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A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
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13 qualifying life events that trigger ACA special enrollment
Outside of open enrollment, a special enrollment period allows you to enroll in an ACA-compliant plan (on or off-exchange) if you experience a qualifying life event.

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6 lessons Mary Lou Retton’s health scare can teach us about coverage
Mary Lou Retton’s health scare story included some important lessons for consumers, many of whom may assume that the celebrity’s health scare is a sign of barriers to affordable health coverage.
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embedded deductible

What is an embedded deductible?

In a health plan with an embedded deductible, no single individual on a family plan will have to pay a deductible higher than the individual deductible amount. As an example, consider a plan with a $4,000 individual deductible and an $8,000 family deductible:

If the plan uses embedded deductibles, a single member of the family would have met the deductible once he or she had paid $4,000. If no other members of the family needed treatment, the $8,000 family deductible would be irrelevant, and after-deductible benefits would kick in for the family member who had already met the $4,000 deductible. (If two or more members of the family needed treatment, the $8,000 family deductible would apply.)

Note that this not quite the same thing as an embedded out-of-pocket maximum (OOMP). An embedded OOPM is similar, but it includes the full OOPM (including copays, coinsurance, and deductible), rather than just the deductible. Starting in 2016, all non-grandfathered health plans must have embedded OOPMs that cannot exceed the individual OOPM for that year.

Read more about embedded deductibles.

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