Affordable Health Insurance in Washington DC

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Best Health Insurance Plans Washington DC

The District of Columbia offers its various health insurance plans via DC Health Link, a state-run health insurance exchange.

At the exchange, date of open enrollment for 2019 coverage has been extended through January 31, 2019. As of now, three insurance providers are offering their services through the DC Health Link.

In 2017, around 22,717people was enrolled in 2018 coverage through the DC exchange. In the state, short term health insurance plans are limited to three months duration without renewals.

DC’s Health Insurance Marketplace:

In Washington, DC, health coverage for the individual and small-group health insurance markets is available only via state-run exchange the DC Health Link. If you have enrolled through Dec. 15, the policy will be effective from January. Similarly, for enrollments between Dec. 16 and Jan. 15, policy will go effective from Feb. 1.

As of now, three health insurance providers are offering their services and individual-market plans in DC for 2019- Group Hospitalization and Medical Services, CareFirst Blue Choice, and Kaiser of the Mid-Atlantic States.

DC enrollment in qualified health plans

It’s tabled that during the first Obamacare open enrollment period about 10,700 individuals opted for a qualified health plan through DC Health Link during. Approx., 45% of the enrollees for private health plans through the District’s exchange that year were from the age group of 18 to 34 year. During the open enrollment period for 2018 coverage, approx. 22,717 DC citizens opted for individual health coverage through DC Health Link.

Medicare enrollment in DC

As per the reports, approximately 88,421 DC residents enrolled in Medicare in the District of Columbia in 2015. The number is about 13 percent of the District’s total population. The District of Columbia administration spent about $9,490 per enrollees in 2014. In the state, Medicare enrollees are allowed to opt for a Medicare Advantage plan instead of Original Medicare for receiving additional benefits. Of all District Medicare enrollees, 13 percent select Medicare Advantage.

DC Healthcare Plans

If you’re looking for affordable and managed healthcare insurance plans in DC health insurance, it’s a fairly good practice to search thoroughly for the plans available in the state. Go with a plan that offers the coverage that fits your insurance needs and in your budget.

Individual and Family Plans

In DC, several carriers are offering a wide range of health insurance plans for Individuals and families. These plans are supported by a diverse network of doctors, clinics and hospitals across the state. Listed below are some of the most popular Individual and family plans available in District Columbia.

Short Term Health Insurance

In DC, short term health insurance is underwritten and provided by Golden Rule Insurance Company. The plan is a flexible health insurance coverage that fulfills your short term health insurance needs. A person can enroll for short term health insurance if he hasn’t applied for Affordable Care Act (ACA). The plan is a great bit if you’re waiting for your ACA coverage to start you is under 65.

Short term health insurance in DC can bring a slew of noteworthy business benefits. With the plan, beneficiary gets the coverage faster and plan starts as soon application is submitted. Beneficiary can also choose the length of his/her coverage. Every plan has an access to huge network of health care professionals.

Dental Insurance

The fact is that the Affordable Care act or Obamacare does not cover dental coverage for adults. However, you won’t face a tax penalty either for not having dental insurance. As stated above, as soon as you purchase the dental insurance, you will start receiving benefits of preventive care coverage.

Dental insurance is an important health insurance plan for individuals and offers coverage for common dental care problems. The plan pays monetary expenses for dental services at all levels whether preventive, basic and major. In DC, the Dental Insurance plans are offered and underwritten by Golden Rule Insurance Company.

The plan offers coverage for preventive care like routine cleanings and fluoride treatments. In the plan, patient is covered with no deductible or waiting period. Beneficiary gets complete coverage for basic services like fillings or emergency treatment for dental pain. The plan allows beneficiary access to more than 85,000 dental offices, in private and retail settings.

Vision Insurance Plans

In DC, Vision insurance plans are underwritten and offered to help you cover and budget for ongoing vision care expenses. The expenses the plan covers include routine eye exams, prescription glasses and contact lenses. Vision plans in DC are underwritten by Golden Rule Insurance Company and offers coverage for Coverage for people of all ages without any waiting period. The coverage is offered through a national network of vision service and eye wear providers.

 

FAQ on Washington, DC or District of Columbia Health Insurance Plans

If you are looking to buy an individual and family health plan, then the open enrollment period in the state is closed, and you can obtain health insurance coverage only if you qualify for a special enrollment period. However, to obtain health insurance coverage for 2021, you can enroll during the annual open enrollment that will run from November 1, 2020, through January 31, 2021, for the coverage that will start from February 1, 2021.

After the repealing of the federal mandate, Washington DC put an individual mandate as a part of their Get Covered, Stay Covered campaign. The state imposed a tax penalty on the individuals for going without the minimum essential coverage in the state. Washington DC is a strong supporter of the federal Affordable Care Act and has implemented several consumer-protection strategies to make obtaining health insurance easier for residents, including expanding Medicaid coverage. Thus, as a resident of Washington, DC, you need to have health insurance or pay a tax penalty on their taxes. In the year 2019, there was a tax penalty of $695 for each individual for not having minimum essential coverage in the state, and a $347.50 tax penalty for each child, up to the penalty of $2,085 per family or 2.5% of the household income, whichever is greater. Therefore, it is beneficial in the state to have health insurance coverage, as this will protect during the time of sudden medical emergencies and will also prevent from paying the penalty. However, you may qualify for an exemption if you experience financial hardship, eviction, or pregnancy. 
Washington, DC individual health insurance is divided into different metal-tiers of plans namely, Platinum, Gold, Silver, Bronze. The cheapest Bronze plan available in Washington, DC has a monthly premium of $231.65, whereas the cheapest Silver plan has a monthly premium of $271.25, and the cheapest Gold plan has a monthly premium of $331, and the cheapest Platinum plan has a monthly premium of $430.16. However, this is the lowest price as per data available from eHealth in the District of Columbia, but the actual price of the plan depends upon the age, gender, and zip code of the people enrolling in the plan. 

Residents of Washington, DC have several options as far as health insurance coverage is concerned. Right from employer-sponsored health plans to ACA-compliant individual and family health plans in different metal-tiers to short-term plans, to government-funded plans like Medicare and Medicaid, residents of the city have great options in health insurance plans. Depending on their age, gender, health conditions, and income, individuals can obtain the health plan that best meets their health conditions as well as the budget.

In Washington, DC, individuals can obtain health insurance coverage in the individual and small group health insurance market through the DC-run health insurance marketplace called DC Health Link. There is not any off-exchange option for the residents. DC Health Link is an online marketplace from where individuals, families, and small businesses in the Washington DC or District of Columbia can shop, compare and select health plans that meet their healthcare needs as well as budget.

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