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SAN JOSE, CA -- (MARKET WIRE) -- 09/30/09 -- To assist the estimated 14 million laid-off
workers who were eligible for, and may have taken, a COBRA health insurance
subsidy provided by the American Recovery and Reinvestment Act (ARRA) of
2009, the Foundation for Health Coverage Education (FHCE)
www.coverageforall.org is providing some answers to what workers should do
when the 9-month program runs out on December 1.
Beginning in March of '09, ARRA provided that workers who were
involuntarily terminated from September 1, 2008 through the end of 2009 and
were previously insured became eligible for a subsidy or government
assistance in paying premiums that covered 65% of the cost of continuing
that worker's health insurance. This left only 35% of the original premium
to be paid by the worker themselves, a substantial savings.
According to the non-profit, most participants of the stimulus package
began receiving the COBRA subsidy in March of this year, meaning that their
subsidy's expiration date of December 1, 2009 is rapidly approaching. That
date spells the end of the program and many participants will have to begin
paying 100% of the monthly premium.
Many of the participants find themselves questioning how they will afford
to continue coverage. In response, the FHCE has been doing their research,
"For the average laid-off worker, this means a monthly payment jump from
$374 to $1,068 for health insurance. With an average national unemployment
benefit set at $1,278 per month these participants need to look at other
options available to them," said Phil Lebherz, FHCE Executive
Director/Founder. "The good news is that by researching other government
options, checking on eligibility for public programs for children under the
age of 19, and visiting websites for organizations that help lower drug
costs, we've discovered that there are stop-gap measures in place to help
families keep their coverage." These other coverage-saving measures are:
1. HIPAA. Once a person has exhausted COBRA benefits or the company plan expires, i.e. the company goes out-of-business or discontinues the health plan, the person is eligible for an individual plan under the HIPAA (Health Insurance Portability and Accountability Act), even with pre-existing health conditions. For more information, contact the state Department of Insurance.
2. High Deductible Plans. For healthy individuals, another cost effective option while unemployed may be to purchase lower-cost, high deductible individual coverage until new employment is found. With the exception of New York, Massachusetts, Maine, New Jersey, and Vermont, a person can obtain basic catastrophic coverage with a high deductible from $50 to $150 per month until he or she becomes eligible for the new employer's plan. Visit www.nahu.org for a national listing of insurance brokers near you.
3. Comprehensive Government Programs for Children. For the family in a two-income home where one parent has been laid-off, checking into programs like government programs (like Healthy Families in California) is an important step. In many states, a family of four can make up to $66,150 annually (California, Hawaii, Iowa, Maryland, Massachusetts, Missouri, Vermont, Washington, D.C., Washington, West Virginia, Wisconsin) and in other states up to $88,200 per year (New Hampshire, New York,) and still qualify the children for comprehensive coverage.
4. Coverage for Pre-existing Conditions. For people who have been laid-off and have a pre-existing health condition, many states have government-sponsored medical risk insurance pools (such as California's Major Risk Medical Insurance Program). State residents who qualify for these programs participate in the cost of their continued coverage by paying premiums that are supplemented by the state. Go to your state's government website to find out what type of medical pool coverage may be offered.
FHCE has made signing up for publicly sponsored health insurance
user-friendly. Any person interested can visit www.coverageforall.org and
take the 5-Question Eligibility Quiz to begin the process of understanding
their health coverage options. For those who prefer to speak to somebody
directly, the live, one-on-one, U.S. Uninsured Help Line (800-234-1317)
provides 24/7 multilingual service with trained friendly specialists.
Receiving over 75,000 queries per month via the web and call center, the
FHCE links uninsured Americans to hundreds of state and federal assistance
programs, provides a systematic process to understand what programs best
meet their needs and makes the 175 public healthcare program applications
easily accessible.
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Media Contacts:
Marilyn Haese
Bobbi Rubinstein
Haese & Wood
(310) 556-9612
mhaese@haesewood.com
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