Texas Health Insurance
Texas has made a huge leap in the National Health Rankings since 2008 moving up from 46th healthiest state to 31st. For the main part this has been due to a decrease across the population in smoking, a low percentage of drug-related deaths and an increase in childhood immunizations.
Improvements can still be made to the percentage of residents without Health Insurance Cover in addition to the provision of primary care physicians, per capita across the state.
State Health Care Options in Texas
When the Affordable Care Act took effect and required most Americans to buy health insurance coverage, Texas elected to participate in the federally facilitated marketplace. When residents enrol in ACA-compliant health plans sold through the health insurance exchange, they can apply for income-based financial assistance that helps lower their monthly health insurance premiums and out-of-pocket expenses for healthcare.
Texas has not expanded Medicaid to single, low income adults. Medicaid applicants need to meet certain eligibility criteria set by the state.
The Children’s Health Insurance Program in Texas is known as CHIP and provides low-income, uninsured children with access to healthcare.
Texas – Finding Health Care
Finding the right Health Insurance can be complex but marketplaces (Health exchanges) such as TrueCoverage have specialist health insurance consultants that will search for the best value plan to meet your needs. Combining technology with market awareness we can supply a choice of plans, in an easily assessible format, quickly.
Learn more about the Affordable Care Act, Medicare and Employer Plans here;
Affordable Care Act (ACA) Texas
The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act or nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system’s most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965.
The Affordable Care Act (ACA) was designed to give both individuals and families increased access to affordable health insurance options including medical, dental, vision and other types of health insurance that may not be available either sourced individually or through an employer. Under the ACA;
- You may be able to purchase health care through a state or federal marketplace that offers a choice of plans.
- Insurers cannot refuse coverage based on gender or a pre-existing condition.
- Lifetime and annual limits on coverage are eliminated.
- Young adults can stay on their family’s insurance plan until the age of 26.
- Seniors who hit the Medicare Prescription Drug Plan coverage gap can get discounts on medications.
The rules for ACA are complicated but our experts at TrueCoverage will help you navigate them to identify any subsidy which you may be entitled to.
Medicare is a national health insurance program which launched in 1966 under the Social Security Administration (SSA) and is now administered by the Centre’s for Medicate and Medicaid Services (CMS).
Medicare provides health insurance for Americans aged 65 or older, younger people with some disability status as well as people with end stage renal disease and amyotrophic lateral sclerosis.
In 2018, Medicare provided health insurance for over 59.9 million people. On average, Medicare covers about half of healthcare expenses of those enrolled and according to the annual Medicare Trustees reports and research by the Government’s MedPAC group individuals enrolled in the scheme almost always cover remaining out-of-pocket costs with additional private insurance by joining a public Medicare Health Plan.
Medicare Advantage Plans are Medicare approved plans offered by private insurance companies designed to build on the provisions of the Federal Health Insurance Plan (parts A&B) and allow an individual to tailor an insurance plan to suit their individual needs.
In Texas, of the subtypes of health insurance coverage, employer-based insurance is the most common covering over 46% of the population.
Group Health Insurance offers the same benefits as individual and family plans, usually at lower cost and generally without the need for medical examinations. An Employer can choose to share the premiums with employees and will not pay tax on the business contribution. There may be tax advantages for both employer and employees.
As with individual plans there is a choice of managed care plans which meet the Essential Health Benefits Requirements and can be chosen to satisfy the specific business requirements.
The Best Health Insurance Companies in Texas
In 2016 NCQA rated more than 1,000 health insurance plans based on clinical quality, membership satisfaction and NCQA Accreditation Survey Results. The following 4 rated the highest in Texas;
- Scott and White Health Plan.
- Aetna Health Inc. Texas.
- Cigna Life and Health Insurance Company Texas
- Community First Health Plans
You can learn more about health care coverage and buy Health Insurance in Texas at TrueCoverage.com or call 1-888-505-1815. We offer free customer service and support around the clock, helping you to understand the complex, ever changing American healthcare system in simple terms and giving you the tools and resources to purchase the right plans at the best price.
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