Andowan, a friend of mine, sent me a very helpful report summarizing who has to sign up for government health care, and a way for Christians to save on medical costs. I got her permission to share it with my readers. Everything below is written by her unless otherwise noted. -- Daniel
Minimum essential coverage
To avoid the fee in 2014 you need insurance that qualifies as minimum essential coverage. If you're covered by any of the following in 2014, you're considered covered and don't have to pay a penalty:
• Any Marketplace plan, or any individual insurance plan you already have
• Any employer plan (including COBRA), with or without “grandfathered” status. This includes retiree plans
• Medicare
• Medicaid
• The Children's Health Insurance Program (CHIP)
• TRICARE (for veterans and veteran families)
• Veterans health care programs (including the Veterans Health Care Program, VA Civilian Health and Medical Program (CHAMPVA), and Spina Bifida Health Care Benefits Program)
• Peace Corps Volunteer plans
Other plans may also qualify. Ask your health coverage provider.
Who doesn't have to pay the fee
Uninsured people won't have to pay a fee if they:
• are uninsured for less than 3 months of the year
• are determined to have very low income and coverage is considered unaffordable
• are not required to file a tax return because their income is too low
• would qualify under the new income limits for Medicaid, but their state has chosen not to expand Medicaid eligibility
• are a member of a federally recognized Indian tribe
• participate in a health care sharing ministry (such as Samaritan Ministries)
• are a member of a recognized religious sect with religious objections to health insurance If you don't qualify for these situations, you can apply for an exemption asking not to pay a fee. You do this in the Marketplace.
What kinds of health insurance don't qualify as coverage?
Health plans that don't meet minimum essential coverage don't qualify as coverage in 2014. If you have only these types of coverage, you may have to pay the fee. Examples include:
• coverage only for vision care or dental care
• workers' compensation
• coverage only for a specific disease or condition
• plans that offer only discounts on medical services
{Daniel: The part below was written at the beginning of 2013}
Dear
Friends,
Happy
New
Year.
As
most
of
you
know,
Obama
won
the
election
which
means
“Obama
Care”
will
stand
starting
2014.
This
means
Americans
are
required
to
have
health
care
by
2014.
For
those
of
us
who
are
not
independently
wealthy,
do
not
fall
into
medicare/Medicaid,
or
have
free
or
employer
provided
health
care,
the
step
to
comply
with
the
law
will
be
costly.
As
a
result
of
the
changing
laws,
and
a
run
in
personally
with
2
medical
issues
in
2012,
I’ve
done
some
research
to
find
alternatives
or
a
health
insurance
company
that
meets
my
needs.
I’m
writing
this
letter
to
give
you
all
the
health
care
information
I
discovered
that
may
help
with
some
decisions
that
need
to
be
made
over
the
next
year.
I’ll
start
with
the
summary
and
for
those
who
want
the
details,
keep
reading.
SUMMARY
I’ve
chosen
to
go
with
a
Christian
health
care
sharing
plan
for
multiple
reasons
(read
the
details
below
–
it’s
good).
There
are
3
Christian
sharing
plans
that
were
written
into
the
Obama
care
law
eligible
to
meet
the
requirement
for
individuals
to
have
health
care.
Out
of
the
3
organizations,
I
found
Samaritan
Ministries
to
be
the
best.
After
reading
the
details,
if
you
decide
to
go
with
Samaritan
Ministries,
PLEASE
CONTACT
ME
FIRST.
I’ll
get
credit
for
referring
people
to
Samaritan
Ministries.
This
is
NOT
the
reason
I
went
with
this
organization,
but
it
would
be
great
to
get
credit
for
referring
people.
Consider
it
a
thanks
for
taking
the
time
to
write
this
email
if
it
helps?
{Daniel: contact me and I'll put her in touch with you.}
DETAILS
After
going
to
the
emergency
room
last
year
with
a
pain
that
I
thought
was
appendicitis,
and
then
getting
an
inner
ear
problem
that
left
me dependent
on
others
for
about
a
month,
I
thought
it
was
time
to
look
into
health
insurance.
The
more
I
looked
the
more
disappointed
I
got.
However,
a
friend
told
me
about
Samaritan
Ministries
(SM).
After
asking
an
onslaught
of
questions,
I
went
to
the
Internet
to
do
more
research.
I’ll
share
a
little
about
how
it
works
(since
you
can
go
to
SamaritanMinistries.org
for
more
info)
and
then
the
main
questions
that
were
answered
for
me
when
comparing
SM
to
regular
insurance.
SM
shares
the
cost
of
health
care
across
its
members.
Depending
on
whether
you
are
an
individual
or
a
family,
your
monthly
share
amount
goes
to
a
member
who
has
a
“publishable”
health
need.
Your
membership
fee
monthly
does
not
change
unless
the
board
votes
for
this.
The
specifics
for
the
board
to
vote
are
clearly
stated
on
their
website.
Not
only
do
you
help
another
believer
in
need,
you
have
the
opportunity
to
pray
and
write
a
note
of
encouragement.
This
means
if
you
have
a
“publishable”
health
care
need,
you
too
will
receive
checks
from
many
people
to
cover
the
need,
along
with
notes
of
encouragement
and
prayer.
KEYS
to
SM
for
me.
- By
sending
your
check
directly
to
the
person
in
need,
you
by
pass
the
laws
that
say
this
is
an
insurance
company.
SM
does
NOT
manage
the
health
care
funds.
You
are
assured
some
one
in
the
company
is
NOT
absconding
with
the
funds
either.
- Because
SM
is
NOT
an
insurance
company,
they
are
NOT
required
to
cover
some
ethically
questionable
procedures
and
medicines.
- It’s
Christian
based
and
therefore
applies
Biblical
principles
to
caring
and
helping
others,
especially
with
prayer.
- To
be
a
member
is
affordable
for
many
who
otherwise
could
NOT
afford
health
insurance.
- Price
comparison
per
month
with
health
insurance
seemed
the
same
or
better
with
SM.
- You
pick
any
hospital
or
doctor
you
want,
covers
emergencies
overseas
or
anywhere
in
the
USA.
- You
are
a
“cash
pay”
which
tends
to
bring
bills
lower,
and
for
larger
amounts,
SM
has
a
group
that
negotiates
to
bring
the
price
down.
- It
meets
the
Obama
Care
requirement
to
have
health
care.
- Had
a
tremendous
reputation
after
reading
multiple
user
reviews
from
various
websites.
I
searched
for
a
negative
review
and
could
NOT
find
one
on
SM.
Yet
I
did
find
some
issues
with
at
least
one
other
health
care
sharing
organization.
- They
have
2
programs,
one
up
to
$250,000
and
a
second
additional
program
up
to
1
million.
- The
website
is
VERY
CLEAR
and
does
NOT
seem
to
have
hidden
things
like
how
member
fees
increase,
etc.
So
I
felt
like
I
wasn’t
wondering
when
and
if
an
insurance
company
would
raise
my
premiums.
How
many
times
have
I
heard
people
saying
“my
premiums
are
so
expensive”
and
“my
deductible
are
so
high”?
People
DON’T
use
their
health
insurance
because
they
fear
increased
premiums.
What’s
the
point
then?
TO
CONSIDER:
- This
is
NOT
an
insurance
company
and
is
NOT
regulated
by
certain
laws.
- Pray,
as
it
takes
faith
to
know
this
is
what
God
wants
you
to
do.
- Not
all
needs
are
publishable
(such
as
dental)
but
the
do
put
the
“unpublishable”
needs
sometimes
in
the
newsletter
for
those
who
wish
to
give
extra.
- Do
your
research
on
medicine
as
it
may
or
may
not
be
covered
with
SM.
- Preventive
care
is
NOT
covered.
Health insurance (blue cross/shield)
|
SM
|
Higher cost monthly
|
Low cost monthly
|
Deductibles range and affect monthly cost
|
First $300 per incident, responsibility of
person/family
|
Unknown issues raise monthly costs
|
Clear when/how monthly costs rise
|
FINE PRINT what’s covered
|
Clear list of what’s publishable
|
Money motives based (shareholders)
|
Christian based
|
Government Regulated
|
Regulated by a board / Biblical principles
|
Choose needs to be covered
|
Not all needs publishable
|
Choose doctor/hospital depending on coverage.
|
Choose your doctor/hospital
|
Coverage limits
|
Some items not publishable
|
No one prays
|
People pray
|
Hope
this
helps
you.
Remember
to
contact
me
if
you
decide
to
go
with
SM.
DISCLAIMER
All
choices
made
regarding
your
health
care
must
be
made
based
on
your
own
personal
circumstances.
Please
do
your
due
diligence
and
research
before
deciding
as
fees,
rules,
and
many
other
factors
change
from
system
to
system
and
person
to
person.
I
will
take
NO
responsibility
for
any
choices
made
regarding
health
care
decisions.