“I think, in general, there’s going to be a lot of different surprises for a lot of different reasons,” Lettenmaier said.
For one, Lettenmaier said people who purchased insurance through the exchange marketplace will likely receive new forms. The implementation of the ACA requires taxpayers to report their health insurance coverage. By early February, expect to receive form 1095-A, the Health Insurance Marketplace Statement.
Secondly, she said informing the exchange of any life changes – income or otherwise – can help prevent the government from overpaying for premiums. Once the exchange is notified, they will make adjustments to the premium subsidies accordingly.
“You don’t have to take any of the subsidy monthly, that’s your choice,” Lettenmaier said. “You can take all of the monthly subsidy that’s allotted, a portion of it, or you can wait until the end of the year and just have it be a tax credit on your entire tax return.”
“I’m struggling big time for a doctor on their network,” said Lisa Lettenmaier, owner of Health Source NW in Tigard. PacificSource has even more networks. Make sure your providers are in the one you choose.
Lisa Lettenmaier, a broker who owns Health Source NW in Tigard, has been watching the trend closely and predicts that consumers may increasingly be surprised by their insurers’ covered drug list, or formulary. “I think formularies are going to be a real big issue this year.”
“They’re all going to lay it out differently,” said Lisa Lettenmaier, who owns the health insurance brokerage Health Source NW in Tigard.
Many plans don’t count your out-of-pocket expenses to that out-of-pocket limit, says Lisa Lettenmaier, a broker who owns Health Source Northwest in Tigard. “Some carriers double the maximum. Other carriers quadruple it, or make it unlimited.”
Using the DIY method to get insurance may give you a certain sense of satisfaction, but a good agent can save you a lot of time and heartache. Most importantly, a good agent knows the fine print that can bite you later, when it’s too late to change plans, says Lisa Lettenmaier, owner of Health Source Northwest in Tigard.
While most private health insurance plans don’t offer non-standard benefits, some of the most popular ones do, such as Moda’s “Be Protected” and “Be Prepared” plans, said Lisa Lettenmaier, who owns the health insurance brokerage Health Source NW in Tigard.
Lisa Lettenmaier owns Healthsource Northwest, an insurance agency near Tigard. She believes young people who currently don’t have health insurance aren’t signing up for it through Cover Oregon, or even directly with insurance companies, for three reasons: many who are younger than 26 are staying on, or being added to, their parents’ insurance plans; many don’t see the cost benefit of paying a monthly fee for a plan when they’re healthy, and already living paycheck-to-paycheck; and many young people don’t qualify for a tax credit, which would reduce their monthly premiums.
Lettenmaier told KATU News on Monday night that she sent the open letter, which you can read here, to the media and government officials because she is frustrated with a growing trend of mistakes she’s discovering on her clients’ health insurance enrollments.
“The heart breaking thing for me is watching the stress of my clients,” said Lettenmaier.
Lisa Lettenmaier , who owns the health insurance brokerage Health Source NW in Tigard, has the same concern. “Everything is delayed,” she says.