A new federal rule will bring significant changes to Marketplace enrollment, with some of regulations becoming effective in August 2025. Here’s a look at final rule’s changes and when they will take effect.| healthinsurance.org
Balance billing occurs when providers bill a patient for the difference between the amount they charge and the amount that the patient's insurance approves. The negotiated rate that insurers pay providers is almost always less than the provider's "retail price." Depending on the circumstances, out-of-network providers can bill the patient for the difference, or balance; this is called balance billing. Federal rules protect patients from "surprise" balance billing as of 2022.| healthinsurance.org
A proposed federal rule issued this week would, if finalized, bring wide-ranging changes for the Affordable Care Act’s health insurance Marketplace, including a shorter open enrollment period in all states.| healthinsurance.org
When a new Commander in Chief takes office and their party also controls both chambers of Congress, how quickly can they make changes to health policy? Can policy changes happen on “Day One” of a new administration?| healthinsurance.org
Health insurance coverage for IVF and other fertility treatments varies from one state to another and from one health plan to another.| healthinsurance.org
The monthly premiums you pay in order to have coverage are not included in out-of-pocket costs. Out-of-pocket costs are only incurred if and when you need medical care, whereas premiums have to be paid every month, regardless of whether you need medical care or not.| healthinsurance.org
Follow the national dialogue about health reform through blog posts from respected authorities on individual health insurance and health reform.| healthinsurance.org
