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The Rathbun Agency Blog

All You Ever Wanted to Know About Insurance

What Do I Need to Know About Individual Health Open Enrollment?

It's that time of the year again for Open Enrollment for individual health policies. What do you need to know in regards to this year's open enrollment window? Rates will vary by person and county, but Preferred Provider Organizations (PPO) plans are decreasing in premium by an average of 7% and Health Maintenance Organization (HMO) premiums are decreasing an average of 1.1%.

If you have individual health coverage, you will receive a letter from your insurance company, regardless of whether or not you purchased coverage through the marketplace. If you purchased coverage from the marketplace, you will receive a letter from them as well. Together they will help you make decisions about your 2020 health coverage.

The notice you will get from your insurance company will tell you if:

  • You’ll be automatically enrolled in your 2019 plan or a plan similar to it
  • You won’t be automatically enrolled and need to enroll in a plan in order to have health coverage in 2020

If you’ll be automatically enrolled in the same plan or a similar plan, the two notices will give you the following information:

 Insurance company notice will tell you:

  • The plan you’ll be enrolled in
  • Your 2020 monthly premium and estimated savings
  • Any changes to your plan for 2020 benefits
  • Your other coverage options, deadlines and important information about your coverage

Marketplace notice will tell you:

  • If you’ll get the same premium tax credit and other savings you had in 2019
  • If you’ll lose your premium tax credit and other savings unless you update your Marketplace application and the new information shows that you qualify for savings if you won’t be automatically enrolled in your 2019 plan, your notice will explain your coverage options, enrollment deadlines, the next steps to take and other important information.

No matter what, you can choose a different plan. Even if your insurance company notice says you’ll be automatically enrolled in the same or a similar plan, you can switch to a different plan for 2020 during Open Enrollment, which runs November 1st –December 15th. Your health coverage will have a rate change due to change in age. If your coverage lapsed during 2019 or you forgot to add a dependent, you can do this during Open Enrollment Period.

Please remember, there is no cost associated to you in using our services. We can assist you in picking a plan that fits your needs and provides access to your doctors. If you are interested in switching plans, need to reenroll, or have other questions about your health coverage, please contact Pat Leyser at (517) 482-1316. If you get on the Marketplace yourself, please use Pat’s National Producer Number (1003801) on your application, or we will not be able to assist you with any issues that arise with your plan either during or enrollment or throughout all of 2020.