to be diagnosed with a certain disorder. Such as autism spectrum disorder, attention deficit hyperactivity disorder (ADHD), depression, anxiety, and so on.
Autism has varying degrees of severity, with symptoms including social and communication impairments, as well as confined or repetitive patterns of behavior. These autism levels represent the disorder’s main characteristics. Individuals with these features, however, can exhibit a wide range of symptoms associated with various forms of autism. Because of this variety, autism spectrum disorder is classified as a spectrum disorder. Furthermore, autism is divided into three unique levels to provide a more detailed knowledge of how someone experiences their individual type of autism in their daily life.
Level 1
Level 1 autism is sometimes considered to be the least severe or mildest form of autism. Although there is no single set of qualities that someone with level 1 autism might have, there are some similar traits and experiences that people with this autism level may have. For example, most people (children and adults) with level 1 autism are likely to be able to communicate verbally using words and more complex language, whereas those with level 3 autism may not be able to speak using words at all (though some people with level 3 autism can speak using vocal language).
People with level 1 autism frequently struggle with speech and social interactions. They may struggle with small talk or understanding social signs. They may struggle to make or keep friends (although some people with level 1 ASD may have a friend or two. Transitions associated with changing activities may be difficult or distressing for someone with level 1 autism.
Level 2
Level 2 Autism is in the middle of the spectrum in terms of the level of assistance a person may require to function more independently and productively in daily life. When it comes to level 2 autism diagnostic criteria, a person is stated to need “substantial support.” A person with level 2 autism requires more assistance or accommodations than someone with level 1 autism. They also frequently have more communication and social challenges than a person with level 1 autism.
A person with level 2 autism may exhibit more obvious stimming activities (also known as confined or repetitive behaviors). Stimming actions are not something to be ashamed of, however it is important to remember that in some settings, some stimming habits might have a negative impact on one’s quality of life. For example, if someone’s stimming habit includes skin plucking, this could be harmful to the person’s health. It could also have a detrimental impact on work completion (if the person is focused on skin picking rather than executing important chores), as well as on relationships or social encounters.
Skin picking, on the other hand, may be related to self-regulation and a coping activity for anxiety or discomfort, so it is critical that anyone assisting the person with autism understands the function of skin picking and is compassionate in their approach to helping the person address their stimming behaviors. Stimming behaviors should be addressed in ways that benefit the person with autism.
Level 3
The DSM-5 considers someone with level 3 autism to “require very substantial support.” This means that the individual would benefit from extra help and accommodations in their everyday life – at home, school, work, in the community, in relationships, and so on – in order to operate independently and productively. People with level 3 autism may or may not use verbal communication (but some do). They may exhibit extremely difficult behaviors such as frequent meltdowns, violence, or self-harm. They may exhibit more frequent and intense stimming behaviors. Someone with level 3 may struggle to understand others. When compared to those with level 1 or level 2 autism, someone with level 3 autism may require significantly more monitoring even as an adolescent or adult.
Treatment
While there is no “cure” for autism, there are some effective methods that can help them function better.
Applied behavioral analysis – This entails a comprehensive examination of the person’s functional issues in order to develop a structured behavioral plan for developing adaptive abilities and lowering inappropriate behavior.
Social skills training – This type of therapy, delivered in either group or individual settings, assists people with autism in improving their ability to navigate social situations.
Speech and language therapy – Working with a speech coach can help those with difficulty speaking develop speech patterns and further understand language in general
Occupational therapy – It can help the person work on adaptive skills with daily tasks as well as issues with handwriting.
Parent management training – Will help parents learn effective methods for dealing with troublesome conduct and supporting appropriate behavior in their children. Parent support groups assist parents in coping with the stresses of raising an autistic kid.
Special education services – Children with autism can reach their full academic potential if their school provides an Individual Education Plan (IEP) that fits their social communication difficulties, restricted interests, and repetitive habits. Special day classes for very young children are available to cover language, social, and life skills.
Treating co-occurring conditions – Children with autism are more likely than their peers without autism to suffer from sleeplessness, anxiety, and depression. They are also more likely to have ADHD. Autistic children may have intellectual disabilities, which must be treated. The severity of these diseases can be lessened with the right services, which include all of the above as well as psychotherapy and/or prescription treatment.
Finding Health Coverage
If you feel that you or your child may be on the autistic spectrum, it is important that you seek support so that you can learn how to live with ASD. Being insured will provide you with peace of mind. As well as the coverage you require to ensure that you can see any specialists and receive any necessary therapy.
If you’re looking for a health insurance plan, EZ can help. We offer a large variety of health insurance plans from top-rated insurance companies in every state. Additionally, since we work with so many businesses and have access to all of the plans available in your region, we may find you a plan that saves you a significant amount of money – hundreds of dollars. Even if you do not qualify for a subsidy. There is no cost or obligation, simply free quotes on all available plans in your area. To get free immediate quotes, put your zip code in the bar below. Or call 877-670-3557 to talk with a local agent.
While the holidays are a joyful time spent with loved ones, they are also a highly busy and stressful time. It may be a busy time of year at work, and running around shopping and decorating can be stressful. You could also be suffering from the Christmas blues. If you are experiencing the blues, know that you are not alone; they can afflict anyone at any age and are usually caused by a life event. Not to mention the stress of trying to impress others with gifts, attend parties, and deal with family or toxic people, all of which contribute to the blues. People also remember individuals who are no longer alive to celebrate throughout the holidays. Here is what we do to make it past the awkward hugs, the eye-rolls, and weird, invasive questions about your love life.
Organize and Budget Gifts
Organization will liberate you! Do you believe you have an insurmountable task list? As with the previous step, break them up. It will stress you out much more if you have this cloud of ideas flying about in your head. If your budget is limited, it is okay to decline gift exchanges. Instead of buying gifts for everyone, encourage them to give to charity, make a homemade gift, or organize a low-cost activity for you all to do. If traveling is too expensive for you, ask family or friends to contribute to the cost of the ticket rather than giving you gifts. If you are unable to attend, request to skype or FaceTime with the individual or persons so that you can still participate in the festivities. Plan your budget ahead of time so you know what you can afford. Here’s what to do:
Make your list – List out the names of people you’ll be seeing during the holidays that you want to buy gifts for.
Organize by priority – Once you can physically see the list, rearrange it by priority whether it be kids first, then immediate family, followed by extended family or just by the order that you plan on seeing them in.
Pick the presents – You can begin assigning present ideas to each person once you’ve determined who you’ll be buying things for. If the process starts to become stressful , brainstorm with some hot cocoa and/or play some soothing music like jazz or holiday-themed songs.
Set realistic goals – You probably have a reasonable estimate of your budget for these things, but price each item separately and sum it up. It is easier to plan when you have specific numbers to work with.
Finalize it – Top off the whole process by turning all of your information into a checklist, you can even put the dates you’ll be seeing each person to give yourself a little deadline. This way you can mark off the gifts as you go so you don’t forget anything.
It’s Okay To Say No
The holidays may be stressful, especially if you commit to too many gatherings or have unreasonable expectations. When you say yes when you should say no, it merely leads to a flood of overwhelming and resentful feelings. With work and limited vacation time, your schedule is already packed. Don’t try to be in too many places at once since you won’t be able to appreciate your time. You’ll be too preoccupied with getting to the next party or worrying about hosting your own. Take it at your own speed and learn to say no.
You can decline invitations to some gatherings in order to spend more quality time with the people you do prefer to visit. Set priorities and stick to your budget. Take the previous checklist and replace the gifts with family members you want to see. Instead of gift pricing, assign trip prices to each one. If you are unable to accommodate everyone, make plans to visit once the holiday rush has subsided. They’ll probably understand, and also appreciate the break from the hustle and bustle. Visiting after the holidays may end up being more of a gift to everyone involved.
Don’t Overindulge
Consider all of the pastries and snacks you’ll be eating and drinking throughout the holidays! Our eating habits are tested over the holiday season, with dinners, parties, and cookie tables at every turn. Overindulging can make you feel tired or sluggish. It can also cause you to gain an unhealthy amount of weight, adding to your mental stress. Take a brief walk to get some exercise. Allow yourself time to be active so that you can appreciate all of the delicious treats. Attempt to maintain a healthy diet. Consuming whole grains, vegetables, and fresh fruit is the foundation for a healthy body and mind. Eating well can also aid in leveling out your mood.
Make Self-Care A Priority
This is more than just meditation. If you have a fitness routine, don’t let it slip during family visits. Try to go to the gym or perform some home exercises. Sticking to your routines (whether self-care or otherwise) not only gives you a mental lift, but it also establishes an internal norm. You’re going to dedicate your time and energy to people you care about this Christmas season, but don’t lose sight of yourself in the process. Keep your feet on the ground. Make time for activities that make you happy. It could be reading a book, going to the movies, having a massage, listening to music, or walking your dog. It is okay to prioritize alone time when you need to refuel.
Don’t Isolate Yourself
Some people may experience loneliness during the holidays, but if you don’t want to be alone, you don’t have to be. You can join an organization, volunteer at a soup kitchen, attend community events, and meet new people. Volunteering can be a wonderful source of comfort. You can feel less lonely or isolated and more connected to your community by assisting those who are less fortunate. Start a toy or food drive and invite your neighbors, friends, and coworkers.
Be Present
Have a two-week trip planned to see relatives? Take everything one day at a time. This can work even if you are not staying for an extended period of time. One hour, one minute, one second at a time. Simply concentrate on the subject at hand and give it your undivided attention. Don’t be concerned about the rest of it. It is beneficial to employ these bite-size moments during stressful periods. Pay attention in the present moment. If you spend too much time thinking about future occurrences, you will become more stressed in the present.
Seek Professional Help
If you’re feeling overwhelmed, speak with your mental health practitioner. They can assist you in identifying particular circumstances that trigger you and develop an action plan to modify them. Keep seeing your therapist if you’re already seeing one. If you’re not already seeing one your health insurance will actually cover some mental health services due to the Mental Health Parity Act.
The Mental Health Parity Act requires insurance companies to handle coverage for mental and behavioral health and drug use problems in the same way that they treat coverage for medical and surgical care. This includes treating them equally in terms of money. For example, an insurance company cannot charge a $40 payment for a mental health professional’s office visit when most medical office visits only require a $20 copay.
In addition, the Affordable Care Act also provides protection for mental health services. Mental health is covered as an essential health benefit in all ACA-compliant plans. As with other medical illnesses, your plan should cover some or all of the cost of mental health care. All ACA-compliant plans must include the following mental health services:
Outpatient individual or group counseling and therapy
Diagnostic services like psychological testing and evaluation
Ongoing outpatient treatment such as treatment programs and medication management
Outpatient treatment for alcohol or chemical addictions
Detox services
Substance abuse recovery treatment
Inpatient mental healthcare in a psychiatric facility
Work with EZ
Any visit has the potential to cause family turmoil. You want your parents/relatives to have a good time and enjoy your visit, but the holidays may bring a whole new level of stress to the situation. Maintaining excellent relationships with friends and family has surprising health benefits, so these trips are well worth it in the long term. Just keep these pointers in mind, and you should be okay. As for finding health insurance to cover your mental health, consider us Santa’s helpers. A licensed EZ insurance agent can explain the advantages and disadvantages of each plan, while also helping you in developing the plan that is ideal for you.
Working with an agent saves you time and stress because you won’t have to decipher legal language or read fine text. Agents perform all of the heavy lifting, so you can relax knowing that your coverage is tailored to your specific financial and medical needs. Not to mention that EZ agents can save you hundreds of dollars on health insurance rates each year. We accomplish this by being able to search both on and off the market for the most cheap plans.
We can also locate and apply any discounts you may be eligible for. Also,we don’t simply provide you a strategy; we also aid you in maintaining it after the fact! We can assist in filing claims with your provider as well as renewing your coverage when the time comes. To get a quote, enter your zip code into the box below or call one of our qualified representatives at 877-670-3557.
If you want your new health insurance to start on January 1st then you must enroll before December 15th. You can still enroll until January 15th, but your policy won’t start until February. We know you’ve been hearing OEP over and over the last few months, but that’s because we can’t stress enough how important it is. Not only is this the only time you can enroll in a new plan. This is the only time you can review your current plan and make sure you have all of the coverage you need within your budget. You’re in control of your health and there’s plenty of plan and carrier options out there ready to help you stay in control.
Guaranteed Coverages
The Affordable Care Act (ACA) brought a lot of change to the health insurance industry. All of which center around making sure everyone has access to affordable coverage. The ACA introduced the “10 essential benefits”. Which are 10 health care benefits that every marketplace plan must cover regardless of tier, plan type, cost, or provider.
Ambulatory patient services
Emergency services
Hospitalization
Laboratory services
Mental health and substance use services
Pregnancy, maternity, and newborn care
Prescription medications
Preventative and wellness services and chronic disease management
Pediatric services
Rehabilitative and habilitative services
Not only are health plans required to cover these benefits. Insurers are also prohibited from denying or charging more for a plan based on pre-existing conditions. So thanks to the ACA you are guaranteed to get a plan that covers all of your basic needs without having to pay an arm and a leg.
Your Options
You’ve got nothing but options during the OEP, from plans to plan tiers to possible subsidies and then some. Let’s go over the basics and give you a good starting point in your search.
The first thing you have to do is choose a plan type. While every Marketplace plan is legally required to cover the “10 essential benefits”. Plans can offer extra benefits and they can all be structured differently. So, this step is a big one because it sets the foundation for the coverage you have.
HMOs offer you the option of choosing from a local network of participating physicians, hospitals, and other healthcare providers and facilities. As part of these health insurance policies, you must choose a primary care physician (PCP) from this network. Your primary care physician (PCP) will get to know you and help you organize all of your medical care. They are also responsible for referring you to any specialists. Without this recommendation, your HMO would not cover a specialist visit. A HMO plan’s out-of-pocket costs are frequently lower than those of other types of health plans as long as you stay in-network. In general, an HMO may make sense if you prioritize lower expenses and don’t mind using a PCP to oversee your treatment.
PPOs offer a vast network of participating providers, so you can choose from a wide range of hospitals, clinics, and healthcare facilities. Unlike HMOs, PPOs provide some coverage for providers outside of their network, but not as much as they would for an in-network provider. Another significant distinction between PPOs and HMOs is that you aren’t required to choose a PCP and you can see a specialist without a referral. A PPO is often a smart option if you want more control over your options and are willing to pay extra for it. It would be especially useful if you travel frequently because you would not have to see a primary care physician.
Exclusive Provider Organization (EPO)
EPOs also allow you to choose from a network of participating providers. Except in cases of emergency, most EPO plans do not cover care outside of their network. As a result, if you see a provider or facility that is not part of the plan’s local network, you will most likely be paying for the whole cost of services. As for PCPs, EPOs can go either way, some require you to choose a PCP and others don’t, it just depends on the insurance company you choose. In either case, as long as the specialist is in the plan’s network, you will not require a referral from your primary care physician. If you need cheaper monthly rates and are ready to pay a larger deductible when you need medical treatment, an EPO plan may be for you.
Point of Service (POS)
POS plans combine the benefits of PPOs and HMOs. A POS’s provider network, like an HMO, is often smaller than a PPO plan, and in-network care expenses are typically lower, as with a PPO. In POS plans, you must select a primary care provider (PCP) from a network of physicians and other primary care specialists. If you need to see a specialist, you have to get a referral from your PCP.
However, just like with PPO, you have the option of seeing in-network or out-of-network experts. However, if you visit an out-of-network provider, your part of the costs will be higher, and you will be responsible for submitting any claims. POS insurance plans are a terrific option for many people, especially if you’re looking to save money and don’t need out-of-network healthcare services. If you are prepared to coordinate your care through a primary care physician, a POS plan may be perfect for you.
Health Expense Accounts
There are also separate savings plans you can buy to help you save up money specifically for medical costs.
An HRA, or health reimbursement arrangement, is a form of health expense account provided and owned by your employer. Because they own the HRA, your employer is the only one who can contribute to it. They can also determine if you can roll over unused cash to the next year. The money in it is used to pay for eligible expenses including medical, pharmaceutical, dental, and vision care, as defined by the employer.
A health savings account (HSA) is a bank account that you can use to pay for qualifying health care bills or to save for retirement. An HSA is available when combined with a qualified high-deductible health plan (HDHP), which has lower premiums/plan contributions and greater deductibles than a regular health plan. If you have an employer-sponsored health plan, the account is opened through the HSA provider chosen by your company. You, your employer, and others can contribute to your HSA up to a yearly limit determined by the IRS.
Flexible Spending Account (FSA)
An FSA is an employer-sponsored savings account that helps manage out-of-pocket healthcare bills. FSAs are tax-advantaged accounts, which means you can contribute to them before taxes and spend the money tax-free. FSAs allow account holders to save for eligible healthcare expenses by deducting pre-tax money directly from their paychecks. FSA funds can be used to cover deductibles, co-pays, and medical visits for you, your spouse, and any qualified dependents. Employers may contribute to their employees’ FSAs, but they are not obligated to do so.
Health Insurance Subsidies
Marketplace plans have two types of subsidy. The first type, known as the premium tax credit, lowers your monthly insurance costs. The cost sharing reduction (CSR) is a sort of financial aid that reduces your deductibles and other out-of-pocket payments when you visit the doctor or stay in the hospital. To get either sort of financial aid, you must enroll in a health insurance Marketplace plan.
Premium Tax Credit
A premium tax credit, sometimes known as a premium subsidy, is a tax credit that reduces or eliminates the amount of money that you would otherwise have to pay for getting individual or family health insurance. Unlike other tax credits, the premium tax credit can (and typically is) given upfront and all year. Each month, the IRS gives money to your health insurer, so you don’t have to pay as much yourself. Your tax return is then compared with the premium tax credit the following spring. You can also choose to pay full price for a health plan in your state’s exchange and then get the full premium tax credit on your tax return. Few people do this, however, because the cost of coverage without the advance premium tax credit is often out of reach for those who do qualify for the premium tax credit.
You must apply for coverage through the Marketplace and give information about your age, residence, household size, citizenship status, and expected income for the following year in order to receive the premium tax credit. Following the submission of the application, you will receive a decision indicating the amount of premium tax credit you qualify for. You can then choose to have the tax credit paid in advance, claim it later when filing your tax return, or a combination of the two.
Who’s Eligible?
To be eligible for the premium tax credit beginning in 2024, you must meet the following requirements:
Have a household income of at least the Federal Poverty Level (FPL), which is $14,580 in 2024.
Lack of affordable coverage through a workplace (including a family member’s employer)
Not be eligible for Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP).
Have U.S. citizenship or proof of legal residency (Lawfully present immigrants with household incomes less than 100 percent FPL may also be eligible for tax subsidies through the Marketplace if all other eligibility standards are met).
If you’re married you must file your taxes jointly.
Cost Sharing Reduction
Cost sharing reductions are the second type of financial aid available. When you utilize covered health care services, cost sharing reductions reduce your out-of-pocket costs related to deductibles, copayments, and coinsurance. Cost sharing reductions are available to anyone who qualifies for a premium tax credit and has household incomes ranging from 100 to 250 percent of the poverty line. Cost sharing reductions (CSR) are only available through silver plans, as opposed to the premium tax credit, which can be applied to any metal level of coverage. CSRs are applied to a silver plan for qualified individuals, basically making deductibles and other cost sharing more comparable to that of a gold or platinum plan. Individuals earning between 100 and 250 percent of the FPL can use their premium tax credit to any metal level plan, but they can only receive cost sharing subsidies if they choose a silver-level plan.
Health Plan Tiers
When you buy health insurance through the federal or state Marketplace, the plans available are divided into four metal tiers: bronze, silver, gold, and platinum. The metal tiers allude to the portion of your medical treatment that each tier will cover, not the quality of care you will receive with one of these plans. Which plan tier you pick determines the amount of the bill you pay. The higher the coverage, the higher the cost, but the less you will have to pay out of pocket.
Bronze plans will cover 60% of costs; you will pay 40%
Silver plans will cover 70% of costs; you will pay 30%
Gold plans will cover 80% of costs; you will pay 20%
Platinum plans will cover 90% of costs; you will pay 10%
Why You Need Health Insurance
The most important advantage of having health insurance is having access to the care you need. Health insurance provides you with access to a vast network of doctors, specialists, hospitals, and laboratories. This network collaborates with you and with one another to assist you in focusing on prevention and wellness. In fact, the majority of healthcare plans provide free preventative services, such as immunizations and testing. To help you stay healthy and avoid illnesses and their consequences.
Furthermore, the Affordable Care Act requires Marketplace plans to cover pre-existing diseases. This means that even if you have a pre-existing condition, you can receive care without being rejected coverage or charged extra because of it. Because you’ll have regular access to the doctors and experts you need, your healthcare plan will also help you manage your care for any chronic illnesses you’re living with.
Your health insurance covers all of the greatest strategies to maintain your health. Having access to this type of continuous care can essentially lead to a longer and better quality of life. According to the National Library of Medicine, persons between the ages of 17 and 64 who did not have health insurance had a 40% higher mortality risk than those who did!
How EZ Can Help
Working with an agent saves you time and stress because you won’t have to decipher legal language or read fine text. Agents handle all of the legwork. So, you may rest assured that your coverage will best match your financial and medical requirements. Not to mention, EZ agents can save you hundreds of dollars on your health insurance premiums each year. We accomplish this by scouring the market for the most affordable plans, both on and off the market. In addition to locating and utilizing any available savings.
We don’t only assist you in finding a plan, we also assist you in keeping it up to date. When the time comes, we are also here to help you in filing claims with your insurance company and renewing your policy. To begin, enter your zip code in the box below. Alternatively, contact 877-670-3557 to speak with one of our licensed agents.
