Hello,
I have a question about the healthcare insurance in US.
I have heard that it is tied to your employment and the company provides for it.
So here are a couple of questions:
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Is there no way for an individual to get their own personal insurance and not be dependent on the company?
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What about freelancers, business owners and retirees? Do they forfeit their insurances?
Yes, individuals and self-employed persons can buy health insurance on the health insurance marketplace. Since you’re one person buying a plan you don’t have the ability to negotiate with health insurance companies the same way a corporate employer buying policies for many people can negotiate. This means individual plans are expensive and coverage is often lacking, but it’s still better than ending up with cancer or a massive car wreck and being without insurance.
There are also government funded plans like Medicare, Medicaid, etc and I have never dealt with those. Have been a self-employed contractor though. A policy I paid $600/mo for as an individual, self-employed contractor costs about $200/mo for a plan with better coverage for both my husband and I through his corporate employer plan.
Oh wow. That’s 3x different.
You can get insurance through the national marketplace, this was put in to effect with the ACA. The biggest problem with that though is the cost can be insane (single person, $800+ month). Usually why people go through the company is it is much cheaper (I pay about $60/month premium for just me).
It is usually cheaper because either a company “self funds” or they have a large number and better leverage with insurance companies. If you’re a business owner, you work with brokers who will try to find you the plan that best suits you or your company’s needs. Finally retirees will either have insurance through their pension, or will use Medicare which is another government provided insurance for people over 65.
I know that probably raises more questions but hopefully that’s a start.
That does sound deceptively hard for individuals to be not dependent on a job for them to qualify for proper healthcare in the US though.
Pricing you out of your own care is pretty hard to hear.
- You can purchase health insurance separately from employment however it can be prohibitively expensive or limited in coverage.
- See 1. Additionally retirees of a certain age have access to socialized coverage in the form of Medicare.
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What would be the difference in price? Just a ball park figure if you have it.
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What about freelancers and people that don’t work traditional jobs?
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You can buy insurance as an individual but it’s usually rather expensive.
Healthcare.gov (Obama Care) has a marketplace one can compare and purchase plans & take government assistance if they qualify.
Where I am, companies provide protection which are generally pretty okay. But everyone still gets personal ones, and they do not cost too much. Perhaps, 50-100? And tend to cover the gaps the organisation’s sometimes don’t.
Oh, and you do not have to pay extra for the company’s. It is part of your remuneration package. (we get paid less though).
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To add to this, always contact the hospital and ask for an itemized bill. Getting that bill can be the difference between owing hundreds of dollars vs thousands.
Some hospitals will also have different scales for how much you have to pay based on income. Make sure you find out.
