Insurance Solutions For Your Unique Needs
65 or older? We’ll help you find the right Medicare plan and explore brand new options for residents in Southeast Idaho.
Understanding The Advanced Premium Tax Credit
To qualify, you must meet the following criteria:
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Must have legal presence in United States
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Must meet income guidelines by being above 138% of Federal Poverty level and the cost of the second lowest silver plan must be more than 8.5% of income.
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Must file taxes with IRS and must file jointly if married
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Cannot be enrolled in other qualified health coverage including employer coverage
Open Enrollment runs from October 15th – December 15th each year
Special Enrollment Periods generally last for 60 days and begin on the date of change:
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You get married.
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Your family size increases from having a baby or adpoting.
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You move to Idaho and you had insurance where you moved from.
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You are newly eligible and have income between 138% and 150% of Federal Poverty Level.
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You have a loss of other minimal essential coverage including Medicaid.
- Create Your Health Idaho account
- Complete application on Your Health Idaho. You will need to indicate your adjusted gross income for the year and may need documentation to prove your income.
- Provide documentation showing you qualify for the special enrollment period. If signing up during Special Enrollment Period, you will need documentation.
- Enroll in a plan.
- Make your first payment. In order for the policy to be active you must make the first payment known as a binder payment
- Bronze Plans
- High Deductibles
- High Out of Pocket Maximums
- HSA plans available
- Lower premiums
- Silver Plans
- Lower deductibles than Bronze plans (You can also qualify for cost sharing which lowers your copays, deductibles and out of pocket maximum, depending on income.)
- Can have more benefits prior to reaching deductible
- Higher premiums than Bronze plans.
- Gold Plans
- Lower deductibles
- Can have lower out of pocket maximums
- Generally have lower member coinsurance
- Higher premiums
- Make your first payment.
- Make sure you receive your member cards.
- If you have any changes in income, household size, address or if you go to jail, report it.
- When you get a notice from either the insurance company or Your Health Idaho, talk to your agent to make sure everything is still in good standing.
- Any phone or email solicitations, contact your agent.
- Receive a confirmation email from Parker Insurance stating your plan and your premium.
- Receive information regarding your plan from the carrier within 10 business days.
- Receive notices from Your Health Idaho regarding any changes to your plan or Advanced Premium Tax Credit.
Health Insurance Made Simple With Us
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