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Health insurance- whether provided by your employer or purchased by you-can be both expensive and complex. To better understand your options and control your health insurance costs, consider these tips and suggestions from the National Association of Insurance Commissioners (NAIC), a voluntary organization of state insurance regulatory officials:

Know Your Options

• Married couples in situations where both spouses are offered health insurance through their jobs should compare the coverage and costs (premiums, co-pays and deductibles) to determine which policy is best for the family.

• Always stay in-network when possible, making sure to get referrals and pre-certifications as required by your plan.

• Keep all receipts for medical services, whether in- or out-of-network. In the event you exceed your deductible, you may qualify to take a tax deduction for out-of-pocket medical bills.

• Consider opening a Flexible Spending Account (FSA), if your employer offers one, which allows you to set aside pretax dollars for out-of-pocket medical expenses.

• If you lose or change jobs, be aware of your rights to continue your group health coverage from your old employer for up to 18 months (though you have to pay the premiums), as provided under COBRA (the Consolidated Omnibus Budget Reconciliation Act).

Health Insurance Tips for

Different Life Stages

The NAIC’s consumer Web site, Insure U, (www.InsureUonline. org), explains the different types of health insurance and gives focused tips to consumers based on their likely needs in different life stages. For example:
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There are many options for an individual to obtain affordable health insurance coverage. Keep in mind that there are savings in numbers; the more people in a plan, the better the savings for each member.

In some states, like Florida you may purchase group policies for a group of one. Some states allow a two-person policy to qualify for a group rate. If you are a sole proprietor and your spouse helps you with things like bookkeeping, filing or mailings, you may be able to claim them as an employee and get the group rate.

Another option for the self-employed is the National Association for the Self-Employed (NASE). NASE offers self employed individuals the choice to deduct 100% of their medical premiums and 100% of their non insured medical expense from state, federal and self employment taxes through a program called 105 HFR.

If you’re not in a business, don’t despair. You may be able to enjoy the lower premiums associated with group plans by joining an organization such as trade or alumni associations.. For instance, as a writer, I might elect to join a group association targeted to help writers secure discounted health insurance. Groups such as ASJA American Society of Journalists and Authors.

Fitness instructors might elect to participate in the health insurance program offered through IDEA, an organization of health and fitness professionals. Pregnant women may join the American Pregnancy Association which offers both government funded programs and discount health programs such as MaternityCard AmeriPlan.
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