Many Health Insurance plans offer credits and reimbursements to enrollees of the plan. This includes reimbursement toward dental or vision services, wellness visit credits, or available free items. Both Individual Plans and Medicare Plans may offer extra incentives and bonuses. While specific healthcare related benefits are regulated, extras are not and so these vary from […]
Extra Benefits on your Health Plan Read More »
For those using Your Health Idaho, at yourhealthidaho.org, the birth of a new baby brings new insurance options. In many scenarios, the mother or father of the new baby had medical insurance previously. In this situation, parents can add the baby to the existing insurance plan. A parent of the newborn must present proof of
New Baby? Need insurance? You have options. Read More »
Not everyone knows this, but each year Medicare Advantage plan members can change plans after December 31. There are two major, yearly recurring enrollment windows for Medicare beneficiaries: Annual Enrollment (Oct15-Dec7) and Open Enrollment (Jan1-Mar31). Annual Enrollment Period (AEP) Most people are familiar with Medicare’s Annual Enrollment Period (AEP) from October 15th to December 7th.
Medicare Annual vs Open Enrollment Read More »
When it comes to the cost of health care, whether a health provider is in-network matters. Whether your health insurance plan is an HMO, PPO, POS or other network type also may affect your cost for care. What can you do to minimize surprises in health care costs? Network Types First, know what type of
Why Health Plan Networks Matter Read More »
There are some significant changes on the horizon for individual health plans on the Idaho Marketplace. Those enrolled through yourhealthidaho.org who are using a tax credit to offset premium costs need to be prepared. This change, which will occur starting in 2026, was set in motion years ago through the Enhanced Premium Tax Credit (EPTC)
Idaho ACA Health Plan Critical Updates for 2026 Read More »
Most Idahoans start Medicare when they turn 65. This means that individuals enroll in Medicare parts A and B with the Center for Medicare Services (CMS). Typically, the enrollment process starts with a phone call or walk-in to the Social Security office or applying online. Sometimes Medicare initiates an automatic enrollment, usually if an individual
How to lower your Medicare Part B Premium Read More »
What is an APTC? In Idaho, individuals and families enrolled in the Idaho Health Insurance marketplace may be eligible to receive a tax credit to help pay for health insurance premiums. The Federal government pays this tax credit on behalf of the policy holder, a calculated amount each month, to their insurance company. This Advanced
How to Reconcile your Health Insurance Tax Credit (APTC) Read More »
Prescription Drug coverage is an important health plan benefit for many people. From drug deductibles to drug tier levels to co-pays and co-insurances, you need to know how your drugs will be covered. Let’s take a look at drug tiers specifically. What are Drug Tiers? Every insurance company who offers prescription drug coverage creates a
Prescription Drug Tiers Explained Read More »
Changes are coming for individuals who are eligible for BOTH Medicare and Medicaid in Idaho. Let’s briefly review those changes, what to expect, and what you can do if you are affected by these changes. What is the difference between Medicaid and Medicare? First, what is Medicare? It is a federally run health insurance program,
Idaho Medicaid / Medicare Dual-Eligible Programs Read More »
Did you know you may have access to Fitness Benefits on your Health Insurance Plan? Some health insurance plans offer a fitness benefit, which offers a discounted or no cost option for physical exercise using plan-covered facilities or equipment. This includes some Individual Plans, some Small Group Plans and most Medicare Advantage Plans. As an
What is a Fitness Benefit? Read More »
