Do I Need Health Insurance? YES!!! What Are My Options?
One of the major questions of parents of a child with a disability is... "What options are available for health insurance?" The best time to investigate these options is usually before a child turns 26-years of age.
Some options to consider are:
Parent's Insurance Some parental policies extend coverage of dependent disabled child of an employee up to a certain age, or indefinitely as long as the parent is employed. It is necessary to read the benefit booklet supplied by your company carefully. Proof of the handicap and dependency of the individual is usually required before the limiting age.
Employee Coverage Companies may or may not offer health benefits to a disabled employee, depending on the hours worked and benefit status. Their health benefits should be the same as non-disabled employees. As a provision of the Affordable Care Act (ACA) individuals can no longer be denied insurance.
Affordable Care Act (ACA) The Arc, the nation's leading and largest organization for people with intellectual and developmental disabilities (I/DD), has been a leader of the charge for health insurance reform in the disability community, calling for the elimination of coverage exclusions for pre-existing conditions, ending discrimination in health care, expanding Medicaid eligibility, and promoting universal health care coverage.
The national website for The Arc offers a 16-page document, The Affordable Care Act: What Disability Advocates Need to Know that plainly details what the ACA means for people who have intellectual and developmental disabilities.
Important dates for the Affordable Care Act are:
January 1, 2014 - Coverage begins
March 31, 2014 - Initial open enrollment ends
Follow this link for more information on the ACA specific to the state of Indiana and links that can help you further with your questions.
Medicaid A federal and state funded medical assistance program that pays for approved, needed medical care for persons who meet specific eligibility requirements. Applied for in the office of Family and Children in the county you live in.
Health Savings Account Health Savings Accounts
(HSAs) were created by Public Law 108-173, the "Medicare Prescription Drug, Improvement and Modernization Act of
2003," signed into law by President Bush on December 8, 2003. *Health savings accounts (HSAs) are like personal
savings accounts, but the money in them is used to pay for health care expenses. You - not your employer or
insurance company — own and control the money in your health savings account. The money you deposit into the
account is not taxed. To be eligible to open an HSA, you must have a special type of health insurance called
a high-deductible plan.
M. E. D. Works M.E.D. Works is Medicaid for Employees with Disabilities. Many disabled people feel that they may be able to return to work but are fearful of losing their Medicaid benefits. M.E.D. Works is a program designed to allow disabled employees to work without fear of losing their Medicaid. M.E.D. Works offers the same coverage levels as regular Medicaid. There may be small monthly premiums based on the amount of money a worker earns. If you are receiving SSDI and no cash benefits and feel that you may be able to return to work, M.E.D. Works may be the program that would be best for you.