If you are, or are going to be a college student, you have many options when it comes to getting health insurance coverage while keeping costs low.
You may think that as a college-bound young adult the health insurance options that are available to you before and after you arrive on campus are pretty limited.
The fact is, though, that due in large part to the Affordable Care Act—also commonly referred to as the ACA or "Obamacare"—students have a number of choices when it comes to covering their healthcare needs.
Here is what you need to know about the six most common options:
Ever since the Affordable Care Act passed into law in 2010, children have been able to stay on or be added to their parents' health insurance plans until they turn 26.
Assuming their parents' plan offers dependent coverage, that is. Not all plans do, and the federal government currently doesn't require it. That said, the majority of group plans available today provide this kind of coverage.
If your parents' plan does cover dependents, though, you can be kept on or added to it even if you're:
One potential pitfall for young people who stay on their parents' health insurance and go away to college: if they attend an out-of-state school, there may not be any in-network care providers for them to see on or near campus. So, you or your parents may want to ask the insurer about this before classes begin. (You also may want to ask how the company deals with out-of-state emergency care—just in case you ever need to make use of that kind of service.)
One way some families get around this problem is by scheduling routine preventative care visits during breaks from school or vacation periods so their children can still access in-network physicians and specialists on a regular basis.
If being added to or remaining on a parent's health insurance policy isn't an option for you, you may want to consider signing up for one that's offered through your college or university.
The catch here is that not all schools make health plans available to students, although a good number of them do. Also, not all plans that are offered in this way are created equal. Specifically, some are offered directly through the school, which handles (and pays) any claims that may be made, while others are offered in partnership with an insurance company, with the latter entity handling claims and the like.
Regardless of how they're configured, though, one of the most appealing aspects of school-sponsored health plans is that they're usually combined with a student's other education-related costs, so student loans can be used to cover them.
Something to keep an eye out for if you find yourself pondering one of these plans: some offer coverage that is more limited than what you might get elsewhere. So, read the fine print and make sure you're OK with everything that's included in it (or isn't included in it) before you make a final decision.
Note: in most cases, if you're covered by a school's health plan, you're also considered covered under the Affordable Care Act--which means you won't have to pay the penalties that people who lack coverage usually are charged. That said, don't assume this is true; if you have to, check with a representative at your school to make sure their health plan meets the government's minimum requirements.
For some students and students-to-be, buying health insurance through the federal or state "exchanges" will make more financial sense than getting it through their school or staying on their parents' plan.
One reason for this: depending on your situation, you may be able to qualify for lower monthly premiums, tax credits, or other savings if your annual income is below a certain threshold. (The government even provides a handy "Quick Check" chart that can be used for this purpose at Income levels that qualify for lower health coverage costs.)
Anyone under the age of 30—whether they're a college student or not—is free to purchase what are called "catastrophic" health plans if they're not interested in investing in any of the other insurance types mentioned above and below.
A major benefit of these policies is that they usually offer young adults lower premiums than other health insurance policies they're likely to come across. That lower initial price tag comes at a cost, though, as these policies also usually offer higher-than-normal deductibles.
While the majority of “catastrophic” plans do not cover routine care, some do allow policyholders to visit physicians for preventative assessments and care at no cost. You definitely don't want to assume that will be true of every policy of this type, though, so don't be shy about asking your agent what a plan includes.
Even if a catastrophic plan forces you to pay for these visits out of your own pocket, it still can be a worthwhile purchase if your goal is to protect yourself from the sky-high costs that tend to follow in the wake of serious accidents and illnesses.
Before Obamacare, only a small percentage of the population was able to access health insurance via Medicaid, the combined state and federal program that provides coverage to those with limited incomes, disabilities, or who find themselves in certain family situations.
Now, though, states can expand their Medicaid programs to cover adults under the age of 65 and whose annual income is up to 133 percent of the federal poverty level. Twenty-six states (find out which ones at Medicaid expansion & what it means for you) either already have expanded or are in the process of expanding their offerings, so if you live in one of them you might want to consider Medicaid if none of the other possibilities included here will work for you.
If you're confused as to whether or not you qualify for Medicaid coverage, by the way, it can't hurt to apply and see what happens—especially since that's basically what the government suggests people do.
And if you don't qualify? Consider one of the options mentioned above, such as buying a private plan through the federal or state exchanges, or purchasing a so-called catastrophic plan.
If any of the possibilities highlighted here should be turned to only as a last resort, this is it.
That said, if you absolutely can't afford any of the policy types that are detailed above and you're also somehow not eligible for Medicaid, it's likely you could ignore health insurance completely and not be forced to pay a fee because of it.
(The Affordable Care Act requires most Americans to have "qualifying health coverage," and only those who are single, under 65, and make less than $10,000 a year are allowed to ignore that rule without being penalized.)
If you're a college student, or you'll be one soon, or you know someone who is or will soon be a college student, check out our article about "College Students and Car Insurance."
A: Yes, many colleges and universities offer students health plans. These plans feature various amounts and kinds of coverage.
A: Unfortunately, this "under-26" coverage that was made possible by Obamacare ends on your 26th birthday—no ifs, ands, or buts. As for what you can do after you're forced off your parents' policy: first, if "Open Enrollment" for the year has ended, you'll still be able to shop for health insurance through an exchange thanks to a "Special Enrollment Period" that is made available to people in certain situations. (This is assuming you don't enroll in one before your 26th birthday, of course.) Also, you may be eligible for premium tax credits and other savings based on your income, so be sure to check into them as you review your options.
A: No, they don't. If your parents decide to take you off of their policy, that doesn't mean you're out of luck in terms of obtaining health coverage. Basically, in that situation, you would have all the same options as anyone else who lacks health insurance—which means you could look into most of the other offerings detailed earlier in this article.
A: According to HealthCare.gov, if you're under 26 but you aren't a dependent for your parents' tax purposes, you should apply for health insurance on your own and at the same time apply for a tax credit.
A: If your parents' plan doesn't extend its coverage to dependents, it means they won't be able to add you to or keep you on their insurance and you'll have to find coverage on your own.
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