Health Insurance Enrollment Options (MA)

So here is the situation: I turn 26 in February, and therefore will need to enroll in a plan. My employer (like many it seems) only offers a high deductible plan. I don’t think I would normally mind so much, except I just started taking medication which according to CVS will cost me $200 per month out of pocket when I start this new plan. To be honest, I don’t think I’m going to take it anymore (it’s Adderall for ADHD nothing life threatening but still, after all my life of being unmedicated and finally taking the steps to seek help for it, it annoys me that my option is to basically just not take it anymore).

Additionally, the premium really isn’t as cheap as I thought it would be, which I though was the whole point of a HDHP?

My wife’s employer offers what looks like a really good plan, with no deductible, and her (individual) premium would only be $20 per month more than mine! I know different employers have different resources, but again, I thought the HDHP were supposed to be significantly cheaper.

Originally, I had planned on both of us enrolling with our own employers because the two individual plans are cheaper premium wise than a family plan, but now that I see what my plan entails, the best case scenario seems to be for us both to be on her employer’s plan (at her salary rate, her employer’s family plan is actually cheaper than what my employer offers, but even if she gets a raise and has to pay more, it’s only $70 more per month than my employer’s family plan) But again, she just missed open enrollment which I assume would have been the ideal scenario.

So here are my questions:

1) I feel like the answer is no for a few reasons, but does the qualifying event of me turning 26 and being dropped from my parent’s insurance enable HER to enroll the both of us with her employer? (again, she is not currently enrolled with her employer at all)

2) My wife is also currently looking for new jobs, so I will break this into two scenarios:

a) If she gets a new job BEFORE my current coverage gets dropped and before I enroll with my employer, can she enroll the both of us when she begins her new employment?

b) If she gets a new job AFTER I enroll with my employer and my coverage starts, can she enroll me at that point in time?

3) in general, if the spouse who carries the health insurance leaves their job voluntarily, does that count as a qualifying event so that the other spouse can enroll in THEIR employer’s plan? For example, if in the future, we are both covered under my wife’s employer, but she leaves and gets a new job whose plan is more expensive than the one my employer offers, can I use that event to enroll us both in MY employer’s plan?

Sorry for the lengthy post, I just wanted to provide sufficient info. Additionally, I know there are additional factors such as whether an employer’s plan will cover a spouse if THEIR employer offers coverage, so for the sake of your answers , just assume that there are no specific plan restrictions.

submitted by /u/dspen95
[link] [comments]
So here is the situation: I turn 26 in February, and therefore will need to enroll in a plan. My employer (like many it seems) only offers a high deductible plan. I don’t think I would normally mind so much, except I just started taking medication which according to CVS will cost me $200 per month out of pocket when I start this new plan. To be honest, I don’t think I’m going to take it anymore (it’s Adderall for ADHD nothing life threatening but still, after all my life of being unmedicated and finally taking the steps to seek help for it, it annoys me that my option is to basically just not take it anymore). Additionally, the premium really isn’t as cheap as I thought it would be, which I though was the whole point of a HDHP? My wife’s employer offers what looks like a really good plan, with no deductible, and her (individual) premium would only be $20 per month more than mine! I know different employers have different resources, but again, I thought the HDHP were supposed to be significantly cheaper. Originally, I had planned on both of us enrolling with our own employers because the two individual plans are cheaper premium wise than a family plan, but now that I see what my plan entails, the best case scenario seems to be for us both to be on her employer’s plan (at her salary rate, her employer’s family plan is actually cheaper than what my employer offers, but even if she gets a raise and has to pay more, it’s only $70 more per month than my employer’s family plan) But again, she just missed open enrollment which I assume would have been the ideal scenario. So here are my questions: 1) I feel like the answer is no for a few reasons, but does the qualifying event of me turning 26 and being dropped from my parent’s insurance enable HER to enroll the both of us with her employer? (again, she is not currently enrolled with her employer at all) 2) My wife is also currently looking for new jobs, so I will break this into two scenarios: a) If she gets a new job BEFORE my current coverage gets dropped and before I enroll with my employer, can she enroll the both of us when she begins her new employment? b) If she gets a new job AFTER I enroll with my employer and my coverage starts, can she enroll me at that point in time? 3) in general, if the spouse who carries the health insurance leaves their job voluntarily, does that count as a qualifying event so that the other spouse can enroll in THEIR employer’s plan? For example, if in the future, we are both covered under my wife’s employer, but she leaves and gets a new job whose plan is more expensive than the one my employer offers, can I use that event to enroll us both in MY employer’s plan? ​ Sorry for the lengthy post, I just wanted to provide sufficient info. Additionally, I know there are additional factors such as whether an employer’s plan will cover a spouse if THEIR employer offers coverage, so for the sake of your answers , just assume that there are no specific plan restrictions.
submitted by /u/dspen95 [link] [comments]Read Morer/HealthInsurance

Leave a Reply

Your email address will not be published.